FIT OF FIXTURE/ABUTMENT/SCREW INTERFACES OF INTERNAL CONNECTION IMPLANT SYSTEM

  • Kim, Jin-Sup (Dept. of Prosthodontics, College of Dentistry, Chosun University) ;
  • Kim, Hee-Jung (Dept. of Prosthodontics, College of Dentistry, Chosun University) ;
  • Chung, Chae-Heon (Dept. of Prosthodontics, College of Dentistry, Chosun University) ;
  • Baek, Dae-Hwa (Dept. of Regional Samll & medium Business Administration)
  • Published : 2005.06.01

Abstract

Statement of problem. Accurate fit between the implant components is important because the misfit of the implant components results in frequent screw loosening, irreversible screw fracture, plaque accumulation, poor soft tissue reaction, and destruction of osseointegration. Purpose. This study is to evaluate the machining accuracy and consistency of the implant fixture/ abutment/screw interfaces of the internal connection system by using a Stereoscopic Zoom microscope and FE-SEM(field emission scanning electron microscope) Materials and methods. The implant systems selected in this study were internal connection type implants from AVANA(Osstem^{\circledR}), Bioplant(Cowell-Medi^{\circledR}), Dio(DIO^{\circledR}), Neoplant(Neobiotech 􀋓), Implantium(Dentium􀋓)systems. Each group was acquired 2 fixtures at random. Two piece type abutment and one piece type abutment for use with each implant system were acquired. Screw were respectively used to hold a two piece type abutment to a implant fixture. The implant fixtures were perpendiculary mounted in acrylic resin block. Each two piece abutment was secured to the implant fixture by screw and one piece abutment also secured to the implant fixture. Abutment/fixture assembly were mounted in liquid unsaturated polyester. All samples were cross-sectioned with grinder-polisher unit. Finally all specimens were analysed the fit between implant fixture/abutment/screw interfaces Results and conclusions. 1. Implant fixture/abutment/screw connection interfaces of internal connection systems made in Korea were in good condition. 2. The results of the above study showed that materials and mechanical properties and quality of milling differed depending on their manufacturing companies.

