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Authors Flanagan D
Received 16 July 2017
Accepted for publication 28 September 2017
Published 3 November 2017 Volume 2017:9 Pages 93—97
DOI https://doi.org/10.2147/CCIDE.S146544
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Colin Mak
Peer reviewer comments 2
Editor who approved publication: Dr Christopher Okunseri
Abstract: Implant-supported
dental prostheses can be retained by a screw or cement. Implant-supported fixed
partial dentures have a passive fit. A passive fit means there is an internal
gap between the abutment surface and the intaglio of the retainer to insure that
there is no lateral pressure on the supporting implants or friction upon
seating of the prosthesis. This gap is filled with cement for retention of the
prosthesis. Any lateral pressure may cause marginal bone loss or
periimplantitis. Also, there is usually a microscopic gap at the margin of a
crown retainer that exposes the cement to oral fluids. The solubility of zinc
phosphate (ZOP) cement is a definite liability due to the risk for cement
dissolution. In fixed prostheses, the dissolution of the cement of one or more
retainers would cause a transfer of the occlusal load to the retained unit(s).
The resulting rotation and lifting of the cement-retained implants from
occlusal and parafunctional loads could cause loss of osseointegration of the
abutment-retained implant(s). ZOP cement may not be indicated for
implant-supported fixed partial dentures or splints. Cement dissolution in
single unit probably only involves re-cementation, if the patient does not
swallow or aspirate the crown.
Keywords: passive fit,
retention, film thickness, fixed, marginal gap
摘要视频链接:Zinc phosphate as a definitive cement