Longevity of different abutments placed on narrow diameter implants: Assessment of structural damage and loosening.

Autor: Lenz U; Postgraduate Program in Dentistry, School of Dentistry, University of Passo Fundo, Passo Fundo, RS, Brazil., Santos RB; Postgraduate Program in Dentistry, School of Dentistry, University of Passo Fundo, Passo Fundo, RS, Brazil., Griggs JA; Department of Biomedical Materials Science, University of Mississippi Medical Center, MS, USA., Estrela C; School of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil., Bueno MDR; School of Dentistry, São Leopoldo Mandic, Campinas, SP, Brazil., Porto OCL; School of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil., Della Bona A; Postgraduate Program in Dentistry, School of Dentistry, University of Passo Fundo, Passo Fundo, RS, Brazil. Electronic address: dbona@upf.br.
Jazyk: angličtina
Zdroj: Dental materials : official publication of the Academy of Dental Materials [Dent Mater] 2024 Sep; Vol. 40 (9), pp. 1332-1340. Date of Electronic Publication: 2024 Jun 14.
DOI: 10.1016/j.dental.2024.06.003
Abstrakt: Objectives: To evaluate structural damage and loosening of abutments placed on narrow diameter implants after cyclic fatigue.
Methods: Sixty Morse taper narrow diameter implants (Neodent, Brazil) received two types of abutments (1PA- one-piece abutment or 2PA- two-piece abutment), which were randomly divided into 3 fatigue experiments (n = 10). The implants were placed into a customized supporting holder and a software-assisted digital torque wrench secured the manufacturer recommended torque for each abutment. Cone beam computed tomography (CBCT) scans were acquired, before and after fatigue, and post-processed (software e-Vol DX) to assess damage and abutment displacement. The boundary fatigue method was adapted to use 2 × 10 6 cycles, 2 Hz of frequency and constant peak load of 80 N (first experiment) that varied according to the failure rate of previous specimens (second and third experiments). Failure was evaluated using CBCT scans and removal torque values. Data were used to estimate long-term torque degradation, probability of failure and Weibull modulus (software ALTA PRO9).
Results: All 2PA specimens became loosen independently of the applied fatigue load, and structural bending was observed in 14 abutments. Eight 1PA got loosen during the fatigue experiment. The Weibull analysis showed a lower modulus (m = 1.0; 0.7, 1.4) for 1PA than for 2PA (m = 2.6; 2, 3.4) resulting in longer predicted lifetimes and slower torque degradation for 1PA than for 2PA specimens.
Significance: 1PA showed greater long-term survival probability than 2PA. Predicting the lifetime and mechanical behavior of implant-abutment systems are useful information to clinicians during the decision-making process of oral rehabilitations.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: