Research Article
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Year 2021, Volume: 24 Issue: 4, 337 - 345, 03.01.2022

Gonca Deste Gökay , Gülsüm Gökçimen , Rukiye Durkan

https://doi.org/10.7126/cumudj.982237

Abstract

References

  • 1. Kim SK, Koak JY, Heo SJ, Taylor TD, Ryoo S, Lee SY. Screw loosening with interchangeable abutments in internally connected implants after cyclic loading. Int J Oral Maxillofac Implants 2012;27:42-47.
  • 2. Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and esthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 2012;23:2-21.
  • 3. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003;90:121-132.
  • 4. Assunção WG, Delben JA, Tabata LF, Barão VA, Gomes EA, Garcia IR Jr. Preload evaluation of different screws in external hexagon joint. Implant Dent 2012;21:46-50.
  • 5. Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res 2012;23:22-38.
  • 6. Xia D, Lin H, Yuan S, Bai W, Zheng G. Dynamic fatigue performance of implantabutment assemblies with different tightening torque values. Biomed Mater Eng 2014;24:2143-2149.
  • 7. Magne P, Silva M, Oderich E, Boff LL, Enciso R. Damping behavior of implant-supported restorations. Clin Oral Implants Res 2013;24:143-148.
  • 8. Komine F, Taguchi K, Fushiki R, Kamio S, Iwasaki T, Matsumura H. In vitro comparison of fracture load of implant-supported, zirconia-based, porcelain- and composite-layered restorations after artificial aging. Dent Mater J 2014;33:607-613.
  • 9. de Kok P, Kleverlaan CJ, de Jager N, Kuijs R, Feilzer AJ. Mechanical performance of implant-supported posterior crowns. J Prosthet Dent 2015;114:59-66.
  • 10. Sailer I, Philipp A, Zembic A, Pjetursson BE, Hämmerle CHF, Zwahlen M. A systematic review of the performance of ceramic and metal implant abutments supporting fixed implant reconstructions. Clin Oral Implants Res 2009;20:4-31.
  • 11. Rosentritt M, Hagemann A, Hahnel S, Behr M, Preis V. In vitro performance of zirconia and titanium implant/abutment systems for anterior application. J Dent 2014;42:1019-1026.
  • 12. Pjetursson BE, Brägger U, Lang NP, Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res 2007;18:97-113.
  • 13. Albayrak H, Gumus HO, Tursun F, Kocaagaoglu HH, Kilinc HI. Accuracy of torque-limiting devices: a comparative evaluation. J Prosthet Dent 2017;117:81-86.
  • 14. Honório Tonin BS, He Y, Ye N, Chew HP, Fok A. Effects of tightening torque on screw stress and formation of implant-abutment microgaps: A finite element analysis. J Prosthet Dent 2021:S0022-3913(20)30749-6.
  • 15. Helkimo E, Carlsson GE, Helkimo M. Bite force and state of dentition. Acta Odontol Scand 1977;35:297-303.
  • 16. Haraldson T, Carlsson GE, Ingervall B. Functional state, bite force and postural muscle activity in patients with osseointegrated oral implant bridges. Acta Odontol Scand 1979;37:195-206.
  • 17. Foong JKW, Judge RB, Palamara JE, Swain MV. Fracture resistance of titanium and zirconia abutments: an in vitro study. J Prosthet Dent 2013;109:304-312.
  • 18. Wendler M, Belli R, Petschelt A, Mevec D, Harrer W, Lube T, Danzer R, Lohbauer U. Chairside CAD/CAM materials. Part 2: Flexural strength testing. Dent Mater 2017;33:99-109.
  • 19. Gulec L, Ulusoy N. Effect of Endocrown Restorations with Different CAD/CAM Materials: 3D Finite Element and Weibull Analyses. Biomed Res Int 2017;2017:5638683.
  • 20. Sevimay M, Usumez A, Eskitascioglu G. The influence of various occlusal materials on stresses transferred to implant-supported prostheses and supporting bone: a three-dimensional finite-element study. J Biomed Mater Res B Appl Biomater 2005;73:140-147.
  • 21. Sannino G, Gloria F, Ottria L, Barlattani A. Influence of finish line in the distribution of stress through an all ceramic implant-supported crown. A 3D finite element analysis. Oral Implantol (Rome) 2009;2:14-27.
  • 22. Peixoto HE, Bordin D, Del Bel Cury AA, da Silva WJ, Faot F. The role of prosthetic abutment material on the stress distribution in a maxillary single implant-supported fixed prosthesis. Mater Sci Eng C Mater Biol Appl 2016;65:90-96.
  • 23. Carvalho MA, Sotto-Maior BS, Cury AADB, Henriques GEP. Effect of platform connection and abutment material on stress distribution in single anterior implant-supported restorations: a nonlinear 3-dimensional finite element analysis. J Prosthet Dent 2014;112:1096-1102.
  • 24. Çaglar A, Bal BH, Karakoca S, Aydın C, Yılmaz H, Sarısoy S. Three dimensional finite element analysis of titanium and ytryum-stabilized zirconium dioxide abutments and implants. Int J Oral Maxillofac Implants 2011;26:961-969.
  • 25. Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials 1999;20:1-25.
  • 26. Huang Y, Wang J. Mechanism of and factors associated with the loosening of the implant abutment screw: A review. J Esthet Restor Dent 2019;31:338-345.
  • 27. Dhingra A, Weiner S, Luke AC, Ricci JL. Analysis of dimensional changes in the screw and the surface topography at the interface of a titanium screw and a zirconia abutment under cyclic loading: an in vitro study. Int J Oral Maxillofac Implants 2013;28:661-669.
  • 28. Bhering CL, Mesquita MF, Kemmoku DT, Noritomi PY, Consani RL, Barão VA. Comparison between all‑on‑four and all‑on‑six treatment concepts and framework material on stress distribution in atrophic maxilla: A prototyping guided 3D‑FEA study. Mater Sci Eng C Mater Biol Appl 2016;69:715‑725.
  • 29. Schepke U, Meijer HJ, Vermeulen KM, Raghoebar GM, Cune MS. Clinical Bonding of Resin Nano Ceramic Restorations to Zirconia Abutments: A Case Series within a Randomized Clinical Trial. Clin Implant Dent Relat Res 2016;18:984-992.
  • 30. Najeeb S, Zafar MS, Khurshid Z, Siddiqui F. Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics. J Prosthodont Res 2016;60:12-19.
  • 31. Duan Y, Griggs JA. Effect of elasticity on stress distribution in CAD/CAM dental crowns: Glass ceramic vs. polymer-matrix composite. J Dent 2015;43:742-749.
  • 32. Kaleli N, Sarac D, Külünk S, Öztürk Ö. Effect of different restorative crown and customized abutment materials on stress distribution in single implants and peripheral bone: A three-dimensional finite element analysis study. J Prosthet Dent 2018;119:437-445.
  • 33. Bassit R, Lindström H, Rangert B. In vivo registration of force development with ceramic and acrylic resin occlusal materials on implant-supported prostheses. Int J Oral Maxillofac Implants 2002;17:17-23.

