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Insertion torque versus mechanical resistance of mini-implants inserted in different cortical thickness

Identifieur interne : 001962 ( Main/Exploration ); précédent : 001961; suivant : 001963

Insertion torque versus mechanical resistance of mini-implants inserted in different cortical thickness

Auteurs : Renata De Faria Santos ; Antonio Carlos De Oliveira Ruellas ; Daniel Jogaib Fernandes ; Carlos Nelson Elias

Source :

RBID : PMC:4296615

Abstract

Objective

This study aimed to measure insertion torque, tip mechanical resistance to fracture and transmucosal neck of mini-implants (MI) (Conexão Sistemas de PróteseT), as well as to analyze surface morphology.

Methods

Mechanical tests were carried out to measure the insertion torque of MIs in different cortical thicknesses, and tip mechanical resistance to fracture as well as transmucosal neck of MIs. Surface morphology was assessed by scanning electron microscopy (SEM) before and after the mechanical tests.

Results

Values of mechanical resistance to fracture (22.14 N.cm and 54.95 N.cm) were higher and statistically different (P < 0.05) from values of insertion torque for 1-mm (7.60 N.cm) and 2-mm (13.27 N.cm) cortical thicknesses. Insertion torque was statistically similar (P > 0.05) to torsional fracture in the tip of MI (22.14 N.cm) when 3 mm cortical thickness (16.11 N.cm) and dense bone (23.95 N.cm) were used. Torsional fracture of the transmucosal neck (54.95 N.cm) was higher and statistically different (P < 0.05) from insertion torsional strength in all tested situations. SEM analysis showed that the MIs had the same smooth surface when received from the manufacturer and after the mechanical tests were performed. Additionally, no significant marks resulting from the manufacturing process were observed.

Conclusion

All mini-implants tested presented adequate surface morphology. The resistance of mini-implants to fracture safely allows placement in 1 and 2-mm cortical thickness. However, in 3-mm cortical thickness and dense bones, pre-drilling with a bur is recommended before insertion.


Url:
DOI: 10.1590/2176-9451.19.3.090-094.oar
PubMed: 25162571
PubMed Central: 4296615


Affiliations:


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<name sortKey="Santos, Renata De Faria" sort="Santos, Renata De Faria" uniqKey="Santos R" first="Renata De Faria" last="Santos">Renata De Faria Santos</name>
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<nlm:aff id="aff01"> Masters student of Orthodontics, Federal University of Rio de Janeiro, UFRJ.</nlm:aff>
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<name sortKey="Ruellas, Antonio Carlos De Oliveira" sort="Ruellas, Antonio Carlos De Oliveira" uniqKey="Ruellas A" first="Antonio Carlos De Oliveira" last="Ruellas">Antonio Carlos De Oliveira Ruellas</name>
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<nlm:aff id="aff02"> Associate professor, Federal University of Rio de Janeiro, UFRJ.</nlm:aff>
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<name sortKey="Elias, Carlos Nelson" sort="Elias, Carlos Nelson" uniqKey="Elias C" first="Carlos Nelson" last="Elias">Carlos Nelson Elias</name>
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<title>Objective</title>
<p>This study aimed to measure insertion torque, tip mechanical resistance to fracture and transmucosal neck of mini-implants (MI) (Conexão Sistemas de PróteseT), as well as to analyze surface morphology.</p>
</sec>
<sec>
<title>Methods</title>
<p>Mechanical tests were carried out to measure the insertion torque of MIs in different cortical thicknesses, and tip mechanical resistance to fracture as well as transmucosal neck of MIs. Surface morphology was assessed by scanning electron microscopy (SEM) before and after the mechanical tests.</p>
</sec>
<sec>
<title>Results</title>
<p>Values of mechanical resistance to fracture (22.14 N.cm and 54.95 N.cm) were higher and statistically different (P < 0.05) from values of insertion torque for 1-mm (7.60 N.cm) and 2-mm (13.27 N.cm) cortical thicknesses. Insertion torque was statistically similar (P > 0.05) to torsional fracture in the tip of MI (22.14 N.cm) when 3 mm cortical thickness (16.11 N.cm) and dense bone (23.95 N.cm) were used. Torsional fracture of the transmucosal neck (54.95 N.cm) was higher and statistically different (P < 0.05) from insertion torsional strength in all tested situations. SEM analysis showed that the MIs had the same smooth surface when received from the manufacturer and after the mechanical tests were performed. Additionally, no significant marks resulting from the manufacturing process were observed.</p>
</sec>
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<title>Conclusion</title>
<p>All mini-implants tested presented adequate surface morphology. The resistance of mini-implants to fracture safely allows placement in 1 and 2-mm cortical thickness. However, in 3-mm cortical thickness and dense bones, pre-drilling with a bur is recommended before insertion.</p>
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