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三种不同类型的混合基台在循环加载后钛基台上的物理和力学变化。

Physical and mechanical changes on titanium base of three different types of hybrid abutment after cyclic loading.

作者信息

Ožiūnas Rimantas, Sakalauskienė Jurgina, Staišiūnas Laurynas, Žekonis Gediminas, Žilinskas Juozas, Janužis Gintaras

机构信息

Department of Prosthodontics, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Center for Physical Sciences and Technology, Vilnius, Lithuania.

出版信息

J Adv Prosthodont. 2023 Feb;15(1):33-43. doi: 10.4047/jap.2023.15.1.33. Epub 2023 Feb 23.

Abstract

PURPOSE

This study investigated the physical and mechanical changes in the titanium base of three different hybrid abutment materials after cyclic loading by estimating the post-load reverse torque value (RTV), compressive side fulcrum wear pattern of titanium base, and surface roughness.

MATERIALS AND METHODS

A total of 24 dental implants were divided into three groups (n = 8 each): Group Z, LD, and P used zirconia, lithium disilicate, and polyetheretherketone, respectively, for hybrid abutment fabrication. RTV was evaluated after cyclic loading with 50 N for 1.2 × 10 chewing cycles. The compressive sides of the titanium bases were analyzed using a scanning electron microscope, and the roughness of the affected areas was measured using an optical profilometer after loading. Datasets were analyzed using Kruskal-Wallis test followed by Mann-Whitney tests with the Bonferroni correction (α = .05).

RESULTS

Twenty-three samples passed the test; one LD sample fractured after 770,474 cycles. Post-load RTV varied significantly depending on the hybrid-abutment material ( = .020). Group P had a significantly higher median of post-load RTVs than group Z (16.5 and 14.3 Ncm, respectively). Groups LD and P showed minor signs of wear, and group Z showed a more pronounced wear pattern. While evaluating compressive side affected area roughness of titanium bases, lower medians were shown in group LD (Ra 0.16 and Rq 0.22 µm) and group P (Ra 0.16 and Rq 0.23 µm) than in group Z (Ra 0.26 and Rq 0.34 µm); significant differences were found only among the unaffected surface and group Z.

CONCLUSION

The hybrid abutment material influences the post-load RTV. Group Z had a more pronounced wear pattern on the compressive side of titanium base; however, the surface roughness was not statistically different among the hybrid-abutment groups.

摘要

目的

本研究通过评估加载后反向扭矩值(RTV)、钛基台压缩侧支点磨损模式和表面粗糙度,研究三种不同混合基台材料在循环加载后钛基台的物理和力学变化。

材料与方法

将24颗牙种植体分为三组(每组n = 8):Z组、LD组和P组,分别使用氧化锆、二硅酸锂和聚醚醚酮制作混合基台。在50 N的循环加载1.2×10次咀嚼循环后评估RTV。使用扫描电子显微镜分析钛基台的压缩侧,并在加载后使用光学轮廓仪测量受影响区域的粗糙度。数据集使用Kruskal-Wallis检验,随后进行Mann-Whitney检验并采用Bonferroni校正(α = 0.05)。

结果

23个样本通过测试;1个LD组样本在770,474次循环后断裂。加载后RTV因混合基台材料而异,差异有统计学意义(P = 0.020)。P组加载后RTV的中位数显著高于Z组(分别为16.5和14.3 N·cm)。LD组和P组显示出轻微的磨损迹象,Z组显示出更明显的磨损模式。在评估钛基台压缩侧受影响区域粗糙度时,LD组(Ra 0.16和Rq 0.22 µm)和P组(Ra 0.16和Rq 0.23 µm)的中位数低于Z组(Ra 0.26和Rq 0.34 µm);仅在未受影响表面和Z组之间发现显著差异。

结论

混合基台材料会影响加载后RTV。Z组在钛基台压缩侧有更明显的磨损模式;然而,混合基台组之间的表面粗糙度在统计学上没有差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f955/9992696/904d50dd74df/jap-15-33-g001.jpg

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