EVALUATION OF BIOMECHANICAL EFFECTS OF PROSTHETIC COMPONENTS WITH DIFFERENT MATERIALS ON THE ABUTMENT SCREW

Year 2021, Volume: 24 Issue: 4, 337 - 345, 03.01.2022

Gonca Deste Gökay , Gülsüm Gökçimen , Rukiye Durkan

https://doi.org/10.7126/cumudj.982237

Abstract

Objectives: The purpose of this study was to evaluate the effects of different resin-based and ceramic superstructure materials and two different abutment types on the stress distribution of the abutment screw using the three-dimensional finite element stress analysis method.
Materials and Methods: A three dimensional implant, abutment (zirconia and titanium), abutment screw, crown (zirconia reinforced lithium silicate, lithium disilicate, polymer-infiltrated resin ceramic, and PEEK), and alveolar bone were designed using Rhinoceros 3D modeling software and VRMesh Studio software and combined to form 8 simulations. On the models prepared, loading was made on the lingual tubercule of the maxillary right first premolar crown at an angle of 30° with 150 N force obliquely in the buccolingual direction. The von Mises values obtained from the abutment screw were compared according to the types of abutment and crown materials.
Results: The von Mises stress values in the abutment screw were higher in the models using a titanium abutment abutment (on average 1336.24 MPa), and the lower stress values were obtained in the models using a zirconia abutment (on average 964.26 MPa). When the prosthetic material used was changed, no apparent difference was observed in the stress values on the abutment screw.
Conclusions: Considering that the abutment screw is the weakest link of the implant system, zirconia abutments can be used reliably in the maxillary first premolar region where aesthetic expectations are high.

