Main Article Content

Authors

Background: The development of implant dentistry, along with implant-supported prostheses, made it possible to carry out functional and aesthetic rehabilitation treatments for patients, promoting comfort and durability in the results. For the achievement of the rehabilitation treatment, the choice of the retentive system of the prosthesis that best suits the patient's expectations, together with their clinical and radiographic conditions is essential.


Objective: Perform a literature review addressing the main retention systems for fixed prostheses on implants, especially screwed and cemented, contextualizing them with new materials, components and techniques, guiding the decision-making of dental surgeons for their clinical planning.


Materials and methods: A bibliographic search was performed on MEDLINE, Embase, Cochrane Library and SciElo platforms, filtering articles in Portuguese or English, with no date restriction until June 2, 2021.


Conclusion: The choice of the retention system to be used involves several factors. A gold standard retention technique has not yet been established, due to the advantages and disadvantages of each. The choice of retention method must be made in conjunction with the patient and more clinical studies with longer follow-up are necessary to obtain more information.

Clara Almeida-Mares, Universidade Federal de Minas Gerais

Universidade Federal de Minas Gerais, Faculdade de Odontologia, Departamento de Odontologia Restauradora, Belo Horizonte, Minas Gerais, Brasil.

Fernando Teodoro Metzker Lyra , Universidade Federal de Minas Gerais

Universidade Federal de Minas Gerais, Faculdade de Odontologia, Departamento de Odontologia Restauradora, Belo Horizonte, Minas Gerais, Brasil,Universidade Federal de Minas Gerais 

Danilo Rocha Dias, Universidade Federal de Minas Gerais

Universidade Federal de Minas Gerais, Faculdade de Odontologia, Departamento de Odontologia Restauradora, Belo Horizonte, Minas Gerais, Brasil.

Fedrerico Santos Lages, Universidade Federal de Minas Gerais

Universidade Federal de Minas Gerais, Faculdade de Odontologia, Departamento de Odontologia Restauradora, Belo Horizonte, Minas Gerais, Brasil.

Almeida-Mares, C., Metzker Lyra , F. T. ., Rocha Dias, D., & Santos Lages, F. (2022). Types of retention for implant-supported fixed prosthesis: a narrative literature review. Revista Estomatología, 30(1). https://doi.org/10.25100/re.v30i1.11894

Branemark PI. Osseointegration and its experimental background. J Prosthet Dent. 1983; 50 (3): 399-410. Disponível em: https://doi.org/10.1016/s0022-3913(83)80101-2

Simoneti V, Luckmann G, Pasquali E. Seeking esthetics with implants and immediate loading associated with connective tissue graft. Dental Press Implantology, 2015, 9 (1), 34–41. Disponível em: https://doi.org/10.14436/2237-650x.9.1.034-041.oar

Hamed M T, Mously H A, Alamoudi S K, Hashem A B H, Naguib G H. A systematic review of screw versus cement-retained fixed implant supported reconstructions. Clinical, Cosmetic and Investigational Dentistry, 2020 12, 9–16. Disponível em: https://doi.org/10.2147/CCIDE.S231070

Michalakis K X, Hirayama H, Garefis P D. Cement-retained versus screw-retained implant restorations: a critical review. Int J Oral Maxillofac Implants 2003; 18:719-28. Disponível em: https://pubmed.ncbi.nlm.nih.gov/14579961/

Shadid R, Sadaqa N. A comparison between screw- and cement-retained implant prostheses. A literature review. J Oral Implantol 2012;38:298-307. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21091343/

Tosches N A, Bragger U, Lang N P. Marginal fit of cemented and screw-retained crowns incorporated on the Straumann (ITI) dental implant system: an in vitro study. Clin Oral Implants Res 2009, 20:79-86. Disponível em: https://doi.org/10.1111/j.1600-0501.2008.01591.x

Heo Y K, Lim Y J. A Newly Designed Screw- and Cement-Retained Prosthesis and Its Abutments. The International Journal of Prosthodontics, 2015, 28(6), 612–614. Disponível em: https://doi.org/10.11607/ijp.4236

Ragauskaite A, Žekonis G, Žilinskas J, Gleiznys A, Ivanauskienė E, Gleiznys D. The comparison of cement- and screw-retained crowns from technical and biological points of view. Stomatologija, 2017, v. 19, n. 2, p. 44–50,. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29243683/

