In vitro integrity of implant external hexagon after application of surgical placement torque simulating implant locking.
The aim of this study was to evaluate the integrity of the external hexagon of an implant system with internal and external hexagons but with prosthetic connection through the external hexagon (Internal Torque, IT) in comparison with that of an implant system with external hexagon with mount (External Hexagon, EH). A device was made to measure the rotational freedom angles between implant and abutment hexagons in 10 implants from each group after the application of surgical placement torques of 45, 60 and 80 Ncm simulating implant locking. The distances between the vertices of the external hexagon were also obtained. Rotational freedom data were subjected to ANOVA and Tukey's test (P < .05) showing no significant difference between the angles of the intact implants (EH - 3.31 +/- 0.41 degrees and IT - 3.30 +/- 0.17 degrees ) and after application of a 45 Ncm torque (EH - 3.27 +/- 0.38 degrees and IT - 3.31 +/- 0.22 degrees ). However, after application of a 60 Ncm torque there were significant differences (IT - 3.40 +/- 0.20 degrees and EH - 4.03 +/- 0.54 degrees ). After application of a 80 Ncm torque, the IT implant presented values of 3.39 +/- 0.21 degrees whereas the EH did not support the torque, suffering deformation of its external hexagon. Within the limits of this study, it can be concluded that the IT implant system may be preferable in clinical situations where implant placement within a certain bone density could generate torques higher than 60 Ncm.
Davi
Letícia Resende
LR
Department of Occlusion, Fixed Prosthesis and Dental Materials, School of Dentistry, Federal University of Uberlândia, Brazil.
Golin
Alexsander Luiz
AL
Bernardes
Sérgio Rocha
SR
Araújo
Cleudmar Amaral de
CA
Neves
Flávio Domingues
FD
D000704:Analysis of Variance; D001696:Biomechanical Phenomena; D000044:Dental Abutments; D015921:Dental Implants; D019250:Dental Implants, Single-Tooth; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D008422:Materials Testing; D012399:Rotation; D013314:Stress, Mechanical; D019415:Torque
D015921:Dental Implants