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种植体/基台垂直不匹配与基台螺钉扭矩损失之间的关系。

Relation between implant/abutment vertical misfit and torque loss of abutment screws.

作者信息

Barbosa Gustavo Augusto Seabra, Bernardes Sérgio Rocha, das Neves Flávio Domingues, Fernandes Neto Alfredo Júlio, de Mattos Maria da Glória Chiarello, Ribeiro Ricardo Faria

机构信息

Department of Dentistry, Federal University of Rio Grande do Norte, Natal, RN, Brazil.

出版信息

Braz Dent J. 2008;19(4):358-63. doi: 10.1590/s0103-64402008000400013.

Abstract

This study investigated whether there is a direct correlation between the level of vertical misfit at the abutment/implant interface and torque losses (detorque) in abutment screws. A work model was obtained from a metal matrix with five 3.75 x 9 mm external hex implants with standard platform (4.1 mm). Four frameworks were waxed using UCLA type abutments and one-piece cast in commercially pure titanium. The misfit was analyzed with a comparator microscope after 20 Ncm torque. The highest value of misfit observed per abutment was used. The torque required to loose the screw was evaluated using a digital torque meter. The torque loss values, measured by the torque meter, were assumed as percentage of initial torque (100%) given to abutment screws. Pearson's correlation (alpha=0.05) between the misfit values (29.08 +/- 8.78 microm) and the percentage of detorque (50.71 +/- 11.37%) showed no statistically significant correlation (p=0.295). Within the limitations of this study, it may be concluded that great vertical misfits dot not necessarily implies in higher detorque values.

摘要

本研究调查了基台/种植体界面处垂直不匹配程度与基台螺钉扭矩损失(脱扭矩)之间是否存在直接关联。通过一个金属基质获得一个工作模型,该金属基质带有五个标准平台(4.1毫米)的3.75×9毫米外六角种植体。使用加州大学洛杉矶分校(UCLA)型基台制作四个框架,并整体铸造在商业纯钛中。在施加20牛厘米扭矩后,用比较显微镜分析不匹配情况。使用每个基台观察到的最高不匹配值。使用数字扭矩计评估松开螺钉所需的扭矩。扭矩计测量的扭矩损失值被视为施加给基台螺钉的初始扭矩(100%)的百分比。不匹配值(29.08±8.78微米)与脱扭矩百分比(50.71±11.37%)之间的皮尔逊相关性(α=0.05)显示无统计学显著相关性(p=0.295)。在本研究的局限性范围内,可以得出结论,较大的垂直不匹配不一定意味着更高的脱扭矩值。

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