Amorfini L, Storelli S, Mosca D, Scanferla M, Romeo E. Comparison of Cemented vs Screw-Retained, Customized Computer-Aided Design/Computer-Assisted Manufacture Zirconia Abutments for Esthetically Located Single-Tooth Implants: A 10-Year Randomized Prospective Study. The International Journal of Prosthodontics, 2018, v. 31, p. 359–366. Disponível em: https://doi.org/10.11607/ijp.5305

Heierle L, Wolleb K, Hämmerle C H, Wiedemeier D B, Sailer I, Thoma D S. Randomized Controlled Clinical Trial Comparing Cemented Versus Screw-Retained Single Crowns on Customized Zirconia Abutments: 3-Year Results. The International Journal of Prosthodontics, 2019, v. 32, n. 2, p. 172–176. Disponível em: https://doi.org/10.11607/ijp.6080

Begum Z, Sonika R, Pratik C. Effect of Different Cementation Techniques on Retained Excess Cement and Uniaxial Retention of the Implant-Supported Prosthesis: An In Vitro Study. The International Journal of Oral & Maxillofacial Implants, 2014, v. 29, n. 6, p. 1333–1337. Disponível em: https://doi.org/10.11607/jomi.3724

Schoenbaum T R, Chang Y Y, Klokkevold P R. Screw-access marking: a technique to simplify retrieval of cement-retained implant prostheses. Compend Contin Educ Dent. 2013 Mar;34(3):230-6. Disponível em: https://pubmed.ncbi.nlm.nih.gov/23931268/

Nejatidanesh F, Shakibamehr A H, Savabi O. Comparison of marginal and internal adaptation of CAD/CAM and conventional cement retained implant-supported single crowns. Implant Dentistry, 2016, v. 25, n. 1, p. 103–108. Disponível em: https://doi.org/10.1097/id.0000000000000346

Ragauskaitė A, Žekonis G, Žilinskas, J, Gleiznys A, Ivanauskienė E, Gleiznys D. The comparison of cement- and screw-retained crowns from technical and biological points of view. Stomatologija, 2017, 19(2), 44–50. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29243683/

Hameed M H, Khan F R, Ghafoor R, Azam S I. Marginal bone loss around cement and screw-retained fixed implant prosthesis. Journal of Clinical and Experimental Dentistry, 2018, 10(10), e949–e954. Disponível em: https://doi.org/10.4317/jced.55194

Worni A. Gholami A, Marchand L, Katsoulis J, Mericske-Stern R, Enkling N. Retrievability of Implant-Supported Crowns When Using Three Different Cements: A Controlled Clinical Trial. The International Journal of Prosthodontics, 2015, v. 28, n. 1, p. 22–29. Disponível em: https://doi.org/10.11607/ijp.4119

Choi K H, Son K B D, Lee D H, Lee K Bl. Influence of abutment height and convergence angle on the retrievability of cement-retained implant prostheses with a lingual slot. Journal of Advanced Prosthodontics, 2018, v. 10, n. 5, p. 381–387. Disponível em: https://doi.org/10.4047/jap.2018.10.5.381

Castillo-Oyagüe R, Lynch C D, Turrión A S, López-Lozano J F, Torres-Lagares D, Suárez-García M J. Misfit and microleakage of implant-supported crown copings obtained by laser sintering and casting techniques, luted with glass-ionomer, resin cements and acrylic/urethane-based agents. Journal of Dentistry, 2013 41(1), 90–96. Disponível em: https://doi.org/10.1016/j.jdent.2012.09.014

Colpak E, Gumus H. Effect of Surface Modifications of Abutment Screws on Reverse Torque Values: An In Vitro Study. The International Journal of Prosthodontics, 2020, 33(4), 401–409. Disponível em: https://doi.org/10.11607/ijp.6581

De Moura M B, Rodrigues R B, Pinto L M, De Araújo C A, Novais V R, Júnior P C S. Influence of screw surface treatment on retention of implant-supported fixed partial dentures. Journal of Oral Implantology, 2017 43(4), 254–260. Disponível em: https://doi.org/10.1563/aaid-joi-D-16-00145

Martin W C, Woody R D, Miller B H, Miller A W. Implant abutment screw rotations and preloads for four different screw materials and surfaces. J Prosthet Dent. 2001;86:24–32. Disponível em: https://doi.org/10.1067/mpr.2001.116230

