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Effect of morphology and diameter of implant fixture-abutment connection on mechanical failure of implants  

Yun, Bo-Hyeok (Department of Prosthodontics, College of Dentistry Pusan National University)
Shin, Hyon-Mo (Department of Prosthodontics, College of Dentistry Pusan National University)
Yun, Mi-Jung (Department of Prosthodontics, College of Dentistry Pusan National University)
Huh, Jung-Bo (Department of Prosthodontics, College of Dentistry Pusan National University)
Jeong, Chang-Mo (Department of Prosthodontics, College of Dentistry Pusan National University)
Kang, Eun-Sook (Department of Prosthodontics, In-Je University Haeundae Paik Hospital)
Publication Information
The Journal of the Korean dental association / v.53, no.9, 2015 , pp. 644-655 More about this Journal
Abstract
Purpose: This study was conducted to evaluate the effect of the fixture abutment connection type and diameter on the screw joint stability in external butt joint for 2nd surgery and internal cone connected type implant system for 1st and 2nd surgery using ultimate fracture strength. Materials and Methods: USII system, SSII system and GSII system of Osstem Implant were used. Each system used the fixture with two different diameters and cement-retained abutments, and tungsten carbide / carbon coated abutment screws were used. Disc shaped stainless steel metal tube was attached using resin-based temporary cement. The experimental group was divided into seven subgroups, including the platform switching shaped specimen that uses a regular abutment in the fixture with a wide diameter in USII system. A static load was increased to the metal tube at 5mm deviated point from the implant central axis until it reached the compression bending strength at a rate of 1mm/min. Then the deformations and patterns of fracture in threaded connection were compared. Results and Conclusion: 1. In the comparison between the Regular diameter, compression bending strength of SSII system was higher than USII system and GSII system. There was no significant difference between USII system and GSII system. 2. In the comparison between wide diameter, compression bending strength was increased in the order of GSII system, USII system, and SSII system. 3. In comparison between the implant diameter, compression bending strength of the wide diameter was greater than the regular diameter in any system(P<0.05). 4. There was no significant difference between the platform switching (III group) and the regular diameter (I group) in USII system. 5. In USII system, fracture of abutment screw and deformation of both fixture and abutment were observed in I, II and III subgroups. 6. Failure pattern of SSII system, which was the fracture of abutment screw and deformation of the abutment and fixture, was observed in both IV and V subgroups. Fracture of some fixtures was observed in subgroup V. 7. Failure pattern of GSII system, which was the fracture of the abutment screw and deformation of the fixture and the abutment, was observed in both VI and VII subgroups. Apart from other subgroups, subgroup VII demonstrated no bending neither the fracture at the top of the fixture. The compressive deformation of internal slope in the fixture was the only thing observed in subgroup VII.
Keywords
connection; mechanical failure;
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