Biomaterial Database

Cement removal from restorations luted to titanium abutments with simulated subgingival margins. 1997

J R Agar, and S M Cameron, and J C Hughbanks, and M H Parker

School of Dental Medicine, University of Connecticut Health Center, Farmington, USA.

BACKGROUND The process of removing excess cement from subgingival margins after cementation of restorations to implant abutments may lead to scratching of the abutments or incomplete cement removal. OBJECTIVE The purpose of this study was to investigate and to compare the surfaces of abutments after the removal of three cements (glass ionomer, resin, and zinc phosphate) by use of three instruments (gold coated scaler, rigid plastic scaler, and stainless steel explorer). METHODS Six investigators removed zinc phosphate, glass ionomer, and resin cements with explorers, gold coated scalers, and rigid plastic scalers with a model simulating clinical conditions. The surface of Brånemark abutments with cemented restorations were examined with a microscope at 20x for scratches and cement remnants. RESULTS Statistical analysis of the results were inconclusive about which combination of instrument and cement worked most effectively. CONCLUSIONS A surprising amount of cement remnants and scratching of abutments was observed. Although the six investigators were experienced in prosthodontic and implant procedures, there was variation in the results of their cement removal.

UI	MeSH Term	Description	Entries
D008853	Microscopy	The use of instrumentation and techniques for visualizing material and details that cannot be seen by the unaided eye. It is usually done by enlarging images, transmitted by light or electron beams, with optical or magnetic lenses that magnify the entire image field. With scanning microscopy, images are generated by collecting output from the specimen in a point-by-point fashion, on a magnified scale, as it is scanned by a narrow beam of light or electrons, a laser, a conductive probe, or a topographical probe.	Compound Microscopy,Hand-Held Microscopy,Light Microscopy,Optical Microscopy,Simple Microscopy,Hand Held Microscopy,Microscopy, Compound,Microscopy, Hand-Held,Microscopy, Light,Microscopy, Optical,Microscopy, Simple
D008953	Models, Anatomic	Three-dimensional representation to show anatomic structures. Models may be used in place of intact animals or organisms for teaching, practice, and study.	Anatomic Models,Models, Surgical,Moulages,Models, Anatomical,Anatomic Model,Anatomical Model,Anatomical Models,Model, Anatomic,Model, Anatomical,Model, Surgical,Moulage,Surgical Model,Surgical Models
D010969	Plastics	Polymeric materials (usually organic) of large molecular weight which can be shaped by flow. Plastic usually refers to the final product with fillers, plasticizers, pigments, and stabilizers included (versus the resin, the homogeneous polymeric starting material). (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)	Plastic
D002484	Cementation	The joining of objects by means of a cement (e.g., in fracture fixation, such as in hip arthroplasty for joining of the acetabular component to the femoral component). In dentistry, it is used for the process of attaching parts of a tooth or restorative material to a natural tooth or for the attaching of orthodontic bands to teeth by means of an adhesive.	Cementations
D003738	Dental Cements	Substances used to bond COMPOSITE RESINS to DENTAL ENAMEL and DENTIN. These bonding or luting agents are used in restorative dentistry, ROOT CANAL THERAPY; PROSTHODONTICS; and ORTHODONTICS.	Dental Adhesives,Luting Agents,Orthodontic Adhesives,Cement, Dental,Cements, Dental,Dental Cement,Adhesive, Dental,Adhesive, Orthodontic,Adhesives, Dental,Adhesives, Orthodontic,Dental Adhesive,Luting Agent,Orthodontic Adhesive
D005881	Gingiva	Oral tissue surrounding and attached to TEETH.	Gums,Interdental Papilla,Papilla, Interdental,Gum
D005899	Glass Ionomer Cements	A polymer obtained by reacting polyacrylic acid with a special anion-leachable glass (alumino-silicate). The resulting cement is more durable and tougher than others in that the materials comprising the polymer backbone do not leach out.	Glass Ionomer Cement,Glass Polyalkenoate Cement,Polyalkenoate Cement,Polyalkenoate Cements,Glass Polyalkenoate Cements,Glass-Ionomer Cement,Cement, Glass Ionomer,Cement, Glass Polyalkenoate,Cement, Glass-Ionomer,Cement, Polyalkenoate,Cements, Glass Ionomer,Cements, Glass Polyalkenoate,Cements, Glass-Ionomer,Cements, Polyalkenoate,Glass-Ionomer Cements,Ionomer Cement, Glass,Polyalkenoate Cement, Glass
D006047	Gold Alloys	Alloys that contain a high percentage of gold. They are used in restorative or prosthetic dentistry.	Gold Alloy,Alloy, Gold,Alloys, Gold
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000044	Dental Abutments	Natural teeth or teeth roots used as anchorage for a fixed or removable denture or other prosthesis (such as an implant) serving the same purpose.	Abutments, Dental,Abutment, Dental,Dental Abutment