1. Abutment screw torque changes with straight and angled screw-access channels
- Author
-
Charles J. Goodacre, Joseph Y K Kan, Mathew T. Kattadiyil, Rajesh S. Swamidass, and Jaime L. Lozada
- Subjects
Dental Implants ,Dental Stress Analysis ,Orthodontics ,Materials science ,Crowns ,medicine.medical_treatment ,Bone Screws ,Abutment ,Dental Abutments ,Dental Implant-Abutment Design ,030206 dentistry ,Crown (dentistry) ,Gold alloy ,03 medical and health sciences ,0302 clinical medicine ,Torque ,medicine ,Cyclic loading ,Implant ,Oral Surgery ,Abutment Screw - Abstract
Statement of problem Angle-correcting options allow the use of screw-retained implant prostheses in situations where an implant has been placed with a facial inclination. However, manufacturers have different recommended torque values, and it is unclear whether the performance of these designs is equivalent to that of the traditional screw-retained crowns (SRCs) when subjected to cyclic loading forces. Purpose The purpose of this in vitro study was to compare torque differences between conventional straight-line screw access and angulated access SRCs before and after simulated functional loading. Material and methods Five groups consisting of 10 SRCs and implants were formed: Nobel Biocare zirconia crowns with 20-degree access channels (NB-20); Dynamic Abutment Solution zirconia crowns (DA-20) with 20-degree access channels; Core3dcentre angle correction zirconia crowns with 20-degree access channels (C3D-20); Nobel Biocare zirconia crowns with 0-degree access channels (NB-0); and gold alloy crowns cast to Nobel Biocare Gold-Adapt abutments (GA-0). Each specimen underwent thermocycling before cyclic loading. A preload torque based on the manufacturer’s recommendation was applied to each crown placed on an implant. Reverse torque measurements were obtained for each specimen before cyclic loading. Each implant-abutment assembly was then cyclic loaded at 0 to 100 N at 10 Hz for 1 million cycles. Reverse torque measurements were obtained after cyclic loading and the percentage difference calculated. Results No significant percentage torque loss differences were observed between the 0-degree and 20-degree SRCs after cyclic loading. No significant differences were seen among the angulated access channel crowns. DA-20 and C3D-20 specimens had significantly higher torque loss compared with the NB-0 group. The C3D-20 group reported the largest percentage torque loss (34.5%) among the angulated access screw channel groups. The GA-0 group reported the largest percentage torque loss of all the groups (35.9%). No crown mobility or other complications were observed in any of the groups after cyclic loading. Conclusions Angulated access channel crowns performed comparably with conventional straight-line screw access SRCs with regard to percentage torque values after cyclic loading. Angulated access channel crowns with lower manufacturer recommended torque values had higher percentage torque differences.
- Published
- 2021