J Dent Rehabil Appl Sci.  2016 Sep;32(3):240-245. 10.14368/jdras.2016.32.3.240.

A technique for fabricating abutment replica with hot melt adhesive material to minimize residual cement in implant restoration: a case report

• Seo CW
• Han AR
• Seo JM
• Lee JJ

• KMID: 2357853
• DOI: http://doi.org/10.14368/jdras.2016.32.3.240

Abstract

Removal of excess cement is important to prevent biological complication in cementation of implant restoration with subgingival margin. It can be difficult to completely remove excess cement. Several techniques have been introduced to minimize excess cement using abutment replica. In this case report, a simple method for making abutment replica with hot melt adhesive material in dental office was described. This technique is simple and effective because it can be used for pre-fabricated or custom abutment without additional laboratory procedure. In addition, it can minimize excess cement after cementation of implant restoration.

Keyword

implant; cement; periimplatitis, subgingival margin

MeSH Terms

Adhesives*
Cementation
Dental Offices
Methods
Adhesives

Figure

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  Fig. 1 Initial examination. (A) Right maxillary central incisor showing discoloration, (B) Destroyed palatal surface.

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  Fig. 2 Soft tissue around implant was well maintained for 3 months after connecting provision restoration.

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  Fig. 3 (A) Fill the restoration with melted HMA and place the dowel pin, (B) Zirconia custom abutment (right) and hot melt adhesive material replica (left).

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  Fig. 4 (A) Apply cement, seat abutment replica, and wipe off excess cement, (B) Remove replica from seating and confirm that the cement has coated the inside.

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  Fig. 5 (A) Zirconia crown was cemented with resin cement, (B) Periapcal radiograph. No cement remaining was observed.

Reference

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