1. Evaluation of axial displacement and torque loss of Morse-type prosthetic abutments of different angular tapers to their respective implants.
- Author
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de Freitas JR, Valente MLDC, Brazão EH, Moris ICM, Bruniera JFB, Silva-Sousa YTC, and Alfredo E
- Subjects
- Dental Stress Analysis, Dental Implants, Humans, X-Ray Microtomography, In Vitro Techniques, Computer-Aided Design, Zirconium, Crowns, Torque, Dental Abutments, Dental Implant-Abutment Design
- Abstract
Statement of Problem: The biomechanical stability of the implant-prosthesis assembly and its maintenance under function is a determining factor in the success of implant prosthesis rehabilitation, but studies of different angular tapers are lacking., Purpose: The purpose of this in vitro study was to evaluate the axial displacement and torque loss of prosthetic abutments with Morse-type connections of different angular tapers after thermomechanical cycling by using microcomputed tomography (µCT) and a digital torque wrench., Material and Methods: Eighteen Ø3.5×11.5-mm implants were embedded in polyvinyl chloride cylinders, and the 3 different types of abutments (n=6) with angular tapers of 11.5 degrees - Alvim Cone Morse (ACM-11.5), 16.0 degrees - Helix Gran Morse (HGM-16), and 24.0 degrees - Nobel Replace Conical Connection (NRC-24) were installed with the torque recommended by the manufacturers. To calculate the axial displacements of the abutments about the implants, zirconia maxillary canine crowns were fabricated using a computer-aided design and computer-aided manufacturing (CAD-CAM) system and cemented onto the abutments. Before and after thermomechanical cycling, the assemblies were scanned using microtomography (micro-CT) to assess axial displacement, and the torque losses were calculated after the abutments were finally unscrewed. A load of 100 N, frequency of 2 Hz, and 10
6 cycles with temperature variation of 5 °C to 55 °C were used for the thermomechanical cycling. Analysis of variance and the Tukey post hoc test (α=.05) were used for analysis., Results: A significant difference was observed between the abutments for axial displacement, measured after thermomechanical cycling (P=.002). The ACM-11.5 abutment showed the highest mean value (134.1 ±58.7 µm), different from HGM-16 (63.3 ±26.1 µm) (P=.013) and NRC-24 (42.7 ±8.7 µm) (P=.002); the 2 latter groups were similar to each other (P=.618). For the torque losses, no significant difference was found among the abutments (P=.928), but there were significant differences for the thermomechanical cycling (before and after) (P<.001) in that the loss of torque was greater after thermocycling., Conclusions: The smaller the taper angle of the Morse-type prosthetic abutment, the greater its axial displacement, and the thermomechanical cycling significantly reduced pretorque, regardless of taper., (Copyright © 2024 Editorial Council for The Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)- Published
- 2024
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