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不同基台对三通道型内连接式种植体机械疲劳后轴倾度和扭矩损失的影响评估

Evaluation of Vertical Misfit and Torque Loss of Different Abutments for Tri-Channel Type Internal Connection Dental Implants After Mechanical Cycling.

机构信息

Department of Dental Materials and Prostheses, School of Dentistry of Ribeirão Preto, University of São Paulo, Brazil.

出版信息

J Oral Implantol. 2024 Feb 1;50(1):31-38. doi: 10.1563/aaid-joi-D-23-00033.

DOI:10.1563/aaid-joi-D-23-00033
PMID:38579114
Abstract

The aim of this study was to evaluate the mechanical behavior of UCLA and Mini-conical abutments for implants with Tri-channel connections regarding torque loss and vertical misfit. Twenty 3-element metal-ceramic fixed partial dentures (FPD) supported by 2 implants were manufactured and divided into 2 groups (n = 10): UCLA (group 1) and Mini-conical Abutments (group 2). The evaluation of torque loss was carried out before and after mechanical cycling, while the vertical fit was evaluated throughout the different stages of manufacturing the prostheses, as well pre- and postcycling (300,000 cycles, 30 N). Statistical analyses of torque loss and vertical misfit were performed using the linear mixed effects model. Both groups showed torque loss after mechanical cycling (P < .05); however, there was no significant percentage differences between them (P = .795). Before cycling, the groups showed a significant difference in terms of vertical misfit values (P < .05); however, this difference was no long observed after cycling (P = .894). Both groups showed torque loss after the cycling test, with no significant difference (P > .05). There was no significant difference in vertical misfit after mechanical cycling; however, in group 1 (UCLA) there was accommodation of the implant-UCLA abutment interface, while group 2 (Mini-conical abutment) did not show changes in the interface with the implant after the test. Both groups behaved similarly regarding the torque loss of the prosthesis retention screws pre- and postmechanical cycling, with greater loss after the test.

摘要

本研究旨在评估 UCLA 和 Mini-conical 基台在具有三通道连接的种植体中的机械性能,包括扭矩损失和垂直不匹配。制作了 20 个由 2 个种植体支撑的 3 个元件金属陶瓷固定局部义齿(FPD),并将其分为 2 组(n = 10):UCLA(第 1 组)和 Mini-conical 基台(第 2 组)。扭矩损失的评估在机械循环前后进行,而垂直拟合度则在制造义齿的不同阶段进行评估,包括循环前和循环后(300,000 次循环,30 N)。使用线性混合效应模型对扭矩损失和垂直不匹配进行统计分析。两组在机械循环后均出现扭矩损失(P <.05);然而,它们之间没有显著的百分比差异(P =.795)。在循环前,两组在垂直不匹配值方面存在显著差异(P <.05);然而,在循环后,这种差异不再观察到(P =.894)。两组在循环测试后均出现扭矩损失,没有显著差异(P >.05)。机械循环后垂直不匹配没有显著差异;然而,在第 1 组(UCLA)中,种植体-UCLA 基台界面有适应性,而在第 2 组(Mini-conical 基台)中,界面在测试后没有发生变化。两组在机械循环前后对义齿固位螺丝的扭矩损失表现相似,测试后损失更大。

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