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种植基台与可成角摩擦式种植体界面适配性的体外分析:力学与微生物学研究

In vitro analysis of prosthetic abutment and angulable frictional implant interface adaptation: Mechanical and microbiological study.

作者信息

de Aguiar Vilela Júnior Rafael, Aranha Luís Cláudio, Elias Carlos Nelson, Martinez Elizabeth Ferreira

机构信息

Oral Implantology Division, Faculdade São Leopoldo Mandic, Campinas, SP, Brazil.

Materials Science and Technology Center, Nuclear and Energy Research Institute (IPEN), SP, Brazil.

出版信息

J Biomech. 2021 Nov 9;128:110733. doi: 10.1016/j.jbiomech.2021.110733. Epub 2021 Sep 7.

Abstract

The aim of this study was to evaluate, in vitro, the microbiological sealing at the implant and different angles frictional prosthetic abutment interface, submitted or not to mechanical cycling, as well as the deactivation force and evaluation of the implant-abutment interface by scanning electron microscopy. For this study, the sealing capacity of eighty sets of abutments/implants of each angle, with and without mechanical cycling, with internal conical connection (locking tapper) (4.3 mm × 9.0 mm) constituted in Titanium alloy (Ti6Al4V), and stainless steel angled prosthetic abutment was evaluated (18Cr14Ni2.5Mo) according to ASTM F138-13a (Arcsys, FGM, Joinville, Brazil), 6 mm high and 4.2 mm in diameter at the coronary portion, and 3.5 mm high transmucosal, in 4 different angles (0, 5, 10 and 20°). After in vitro tests, 100% biological sealing was observed at the implant / prosthetic abutment interface within cycled and non-cycled conditions, for the straight, 5, 10 and 20° inclination groups. There was no statistically significant difference in the removal force of the prosthetic abutments at different angles, under non-cycled conditions; however, under mechanical loading, the deactivation force was significantly higher for straight prosthetic abutments than with 10 and 20° of angulation. Surface analysis revealed good adaptation between implants and abutments, and the presence of wear areas, independently of mechanical loading. It is concluded that the analysis of implant and prosthetic abutment interface revealed good adaptation between the parts, for all analyzed samples.

摘要

本研究的目的是在体外评估植入物与不同角度的摩擦性修复基台界面处的微生物封闭情况,该界面是否经受机械循环,以及去激活力,并通过扫描电子显微镜对植入物 - 基台界面进行评估。在本研究中,按照ASTM F138 - 13a(Arcsys,FGM,巴西茹安维尔)标准,对80套每种角度的基台/植入物进行评估,这些基台/植入物具有内部锥形连接(锁定丝锥)(4.3毫米×9.0毫米),由钛合金(Ti6Al4V)制成,修复基台为不锈钢成角度的(18Cr14Ni2.5Mo),冠状部分高6毫米,直径4.2毫米,经黏膜部分高3.5毫米,有4种不同角度(0°、5°、10°和20°)。体外测试后,对于直的、5°、10°和20°倾斜组,在循环和非循环条件下,在植入物/修复基台界面均观察到100%的生物封闭。在非循环条件下,不同角度的修复基台去除力无统计学显著差异;然而,在机械加载下,直的修复基台的去激活力明显高于10°和20°成角度的修复基台。表面分析显示,无论机械加载情况如何,植入物与基台之间均有良好的适配性,且存在磨损区域。得出的结论是,对植入物和修复基台界面的分析表明,对于所有分析样本,各部件之间适配良好。

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