Keywords

References

  1. Bynre D, Houston F, Cleary R, Claffey N. The fit of cast and premachined implant abutments. J Prosthet Dent 1998;80:184-92 https://doi.org/10.1016/S0022-3913(98)70108-8
  2. Binon P. Evaluation of maching Accuracy and Consistency of Selected Implant, Standard Abutments and Laboratory Analog. Int J Prosthodont 1995;8:162-78
  3. Binon P. Implants and components :Entering the new millennium. Int J Oral Maxillofac Implants 2000;5:76-94
  4. Sones AD. Complication with osseointegrated implants. J Prosthet Dent 1989;62:81-585
  5. Sakaguchi RL, Borgersen SE. Nonlinear finite element contact analysis of dental implant components. Int J Oral MaxiIlofac Implants 1993;8:655-61
  6. Boggan R, Strong J. Misch C. Influence of hex geometry and prosthetic table width on static and fatigue strength of dental implants. J Prosthet Dent 1999;82:436-40 https://doi.org/10.1016/S0022-3913(99)70030-2
  7. Quirynen M, Bollen CML, Eyssen H, Van Steenberghe D. Microvial penetration along the implant components of the Branemark system. An in vitro study. Clin Oral Implants Res 1994;5:239-44 https://doi.org/10.1034/j.1600-0501.1994.050407.x
  8. Besimo CE, Guindy JS, Lewetag D, Meyer J. Prevention of bacterial leakage into and from prefabricated screw-retained crown on implants in vitro. Int J Oral Maxillofac Implants 1999;14:654-60
  9. Gross M, Abramovich I, Weiss EI. Microleakage at the abutment implant interface of osseointergrated implants. Int J Oral Maxiollfac Implants 1999;14:94-100
  10. Beat R. Mechanics of the implant-abutment connection: An 8-degree taper compared to a butt joint connection. Int J Oral Maxillofac Implants 2000;15:519-26
  11. Norton MR. An in vitro evaluation of the strength of an internal conical interface compared to a butt joint interface in implant design. Clin Oral Implants Res 1997;8:290-8 https://doi.org/10.1034/j.1600-0501.1997.080407.x
  12. Norton MR. An in vitro evaluation of the strength of a 1-piece and 2-piece conical abutment joint in implant design. Clin Oral Implants Res 2000;11:458-64 https://doi.org/10.1034/j.1600-0501.2000.011005458.x
  13. Squier RS, Psoter WJ. Taylor TD. Removable torques of conical, tapered implant abutments: the effects of anodization and reduction of surface area. Int J Oral Maxillofac Implants 2002;17:24-7
  14. Sutter F, Weber HP, Sorensen J. Belser U. The new restorative concept of the ITl dental implant system: design and engineering. Int J Periodontics & Restorative Dentistry 1993;13:409-31
  15. Persson LG. Bacterial colonization on internal surfaces of Branemark system implant components. Clin Oral Implants Res 1996;7:90-5 https://doi.org/10.1034/j.1600-0501.1996.070201.x
  16. Ericsson I, Persson LG, Berglundh T, Marinello CP, Lindhe J, Klinge B. Different types of inflammatory reactions in periimplant soft tissues. J Clin Periodont 1995;22:255-61 https://doi.org/10.1111/j.1600-051X.1995.tb00143.x
  17. Merz BR, Hunenbart S, Belser UC. Mechanics of the implant connection: an 8-degree taper compared to a butt joint connection. Int J Oral Maxillofac Implants 2000;15:519-26
  18. Schulte J, Coffey J. Comparison of screw retention of nine abutment systems: A pilot study. Implant Dent 1997;6:28-31
  19. Akca K, Cehreli MC, Iplikcioglu H. Evaluation of the mechanical characteristics of the implant abutment complex of a reduced diameter morse taper implant; a non-linear finite element stress analysis. Clinical Oral Implants Research 2003;14:444-55 https://doi.org/10.1034/j.1600-0501.2003.00828.x
  20. Behneke A, Behneke N, d' Hoedt B. The longitudinal clincal effectiveness of ITI solid screw implants in partially edenturous patients: a 5-year follow up report. Int J Oral Maxillofac Implants 2000;15:633-45
  21. Binon P, Brunski P, Gulbransen H. The role of screws in implant systems. Int J Oral Maxillofac Implants 1994;9:48-62
  22. Binon P, McHugh M. The effect of eliminating implant/abutment rotational misfit on screw joint stability. Int J Prosthodont 1996;9:511-9
  23. Breeding L, Dixon D. Torque required to loosen single-tooth implant abutment screws before and after simulated function. Int J Prosthodont 1993;6:435-9
  24. Brunski JE, Hipp JE. In the forces on endosteal implant; A mesurement system and biomechanical consideration. J Prosthet Dent 1984;51:82-90 https://doi.org/10.1016/S0022-3913(84)80112-2
  25. Burguette RL, Johns MR, King TB, Patterson EA. Tightening characteristic for screwed joint in osseointergrated dental implant. J Prosthet Dent 1994;71:592-9 https://doi.org/10.1016/0022-3913(94)90443-X
  26. Carr AB, Brunski JB, Hurley E. The effect of finishing and polishing techniques in implant cylinder preload; 9th Annual Meeting of the Academy of Osseointergration(Abstract). Int JOral Maxiollfac Implants 1995;10:123-4
  27. Charles JG, Joseph YKK, Kitichai R. Clinical complications of osseintegrated implants. J Prosthet Dent 1999;81:537-52 https://doi.org/10.1016/S0022-3913(99)70208-8
  28. Cibirka R, Nelson S. Examination of the implantabutment interface after fatigue testing. J Prosthet Dent 2001;85:268-75 https://doi.org/10.1067/mpr.2001.114266
  29. Dixon D, Breeding L, Sadler P, Mckay M. Comparison of screw loosening, rotation, and deflection among three implant designs. J Prosthet Dent 1995;74:270-8 https://doi.org/10.1016/S0022-3913(05)80134-9
  30. Ekfeldt A. Clinical evaluation of single-tooth restorations supported by osseointergrated implants: A retrospective study. Int J Oral Maxiollfac Implants 1994;9:179-83
  31. Haack JE, Sakaguchi RL, Sun T, Coffey JP. Elongation and preload stress in dental implant abutment screws. Int J Oral Maxillofac Implants 1995;10:529-36
  32. Jeong YT, Chung CH, Lee HT. Screw joint stability according to abutment screw materials. J Korean Acad prosthodont 2002;40:275-86
  33. John K. Schulte, James Coffey. Comparison of screw retention of nine abutment systems:A pilot study. Implnat Dent. 1997;6:28-31
  34. Kim NH, Chung CH, Son MK, Back DH. A study on the fit of the implant-abutment-screw interface. J Korean Acad Prosthodont 2003;41:503-18
  35. Khraisat A, Stegaroiu R, Nomura S, Miyaka WO. Fatigue resistance of two implant/abutment joint designs. J Prosthet Dent 2002;88:604-10 https://doi.org/10.1067/mpr.2002.129384
  36. Laney W, Jemt T, Harris D. Osseointegrated implants for single-tooth replacement: Progress report from a multicenter prospective study after 3years. Int J Oral Maxillofac Implants 1994;9:49-54
  37. Levine RA, et al. A multicenture retrospective analysis of ITI implant system used for single-tooth replacement: Preliminary results at six or more months of loading. Int J Oral Maxillofac Implants 1997;12:237-42
  38. Martin WC, Woody RD, Miller BM, Miller AW. Implant abutment screw rotations and preloads for four different screw materials and surfaces. J Prosthet Dent 2001;86:24-32 https://doi.org/10.1067/mpr.2001.116230
  39. McGlumphy E, Holloway J. Implant screw mechanics. Dental clinic of north America 1998;42:71-89
  40. Norton MR. Assessment of cold welding properties of internal conical interface two commercially available implant system. J Prosthet Dent 1999;81:159-66 https://doi.org/10.1016/S0022-3913(99)70243-X
  41. Norton MR. In vitro evaluation of the strength of the conical implant-to-abutment joint in two commercially available implant systems. J Prosthet Dent 2000;83:567-7l https://doi.org/10.1016/S0022-3913(00)70016-3
  42. Rangert B, Langer B. Bending overload and implant fracture: a retrospective clinical analysis. Int J Oral Maxillofac Implants 1995;10:326-34
  43. Schwrz MS. Mechanical complications of dental implants. Clinical Oral Implants Res 2000;1:156-8