A rationale method for evaluating unscrewing torque values of prosthetic screws in dental implants
Identifieur interne : 004327 ( Main/Exploration ); précédent : 004326; suivant : 004328A rationale method for evaluating unscrewing torque values of prosthetic screws in dental implants
Auteurs : Felipe Miguel Saliba [Brésil] ; Mayra Cardoso [Brésil] ; Marcelo Ferreira Torres [Brésil] ; Alexandre Carvalho Teixeira [Brésil] ; Eduardo José Veras Lourenço [Brésil] ; Daniel De Moraes Telles [Brésil]Source :
- Journal of Applied Oral Science [ 1678-7757 ] ; 2011.
Abstract
Previous studies that evaluated the torque needed for removing dental implant screws have not considered the manner of transfer of the occlusal loads in clinical settings. Instead, the torque used for removal was applied directly to the screw, and most of them omitted the possibility that the hexagon could limit the action of the occlusal load in the loosening of the screws. The present study proposes a method for evaluating the screw removal torque in an anti-rotational device independent way, creating an unscrewing load transfer to the entire assembly, not only to the screw.
Twenty hexagonal abutments without the hexagon in their bases were fixed with a screw to 20 dental implants. They were divided into two groups: Group 1 used titanium screws and Group 2 used titanium screws covered with a solid lubricant. A torque of 32 Ncm was applied to the screw and then a custom-made wrench was used for rotating the abutment counterclockwise, to loosen the screw. A digital torque meter recorded the torque required to loosen the abutment.
There was a significant difference between the means of Group 1 (38.62±6.43 Ncm) and Group 2 (48.47±5.04 Ncm), with p=0.001.
This methodology was effective in comparing unscrewing torque values of the implant-abutment junction even with a limited sample size. It confirmed a previously shown significant difference between two types of screws.
Url:
DOI: 10.1590/S1678-77572011000100013
PubMed: 21437472
PubMed Central: 4245866
Affiliations:
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screws in dental implants</title><author><name sortKey="Saliba, Felipe Miguel" sort="Saliba, Felipe Miguel" uniqKey="Saliba F" first="Felipe Miguel" last="Saliba">Felipe Miguel Saliba</name><affiliation wicri:level="2"><nlm:aff id="aff01"> DDS, MSC, Assistant Professor, Department of Prosthodontics, Dental School, Estácio de Sá University, Rio de Janeiro, RJ, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> DDS, MSC, Assistant Professor, Department of Prosthodontics, Dental School, Estácio de Sá University, Rio de Janeiro, RJ</wicri:regionArea><placeName><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Cardoso, Mayra" sort="Cardoso, Mayra" uniqKey="Cardoso M" first="Mayra" last="Cardoso">Mayra Cardoso</name><affiliation wicri:level="2"><nlm:aff id="aff02"> DDS, MSC, Department of Prosthodontics, Dental School, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> DDS, MSC, Department of Prosthodontics, Dental School, State University of Rio de Janeiro, Rio de Janeiro, RJ</wicri:regionArea><placeName><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Torres, Marcelo Ferreira" sort="Torres, Marcelo Ferreira" uniqKey="Torres M" first="Marcelo Ferreira" last="Torres">Marcelo Ferreira Torres</name><affiliation wicri:level="2"><nlm:aff id="aff02"> DDS, MSC, Department of Prosthodontics, Dental School, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> DDS, MSC, Department of Prosthodontics, Dental School, State University of Rio de Janeiro, Rio de Janeiro, RJ</wicri:regionArea><placeName><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Teixeira, Alexandre Carvalho" sort="Teixeira, Alexandre Carvalho" uniqKey="Teixeira A" first="Alexandre Carvalho" last="Teixeira">Alexandre Carvalho Teixeira</name><affiliation wicri:level="2"><nlm:aff id="aff02"> DDS, MSC, Department of Prosthodontics, Dental School, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> DDS, MSC, Department of Prosthodontics, Dental School, State University of Rio de Janeiro, Rio de Janeiro, RJ</wicri:regionArea><placeName><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Lourenco, Eduardo