The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지

THE INFLUENCE OF ABUTMENT SCREW LENGTH AND REPEATED TIGHTENING ON SCREW LOOSENING IN DENIAL IMPLANT

치과용 임플랜트에서 지대주 나사의 길이 및 반복 조임 횟수가 지대주 나사의 풀림에 미치는 영향

  • Choi Jin-Ho (Department of Prosthodontics, Graduate School, Seoul National University) ;
  • Yang Jae-Ho (Department of Prosthodontics, Graduate School, Seoul National University) ;
  • Cho Won-Pyo (Department of Dentistry, College of Medicine, Konkuk University) ;
  • Lee Jai-Bong (Department of Prosthodontics, Graduate School, Seoul National University)
  • 최진호 (서울대학교 치과대학 치과보철학교실) ;
  • 양재호 (서울대학교 치과대학 치과보철학교실) ;
  • 조원표 (건국대학교 의과대학 치과학교실) ;
  • 이재봉 (서울대학교 치과대학 치과보철학교실)
  • Published : 2006.08.01
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Abstract

Statement of problem: One of common problems associated with dental implant is the loosening of abutment screws that retain the implants. Purpose : This study was performed to investigate the influence of abutment screw length and repeated tightening on screw loosening in dental implant. Material and method: Forty nine Hexplants (13mm length, 4.3mm diameter, Ti grade IV, Warantec. Co. Ltd. Seongnam, Korea) and cementation type abutments(straight abutment) and abutment screws (0.4mm/pitch) were divided into 7 groups, depending on abutment screw length. Each implant and abutment was tightened to 30Ncm by torque controller(MGT50, MARK-10 Inc., USA) and the removal torque values were measured during 10 consecutive closure/opening trials. Results and Conclusion: The results of comparing the removal torque value are as follows : 1. There is no significant difference in the removal torque value between groups in 10 consecutive closure/opening trials (p = 0.97). 2. If the fractured abutment screw is engaged in longer than 2.425 thread length, there is no significant difference in the preload between the fractured abutment screw and the new abutment screw when both are equally tightened to 30 Ncm. 3. The removal torque value in the 1st trial(24.510 Ncm) was lower than that in the 2nd, 3rd, 4th, 5th, 6th, 7th trials and the removal torque value in the 2nd trials(25.551 Ncm) was maximum and was decreased in 1311owing trials. The removal torque value in the 1st trial was significantly lower than that in the 2nd, 3rd, 4th trials and was significantly higher than that in the 8th, 9th, l0th trials(p<0.05). 4. In the 2nd, 3rd, 4th, 5th, 6th, 7th trials, the abutment screw was mainly influenced by settling effect and the higher preload was obtained In the 8th, 9th, l0th trials, the abutment screw was mainly influenced by adhesive wear and the progressively lower preload was obtained.

Keywords

References

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