INFLUENCE OF TUNGSTEN CARBIDE/CARBON COATING ON THE PRELOAD OF IMPLANT ABUTMENT SCREWS

임플랜트 지대주 나사의 텅스텐 카바이드/탄소 코팅이 전하중에 미치는 영향에 관한 연구

  • Choi Jin-Uk (Department of Dentistry, College of Dentistry, Busan National University) ;
  • Jeong Chang-Mo (Department of Dentistry, College of Dentistry, Busan National University) ;
  • Jeon Young-Chan (Department of Dentistry, College of Dentistry, Busan National University) ;
  • Lim Jang-Seop (Department of Dentistry, College of Dentistry, Busan National University) ;
  • Jeong Hee-Chan (Department of Dentistry, College of Dentistry, Busan National University) ;
  • Eom Tae-Gwan (Osstem Implant R&D Center)
  • 최진욱 (부산대학교 치과대학 보철학교실) ;
  • 정창모 (부산대학교 치과대학 보철학교실) ;
  • 전영찬 (부산대학교 치과대학 보철학교실) ;
  • 임장섭 (부산대학교 치과대학 보철학교실) ;
  • 정희찬 (부산대학교 치과대학 보철학교실) ;
  • 엄태관 (오스템 임플랜트 연구소)
  • Published : 2006.04.01

Abstract

Statement of problem: In order to increase preload with reducing the friction coefficient, abutment screws coated with pure gold and Teflon as dry lubricant coatings have been introduced. But the reported data indicate that if screw repeated tightening and loosening cycle, an efficiency of increasing preload was decreased by screw surface wearing off. Purpose: This study was to evaluate the influence of tungsten carbide/carbon coating, which has superior hardness and frictional wear resistance, on the preload of abutment screws and the stability of coating surface after repeated closures. Material and method: The rotational values of abutment screws and the compressive forces between abutment and fixture were measured in implant systems with three different joint connections, one external butt joint and two internal cones. Moreover the stability and the alteration of coating surface were examined by comparison of the compressive force and the removable torque values during 10 consecutive trials, observation with scanning electron microscope and analyzed the elemental composition with energy dispersive x-ray spectroscopy Results and conclusion: 1. Application of coating resulted in significant increase of compressive force in all implant systems(P<.05). The increasing rate of compressive force by coating in external butt joint was gloater than those in internal cones (P<.05). 2. Coated screw showed the significant additional rotation compared to non-coated screw in all implant systems (P<.05). There were no significant differences in the increasing rate of rotation among implant systems (P>.05). 3. Removable torque values were greater with non-coated screw than that with coated screw (P<.05). 4. Coated screw showed insignificant variations in the compressive forces during 10 consecutive trials(P>.05) 5. After repeated trials, the surface layer of coated screw was maintained relatively well. However surface wearing and irregular titanium fragments were found in non-coated screw.

