The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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A literature review on cementation of implant prosthesis

임플란트 보철물의 합착에 대한 문헌고찰

  • Lee, Eun-Suk (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Ko, Kyung-Ho (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Huh, Yoon-Hyuk (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Chan-Jin (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
  • 이은석 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 고경호 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 허윤혁 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 박찬진 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 조리라 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소)
  • Received : 2016.06.28
  • Accepted : 2016.09.01
  • Published : 2016.10.31
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Abstract

Cement-retained implant prosthesis has several advantages in the esthetic and occlusal aspects. However, the difficulty of the retrievability and the possibility of peri-implantitis induced by the cement excess would be a threatening factor to the implant prognosis. Peri-implantitis resulting from the remaining cement could occur later on to the patients with periodontitis history. Retention can be controlled by selecting the right cement type. Retention of the cement was the strongest in the resin cement, followed by resin modified glass ionomer cement, poIycarboxylate cement, zinc phosphate cement and glass ionomer cement. Retention of the provisional cement weakened after thermocycling. Other factors such as the abutment number, abutment alignment, height and taper of the abutment can also affect the total retention. To the success of the cement-retained prosthesis, it's important to select the right cement for the clinical purpose. The prosthesis should be fabricated in accordance with the biomechanical requirements. The prosthesis should be cemented with the techniques to reduce the excess cement as much as possible. In addition, the excess cement should be identified using the radiography and carefully removed.

시멘트유지형 임플란트 보철물은 교합과 심미적인 측면에서 상당한 장점을 가지지만 시멘트잔사가 남을 경우 임플란트주위염을 유발하는데 대부분 후기 증상으로 발현되며 특히 제거의 어려움과 시멘트잔사로 인한 임플란트주위염은 임플란트의 예후를 위협하는 요인이 될 수 있다. 그러므로 사용목적에 맞는 유지력을 가지는 시멘트를 선택하는 것이 필요하다. 일반적으로 레진시멘트, 폴리카복실레이트시멘트, RMGI 시멘트가 GI 시멘트나 ZPC보다 높은 유지력을 가지며 임시합착제는 열순환 후에는 유지력이 낮아진다. 시멘트 외에도 지대주의 높이와 경사도, 지대주의 수 및 분포도 유지력에 영향을 줄 수 있다. 무엇보다 목적에 맞는 시멘트를 선택하고 생역학적인 원칙을 준수한 보철물을 설계하고 시멘트잔사를 줄이는 방법을 이용하여 합착한 후 방사선사진으로 잔사를 확인하여 완벽하게 제거해야 시멘트유지형 보철의 성공을 얻을 수 있을 것이다.

Keywords

References

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