Department of Conservative Dentistry and Fixed Prosthodontics, Faculty of Dentistry, The University of Jordan, Amman, Jordan.
Int J Oral Maxillofac Implants. 2013 Mar-Apr;28(2):e83-7. doi: 10.11607/jomi.2433.
The aim of this study was to compare the influence of abutment screw preload on the marginal bone stress around a conventional external-hex implant system and one with a new implant/abutment joint design.
Two implant/bone models, each consisting of three parts and fabricated of titanium and bone (cortical), were built and arranged with computer-aided design software. The first model represented an external-hex implant system, while the second had a tapered extension over the external hex, 1.5 mm high, so that the apical extension of the abutment screw in the assembly did not go beyond the lower level of the implant shoulder. Meshing and generation of boundary conditions, loads, and interactions were performed for the two models. All parts were meshed independent of each other. The sole load applied on the model was a torque of 32 Ncm on the abutment screw about its axis of rotation.
The first model showed deformation of the implant collar, and the resulting von Mises stress was 60 MPa in the marginal bone. In contrast, no deformation was observed in the second model.
The new implant/abutment joint eliminated the deformation at the implant collar area caused by the application of tightening torque and thus eliminated the resulting stresses in the marginal bone.
本研究旨在比较基台螺钉预紧对常规外六方种植体系统和新型种植体/基台连接设计的边缘骨应力的影响。
构建并通过计算机辅助设计软件排列了两个种植体/骨模型,每个模型均由三部分组成,由钛和骨(皮质)制成。第一个模型代表外六方种植体系统,而第二个模型在外六方上有 1.5 毫米高的锥形延伸,使得装配中基台螺钉的根尖延伸不超出种植体肩部的下水平。对两个模型进行了网格划分和边界条件、载荷和相互作用的生成。所有部分都是相互独立的网格划分。施加在模型上的唯一载荷是围绕基台螺钉旋转轴施加的 32 Ncm 的扭矩。
第一个模型显示出种植体颈圈的变形,其边缘骨的 von Mises 应力为 60 MPa。相比之下,第二个模型没有观察到变形。
新型种植体/基台连接消除了拧紧扭矩施加引起的种植体颈圈区域的变形,从而消除了边缘骨的相应应力。