The Effect of Compressive Cyclic Loading on the Retention of Cast Single Crowns Cemented to Implant Abutments.

PURPOSE The aim of this study was to evaluate and compare the retention strength of three cements commonly used in implant-supported prostheses before and after compressive cyclic loading. MATERIALS AND METHODS The working model consisted of five solid abutments, 7 mm in height and with a 6-degree taper, screw retained to five implant analogs secured in a rectangular block of self-curing acrylic. On the abutments, 30 metal Cr-Ni alloy copings were cemented using three luting agents: glass ionomer, resin urethane-based, and compomer cement (n = 10). Two tensile tests were conducted with a universal testing machine, before and after 100,000 cycles of 100 N and 0.72 Hz compressive cyclic loading in a humid environment. RESULTS Before applying the compressive load, the retention strength of the resin urethane-based cement was slightly higher than that of the compomer cement and 75% greater than the glass-ionomer cement. After compressive loading, the resin urethane-based cement showed the highest percentage of loss of retention (64.45%, compared with 50% for glass-ionomer and compomer cement). However, the glass-ionomer cement showed the lowest mean retentive strength with 50.35 N as opposed to 75.12 N for the compomer cement and 71.25 N for the resin urethane-based. CONCLUSIONS Compressive cyclic loading significantly influences the retention strength of the luting agents tested. All three cements may favor the retrievability of the crowns.