Fracture resistance of soft tissue level implants after cyclic loading and external modification

Statement of problem The exposure of the implant collar in the esthetic zone is a challenging complication of implant dentistry. The preparation of the exposed implant collar to create room for restorative material may decrease the strength of the abutment/implant assembly. Purpose The purpose of th...

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Veröffentlicht in:The Journal of prosthetic dentistry 2013, Vol.109 (1), p.30-36
Hauptverfasser: DiPede, Louis, DMD, Alhashim, Abdulmohsin, BDS, MSD, Vaidyanathan, T.K., PhD, Flinton, Robert, DDS, MS
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container_end_page 36
container_issue 1
container_start_page 30
container_title The Journal of prosthetic dentistry
container_volume 109
creator DiPede, Louis, DMD
Alhashim, Abdulmohsin, BDS, MSD
Vaidyanathan, T.K., PhD
Flinton, Robert, DDS, MS
description Statement of problem The exposure of the implant collar in the esthetic zone is a challenging complication of implant dentistry. The preparation of the exposed implant collar to create room for restorative material may decrease the strength of the abutment/implant assembly. Purpose The purpose of this in vitro study was to evaluate the effect on the failure load of preparing a 0.5-mm chamfer finish line on an implant collar at various apical depths. Material and methods Thirty solid abutments and 30 implants were screwed into a customized metal mold at a 30-degree angle to the vertical axis. An intact group (IN) (control) (n=10) had no preparation, experimental group P1 had a 0.5-mm chamfer margin placed 1 mm apical to the implant/abutment interface, and experimental group P2 had the margin placed 2 mm apical. The specimens were subjected to a fatigue loading of 200 N for 1 000 000 cycles. Unfractured specimens were then loaded until failure. Mean fracture load (MFL) values were compared with 1-way ANOVA, and the Tukey test was used to identify differences among groups (α=.05). Results One specimen from both the IN and P1 groups and 2 specimens from the P2 group failed after fatigue loading. Significant differences in the MFL values were found between the IN group (3825) and P1 group (2944), P
doi_str_mv 10.1016/S0022-3913(13)60007-4
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The preparation of the exposed implant collar to create room for restorative material may decrease the strength of the abutment/implant assembly. Purpose The purpose of this in vitro study was to evaluate the effect on the failure load of preparing a 0.5-mm chamfer finish line on an implant collar at various apical depths. Material and methods Thirty solid abutments and 30 implants were screwed into a customized metal mold at a 30-degree angle to the vertical axis. An intact group (IN) (control) (n=10) had no preparation, experimental group P1 had a 0.5-mm chamfer margin placed 1 mm apical to the implant/abutment interface, and experimental group P2 had the margin placed 2 mm apical. The specimens were subjected to a fatigue loading of 200 N for 1 000 000 cycles. Unfractured specimens were then loaded until failure. Mean fracture load (MFL) values were compared with 1-way ANOVA, and the Tukey test was used to identify differences among groups (α=.05). Results One specimen from both the IN and P1 groups and 2 specimens from the P2 group failed after fatigue loading. Significant differences in the MFL values were found between the IN group (3825) and P1 group (2944), P &lt;.001 and between the IN group and the P2 group (2553), P &lt;.001. Conclusions The mean load required to fracture the abutment/implant assembly decreased significantly after various amounts of implant collar preparation.