Rajan M, Gunaseelan R. Fabrication of a cement- and screw-retained implant prosthesis. Journal of Prosthetic Dentistry, 2004, 92(6), 578–580. Disponível em: https://doi.org/10.1016/j.prosdent.2004.09.009

Kim B H, Lee B A, Choi S H, Kim Y T. Complication rates for various retention types in anterior implant-supported prostheses: A retrospective clinical study. Journal of Prosthetic Dentistry, 2021, 125(2), 273–278. Disponível em: https://doi.org/10.1016/j.prosdent.2020.02.018

Nissan J, Snir D, Rosner O, Kolerman, R., Chaushu, L., & Chaushu, G. Reliability of retrievable cemented implant-supported prostheses. Journal of Prosthetic Dentistry, 2016, 115(5), 587–591. Disponível em: https://doi.org/10.1016/j.prosdent.2015.10.013

Proussaefs P, AlHelal A. The combination prosthesis: A digitally designed retrievable cement- and screw-retained implant-supported prosthesis. Journal of Prosthetic Dentistry, 2018, 119(4), 535–539. Disponível em: https://doi.org/10.1016/j.prosdent.2017.05.019

Hong S J, Kwon K R, Jang E Y, Moon J H. A novel retentive type of dental implant prosthesis: Marginal fitness of the cementless double crown type implant prosthesis evaluated by bacterial penetration and viability. Journal of Advanced Prosthodontics, 2020, 12(4), 233–238. Disponível em: https://doi.org/10.4047/jap.2020.12.4.233

Lee H, Park S, Kwon K. R, Noh G. Effects of cementless fixation of implant prosthesis: A finite element study. Journal of Advanced Prosthodontics, 2019, 11(6), 341–349. Disponível em: https://doi.org/10.4047/jap.2019.11.6.341

Lee J H, Lee J Bin, Kim M Y, Yoon J H, Choi S H, Kim Y T. Mechanical and biological complication rates of the modified lateral-screw-retained implant prosthesis in the posterior region: An alternative to the conventional Implant prosthetic system. J Adv Prosthodont. 2016;8(2):150–7. Disponível em: https://doi.org/10.4047/jap.2016.8.2.150

Clausen G F. The lingual locking screw for implant-retained restorations– aesthetics and retrievability. Aust Prosthodont J 1995;9:17-20. Disponível em: https://pubmed.ncbi.nlm.nih.gov/9063129/

Jung R E, Zembic A, Pjetursson B E, Zwahlen M, Thoma D S. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res. 2012;23(SUPPL.6):2–21. Disponível em: https://doi.org/10.1111/j.1600-0501.2012.02547.x

Theoharidou A, Petridis DDSHP. Abutment screw loosening in single-implant restorations: A systematic review. J Prosthet Dent. 2009;101(1):28. Disponível em: https://pubmed.ncbi.nlm.nih.gov/18807565/

Alhammadi SH, Burnside G, Milosevic A. Clinical outcomes of single implant supported crowns versus 3-unit implant-supported fixed dental prostheses in Dubai Health Authority: a retrospective study. BMC Oral Health [Internet]. 2021;21(1):1–11. Disponível em: https://doi.org/10.1186/s12903-021-01530-2

Swamidass RS, Kan JYK, Kattadiyil MT, Goodacre CJ, Lozada J. Abutment screw torque changes with straight and angled screw-access channels. J Prosthet Dent [Internet]. 2020;125(4):675–81. Disponível em: https://doi.org/10.1016/j.prosdent.2020.01.018

Farre-Berga O, Cercadillo-Ibarguren I, Sanchez-Torres A, Javier Gil F, Escuin T, Berastegui E. Torsion resistance of the ball head system screw and screwdriver for angled screw channels on implant prosthetics. J Oral Implantol. 2020;46(4):365–71. Disponível em: https://10.1563/AAID-JOI-D-19-00014

Greer A, Hoyle P, Vere J, Wragg P. Mechanical Complications Associated with Angled Screw Channel Restorations. Int J Prosthodont. 2017;30(3):258–9. Disponível em: https://doi.org/10.11607/ijp.5150

Farré-Berga O, Cercadillo-Ibarguren I, Sánchez-Torres A, Domènech-Mestres C, Javier Gil F, Escuin T, et al. Novel ball head screw and screwdriver design for implant-supported prostheses with angled channels: A finite element analysis. J Oral Implantol. 2018;44:416–22. Disponível em: https://10.1563/aaid-joi-D-18-00103