Evaluation of abutment and simulated bone tissue mean deformation around dental implants, during fabrication stages of screw-retained fixed partial prostheses: strain gauges analysis

Author(s)

Max Dória Costa

• Document type: Master's Dissertation
• Press: Bauru.
• Institution: Universidade de São Paulo (USP). Faculdade de Odontologia de Bauru (FOB/SDB)
• Defense date: 2011-05-30

Examining board members

Jose Henrique Rubo; Renato de Freitas; Renato Oliveira Ferreira da Silva

• Advisor: Jose Henrique Rubo

Abstract

Passive fit and stability have become the most important prerequisites during the choice of materials and techniques to implant-supported prostheses. Therefore, the aim of this study was to verify the mean deformation in abutments and simulated bone tissue around dental implants, with the use of strain gages, during framework screw retention, analyzing seven fabrication stages of the fixed partial denture. For this research, an experimental model based on homogeneous polyurethane with two external hexagon implants parallel to each other, provided with 5 mm height multi-unit abutments. For each, abutment surface received three equidistant strain gauges and the experimental block received upper surface four strain gauges, positioned on the mesial, distal, buccal and lingual aspects. The tests were performed screwing the specimens on the abutment using an electronic torque with 10 Ncm maximum force. The readings were made in seven moments, with abutment and polyurethane mean deformation, respectively: 1) control group: cobalt-chromium prefabricated machined cylinder (36,4µε e 87,5µε), 2) framework fabricated by 1-piece method in nickel-cobalt-chromium alloy (340,3µε e 131,4µε), 3) framework sectioned with space for welding (43,2µε e 66,6µε), 4) weld space filled with chemically activated acrylic resin (Duralay) (74µε e 86,8µε), 5) framework sectioned and soldered (280µε e 146,2µε), 6) framework welded and ceramic application (288,7µε e 151,1µε) and 7) framework concluded applying glaze, finishing and polishing (359,9µε e 197,8µε). The results showed the mean strain increase in abutment and polyurethane over fabrication stages, except that framework fabricated by 1-piece method reached high values close to finished prostheses. Thus, the welding procedure decreased strain levels in simulated bone tissue around dental implants, while ceramic and glaze application, finishing and polishing procedures, increased strain. (AU)

• FAPESP's process: 09/03571-3 - Bone tissue deformation around dental implants after framework connection
• Grantee: Max Dória Costa
• Support Opportunities: Scholarships in Brazil - Master