Keywords

dental stress analysis dental abutments glass ceramics

References

  • 1. Kim SK, Koak JY, Heo SJ, Taylor TD, Ryoo S, Lee SY. Screw loosening with interchangeable abutments in internally connected implants after cyclic loading. Int J Oral Maxillofac Implants 2012;27:42-47.
  • 2. Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and esthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 2012;23:2-21.
  • 3. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003;90:121-132.
  • 4. Assunção WG, Delben JA, Tabata LF, Barão VA, Gomes EA, Garcia IR Jr. Preload evaluation of different screws in external hexagon joint. Implant Dent 2012;21:46-50.
  • 5. Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res 2012;23:22-38.
  • 6. Xia D, Lin H, Yuan S, Bai W, Zheng G. Dynamic fatigue performance of implantabutment assemblies with different tightening torque values. Biomed Mater Eng 2014;24:2143-2149.
  • 7. Magne P, Silva M, Oderich E, Boff LL, Enciso R. Damping behavior of implant-supported restorations. Clin Oral Implants Res 2013;24:143-148.
  • 8. Komine F, Taguchi K, Fushiki R, Kamio S, Iwasaki T, Matsumura H. In vitro comparison of fracture load of implant-supported, zirconia-based, porcelain- and composite-layered restorations after artificial aging. Dent Mater J 2014;33:607-613.
  • 9. de Kok P, Kleverlaan CJ, de Jager N, Kuijs R, Feilzer AJ. Mechanical performance of implant-supported posterior crowns. J Prosthet Dent 2015;114:59-66.
  • 10. Sailer I, Philipp A, Zembic A, Pjetursson BE, Hämmerle CHF, Zwahlen M. A systematic review of the performance of ceramic and metal implant abutments supporting fixed implant reconstructions. Clin Oral Implants Res 2009;20:4-31.
  • 11. Rosentritt M, Hagemann A, Hahnel S, Behr M, Preis V. In vitro performance of zirconia and titanium implant/abutment systems for anterior application. J Dent 2014;42:1019-1026.
  • 12. Pjetursson BE, Brägger U, Lang NP, Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res 2007;18:97-113.
  • 13. Albayrak H, Gumus HO, Tursun F, Kocaagaoglu HH, Kilinc HI. Accuracy of torque-limiting devices: a comparative evaluation. J Prosthet Dent 2017;117:81-86.
  • 14. Honório Tonin BS, He Y, Ye N, Chew HP, Fok A. Effects of tightening torque on screw stress and formation of implant-abutment microgaps: A finite element analysis. J Prosthet Dent 2021:S0022-3913(20)30749-6.
  • 15. Helkimo E, Carlsson GE, Helkimo M. Bite force and state of dentition. Acta Odontol Scand 1977;35:297-303.
  • 16. Haraldson T, Carlsson GE, Ingervall B. Functional state, bite force and postural muscle activity in patients with osseointegrated oral implant bridges. Acta Odontol Scand 1979;37:195-206.
  • 17. Foong JKW, Judge RB, Palamara JE, Swain MV. Fracture resistance of titanium and zirconia abutments: an in vitro study. J Prosthet Dent 2013;109:304-312.
  • 18. Wendler M, Belli R, Petschelt A, Mevec D, Harrer W, Lube T, Danzer R, Lohbauer U. Chairside CAD/CAM materials. Part 2: Flexural strength testing. Dent Mater 2017;33:99-109.
  • 19. Gulec L, Ulusoy N. Effect of Endocrown Restorations with Different CAD/CAM Materials: 3D Finite Element and Weibull Analyses. Biomed Res Int 2017;2017:5638683.
  • 20. Sevimay M, Usumez A, Eskitascioglu G. The influence of various occlusal materials on stresses transferred to implant-supported prostheses and supporting bone: a three-dimensional finite-element study. J Biomed Mater Res B Appl Biomater 2005;73:140-147.
