Dynamic and static load performance of dental biomaterial systems with conical implant-abutment connections

2020 ◽  
Vol 31 (5) ◽  
pp. 319-328
Author(s):  
Mehmet Can Basgil ◽  
Cem Kurtoglu ◽  
Koray Soygun ◽  
Yunus Uslan ◽  
Teyfik Demi̇r

BACKGROUND: The stability of the implant-abutment interface is an important factor that influences load distribution on the marginal bone. OBJECTIVE: In this study, three dental implants with the same connection were subjected to different dynamic loading cycles. The fracture strengths and the horizontal compatibility of implants were assessed. METHODS: Eighty four implant specimens were embedded in a polyacetal cylinder as simulated bone loss of 3 mm from the implant platform. Three of the implants were used to determine the endurance limit. The other specimens were subdivided into four subgroups (n = 6): three for dynamic + static loading, and one for static loading (control group). The tests were performed by applying a compression load. The dynamic loading experiments included three different cycles with endurance upper limit loads at a frequency of 10 Hz. RESULTS: The differences between the fracture strength values of the implant brands were found to be statistically significant. However, there were no meaningful differences between the fracture strength values of implants of the same brand. The specimens of the DTI implant system had the lowest strength (647.9 ± 41.5 N) and the SEM analysis indicated that the Implantium implant system had the shortest horizontal gaps. CONCLUSIONS: There was a negative correlation between the fracture strengths and size of the microgaps. The importance of these in vitro results needs to be validated by clinical trials because the loads in the mouth can be applied from various angles.

Author(s):  
Arda Ozdiler ◽  
suleyman dayan ◽  
Burc Gencel ◽  
Gulbahar Isık-Ozkol

This in vitro study evaluated the influence of taper angles on the internal conical connections of implant systems and of the application of chlorhexidine gel as an antibacterial agent or a polyvinyl siloxane (PVS) sealant on the reverse torque values of abutment screws after dynamic loading. The current study tested four implant systems with different taper angles (5.4°, 12°, 45°, and 60°). Specimens were divided into three groups: control (neither chlorhexidine gel filled nor silicone sealed), 2% chlorhexidine gel-filled or silicone-sealed group, and group subjected to a dynamic load of 50 N at 1 Hz for 500,000 cycles prior to reverse torque measurements. Quantitative positive correlation was observed between the taper angle degree and the percentage of tightening torque loss. However, this correlation was significant only for the 60° connection groups except in the group in which a sealant was applied ( p = 0.013 for the control group, p = 0.007 for the chlorhexidine group). Percentages of decrease in the torque values of the specimens with silicone sealant application were significantly higher compared with both the control and chlorhexidine groups ( p = 0.001, p = 0.002, p = 0.001, and p = 0.002, respectively, according to the increasing taper angles); the percentage of decrease in torque values due to chlorhexidine application was statistically insignificant when compared with the control group. The application of gel-form chlorhexidine as an antibacterial agent does not significantly affect the stability of the implant–abutment connection under dynamic loads. PVS sealants may cause screw loosening under functional loads.


2015 ◽  
Vol 9 (1) ◽  
pp. 112-119
Author(s):  
Anas Al-Jadaa ◽  
Thomas Attin ◽  
Timo Peltomäki ◽  
Christian Heumann ◽  
Patrick Roger Schmidlin

Purpose : To assess implant leakage under static conditions as well as during and after dynamic loading. Materials and methods : Implants (Astra Tech (A), Biomet 3i (B) and Nobel Biocare (C)) were evaluated for leakage (n=8/group). Testing to assess the gas pressure change over time (hPa/min) and infiltrated fluid volume, was performed in a Gas Enhanced Permeation Test (GEPT) to qualify embedding. Implant apexes were then drilled, abutments were mounted and resin build-ups were fabricated. GEPT was reassessed. Samples were afterward mounted in a computer-controlled masticator while tested to bacterial leakage, they were daily observed for turbidity. Samples were then reassessed using GEPT. Dunnett's and Fisher's exact tests were utilized to compare implant and to analyze bacterial leakage. Results : Significant differences in GEPT values were shown after loading (p=0.034). Leakage resistance was best for B when compared to C (p=0.023). Samples with higher GEPT values demonstrated earlier bacterial leakage, occurring after 1 or 2 days (A=4, B=0, C=6) and showing favorability for implant system B (p=0.009). Conclusion : Implants leaking under static conditions had increased potential for bacterial leakage under dynamic conditions. As strongly correlating to sophisticated analytical methods, GEPT is a promising technique for assessing the overall implant system leakage resistance.


2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Onur Dincer Kose ◽  
Burcin Karataslı ◽  
Sabit Demircan ◽  
Taha Emre Kose ◽  
Erhan Cene ◽  
...  

