Pedroza Jose E, Torrealba Ysidora, Elias Augusto, Psoter Walter
School of Dentistry, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
J Oral Implantol. 2007;33(1):1-7. doi: 10.1563/0-809.1.
The aims of this study were twofold: to compare the static compressive strength at the implant-abutment interface of 3 design systems and to describe the implant abutment connection failure mode. A stainless steel holding device was designed to align the implants at 30 degrees with respect to the y-axis. Sixty-nine specimens were used, 23 for each system. A computer-controlled universal testing machine (MTS 810) applied static compression loading by a unidirectional vertical piston until failure. Specimens were evaluated macroscopically for longitudinal displacement, abutment looseness, and screw and implant fracture. Data were analyzed by analysis of variance (ANOVA). The mean compressive strength for the Unipost system was 392.5 psi (SD +/-40.9), for the Spline system 342.8 psi (SD+/-25.8), and for the Screw-Vent system 269.1 psi (SD+/-30.7). The Unipost implant-abutment connection demonstrated a statistically significant superior mechanical stability (P < or = .009) compared with the Spline implant system. The Spline implant system showed a statistically significant higher compressive strength than the Screw-Vent implant system (P < or =.009). Regarding failure mode, the Unipost system consistently broke at the same site, while the other systems failed at different points of the connection. The Unipost system demonstrated excellent fracture resistance to compressive forces; this resistance may be attributed primarily to the diameter of the abutment screw and the 2.5 mm counter bore, representing the same and a unique piece of the implant. The Unipost implant system demonstrated a statistically significant superior compressive strength value compared with the Spline and Screw-Vent systems, at a 30 degrees angulation.
比较三种设计系统的种植体-基台界面的静态抗压强度,并描述种植体基台连接的失效模式。设计了一种不锈钢固定装置,使种植体相对于y轴成30度角排列。使用了69个标本,每个系统23个。一台计算机控制的万能试验机(MTS 810)通过单向垂直活塞施加静态压缩载荷直至失效。对标本进行宏观评估,观察纵向位移、基台松动以及螺钉和种植体骨折情况。数据通过方差分析(ANOVA)进行分析。Unipost系统的平均抗压强度为392.5磅力/平方英寸(标准差±40.9),Spline系统为342.8磅力/平方英寸(标准差±25.8),Screw-Vent系统为269.1磅力/平方英寸(标准差±30.7)。与Spline种植体系统相比,Unipost种植体-基台连接显示出统计学上显著更高的机械稳定性(P≤0.009)。Spline种植体系统的抗压强度在统计学上显著高于Screw-Vent种植体系统(P≤0.009)。关于失效模式,Unipost系统始终在同一部位断裂,而其他系统在连接的不同点失效。Unipost系统对压缩力表现出优异的抗断裂性;这种抗性可能主要归因于基台螺钉的直径和2.5毫米的沉孔,它们代表了种植体的同一独特部件。在30度成角情况下,与Spline和Screw-Vent系统相比,Unipost种植体系统的抗压强度值在统计学上显著更高。