title: Resistance of three implant-abutment interfaces to fatigue testing.
abstract: The design and retentive properties of implant-abutment connectors affect the mechanical resistance of implants. A number of studies have been carried out to compare the efficacy of connecting mechanisms between abutment and fixture.
  
  
  OBJECTIVE
  The aims of this study were: 1) to compare 3 implant-abutment interfaces (external hexagon, internal hexagon and cone-in-cone) regarding the fatigue resistance of the prosthetic screw, 2) to evaluate the corresponding mode of failure, and 3) to compare the results of this study with data obtained in previous studies on Nobel Biocare and Straumann connectors.
  
  
  METHODS
  In order to duplicate the alternating and multivectorial intraoral loading pattern, the specimens were submitted to the rotating cantilever beam test. The implants, abutments and restoration analogs were spun around their longitudinal axes while a perpendicular force was applied to the external end. The objective was to determine the force level at which 50% of the specimens survived 10(6) load cycles. The mean force levels at which 50% failed and the corresponding 95% confidence intervals were determined using the staircase procedure.
  
  
  RESULTS
  The external hexagon interface presented better than the cone-in-cone and internal hexagon interfaces. There was no significant difference between the cone-in-cone and internal hex interfaces.
  
  
  CONCLUSIONS
  Although internal connections present a more favorable design, this study did not show any advantage in terms of strength. The external hexagon connector used in this study yielded similar results to those obtained in a previous study with Nobel Biocare and Straumann systems. However, the internal connections (cone-in-cone and internal hexagon) were mechanically inferior compared to previous results.
authors.affiliation: Department of Dental Implantology, University of Santa Catarina, Florianópolis, SC, Brazil. cleidegr@yahoo.com.br
authors.forename: Cleide Gisele
authors.initials: CG
authors.lastname: Ribeiro
authors.forename: Maria Luiza Cabral
authors.initials: ML
authors.lastname: Maia
authors.forename: Susanne S
authors.initials: SS
authors.lastname: Scherrer
authors.forename: Antonio Carlos
authors.initials: AC
authors.lastname: Cardoso
authors.forename: H W Anselm
authors.initials: HW
authors.lastname: Wiskott
mesh_terms: D000044:Dental Abutments; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019232:Dental Restoration Failure; D003799:Dental Stress Analysis; D008422:Materials Testing; D008855:Microscopy, Electron, Scanning; D013314:Stress, Mechanical; D013499:Surface Properties; D019415:Torque
chemical_list: D015921:Dental Implants