Published online Apr 28, 2014.
https://doi.org/10.4047/jkap.2014.52.2.97
Comparative study on the radiopacity of different resin-based implant cements
Abstract
Purpose
This study was aimed to compare the radiopacity of four kinds of currently available resin based implant cements using digital radiography.
Materials and Methods
Four resin-based implant cements ((Estemp Implant™ (Spident, Incheon, Korea), Premier® Implant (Premier, Pennsylvania, USA), Cem-Implant™ (B.J.M lab, Or-yehuda, Israel), InterCem™ (SCI-PHARM, California, USA)) and control group (Elite Cement 100™ (GC, Tokyo, Japan)) were mixed and cured according to the manufacturer's instructions on the custom made split-type metal mold. A total of 150 specimens of each cement were prepared and each specimen (purity over 99%) was placed side-by-side with an aluminum step wedge for image taking with Intraoral X-ray unit (Esx, Vatech, Korea) and digital X-ray sensor (EzSensor, Vatech, Korea). For the evaluation of aluminum wedge equivalent thickness (mm Al), Image J 1.47 m (Wayne Rasband, National Institutes of Health, USA) and Color inspector 3D ver 2.0 (Interaktive Visualisierung von Farbräumen, Berlin, Germany) programs were used.
Result
Among the 5 cements, Elite cement 100™ (control group) showed the highest radio-opacity in all thickness. In the experimental group, InterCem™ had the highest radio-opacity followed by Premier® Implant Cement™, Cem-Implant™ and Estemp Implant™. In addition, InterCem™ showed radio-opacity that met the ISO No. 4049 standard in all the tested specimen thickness. Cem-Implant on 0.5 mm thickness showed radiopacity that met the ISO No. 4049 standard.
Conclusion
Among the implant resin-based cements tested in the study, Premier® Implant Cement and Estemp Implant™ did not show appropriate radio-opacity. Only InterCem™ and Cem-Implant™ 0.5 mm specimen had the proper radiopacity and met the experiment standard.
Fig. 1
Metal mold for specimens.
Fig. 2
99% Aluminum step wedge.
Fig. 3
Radiographic image of specimen and Aluminum step wedge. (A) 0.5 mm thickness, (B) 1.0 mm thickness, (C) 2.0 mm thickness.
Fig. 4
Aluminum wedge equivalent thickness values of experimental groups. *: No significant difference.
Table 1
Experimental cements used in this study
Table 2
Aluminum wedge equivalent thickness(mm Al) of cements
References
-
De Rouck T, Collys K, Cosyn J. Single-tooth replacement in the anterior maxilla by means of immediate implantation and provisionalization: a review. Int J Oral Maxillofac Implants 2008;23:897–904.
-
-
Michalakis KX, Hirayama H, Garefis PD. Cement-retained versus screw-retained implant restorations: a critical review. Int J Oral Maxillofac Implants 2003;18:719–728.
-
-
Nissan J, Narobai D, Gross O, Ghelfan O, Chaushu G. Long-term outcome of cemented versus screw-retained implant-supported partial restorations. Int J Oral Maxillofac Implants 2011;26:1102–1107.
-
-
Clayton GH, Driscoll CF, Hondrum SO. The effect of luting agents on the retention and marginal adaptation of the CeraOne implant system. Int J Oral Maxillofac Implants 1997;12:660–665.
-
-
Akça K, Iplikçioğlu H, Cehreli MC. Comparison of uniaxial resistance forces of cements used with implant-supported crowns. Int J Oral Maxillofac Implants 2002;17:536–542.
-
-
GaRey DJ, Tjan AH, James RA, Caputo AA. Effects of thermocycling, load-cycling, and blood contamination on cemented implant abutments. J Prosthet Dent 1994;71:124–132.
-
-
Cho-Yan Lee J, Mattheos N, Nixon KC, Ivanovski S. Residual periodontal pockets are a risk indicator for peri-implantitis in patients treated for periodontitis. Clin Oral Implants Res 2012;23:325–333.
-
-
Shapoff CA, Lahey BJ. Crestal bone loss and the consequences of retained excess cement around dental implants. Compend Contin Educ Dent 2012;33:94–96. 98–101.
-
-
Pauletto N, Lahiffe BJ, Walton JN. Complications associated with excess cement around crowns on osseointegrated implants: a clinical report. Int J Oral Maxillofac Implants 1999;14:865–868.
-
-
Gapski R, Neugeboren N, Pomeranz AZ, Reissner MW. Endosseous implant failure influenced by crown cementation: a clinical case report. Int J Oral Maxillofac Implants 2008;23:943–946.
-
-
O'Rourke B, Walls AW, Wassell RW. Radiographic detection of overhangs formed by resin composite luting agents. J Dent 1995;23:353–357.
-
-
Reis JM, Jorge EG, Ribeiro JG, Pinelli LA, Abi-Rached FO, Tanomaru-Filho M. Radiopacity evaluation of contemporary luting cements by digitization of images. ISRN Dent 2012;2012:704246.
-
-
Pette GA, Ganeles J, Norkin FJ. Radiographic appearance of commonly used cements in implant dentistry. Int J Periodontics Restorative Dent 2013;33:61–68.
-
-
Dentistry: Polymer-based restorative materials. Geneva: ISO International Organization for Standardization; 2009.
-
-
Begoña Ormaechea M, Millstein P, Hirayama H. Tube angulation effect on radiographic analysis of the implant-abutment interface. Int J Oral Maxillofac Implants 1999;14:77–85.
-
-
Callan DP, Cobb CM. Excess cement and peri-implant disease. J Implant Adv Clin Dent 2009;1:61–68.
-