This study evaluated the influence of retorque on loosening torque (Lt) of prosthetic screws in implant-supported dentures with different fit levels. Ten mandibular implant-supported dentures were fabricated and then 20 cast models were then prepared using prosthetic structures to create 2 fit levels: passive fit (Pf) and misfit (Mf). Two tightening techniques were also evaluated: initial torque only (T1); and initial torque and retorque after 10 min (T2). Gold or titanium screws were used, resulting in 4 groups to each one: Pf/T1, Pf/T2, Mf/T1, Mf/T2. The Lt was measured 24 h after the tightening torque using digital torque meter. Data were analyzed statistically by two-way ANOVA and Tukey's test (α=0.05), separately for each screw material. For titanium screws, no significant difference (p>0.05) was found between Pf/T1 and Pf/T2, or between Pf/T2 and Mf/T2. However, statistically significant difference (p<0.05) was found between Pf/T1 and Mf/T1, and between Mf/T1 and Mf/T2. Mf reduced the Lt using T1, while and T2 increased the Lt for Mf. Retorque and fit were shown to have no significant influence on the Lt of the gold screws. Retorque application made insignificant the misfit effect on the Lt of the titanium screws, suggesting that this procedure should be performed routinely during the screw tightening in multi-unit dentures.

This study evaluated the corrosion-fatigue life of laser-repaired specimens fabricated from commercially pure titanium (CP Ti) and Ti-6Al-4V alloy, tested under different storage conditions. For each metal, 30 dumbbell rods with a central 2.3 mm diameter were prepared by lost-wax casting with the Rematitan System. Simulating the failure after service, corrosion-fatigue life in different media at room temperature (air, synthetic saliva and fluoride synthetic saliva) was determined at a testing frequency of 10 Hz for intact specimens and after laser repairing, using a square waveform with equal maximum tensile and compressive stress that was 30% lower than the 0.2% offset yield strength. For laser welding, the fractured specimens were rejoined using a jig to align the sections invested in type-IV dental stone. The adjacent areas of the gap was air-abraded with 100 microm aluminum oxide, laser welded and retested under the same conditions as the initial intact specimens. The number of cycles at failure was recorded, and the fracture surface was examined with a scanning electron microscope (SEM). The number of cycles for failure of the welded and intact specimens was compared by anova and the Tukey test at a 5% probability level. Within the limitations of this study, the number of cycles required for fracture decreased in wet environments and the laser repairing process adversely affected the life of both metals under the corrosion-fatigue conditions.

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The use of bar attachment proved to be a better alternative, because it showed a moderate level of tension with a more uniform stress distribution and possessed higher retention than did the ball system.

ObjectivesThis study evaluated the microleakage at the implant/abutment interface of external hexagon (EH) implants and abutments with different amounts of bacteria and tightening torques. Material and MethodsA bacterial suspension was prepared to inoculate the implants. The first phase of this study used nine EH implants and abutments that were divided into three groups with different amounts of bacterial suspension (n=3): V0.5: 0.5 µL; V1.0: 1.0 µL e V1.5: 1.5 µL, and tightened to the manufacturer's recommended torque. The second phase of this experiment used 27 assemblies that were similar to those used in the first phase. These samples were inoculated with 0.5 µL of bacterial suspension and divided into three groups (n=9). T10: 10 Ncm; T20: 20 Ncm and T32: 32 Ncm. The samples were evaluated according to the turbidity of the broth every 24 hours for 14 days, and the bacteria viability was tested after that period. The statistical evaluation was conducted by Kruskal-Wallis testing (p<.05). ResultsDuring the first phase, groups V1.0 and V1.5 was presented with bacterial contamination in all samples after 24 h. During the second phase, two samples from group T10 and one from T20 presented positive results for bacterial contamination. Different amounts of bacterial solution led to overflow and contamination during the first 24 h of the experiment. The tightening torques did not statistically affect the microleakage in the assemblies. However, the group that was tightened to 32 Ncm torque did not show any bacterial contamination. ConclusionAfter 14 days of experimentation, the bacteria were proven to remain viable inside the implant internal cavity.