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基台可粘结部分的直径和角度设计对单冠固位的影响:一项体外实验研究。

Effect of the Diameter and Angulation Design of the Abutment Cementable Portion on Single Crown Retention: An In Vitro Experimental Study.

作者信息

Martins Gomes Baltieri Erika, Watinaga Sidney, Costa Tritto Marco A, Scarano Antonio, Lorusso Felipe, De Bortoli Júnior Nilton, Gehrke Sergio A

机构信息

Dentistry, Universidade Paulista (UNIP), São Paulo, BRA.

Oral Medicine, University of Chieti-Pescara, Pescara, ITA.

出版信息

Cureus. 2025 Jul 6;17(7):e87370. doi: 10.7759/cureus.87370. eCollection 2025 Jul.

Abstract

Objective This study aimed to evaluate the influence of abutment geometry, specifically axial wall angulation and diameter, on the tensile strength of cemented prosthetic crowns using two types of abutments (Smart and Ideale) with identical heights but different diameters and angulation of the cementable abutment portion. Materials and methods Forty implant-abutment (IA) sets with a Morse taper connection were divided into four groups (n = 10): Sm1 (Smart, 3.5 mm), Id1 (Ideale, 3.3 mm), Sm2 (Smart, 4.5 mm), and Id2 (Ideale, 4.5 mm). Metal copings were cast using a nickel-chromium alloy and cemented with zinc phosphate cement under standardized conditions. Tensile testing was performed to determine the force required to remove each crown. Data were analyzed using parametric tests, with significance set at p < 0.05. Results All groups passed the Shapiro-Wilk normality test (p > 0.05). The Id2 group showed the highest mean tensile strength (235.1 ± 9.785 Ncm), followed by Sm2 (191.4 ± 8.870 Ncm), Id1 (150.8 ± 7.745 Ncm), and Sm1 (137.0 ± 7.666 Ncm). Statistically significant differences were observed between several group comparisons, indicating that both abutment angulation and diameter influence prosthesis retention. Conclusion Abutments with smaller axial angulation (Ideale model) and larger diameters demonstrated superior mechanical retention. These factors should be considered when selecting abutments for cemented implant-supported prostheses to ensure optimal retention and clinical performance.

摘要

目的 本研究旨在评估基台几何形状,特别是轴向壁角度和直径,对使用两种高度相同但可粘固基台部分的直径和角度不同的基台(Smart和Ideale)的粘固修复冠拉伸强度的影响。

材料与方法 将40套具有莫氏锥度连接的种植体-基台(IA)分为四组(n = 10):Sm1(Smart,3.5 mm)、Id1(Ideale,3.3 mm)、Sm2(Smart,4.5 mm)和Id2(Ideale,4.5 mm)。使用镍铬合金铸造金属冠桥,并在标准化条件下用磷酸锌粘固剂进行粘固。进行拉伸试验以确定移除每个冠所需的力。使用参数检验分析数据,显著性设定为p < 0.05。

结果 所有组均通过夏皮罗-威尔克正态性检验(p > 0.05)。Id2组显示出最高的平均拉伸强度(235.1 ± 9.785 Ncm),其次是Sm2(191.4 ± 8.870 Ncm)、Id1(150.8 ± 7.745 Ncm)和Sm1(137.0 ± 7.666 Ncm)。在几组比较中观察到统计学上的显著差异,表明基台角度和直径均会影响假体的固位。

结论 轴向角度较小(Ideale模型)且直径较大的基台表现出更好的机械固位。在为粘固式种植体支持的假体选择基台时应考虑这些因素,以确保最佳的固位和临床性能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd49/12323557/9b07a04c1cb4/cureus-0017-00000087370-i01.jpg

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