Jose Veras" sort="Lourenco, Eduardo Jose Veras" uniqKey="Lourenco E" first="Eduardo José Veras" last="Lourenço">Eduardo José Veras Lourenço</name><affiliation wicri:level="2"><nlm:aff id="aff03"> DDS, MSC, PhD, Associate Professor, Department of Prosthodontics, Dental School, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> DDS, MSC, PhD, Associate Professor, Department of Prosthodontics, Dental School, State University of Rio de Janeiro, Rio de Janeiro, RJ</wicri:regionArea><placeName><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Telles, Daniel De Moraes" sort="Telles, Daniel De Moraes" uniqKey="Telles D" first="Daniel De Moraes" last="Telles">Daniel De Moraes Telles</name><affiliation wicri:level="2"><nlm:aff id="aff03"> DDS, MSC, PhD, Associate Professor, Department of Prosthodontics, Dental School, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea> DDS, MSC, PhD, Associate Professor, Department of Prosthodontics, Dental School, State University of Rio de Janeiro, Rio de Janeiro, RJ</wicri:regionArea><placeName><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Applied Oral Science</title><idno type="ISSN">1678-7757</idno><idno type="eISSN">1678-7765</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>Previous studies that evaluated the torque needed for removing dental implant
screws have not considered the manner of transfer of the occlusal loads in
clinical settings. Instead, the torque used for removal was applied directly to
the screw, and most of them omitted the possibility that the hexagon could limit
the action of the occlusal load in the loosening of the screws. The present study
proposes a method for evaluating the screw removal torque in an anti-rotational
device independent way, creating an unscrewing load transfer to the entire
assembly, not only to the screw.</p></sec><sec><title>Material and methods</title><p>Twenty hexagonal abutments without the hexagon in their bases were fixed with a
screw to 20 dental implants. They were divided into two groups: Group 1 used
titanium screws and Group 2 used titanium screws covered with a solid lubricant. A
torque of 32 Ncm was applied to the screw and then a custom-made wrench was used
for rotating the abutment counterclockwise, to loosen the screw. A digital torque
meter recorded the torque required to loosen the abutment.</p></sec><sec><title>Results</title><p>There was a significant difference between the means of Group 1 (38.62±6.43
Ncm) and Group 2 (48.47±5.04 Ncm), with p=0.001.</p></sec><sec><title>Conclusion</title><p>This methodology was effective in comparing unscrewing torque values of the
implant-abutment junction even with a limited sample size. It confirmed a
previously shown significant difference between two types of screws.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Binon, Pp" uniqKey="Binon P">PP Binon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burguete, Rl" uniqKey="Burguete R">RL Burguete</name></author><author><name sortKey="Johns, Rb" uniqKey="Johns R">RB Johns</name></author><author><name sortKey="King, T" uniqKey="King T">T King</name></author><author><name sortKey="Patterson, Ea" uniqKey="Patterson E">EA Patterson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carlson, B" uniqKey="Carlson B">B Carlson</name></author><author><name sortKey="Carlsson, Ge" uniqKey="Carlsson G">GE Carlsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cibirka, Rm" uniqKey="Cibirka R">RM Cibirka</name></author><author><name sortKey="Nelson, Sk" uniqKey="Nelson S">SK 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sortKey="Teixeira, Alexandre Carvalho" sort="Teixeira, Alexandre Carvalho" uniqKey="Teixeira A" first="Alexandre Carvalho" last="Teixeira">Alexandre Carvalho Teixeira</name><name sortKey="Telles, Daniel De Moraes" sort="Telles, Daniel De Moraes" uniqKey="Telles D" first="Daniel De Moraes" last="Telles">Daniel De Moraes Telles</name><name sortKey="Torres, Marcelo Ferreira" sort="Torres, Marcelo Ferreira" uniqKey="Torres M" first="Marcelo Ferreira" last="Torres">Marcelo Ferreira Torres</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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