Fatigue performance of prosthetic screws used in dental implant restorations: Rolled versus cut threads.

STATEMENT OF PROBLEM: Cold rolling is widely used for screw thread manufacturing in industry but is less common in implant dentistry, where cutting is the preferred manufacturing method. PURPOSE: The purpose of this in vitro study was to compare the surface finish and mechanical performance of a specific model of prosthetic screw used for direct restorations manufactured by thread rolling and cutting. MATERIAL AND METHODS: The thread profiles were measured in an optical measuring machine, the residual stresses in an X-ray diffractometer, the surface finish in a scanning electron microscope, and then fatigue and static load tests were carried out in a direct stress test bench according to the International Organization for Standardization (ISO) 14801. Finally, linear regression models and 95% interval confidence bands were calculated and compared through ANCOVA for fatigue tests while the t test was used for statistical comparisons (α=.05). RESULTS: The surface finish was smoother, and compressive residual stresses were higher for the roll-threaded screws. Linear regression models showed a fatigue life 9 times higher for roll-threaded screws (P=1) without affecting static behavior, which showed statistically similar static strengths (P=.54). However, the thread profile in the roll-threaded screws was not accurately reproduced, but this should be easily corrected in future prototypes. CONCLUSIONS: Rolling was demonstrated to be a better thread-manufacturing process for prosthetic screws, producing improved surface quality and fatigue behavior.

Influence of vertical misfit in screw fatigue behavior in dental implants: A three-dimensional finite element approach.

Misfit is unavoidable in dental implant-supported prostheses due to machining process or inappropriate assembling, and the definition of an admissible misfit is still a controversial issue. This work aims to understand the behavior of the screws in dental implant-supported prostheses to estimate an admissible vertical misfit value in terms of screw fatigue failure. For that purpose, a finite element model of a dental implant-supported prosthesis was created and analyzed. Vertical misfits were introduced in different positions, the lower and upper screws were tightened to the bolting force values recommended by the manufacturer, and two different occlusal loads were analyzed. In addition, two different prosthesis materials were studied. Screw load variations were reported and a fatigue analysis was performed. As a result, it was observed that the screw tightening sequence closed small vertical misfits (equal to or less than 40 µm), whereas larger misfits (more than 40 µm) remained open. If the vertical misfit is closed by the end of the tightening sequence, it may be considered equivalent to the ideal fit situation in regard to screw fatigue failure. The prosthesis material had no significant influence on the fatigue behavior.

Influence of design and clinical factors on the removal force ratio in tapered implant-abutment interfaces.

STATEMENT OF PROBLEM: A previous study investigated the effects of the preload and taper-angle mismatch in tapered implant systems on the removal force characteristics of the self-locking mechanism. The present study builds upon the previous one and introduces the effects of the time elapsed between insertion and removal and the presence of saliva in the implant-abutment interface as 2 new additional parameters. PURPOSE: The purpose of this in vitro study was to elucidate the influences of design and clinical parameters on the removal force for implant systems that use tapered interference fit (TIF) type connections by measuring the force needed to remove an abutment from an implant. MATERIAL AND METHODS: Ninety-six implants with tapered abutment-implant interfaces specifically built for an unreplicated factorial design were tested on a custom-built workbench for removal force. Four levels were chosen for the preload, FP, and the taper mismatch Δθ; 3 levels for the wait time t; and 2 levels for the saliva presence s at the interface. A regression model was used based on physical reasoning and a theoretical understanding of the interface. A 4-way ANOVA was used to evaluate the influence of the main effects and interactions (α=.05). RESULTS: The experiments strongly indicated that preload, taper mismatch, and saliva presence are relevant variables in removal force. The wait time becomes important when its effect is evaluated along with the preload. CONCLUSIONS: The results of this study can be used for decision making in the design and use of TIF type systems. The study supports the use of artificial saliva in any implant design experiment because of its significance in the removal force of the abutment.

Experimental study of the removal force in tapered implant-abutment interfaces: a pilot study.

STATEMENT OF PROBLEM: Conically tapered interface fits (TIF) provide a reliable and strong self-locking mechanism between a dental implant and its matching abutment. On occasion, it may be necessary to remove the abutment for maintenance purposes. The removal of an indexed implant with a TIF-type connection requires the application of a (removal) force to overcome the friction force due to preload. PURPOSE: The purpose of this study was to measure the removal force needed to extract the abutment from the implant in TIF-type connections. MATERIAL AND METHODS: A workbench was designed and built to measure the forces involved in the abutment removal process. Experiments were conducted to test the removal force (F(R)) for 20 conical interfaces specifically built for the study. The effects of the preload magnitude (F(P)) and the difference between the taper angles of the implant and the abutment (taper mismatch) were investigated experimentally and theoretically. A 2-way factorial ANOVA and regression analysis was used to evaluate the variability in the process and the influence of the 2 variables considered in the experiments (α=.05). RESULTS: Experiments revealed that the (F(R)-F(P)) ratio decreases with the preload F(P), whereas the influence of the taper mismatch cannot be clearly stated. CONCLUSIONS: The removal force increases with increasing preload and the F(R)-F(P) ratio varies widely. This variability is attributed to the variability of the friction coefficient, and it can influence implant-removal applications because the removal force can be, in some restorations, as large as 40% of the preload.

Dental implants with conical implant-abutment interface: influence of the conical angle difference on the mechanical behavior of the implant.

PURPOSE: Misfit in the conical implant-abutment interface plays an important role on the mechanical behavior of the implant when masticatory forces are applied. The origin of the misfit adopted in this work is a conical angle difference between implant and abutment, which can be due to a combination of design decisions and manufacturing tolerances. The goal of this work was to investigate the effects of the implant-abutment conical angle difference in the following mechanical features: interfacial microgap, preload loss on the bolt, stress level in the bone, and abutment removal force and/or torque. MATERIALS AND METHODS: A simplified three-dimensional nonlinear monoparametric finite element model of an OsseoSpeed TX 4.5 S 9-mm implant (Astra Tech) with a tapered implant-abutment interface was built to evaluate the variability of the mechanical features cited above with the conical angle difference, keeping constant the overall geometry, load and boundary conditions, material properties, frictional behavior, and mesh structure. RESULTS: As the conical angle difference increased, the following effects were observed: the microgap decreased and remained almost constant for values over a given positive angle difference, the stress level in the bone increased sensitively, the removal force and/or torque needed to separate the abutment from the implant varied slightly, and the bolt preload loss increased. CONCLUSIONS: In light of the results provided, the conical angle difference in the implant-abutment interface had a significant influence on the overall mechanical behavior of the implant. Among the four mechanical features considered, the interfacial microgap and the bone stress were demonstrated to be the most sensitive to the conical angle difference, and therefore the most relevant when selecting an optimum value in the design process of a conical interface.