</description><identifier>ISSN: 0022-3913</identifier><identifier>EISSN: 1097-6841</identifier><identifier>DOI: 10.1016/S0022-3913(13)60007-4</identifier><identifier>PMID: 23328194</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Analysis of Variance ; Bite Force ; Compressive Strength ; Dental Abutments ; Dental Implantation, Endosseous - adverse effects ; Dental Implantation, Endosseous - methods ; Dental Implants ; Dental Restoration Failure ; Dental Stress Analysis ; Dentistry ; Gingival Recession ; Humans ; Risk Factors ; Statistics, Nonparametric ; Torque</subject><ispartof>The Journal of prosthetic dentistry, 2013, Vol.109 (1), p.30-36</ispartof><rights>The Editorial Council of the Journal of Prosthetic Dentistry</rights><rights>2013 The Editorial Council of the Journal of Prosthetic Dentistry</rights><rights>Copyright © 2013 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-33538774a3667622fee7d0e9e07e47d2c9da210eaa88cce83bdca3cf290596b03</citedby><cites>FETCH-LOGICAL-c420t-33538774a3667622fee7d0e9e07e47d2c9da210eaa88cce83bdca3cf290596b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3913(13)60007-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,4009,27902,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23328194$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DiPede, Louis, DMD</creatorcontrib><creatorcontrib>Alhashim, Abdulmohsin, BDS, MSD</creatorcontrib><creatorcontrib>Vaidyanathan, T.K., PhD</creatorcontrib><creatorcontrib>Flinton, Robert, DDS, MS</creatorcontrib><title>Fracture resistance of soft tissue level implants after cyclic loading and external modification</title><title>The Journal of prosthetic dentistry</title><addtitle>J Prosthet Dent</addtitle><description>Statement of problem The exposure of the implant collar in the esthetic zone is a challenging complication of implant dentistry. The preparation of the exposed implant collar to create room for restorative material may decrease the strength of the abutment/implant assembly. Purpose The purpose of this in vitro study was to evaluate the effect on the failure load of preparing a 0.5-mm chamfer finish line on an implant collar at various apical depths. Material and methods Thirty solid abutments and 30 implants were screwed into a customized metal mold at a 30-degree angle to the vertical axis. An intact group (IN) (control) (n=10) had no preparation, experimental group P1 had a 0.5-mm chamfer margin placed 1 mm apical to the implant/abutment interface, and experimental group P2 had the margin placed 2 mm apical. The specimens were subjected to a fatigue loading of 200 N for 1 000 000 cycles. Unfractured specimens were then loaded until failure. Mean fracture load (MFL) values were compared with 1-way ANOVA, and the Tukey test was used to identify differences among groups (α=.05). Results One specimen from both the IN and P1 groups and 2 specimens from the P2 group failed after fatigue loading. Significant differences in the MFL values were found between the IN group (3825) and P1 group (2944), P &lt;.001 and between the IN group and the P2 group (2553), P &lt;.001. Conclusions The mean load required to fracture the abutment/implant assembly decreased significantly after various amounts of implant collar preparation.</description><subject>Analysis of Variance</subject><subject>Bite Force</subject><subject>Compressive Strength</subject><subject>Dental Abutments</subject><subject>Dental Implantation, Endosseous - adverse effects</subject><subject>Dental Implantation, Endosseous - methods</subject><subject>Dental Implants</subject><subject>Dental Restoration Failure</subject><subject>Dental Stress Analysis</subject><subject>Dentistry</subject><subject>Gingival Recession</subject><subject>Humans</subject><subject>Risk Factors</subject><subject>Statistics, Nonparametric</subject><subject>Torque</subject><issn>0022-3913</issn><issn>1097-6841</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkD1vFDEQhi0EIkfgJ4BchmLBH7v2ugGhiABSJAqgNj57Fjl414fHG3H_Ht9dSEGDNJKLeeYdz0PIc85eccbV6y-MCdFJw-UFly8VY0x3_QOy4czoTo09f0g298gZeYJ405hx0PwxORNSipGbfkO-XxXn61qAFsCI1S0eaJ4o5qnSGhFXoAluIdE475JbKlI3VSjU732KnqbsQlx-ULcECr9bY3GJzjnEKXpXY16ekkeTSwjP7t5z8u3q_dfLj9315w-fLt9dd74XrHZSDnLUundSKa2EmAB0YGCAaeh1EN4EJzgD58bRexjlNngn_SQMG4zaMnlOLk65u5J_rYDVzhE9pPZnyCtaLrRUgzFqaOhwQn3JiAUmuytxdmVvObMHufYo1x7M2VZHubZvcy_uVqzbGcL91F-bDXh7AqAdehuhWPQRmtEQC_hqQ47_XfHmn4RmeWkq00_YA97k9SC4XWNRWHYKOWRweUzo5R9Qwp8L</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>DiPede, Louis, DMD</creator><creator>Alhashim, Abdulmohsin, BDS, MSD</creator><creator>Vaidyanathan, T.K., PhD</creator><creator>Flinton, Robert, DDS, MS</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Fracture resistance of soft tissue level implants after cyclic loading and external modification</title><author>DiPede, Louis, DMD ; Alhashim, Abdulmohsin, BDS, MSD ; Vaidyanathan, T.K., PhD ; Flinton, Robert, DDS, MS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-33538774a3667622fee7d0e9e07e47d2c9da210eaa88cce83bdca3cf290596b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Analysis of Variance</topic><topic>Bite Force</topic><topic>Compressive Strength</topic><topic>Dental Abutments</topic><topic>Dental Implantation, Endosseous - adverse effects</topic><topic>Dental Implantation, Endosseous - methods</topic><topic>Dental Implants</topic><topic>Dental Restoration Failure</topic><topic>Dental Stress Analysis</topic><topic>Dentistry</topic><topic>Gingival Recession</topic><topic>Humans</topic><topic>Risk Factors</topic><topic>Statistics, Nonparametric</topic><topic>Torque</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DiPede, Louis, DMD</creatorcontrib><creatorcontrib>Alhashim, Abdulmohsin, BDS, MSD</creatorcontrib><creatorcontrib>Vaidyanathan, T.K., PhD</creatorcontrib><creatorcontrib>Flinton, Robert, DDS, MS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of prosthetic dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DiPede, Louis, DMD</au><au>Alhashim, Abdulmohsin, BDS, MSD</au><au>Vaidyanathan, T.K., PhD</au><au>Flinton, Robert, DDS, MS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fracture resistance of soft tissue level implants after cyclic loading and external modification</atitle><jtitle>The Journal of prosthetic dentistry</jtitle><addtitle>J Prosthet Dent</addtitle><date>2013</date><risdate>2013</risdate><volume>109</volume><issue>1</issue><spage>30</spage><epage>36</epage><pages>30-36</pages><issn>0022-3913</issn><eissn>1097-6841</eissn><abstract>Statement of problem The exposure of the implant collar in the esthetic zone is a challenging complication of implant dentistry. The preparation of the exposed implant collar to create room for restorative material may decrease the strength of the abutment/implant assembly. Purpose The purpose of this in vitro study was to evaluate the effect on the failure load of preparing a 0.5-mm chamfer finish line on an implant collar at various apical depths. Material and methods Thirty solid abutments and 30 implants were screwed into a customized metal mold at a 30-degree angle to the vertical axis. An intact group (IN) (control) (n=10) had no preparation, experimental group P1 had a 0.5-mm chamfer margin placed 1 mm apical to the implant/abutment interface, and experimental group P2 had the margin placed 2 mm apical. The specimens were subjected to a fatigue loading of 200 N for 1 000 000 cycles. Unfractured specimens were then loaded until failure. Mean fracture load (MFL) values were compared with 1-way ANOVA, and the Tukey test was used to identify differences among groups (α=.05). Results One specimen from both the IN and P1 groups and 2 specimens from the P2 group failed after fatigue loading. Significant differences in the MFL values were found between the IN group (3825) and P1 group (2944), P &lt;.001 and between the IN group and the P2 group (2553), P &lt;.001. Conclusions The mean load required to fracture the abutment/implant assembly decreased significantly after various amounts of implant collar preparation.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>23328194</pmid><doi>10.1016/S0022-3913(13)60007-4</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Analysis of Variance
Bite Force
Compressive Strength
Dental Abutments
Dental Implantation, Endosseous - adverse effects
Dental Implantation, Endosseous - methods
Dental Implants
Dental Restoration Failure
Dental Stress Analysis
Dentistry
Gingival Recession
Humans
Risk Factors
Statistics, Nonparametric
Torque
title Fracture resistance of soft tissue level implants after cyclic loading and external modification
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