Effect of unilateral misfit on preload of retention screws of implant-supported prostheses submitted to mechanical cycling

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• 作者：Wirley Gonç ; alves Assunç ; ã ; o ; Valentim Adelino Ricardo Barã ; o ; Juliana Aparecida Delben ; É ; rica Alves Gomes ; Idelmo Rangel Garcia Jr.
• 关键词：Implant-supported prosthesis ; Dental implant ; Misfit ; Preload ; Mechanical cycling
• 刊名：Journal of Prosthodontic Research
• 出版年：2011
• 出版时间：January 2011
• 年：2011
• 卷：55
• 期：1
• 页码：12-18
• 全文大小：313 K

文摘

Purpose

The aim of this study was to evaluate the effect of different levels of unilateral angular misfit on preload maintenance of retention screws of single implant-supported prostheses submitted to mechanical cycling.

Materials and methods

Premachined UCLA abutments were cast with cobalt–chromium alloy to obtain 48 crowns divided into four groups (n = 12). The crowns presented no misfit in Group A (control group) and unilateral misfits of 50 μm, 100 μm and 200 μm in the groups B, C and D, respectively. The crowns were attached to external hexagon implants with a titanium retention screw with torque of 30 N/cm. Oblique loading of 130 N at 2 Hz was applied on each replica, totalizing 5 × 10⁴ and 1 × 10⁶ cycles. Detorque values were measured initially and after each cycling period. Data were evaluated by analysis of variance and Tukey's HSD test (p < 0.05).

Results

All groups presented reduced initial detorque values (p < 0.05) in comparison to the insertion torque (30 ± 0.5 N/cm) and Group A (25.18 N/cm) exhibited the lowest reduction. After mechanical cycling, all groups presented detorque values from 19.5 N/cm to 22.38 N/cm and the mechanical cycling did not statistically influence the detorque values regardless the misfit level of the replicas.

Conclusion

The unilateral misfit influenced the preload maintenance only before mechanical cycling. The mechanical cycling did not influence the torque reduction.