Effect of Cleaning Methods on Retentive Values of Saliva-Contaminated Implant-Supported Zirconia Copings Publisher Pubmed

Summary: Scientists report saliva weakens dental implant bonds, but cleaning with isopropanol or Ivoclean restores strength, improving implant success. #DentalHealth #ImplantDentistry

Nejatidanesh F^{1, 2} ; Savabi O³ ; Savabi G¹ ; Razavi M⁴
Source: Clinical Oral Implants Research Published:2018

Abstract

Objective: The aim of this study was to evaluate the effect of different cleaning regimens on retentive strength of saliva-contaminated implant-supported zirconia copings. Material and Methods: Seventy solid titanium abutments with 5.5 mm height (Straumann) were attached to the regular neck implant analogs (Straumann). The abutment-analog complex was mounted vertically in an autopolymerized T-shaped acrylic resin block. Seventy zirconia copings with an occlusal loop were made. The copings were contaminated with fresh human saliva for 1 min (except the control group). Afterward, the specimens were washed with water spray for 15 s and dried for 15 s. The copings were divided into seven groups according to cleaning methods (n = 10). Group 1: no contamination (control group); Group 2: water spray rinsing; Group 3: airborne particle abrasion; Group 4: immersion in 96% isopropanol; Group 5: applying Ivoclean (Ivoclar Vivadent); Group 6: applying 1% sodium hypochlorite; and Group 7: applying Monobond Plus (Ivoclar Vivadent). The copings were luted with a resin luting agent (RelyX Unicem; 3M ESPE). After 5,000 thermal cycles, the retentive values of the restorations were tested using universal testing machine. The dislodging forces were analyzed using one-way analysis of variance and the Tukey's HSD tests (α = 0.05). Results: The copings, which were cleaned with Ivoclean and 96% isopropanol, showed the highest retentive values (204.79 ± 44.49 and 232.65 ± 71.36, respectively). There was a significant difference between the studied groups (F = 2.735; p =.02). Tukey's HSD showed that there was no significant difference between the different cleaning procedures and control group except water rinsing group (p =.14). The lowest retentive value was related to the saliva-contaminated group, which were only cleaned with water rinsing method. Conclusion: The retentive values of zirconia-based restorations were adversely affected by saliva contaminations. These restorations can be cleaned by Ivoclean, 96% isopropanol, airborne particle abrasion, 1% sodium hypochlorite, or applying Monobond Plus before luting procedures. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd