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Screw loosening of different UCLA-type abutments after mechanical cycling

Abstract

AIM: To evaluate the loss of applied torque (detorque) values in cast and pre-machined abutments for external hex abutment/implant interface of single implant-supported prostheses subjected to mechanical cycling. METHODS: Ten metal crowns were fabricated using two types of UCLA abutments: cast and pre-machined with metal base in NiCrTi alloy and tightened to regular external hex implants with a titanium alloy screw, with an insertion torque of 32 N.cm, measured with a digital torque gauge. Samples were embedded with autopolymerizing acrylic resin in a stainless steel cylindrical matrix, and positioned in an electromechanical machine. Dynamic oblique loading of 120 N was applied during 5 x 10(5) cycles. Then, each sample was removed from the resin and detorque values were measured using the same digital torque gauge. The difference of the initial (torque) and final (detorque) measurement was registered and the results were expressed as percentage of initial torque. The results of torque loss were expressed as percentage of the initial torque and subjected to statistical analysis by the Student's t-test (p<0.05) for comparisons between the test groups. RESULTS: Statistical analysis demonstrated that mechanical cycling reduced the torque of abutments without significant difference between cast or pre-machined UCLA abutments (p=0.908). CONCLUSIONS: Within the limitations of this in vitro study, it may be concluded that the mechanical cycling, corresponding to one-year use, reduced the torque of the samples regardless if cast or pre-machined UCLA abutments were used.

dental implant; single tooth implant; external hexagon


  • 1
    Chaar MS, Att JR, Strub JR. Prosthetic outcome of cement-retained implant-supported fixed dental restorations: a systematic review. J Oral Rehabil. 2011; 38: 697-711.
  • 2
    Simon RL. Single implant-supported molar and premolar crowns: A tenyear retrospective clinical report. J Prosthet Dent. 2003; 90: 517-21.
  • 3
    Siamos G, Winkler S, Boberick KG. The relationship between implant preload and screw loosening on implant-supported prostheses. J Oral Implantol. 2002; 28: 67-73.
  • 4
    Ricomini Filho AP, Fernandes F, Staioto FG, Silva WJ, Del Bel Cury AA. Preload loss and bacterial penetration on different implant-abutment connection systems. Braz Dent J. 2010; 21: 123-9.
  • 5
    Guzaitis KL, Knoernschild KL, Viana MAG. Effect of repeated screw joint closing and opening cycles on implant prosthetic screw reverse torque and implant and screw thread morphology. J Prosthet Dent. 2011; 106: 159-69.
  • 6
    Weng D, Nagata MJ, Bell M, Bosco AF, Melo LG, Richter EJ. Influence of microgap location and configuration on the periimplant bone morphology in submerged implants. An experimental study in dogs. Clin Oral Implants Res. 2008; 19:1141-7.
  • 7
    Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implantsupported single crowns. Clin Oral Implants Res. 2008; 19: 119-30.
  • 8
    Binon PP. The effect of implant/abutment hexagonal misfit on screw joint stability. Int J Prosthodont. 1996; 9: 149-60.
  • 9
    Lang LA, Wang RF, May KB. The influence of abutment screw tightening on the screw joint configuration. J Prosthet Dent. 2002; 87: 74-9.
  • 10
    Vigolo P, Majzoub Z, Cordioli G. Measurement of the dimensions and abutment rotational freedom of gold-machined 3i UCLA-type abutments in the as-received condition, after casting with a noble metal alloy and porcelain firing. J Prosthet Dent. 2000; 84: 548-53.
  • 11
    Theoharidou A, Petridis HP, Tzannas K, Garefis P. Abutment screw loosening in single-implant restorations: a systematic review. Int J Oral Maxillofac Implants. 2008; 23: 681-90.
  • 12
    Malaguti G, Denti L, Bassoli E, Franchi I, Bortolini S. Dimensional tolerances and assembly accuracy of dental implants and machined versus cast-on abutments. Clin Implant Dent Relat Res. 2011; 13: 134-40.
  • 13
    Schwarz MS. Mechanical complications of dental implants. Clin Oral Implants Res 2000; 11 Suppl: 156-8.
  • 14
    Coppedê AR, Mattos MGC, Rodrigues RCS, Ribeiro RF. Effect of repeated torque/mechanical loading cycles on two different abutment types in implants with internal tapered connections: an in vitro study. Clin Oral Implants Res. 2009; 20: 624-32.
  • 15
    Binon PP. The external hexagonal interface and screw-joint stability: A primer on threaded fasteners in implant dentistry. Quint Dent Technol. 2000; 23: 91-105.
  • 16
    Jabbari YSA, Fournelle R, Ziebert G, Toth J, Iacopino AM. Mechanical behavior and failure analysis of prosthetic retaining screws after long-term use in vivo. Part 3: preload and tensile fracture load testing. J Prosthodont. 2009; 17:192-200.
  • 17
    Sotto-Maior BS, Senna PM, Silva WJ, Rocha EP, DelBel Cury AA. Influence of crown-to-implant ratio, retention system, restorative material, and occlusal loading in stress concentration in single short implants. Int J Maxillofac Implants. 2012; 27:.e13-8.
  • 18
    Akour SN, Fayyad MA, Nagy WW, Fournelle RA, Dhuru VB, Tzenakis GK, et al. Finite element analyses of two antirotational designs of implant fixtures. Implant Dent. 2005; 14: 77-81.
  • 19
    Kitagawa T, Tanimoto Y, Odaki M, Nemoto K, Aida M. Influence of implant/ abutment joint designs on abutment screw loosening in a dental implant system. J Biomed Mater Res Part B Appli Biomater. 2005; 75B: 457-63.
  • 20
    Yousef H, Luke A, Ricci J, Weiner S. Analysis of changes in implant screws subject to occlusal loading: a preliminary analysis. Implant Dent. 2005; 14:378-85.
  • 21
    Kano SC, Binon P, Bonfante G, Curtis DA. Effect of casting procedures in UCLA-type abutments. J Prosthodont. 2006; 15: 77-81.
  • 22
    Cardoso M, Torres MF, Lourenço EJV, Telles DM, Rodrigues RCS, Ribeiro RF. Torque removal evaluation of prosthetic screws after tightening and loosening cycles: an in vitro study. Clin Oral Implants Res. 2012; 23: 475-80.
  • 23
    Jorge JR, Barão VAR, Delben JA, Assunção WG. The role of implant abutment system on torque maintenance of retention screws and vertical misfit implant-supported crowns before and after mechanical cycling. Int J Oral Maxillofac Implants. 2013; 28: 415-22.
  • 24
    International Organization for Standardization. ISO 1480. (2003) Dentistry Fatigue Test for Endosseous Dental Implants. 2007: 1-9.
  • 25
    Tsuge T, Hagiwara Y. Influence of lateral-oblique cyclic loading on abutment screw loosening of internal and external hexagon implants. Dent Mater J. 2009; 28: 373-81.
  • 26
    Piermatti J, Yousef H, Luke A, Mahevich R, Weiner S. An in vitro analysis of implant screw torque loss with external hex and internal connection implant systems. Implant Dent. 2006; 15: 427-35.
  • 27
    Gracis S, Michalakis K, Vigolo P, Von Steyern PV, Zwahlen M, Sailer I. Internal vs. external connections for abutments/reconstructions: a systematic review. Clin Oral Implants Res. 2012; 23: 202-16.
  • 28
    Hanses G, Smedberg JI, Nilner K. Analysis of a device for assessment of abutment and prosthesis screw loosening in oral implants. Clin Oral Implants Res. 2002; 13: 666-70.
  • 29
    Tavarez RRJ, Bonachela WC. Effect of cyclic load on vertical misfit of prefabricated and cast implant single abutment. J Appl Oral Sci. 2011; 19: 16-21.
  • 30
    Dixon DL, Breeding LC, Sadler JP, McKay ML. Comparison of screw loosening, rotation and deflection among three implant-designs. J Prosthet Dent. 1995; 74: 270-8.
  • 31
    Gracis S, Michalakis K, Vigolo P, Von Steyern PV, Zwahlen M, Sailer I. Internal vs. external connections for abutments/reconstructions: a systematic review. Clin Oral Implants Res. 2012; 23: 202-16.

Publication Dates

  • Publication in this collection
    28 Oct 2013
  • Date of issue
    Sept 2013

History

  • Received
    28 May 2013
  • Accepted
    20 Sept 2013
Faculdade de Odontologia de Piracicaba - UNICAMP Avenida Limeira, 901, cep: 13414-903, Piracicaba - São Paulo / Brasil, Tel: +55 (19) 2106-5200 - Piracicaba - SP - Brazil
E-mail: brjorals@unicamp.br