Keywords

References

  1. Branemark PI. Osseointegration and its experimental background. J Prosthet Dent 1983; 50; 399-410 https://doi.org/10.1016/S0022-3913(83)80101-2
  2. Binon PP. The effect of implant/abutment hexagonal misfit on screw joint stability. Int J Prosthodont 1996;9;149-60
  3. Jemt T. Failure and complications in 391 consecutively inserted fixed prostheses supported by Branemark implants in edentulous jaws: A study of treatment from the time of prosthesis placement to the first annual check up. Int J Oral Maxillofac Implants 1991 :6:270-6
  4. Jemt T. Multicenter study of overdentures supported by Branemark. Int J Oral Maxillofac Implants 1992:7:513-22
  5. Jemt T, Linden B, Lekholm U. Failures and complications in 127 consecutively inserted fixed prostheses supported by Branemark implants: From prostheses treatment to first annual check up. Int J Oral Maxillofac Implants 1992:7:40-3
  6. Jemt T. Laney WR, Harris D. Henry PJ. Krogh PH. Polizzi G. et al. Osseointegrated impalnts for single tooth replacement: a 1year report from a multicenter prospective study. Int J Oral Maxillofac Implants 1991 :6:29-36
  7. Becker W. Becker BE. Replacement of maxillary and mandibular molars with single endosseous implant restorations: a retrospective study. J Prosthet Dent 1995: 74:51-5 https://doi.org/10.1016/S0022-3913(05)80229-X
  8. Anderson B. Odman P. Carlsson L. Branemark PI. A new Branemark single tooth abutment: handling and early clinical experience. Int J Oral Maxillofac Implants 1992:7:105-11
  9. Anderson B. Odman P. Lindvall AM. Lithner B. Single-tooth restorations supported by osseointegrated implants: results and experiences from a prospective study after 2 to 3 years. Int J Oral Maxillofac Implants 1995:10:702-11
  10. Weiss EI. Kozak D. Gross MD. Effect of repeated closures on opening torque values in seven abutment-implant systems. J Prosthet Dent 2000:84:194-9 https://doi.org/10.1067/mpr.2000.108069
  11. McGlumphy EA Mendel DA Holloway JA. Implant Screw Mechanics. Dent Clinics North Am 1998:42:71-89
  12. Cibirka RM. Nelson SK. Lang BR. Rueggeberg FA. Examination of the implant-abutment interface after fatigue testing. J Prosthet Dent 2001: 85: 268-75 https://doi.org/10.1067/mpr.2001.114266
  13. Rangert B. Jemt T. Jorneus L. Forces and Moments on Branemark Implants. Int J Oral Maxillofac Implants 1989:4:241-7
  14. Shigley J. Mechanical Engineering Design. ed 3. New York: McGraw Hill. 1987: 227-52
  15. Motosh N. Development of design charts for bolts preloaded up to the plastic range. J Eng Ind 1976;98:849-51 https://doi.org/10.1115/1.3439041
  16. Burguete RL, Johns RB, Patterson EA. King T. Tightening characteristics for screwed joints in the osseointegrated dental implants. J Prosthet Dent 1994;71 :592-5 https://doi.org/10.1016/0022-3913(94)90443-X
  17. Robb TT, Porter SS. Increasing abutment screw rotation by applying a thingold coating [abstract 1641]. J Dent Res 1998;77(special issue) :837
  18. Robb TT, Porter SS. Increasing implantabutment preload by thin gold coating abutment screws [abstract 1642J. J Dent Res 1998;77(special issue) :837
  19. Martin WC, Woody RD, Miller BH, Miller AW. Implant abutment screw rotations and preloads for four different screw materials and surfaces. J Prosthet Dent 2001 ;86:24-32 https://doi.org/10.1067/mpr.2001.116230
  20. Vigolo P. Cemented versus screw-retained implant-supported single tooth crowns: A -4-year prospective clinical study. Int. J Oral Maxillofac Implants 2004: 19: 260-5
  21. Liu Y, Gubisch M, Hild W, Scherge M, Spiess L, Knedlik Ch, Schaefer JA. Nanoscale multilayer WC/C coatings developed for nanopositioning, part II: Friction and wear. Thin Solid Films 2005 :488; 140-8 https://doi.org/10.1016/j.tsf.2005.03.020
  22. Cavazos E. Bell FA. Preventing loosening of implant abutment screws. J Prosthet Dent 1996:75;566-9 https://doi.org/10.1016/S0022-3913(96)90464-3
  23. Lazza RJ. Criteria for implant selection: surgical and prosthetic consideration. Pract Perio Aesthet Dent 1994: 6: 55-62
  24. Binon P. Screw joints, components, and other intimate relationships. J Prosthet Dent 1994;72:625
  25. Sutter F, Weber HP, Sorensen J, Belser U. The new restorative concept of the ITI dental implant system: design and engineering. Int J Periodont Rest Dent 1993: 13: 409-31
  26. Abououssef H. Weinberg S. Ehrenberg D. Effects of an antirotation resistance form on screw loosening for single implantsupported crowns. J Prosthet Dent 2000: 82:312-6
  27. Sakaguchi RL. Sun T. Hacck JE. External strain distribution on implant prosthetic component [abstract 1045]. J Dent Res 1994:73(special issue) :232
  28. McGlumphy E. Keeping implant screws tight: Are we beyond retrievability? Proceedings of the Fourth International Symposium on Implant Dentistry: Focus on Esthetics. J Prosthet Dent 1994:72:628
  29. Korioth TW. Cardoso AC. Versluis A. Effect of washers on reverse torque displacement of dental implant gold retaining screws. J Prosthet Dent 1999:82: 312-6 https://doi.org/10.1016/S0022-3913(99)70086-7
  30. Adrian ED. Krantz WA, Ivanhoe JR. Turner KA. A silicone obturator for the access canal in an implant-retained fixed prosthesis. J Prosthet Dent 1999: 81: 23-46 https://doi.org/10.1016/S0022-3913(99)70231-3
  31. Bickford JH. An introduction to the design and behavior of bolted joints. New York: Marcel Dekker. Inc. 1981
  32. Sakaguchi RL. Borgersen SE. Nonlinear contact analysis of preload in dental implant screws. Int J Oral Maxillofac Implants 1995: 10: 295-302
  33. Haack JE, Sakaguchi RL, Sun T, Coffey JP. Elongation and preload stress in dental implant abutment screws. Int. J Oral Maxillofac Implants 1995: 10: 529-36
  34. Gratton DG, Aquilino SA, Stanford CM. Micromotion and dynamic fatigue properties of the dental implant-abutment interface. J Prosthet Dent 2001:85:47-52 https://doi.org/10.1067/mpr.2001.112796
  35. Hagiwara M, Ohashi N. A new tightening technique for threaded fasteners. Mater Eng ASME 1992:Vol III-B:371-6
  36. Levine RA, Clem DS. Wilson TG Jr.. Higginbottom F. Solnit G. Multicenter retrospective analysis of the ITI Implant System used for single-tooth replacements: Results of loading for 2 or more years. Int J Oral Maxillofac Implants 1999: 14: 516-20
  37. Sin HC. About the coefficient of friction. Journal of KSTLE 1986:4:29-41
  38. Haack JE, Sakaguchi RL. Sun T. Coffey JP. Determination of preload stress in dental implant screws [abstract 808]. J Dent Res 1994: 73(special issue): 202
  39. Griffith HT. Suggested tightening torques for structural bolts. Fastener Technology/ February 1987. In: Torque Tensioning: A Ten Part Complication. Stow. OH: Fastener Technology. Jan-Dec 1987