  • 21. Sannino G, Gloria F, Ottria L, Barlattani A. Influence of finish line in the distribution of stress through an all ceramic implant-supported crown. A 3D finite element analysis. Oral Implantol (Rome) 2009;2:14-27.
  • 22. Peixoto HE, Bordin D, Del Bel Cury AA, da Silva WJ, Faot F. The role of prosthetic abutment material on the stress distribution in a maxillary single implant-supported fixed prosthesis. Mater Sci Eng C Mater Biol Appl 2016;65:90-96.
  • 23. Carvalho MA, Sotto-Maior BS, Cury AADB, Henriques GEP. Effect of platform connection and abutment material on stress distribution in single anterior implant-supported restorations: a nonlinear 3-dimensional finite element analysis. J Prosthet Dent 2014;112:1096-1102.
  • 24. Çaglar A, Bal BH, Karakoca S, Aydın C, Yılmaz H, Sarısoy S. Three dimensional finite element analysis of titanium and ytryum-stabilized zirconium dioxide abutments and implants. Int J Oral Maxillofac Implants 2011;26:961-969.
  • 25. Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials 1999;20:1-25.
  • 26. Huang Y, Wang J. Mechanism of and factors associated with the loosening of the implant abutment screw: A review. J Esthet Restor Dent 2019;31:338-345.
  • 27. Dhingra A, Weiner S, Luke AC, Ricci JL. Analysis of dimensional changes in the screw and the surface topography at the interface of a titanium screw and a zirconia abutment under cyclic loading: an in vitro study. Int J Oral Maxillofac Implants 2013;28:661-669.
  • 28. Bhering CL, Mesquita MF, Kemmoku DT, Noritomi PY, Consani RL, Barão VA. Comparison between all‑on‑four and all‑on‑six treatment concepts and framework material on stress distribution in atrophic maxilla: A prototyping guided 3D‑FEA study. Mater Sci Eng C Mater Biol Appl 2016;69:715‑725.
  • 29. Schepke U, Meijer HJ, Vermeulen KM, Raghoebar GM, Cune MS. Clinical Bonding of Resin Nano Ceramic Restorations to Zirconia Abutments: A Case Series within a Randomized Clinical Trial. Clin Implant Dent Relat Res 2016;18:984-992.
  • 30. Najeeb S, Zafar MS, Khurshid Z, Siddiqui F. Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics. J Prosthodont Res 2016;60:12-19.
  • 31. Duan Y, Griggs JA. Effect of elasticity on stress distribution in CAD/CAM dental crowns: Glass ceramic vs. polymer-matrix composite. J Dent 2015;43:742-749.
  • 32. Kaleli N, Sarac D, Külünk S, Öztürk Ö. Effect of different restorative crown and customized abutment materials on stress distribution in single implants and peripheral bone: A three-dimensional finite element analysis study. J Prosthet Dent 2018;119:437-445.
  • 33. Bassit R, Lindström H, Rangert B. In vivo registration of force development with ceramic and acrylic resin occlusal materials on implant-supported prostheses. Int J Oral Maxillofac Implants 2002;17:17-23.
There are 33 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Gonca Deste Gökay 0000-0002-5481-0063

Gülsüm Gökçimen 0000-0002-2336-4929

Rukiye Durkan 0000-0003-3849-9153

Publication Date January 3, 2022
Submission Date August 14, 2021
Published in Issue Year 2021Volume: 24 Issue: 4

Cite

EndNote Deste Gökay G, Gökçimen G, Durkan R (January 1, 2022) EVALUATION OF BIOMECHANICAL EFFECTS OF PROSTHETIC COMPONENTS WITH DIFFERENT MATERIALS ON THE ABUTMENT SCREW. Cumhuriyet Dental Journal 24 4 337–345.
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