Digital evaluation of axial displacement by implant-abutment connection type: An in vitro study
10.4047/jap.2018.10.5.388
- Author:
Sung Jun KIM
1
;
KeunBaDa SON
;
Kyu Bok LEE
Author Information
1. Department of Dentistry, Graduate School, Kyungpook National University, Daegu, Republic of Korea. kblee@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Dental implant;
Dental implant-abutment connection;
Tightening torque;
Axial displacement
- MeSH:
Bicuspid;
Dental Implant-Abutment Design;
Dental Implants;
Hand;
In Vitro Techniques;
Prostheses and Implants;
Titanium;
Tooth;
Torque
- From:The Journal of Advanced Prosthodontics
2018;10(5):388-394
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To measure axial displacement of different implant-abutment connection types and materials during screw tightening at the recommended torque by using a contact scanner for two-dimensional (2D) and three-dimensional (3D) analyses. MATERIALS AND METHODS: Twenty models of missing mandibular left second premolars were 3D-printed and implant fixtures were placed at the same position by using a surgical guide. External and internal fixtures were used. Three implant-abutment internal connection (INT) types and one implant-abutment external connection (EXT) type were prepared. Two of the INT types used titanium abutment and zirconia abutment; the other INT type was a customized abutment, fabricated by using a computer-controlled milling machine. The EXT type used titanium abutment. Screws were tightened at 10 N·cm, simulating hand tightening, and then at the manufacturers' recommended torque (30 N·cm) 10 min later. Abutments and adjacent teeth were subsequently scanned with a contact scanner for 2D and 3D analyses using a 3D inspection software. RESULTS: Significant differences were observed in axial displacement according to the type of implant-abutment connection (P < .001). Vertical displacement of abutments was greater than overall displacement, and significant differences in vertical and overall displacement were observed among the four connection types (P < .05). CONCLUSION: Displacement according to connection type and material should be considered in choosing an implant abutment. When adjusting a prosthesis, tightening the screw at the manufacturers' recommended torque is advisable, rather than the level of hand tightening.