Preload is applied to screws manually or using a torque wrench in dental implant systems, and the preload applied must be appropriate for the purpose. The aim of this study was to assess screw loosening and bending/torsional moments applied by clinicians of various specialties following application of manual tightening torque to combinations of implants and abutments. Ten-millimeter implants of 3.7 and 4.1 mm diameters and standard or solid abutments were used. Each group contained five implant-abutment combinations. The control and experimental groups comprised 20 and 160 specimens, respectively. Implants in the experimental group were tightened by dentists of different specialties. Torsional and bending moments during tightening were measured using a strain gauge. Control group and implants with preload values close to the ideal preload were subjected to a dynamic loading test at 150 N, 15 Hz, and 85,000 cycles. The implants that deformed in this test were examined using an optical microscope to assess deformities. Manual tightening did not yield the manufacturer-recommended preload values. Dynamic loading testing suggested early screw loosening/fracture in samples with insufficient preload.


2011 ◽  
Vol 82 (4) ◽  
pp. 613-618 ◽  
Author(s):  
Theofilos Koutouzis ◽  
Shannon Wallet ◽  
Nadia Calderon ◽  
Tord Lundgren

2018 ◽  
Vol 43 (2) ◽  
pp. 162-169 ◽  
Author(s):  
ME Hshad ◽  
EE Dalkılıç ◽  
GC Ozturk ◽  
I Dogruer ◽  
F Koray

SUMMARY Objective: The purpose of this study was to determine the fracture strength of endodontically treated mandibular premolar teeth restored with composites and different reinforcement techniques. Methods and Materials: Forty-eight freshly extracted human mandibular premolar teeth were randomly divided into four groups: group IN, group CR, group FRC, and group PRF. Group IN consisted of teeth with intact crowns and served as the control group. In the other three groups, endodontic treatment was performed and standard mesio-occluso-distal (MOD) cavities were prepared. Then cavities were restored with hybrid resin composite only, flowable composite and hybrid resin composite, and Ribbond, flowable composite and hybrid resin composite in groups CR, FRC and PRF, respectively. All of the teeth were subjected to fracture by means of a universal testing machine, and compressive force was applied with a modified stainless-steel ball at a crosshead speed at 0.5 mm/min. Results: The highest values were observed in group IN, while the lowest values were determined in group CR. There was not any statistically significant difference between group CR and group FCR (p>0.05). When groups CR, FCR, and PRF were compared, group PRF showed significantly better fracture strength than did groups CR and FCR (p<0.05). It was determined that there was not any significant difference between group IN and group PRF (p>0.05). Conclusions: Polyethylene ribbon fiber considerably increases the fracture strength of mandibular premolar teeth with MOD cavities restored with composite.


2018 ◽  
Vol 23 (1) ◽  
pp. 3-11
Author(s):  
Anna Wiśniewska ◽  
Gabriela Chwalik ◽  
Sylwia Łagan

The evaluation of a degradation process of polyethylene (PE) in in vitro conditions under the influence of X-rays (X) and an in-cubation in two solutions simulating the environment of a living organism (SBF – simulated body fluid) was carried out. A dose corresponding to 10 standard X-ray pictures of the skeletal system as well as Ringer's and saline solutions at 40°C were used in the study. The paper presents the results of the influence of the 12-month studies on the selected surface properties of the material: surface wettability and abrasiveness. The value of surface free energy (SFE) was determined on the basis of the wetting angle measurements. The conductivity of the incubation fluids was also analyzed. The obtained results indicate that the adopted dose of X-ray radiation has no significant effect on the wettability of the surface of polyethylene. The nature of the surface layer of polyethylene did not change as a result of the 12-month incubation and remained hydrophilic. For the samples incubated in both immersion fluids, a decrease in surface free energy (SFE) was observed. For both the irradiated material and the control group, no significant changes in the mass of the samples and the conductivity of the incubation fluids were found, which indicates the stability of polyethylene. However, the abrasion value increased by approximately 26%. With the passage of the incubation time, a decrease in the value of this parameter was observed for the polyethylene subjected to radiation. No significant changes were found for the control group.


2020 ◽  
Author(s):  
Raquel Alonso-Pérez ◽  
José F. Bartolomé ◽  
Cristina Fraile ◽  
Guillermo Pradíes

Abstract Background: Restoring implants with not original abutment-implant connection are widely used by clinicians. Due to the current scarcity of in-vitro studies about compatible abutments and lack of relevant clinical studies, long-term fatigue performance of non-original abutments should be analyzed. The aim of this research was to assess the internal accuracy and the cyclic fatigue life after artificial aging of three implant-abutment configurations restored with one original and two compatible non-original “cast-to” gold abutments.Materials and Methods: Forty-eight original internal hexagon connection implants were connected to three different brands of abutments (n= 16 each): one original to the implant system and two non-originals. Internal accuracy and the percentage of surface with tight contact were assessed under Scanning Electron Microscope (SEM) in twelve cross-sectioned samples at three different areas (platform, internal and screw). To evaluate the fatigue mechanical behaviour under cyclic load, samples were loaded according to the ISO Norm 14801 in a universal testing machine at 2 Hz in air. Previously, samples were aged by thermocycling with 10,000 cycles at 5 °C and 55 °C in artificial saliva. Results: Original abutments presented the best accuracy and highest percentage of tight contact in the internal areas. Meanwhile, original abutments showed the lower cyclic fatigue strength degradation and the long-term success. Conclusions: Occlusal loads are transferred more homogenously through the system when original abutments are used because the better fit between the different internal components. This fact provides the highest fatigue resistance for all the restorations studied.


