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      Analytical and experimental position stability of the abutment in different dental implant systems with a conical implant–abutment connection

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          Abstract

          Objectives

          Position stability of the abutment should be investigated in four implant systems with a conical implant–abutment connection.

          Materials and methods

          Previously developed formulas and an established experimental setup were used to determine the position stability of the abutment in the four implant systems with a conical implant–abutment connection and different positional index designs: The theoretical rotational freedom was calculated by using the dimensions of one randomly selected implant per system for approximated geometric models. Experimentally, the rotation, the vertical displacement, and canting moments of the abutment after multiple repositioning and hand tightening of the abutment screw were investigated.

          Results

          The experimental rotation and vertical displacement differed between the implant systems tested. The analytical and experimental results for the rotation of the abutment clearly deviated in the three implant systems.

          Conclusions

          Malpositioning of the abutment was possible in all the implant systems tested. Deviating theoretical and experimental results suggest high manufacturing tolerances during fabrication of the implant components.

          Clinical relevance

          Position stability of the abutment is essential for precisely fitting implant-supported superstructures.

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          Most cited references23

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          Microbial leakage and marginal fit of the implant-abutment interface.

          Two-stage implant systems result in gaps and cavities between implant and abutment that can act as a trap for bacteria and thus possibly cause inflammatory reactions in the peri-implant soft tissues. These gaps between the components are inevitable, and their clinical significance has so far been mostly neglected by both manufacturers and clinicians. The aim of the study was to determine whether there is microbial leakage at the implant-abutment interface. Thirteen different implant-abutment combinations were subjected to an in vitro experiment, in which the penetration of bacteria (Escherichia coli) was observed for 10 assemblies of each type. All implant systems presented microbial leakage. When the Frialit-2 implant was supplied with a silicon washer, there were fewer cases of leakage. The width of the marginal gap between the prefabricated components, measured with a scanning electron microscope, was less than 10 microns in all systems.
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            Mechanics of the implant-abutment connection: an 8-degree taper compared to a butt joint connection.

            This paper presents aa comparison between the 8-degree Morse Taper and the butt joint aa connections between an implant and an abutment. Three-dimensional, non-linear finite element models were created to compare the 2 connection principles under equal conditions. The loading configuration was thereby modeled according to a test setup actually used for the dynamic long-term testing of dental implants as required for regulatory purposes. The results give insight into the mechanics involved in each type of connection and are compared to actual findings with the testing machine. The comparison indicates the superior mechanics of conical abutment connections and helps to explain their significantly better long-term stability in the clinical application.
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              The effect of implant/abutment hexagonal misfit on screw joint stability.

              P P Binon (2015)
              A series of 10 incrementally larger, machined ASTM Grade 23 titanium non-segmented (UCLA type) abutments was loaded off axis with 133 N and cycled at 1150 vertical strokes per minute and 28 counterclockwise rotations per minute to determine screw joint stability. Abutment internal hexagonals ranged from 0.1065 to 0.1110 inches. External hexagonal mean flat-to-flat width was 2.684 mm. Rotational misfit between international and external hexagonals ranged from 1.94 degrees for the smallest abutment to 14.87 degrees for the largest. Screw joint failure ranged from 134,000 to 9.3 million cycles. The tightest matrix/patrix hexagonal screw joint failed at a mean of 6.7 million cycles. This study indicated that there was a direct correlation between hexagonal misfit and screw joint loosening. A rotational misfit of under 2 degrees provided the most stable and predictable screw joint.
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                Author and article information

                Contributors
                +49-761-27047790 , +49-761-27047610 , katja.nelson@uniklinik-freiburg.de
                Journal
                Clin Oral Investig
                Clin Oral Investig
                Clinical Oral Investigations
                Springer-Verlag (Berlin/Heidelberg )
                1432-6981
                1436-3771
                22 July 2012
                22 July 2012
                April 2013
                : 17
                : 3
                : 1017-1023
                Affiliations
                [ ]Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany
                [ ]Department of Radiology, Technical University Munich, Ismaninger Str. 22, 81675 München, Germany
                [ ]Zahntechnik Mehrhof GmbH, Reuchlin Str. 10-11, 10553 Berlin, Germany
                Article
                786
                10.1007/s00784-012-0786-1
                3607726
                22821447
                6667348f-b579-4bd5-bd07-a8163d728a77
                © The Author(s) 2012
                History
                : 25 January 2012
                : 13 June 2012
                Categories
                Original Article
                Custom metadata
                © Springer-Verlag Berlin Heidelberg 2013

                Dentistry
                cam–groove design,conical,hexagon,positional index,rotational freedom,vertical displacement

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