The effect of luting agents on the retention of dental implant-supported crowns

Background: This study was designed to evaluate the retentive strength of 7 different luting agents on cement-retained implant abutment/analog assemblies. Methods: Fifty-six Steri-Oss implant abutment/analog assemblies and cast superstructures were randomly divided into 7 groups: definitive cements included zinc phosphate cement, Advance, All-Bond 2, Panavia F, and Durelon, while provisional cements included Temp Bond and ImProv. After the superstructures were cemented onto the implant abutments, the specimens were subjected to 100,000 cycles on a chewing machine (75 N) and 1000 cycles on a thermocycling machine (0-55°C). A universal testing machine was used to test the cement failure load values for each specimen. One-way ANOVA and Duncan's multiple-range analysis were used to determine the effects of luting agents on cement failure load values. Results: The following values for the mean and standard deviation of cement failure loads for each group were obtained: zinc phosphate, 1.225 ± 0.229 MPa; Advance, 1.205 ± 0.197 MPa; All Bond 2, 1.752 ± 0.211 MPa; Panavia F, 1.679 ± 0.176 MPa; Durelon, 0.535 ± 0.161 MPa; Temp Bond, 0.274 ± 0.079 MPa; and ImProv, 0.319 ± 0.107 MPa. Conclusions: There were significant differences in cement failure loads among the various cements tested. Values significantly differed among 4 groups consisting of All-Bond 2 and Panavia F resin cements, zinc phosphate cement and Advance hybrid ionomer cement, Durelon carboxylate cement, and ImProv and Temp Bond provisional cements (p < 0.0001). All-Bond 2 and Panavia F resin cements had statistically significantly higher values for cement failure loads compared to the other 5 types of cement.