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A Protocol for Screw-Retrievable, Cement-Retained, Implant-Supported Fixed Partial Dentures.

Abdulaziz AlHelal, Mathew T Kattadiyil, Bader AlBader

    The International Journal of Prosthodontics
    |October 31, 2017
    PubMed
    Summary

    Implant-supported fixed partial dentures (ISFPDs) can be retained using screws or cement, each with drawbacks. A novel combined screw-retrievable, cement-retained ISFPD design minimizes strain and simplifies cement removal for enhanced longevity.

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    Area of Science:

    • Dentistry
    • Biomaterials Science
    • Prosthodontics

    Background:

    • Implant-supported fixed partial dentures (ISFPDs) longevity is often compromised by clinical complications.
    • Current retention methods (screws or cement) present distinct challenges, including mechanical strain or cement-related issues.

    Purpose of the Study:

    • To introduce and describe a novel combined screw-retrievable and cement-retained ISFPD design.
    • To highlight the advantages of this hybrid approach in passive fit, strain reduction, and cement management.
    • To propose a diagnostic method for selecting this ISFPD type.

    Main Methods:

    • Fabrication and clinical indications for the screw-retrievable, cement-retained ISFPD are detailed.
    • A diagnostic assessment technique focusing on tactile resistance for material selection is presented.

    Main Results:

    • The combined design aims to optimize passive fit and reduce mechanical strain on the prosthesis.
    • It facilitates complete removal of excess cement, mitigating oral environment degradation.
    • Ease of prosthesis retrievability is maintained.

    Conclusions:

    • The screw-retrievable, cement-retained ISFPD offers a promising alternative for improved implant prosthesis outcomes.
    • This approach addresses limitations of purely screw-retained or cement-retained designs.
    • Clinical indications and a selection protocol are provided for practitioners.