2017 ◽  
Vol 1 (1) ◽  
pp. 20-25
Author(s):  
Pooja Kabra

ABSTRACT Aim The purpose of this study was to evaluate the fracture strength of roots instrumented with the self-adjusting file (SAF; ReDent-Nova, Ra'anana, Israel) and the Reciproc reciprocating file and that were and were not obturated using the warm vertical lateral compaction technique. Materials and methods In total, 75 mandibular premolar teeth were sectioned at or below the cementoenamel junction to obtain roots 13 mm in length. The roots were balanced with respect to buccolingual and mesiodistal diameters and weight. They were distributed into four experimental groups and one control group (n = 15): No instrumentation (group I), instrumentation with SAF files but no obturation (group II), instrumentation with SAF files and obturated with warm vertical lateral compaction (group III), instrumentation with Reciproc File but no obturation (group IV), and instrumentation with Reciproc File and obturated with warm vertical lateral compaction (group V). AH Plus sealer (Dentsply DeTrey, Konstanz, Germany) was used along with gutta-percha points. One week later, a vertical load was applied to the specimen's canal until fracture occurred. Data were statistically analyzed using one-way analysis of variance (p = 0.05). Results The mean fracture load was 312.83 N for group I, 297.35 N for group II, 359.15 N for group III, 231.51 N for group IV, and 275.81 N for group V. Conclusion The fracture resistances exhibited a statistically significant difference between all the groups. Teeth instrumented by SAF exhibited a better fracture resistance. How to cite this article Tyagi S, Choudhary E, Kabra P, Chauhan R. An in vitro comparative Evaluation of Fracture Strength of Roots Instrumentated with Self-adjusting File and Reciproc Reciprocating File, with and without Obturation. Int J Clin Dent Res 2017;1(1):20-25.


Materials ◽  
2020 ◽  
Vol 13 (10) ◽  
pp. 2306
Author(s):  
Georgios E. Romanos ◽  
Rafael Arcesio Delgado-Ruiz ◽  
Ana I. Nicolas-Silvente

The stability of the implant–abutment interface is crucial for the maintenance of the implant index integrity. Several factors are capable of inducing deformation in implant–abutment connection, such as the actual insertion of the implant into the bone. This study aimed to evaluate the deformations produced in the connection after the insertion of the implant. Ten implants with two different implant carriers (Type A: carrier attached to platform and Type B: carrier attached inside the index-connection) were placed in artificial Type II bone, and volumetric changes were evaluated for different connection features with a 3D digital microscope. ANOVA (analysis of variance), Wilcoxon, and Tukey HSD post-test were used for statistical comparisons. Type A implants presented deformation at the platform level (inner slot angles and slot width), but no volumetric changes were observed inside the connection. Type B implants presented deformation in three parameters inside the connection (outer channel length, coronal step width, and coronal step length). Within the limitations of this study, we can conclude that more deformation is expected at the internal connection when the implant carrier engages this area. The engagement area should be as far away as possible from the index connection.


Author(s):  
Marie Emmert ◽  
Johannes Spille ◽  
Eleonore Behrens ◽  
Mustafa Ayna ◽  
Fatih Karayurek ◽  
...  

Straumann ®  BLX is a novel implant system, which has been proclaimed to provide an ideal primary stability in all types of bone. In the current study, the primary stability of Straumann ®  BLX implant systems with Straumann ®  tapered effect (TE) implants have been comparatively assessed in bovine ribs by using a simultaneous sinus elevation and implant insertion model.  In the study group, BLX (4.0 x 12 mm), TE (4.1 x 12 mm), BLX (4,5 x 12 mm) and TE (4.8 x 12 mm) were placed in each bony window, which resembles sinus maxillaris. As a control, BLX and TE implants with same sizes were inserted into the proximal diaphysis of the bovine ribs. A total of 40 implant insertions were performed. The stability was measured with resonance frequence analysis. In the study group, TE implants of 4.8 mm showed significantly higher values compared to 4.5 mm BLX implants (p=0.116). However, BLX implants of 4.0 mm in the control group showed higher stability compared to TE with 4.0 mm diameter. (p=0.014).  The primary stability of BLX implants in the control group was significantly higher compared to the experimental group in both widths (p=0.018 for BLX 4.0 and p=0.002 for BLX 4.5 respectively). The use of TE design with wide diameter in simultaneous implant placement with sinus lift could present higher ISQ values and might be more appropriate option for implant recipient sites with poor bone volume and quality. However, the advantage of BLX design in standard implant insertion protocols could be precious.


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