Axial Displacements and Removal Torque Changes of Five Different Implant-Abutment Connections under Static Vertical Loading.

Ki-Seong Kim,Young-Jun Lim

doi:10.3390/ma13030699

Abstract

The aim of this study was to examine the settling of abutments into implants and the removal torque value under static loading. Five different implant-abutment connections were selected (Ext: external butt joint + two-piece abutment; Int-H2: internal hexagon + two-piece abutment; Int-H1: internal hexagon + one-piece abutment; Int-O2: internal octagon + two-piece abutment; Int-O1: internal octagon + one-piece abutment). Ten implant-abutment assemblies were loaded vertically downward with a 700 N load cell at a displacement rate of 1 mm/min in a universal testing machine. The settling of the abutment was obtained from the change in the total length of the entire implant-abutment unit before and after loading using an electronic digital micrometer. The post-loading removal torque value was compared to the initial torque value with a digital torque gauge. The settling values and removal torque values after 700 N static loading were in the following order, respectively: Ext < Int-H1, Int-H2 < Int-O2 < Int-O1 and Int-O2 < Int-H2 < Ext < Int-H1, Int-O1 (α = 0.05). After 700 N vertical static loading, the removal torque values were statistically different from the initial values, and the post-loading values increased in the Int-O1 group and Int-H1 group (α = 0.05) and decreased in the Ext group, Int-H2 group, and Int-O2 group (α = 0.05). On the basis of the results of this study, it should be taken into consideration that a loss of the preload due to the settling effect can lead to screw loosening during a clinical procedure in the molar region where masticatory force is relatively greater.

Highlights

Attempts have been made to understand the factors that could compromise the settling effect of different implant abutment connections [1,2]
On the basis of these findings, the present study evaluated the degree of settling and compared preload loss using the removal torque values before and after 700 N static vertical loading
Most of the studies related to axial displacement [1,2,3] are on the magnitude of tightening torque and the duration of cyclic loading, and few studies have applied with static loading

Summary

Introduction

Attempts have been made to understand the factors that could compromise the settling effect of different implant abutment connections [1,2]. Loosening of the abutment screws and fixture failure in implant-supported restorations reportedly occur more frequently in the premolar and molar areas than in the incisor region [5,6]. This may result from differences in masticatory force and prosthetic design. The mechanism and vector of force transferred by posterior teeth differ from those of anterior teeth because posterior teeth have a stronger biting force in the vertical direction These forces are produced by the action of the masticatory muscles [7]

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Discussion

Conclusion