Hypobaric Conditions and Retention of Dental Crowns Luted with Manually or Automixed Dental Cements
BACKGROUND: There is only scant information on the influence of the hypobaric environment on luting agents and their efficacy on dental crown cementation. The objective of this study was to provide data on the retentive characters of two cements commonly used on implant abutment
surfaces both under normal and under hypobaric conditions.
METHODS: There were 56 implant abutments supplied with CAD/CAM milled zirconia oxide crowns. 1) A zinc phosphate cement (ZP), and 2) a resin-modified glass ionomer cement (RMGI), each mixed either A) manually or B) by means of automix capsules, were used for cementation. The cemented crowns of the 4 × 2 subgroups were either kept on the ground or were transported in an aircraft at altitudes up to 13,730 m (45,045.9 ft; N = 28 each), thus being subjected to the pressure changes (80×) every aircrew member or frequent flyer is exposed to. All cemented crowns were stored in climatized boxes during the experimental phase.
RESULTS: Hand-mixing of ZP resulted in a significant reduction of mean (± SD) retention forces (581.6 ± 204.5 N) when compared to the control group on the ground (828.4 ± 147.9 N). Automixed ZP (931.9 ± 134.4 N in flight; 996.0 ± 107.4 N on the ground) and RMGI subgroups (ranging from 581.0 N ± 114.3 N to 662.4 N ± 92.5 N) were not affected by hypobaric conditions.
DISCUSSION: When treating patients frequently exposed to hypobaric environments, automixing of ZP would seem favorable, while manual mixing should be avoided. RMGI is considered suitable and is not influenced by hand-mixing or barometric pressure changes.
Kielbassa AM, Müller JAG. Hypobaric conditions and retention of dental crowns luted with manually or automixed dental cements. Aerosp Med Hum Perform. 2018; 89(5):446–452.
METHODS: There were 56 implant abutments supplied with CAD/CAM milled zirconia oxide crowns. 1) A zinc phosphate cement (ZP), and 2) a resin-modified glass ionomer cement (RMGI), each mixed either A) manually or B) by means of automix capsules, were used for cementation. The cemented crowns of the 4 × 2 subgroups were either kept on the ground or were transported in an aircraft at altitudes up to 13,730 m (45,045.9 ft; N = 28 each), thus being subjected to the pressure changes (80×) every aircrew member or frequent flyer is exposed to. All cemented crowns were stored in climatized boxes during the experimental phase.
RESULTS: Hand-mixing of ZP resulted in a significant reduction of mean (± SD) retention forces (581.6 ± 204.5 N) when compared to the control group on the ground (828.4 ± 147.9 N). Automixed ZP (931.9 ± 134.4 N in flight; 996.0 ± 107.4 N on the ground) and RMGI subgroups (ranging from 581.0 N ± 114.3 N to 662.4 N ± 92.5 N) were not affected by hypobaric conditions.
DISCUSSION: When treating patients frequently exposed to hypobaric environments, automixing of ZP would seem favorable, while manual mixing should be avoided. RMGI is considered suitable and is not influenced by hand-mixing or barometric pressure changes.
Kielbassa AM, Müller JAG. Hypobaric conditions and retention of dental crowns luted with manually or automixed dental cements. Aerosp Med Hum Perform. 2018; 89(5):446–452.
Keywords: CAD/CAM; aviation dentistry; barotrauma; crown retention; dental cement; dental implant; hypobaric conditions; zirconia oxide crown
Document Type: Research Article
Publication date: 01 May 2018
- This journal (formerly Aviation, Space, and Environmental Medicine), representing the members of the Aerospace Medical Association, is published monthly for those interested in aerospace medicine and human performance. It is devoted to serving and supporting all who explore, travel, work, or live in hazardous environments ranging from beneath the sea to the outermost reaches of space. The original scientific articles in this journal provide the latest available information on investigations into such areas as changes in ambient pressure, motion sickness, increased or decreased gravitational forces, thermal stresses, vision, fatigue, circadian rhythms, psychological stress, artificial environments, predictors of success, health maintenance, human factors engineering, clinical care, and others. This journal also publishes notes on scientific news and technical items of interest to the general reader, and provides teaching material and reviews for health care professionals.
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