2012
DOI: 10.1111/j.1600-0501.2012.02538.x
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Cemented and screw‐retained implant reconstructions: a systematic review of the survival and complication rates

Abstract: Both types of reconstructions influenced the clinical outcomes in different ways, none of the fixation methods was clearly advantageous over the other. Cemented reconstructions exhibited more serious biological complications (implant loss, bone loss >2 mm), screw-retained reconstructions exhibited more technical problems. Screw-retained reconstructions are more easily retrievable than cemented reconstructions and, therefore, technical and eventually biological complications can be treated more easily. For this… Show more

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Cited by 374 publications
(420 citation statements)
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References 306 publications
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“…Conversely, more serious biological complications were found in cemented prostheses, as implant failures and bone resorptions were greater than 2 mm (9). Although none of the two retention types was clearly advantageous, the reversibility of screw-retained crowns allows easier treatment of technical and biological complications (9).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Conversely, more serious biological complications were found in cemented prostheses, as implant failures and bone resorptions were greater than 2 mm (9). Although none of the two retention types was clearly advantageous, the reversibility of screw-retained crowns allows easier treatment of technical and biological complications (9).…”
Section: Discussionmentioning
confidence: 99%
“…Several studies report lower fracture strength values for the screw-retained crowns (1,2,4,5,7,(8)(9)(10)(11). This is explained by the presence of SAH that disrupts the structural continuity of the veneer porcelain (2,4).…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, systematic reviews also showed that there were no significant differences between the fixation techniques (i.e., screwed and cemented) used in fixed prostheses [25,28,29], despite the greater tendency for biological and mechanical complications in the cemented prostheses and screwed prostheses, respectively. One problem that was discovered when comparing the results of these types of prostheses was the lack of specific cementing protocols for this fixed prosthesis (for both the material and the technique used [30].…”
Section: Biomechanicsmentioning
confidence: 99%
“…For extended fixed bridges or cantilever prostheses, a screwed fixation would be more appropriate [27]. The main advantage of screwing in the prostheses was that they could be removed and replaced without damaging the structure of the prostheses or implants, there by facilitating subsequent clinical procedures [12,29,30].…”
Section: Biomechanicsmentioning
confidence: 99%
“…[7,8] Furthermore, it is reported by a multicenter in vivo study that the peri-implant soft tissue responds more favorably in the terms of low plaque index and bleeding on probing to screw retained restoration when compared to cemented retained restoration. [9] Furthermore, the previous systematic reviews reveal also controversies as (Sailer et al, 2012) there is no evidence to support the diff erence in marginal bone loss and (Sherif et al, 2013) reported no signifi cant diff erence between two types. [6,10,11] Among this dilemma we still need clear evidence to answer which type screw retained or cemented retained restoration could associated with less occurrences of peri-implantitis?…”
Section: Introductionmentioning
confidence: 99%