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The cement-retained restorations ensure maximum aesthetics but have two downsides. One, the restoration is cemented to an abutment that is screw retained. If the abutment screw becomes loose the final restoration cannot be removed without destroying it in many instances. This results in a remake and increased cost.
This has created the potential for cement, that escapes from under the crown during cementation to get caught in the gingiva and create a peri-implantitis (see picture below). While the complication can occur, there does not appear to be any additional peri-implantitis in cement-retained crowns compared to screw-retained crowns overall. [75]
After the prefabricated post is properly cemented into the post space, a core material, such as dental composite, can be packed around the cemented post. After the material has been cured or has had a chance to set and properly formed into a crown preparation, an impression can be taken for the fabrication of a prosthetic crown. [9]
[1] A crown is typically bonded to the tooth by dental cement. They can be made from various materials, which are usually fabricated using indirect methods. Crowns are used to improve the strength or appearance of teeth and to halt deterioration. While beneficial to dental health, the procedure and materials can be costly.
In dentistry, an abutment is a connecting element. [1] This is used in the context of a fixed bridge (the "abutment teeth" referring to the teeth supporting the bridge), partial removable dentures (the "abutment teeth" referring to the teeth supporting the partial) and in implants (used to attach a crown, bridge, or removable denture to the dental implant fixture).
A multi-unit abutment (MUA) is an abutment most commonly used with dental implants in "All-on-Four" protocols. [1] [2] They are designed for screw-retained group restorations, [3] which are often used in combination with angled dental implants [4] and whole arch replacements, as well as screw fixation of bridges made of zirconium or metal-ceramic group restorations to the implant.
Zinc phosphate was the very first dental cement to appear on the dental marketplace and is seen as the “standard” for other dental cements to be compared to. The many uses of this cement include permanent cementation of crowns, orthodontic appliances, intraoral splints, inlays, post systems, and fixed partial dentures.
A dental prosthesis is an intraoral (inside the mouth) prosthesis used to restore (reconstruct) intraoral defects such as missing teeth, missing parts of teeth, and missing soft or hard structures of the jaw and palate. [1]
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