2022
DOI: 10.1016/j.prosdent.2020.11.026
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Effects of tightening torque on screw stress and formation of implant-abutment microgaps: A finite element analysis

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Cited by 16 publications
(17 citation statements)
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“…Several design parameters that can modify the implants mechanical response have already demonstrated their role in the bone tissue mechanical response during chewing loading. For that reason, a possible variation in the stress magnitude between different implant manufacturers would be noticed due to the differences in threads design [42], conicity [43], length [44], diameter [45], abutment misfit [46], prosthetic connection [47], titanium alloys [40], torque quantity [48], abutment material [49] and antagonist structure [50]. However, despite the effect of all these factors have been already investigated in previous reports, the present results can be useful especially when considering the stress distribution modification by the implant neck design, that should occurs proportionally between the different implant systems.…”
Section: Discussionmentioning
confidence: 99%
“…Several design parameters that can modify the implants mechanical response have already demonstrated their role in the bone tissue mechanical response during chewing loading. For that reason, a possible variation in the stress magnitude between different implant manufacturers would be noticed due to the differences in threads design [42], conicity [43], length [44], diameter [45], abutment misfit [46], prosthetic connection [47], titanium alloys [40], torque quantity [48], abutment material [49] and antagonist structure [50]. However, despite the effect of all these factors have been already investigated in previous reports, the present results can be useful especially when considering the stress distribution modification by the implant neck design, that should occurs proportionally between the different implant systems.…”
Section: Discussionmentioning
confidence: 99%
“…The development of micro-gaps at the interface of implant-to-abutment can be decreased by increasing the screw torque. The abutment screw's mean stress will increase as a result, albeit this could shorten the prosthesis's fatigue life as well [60].…”
Section: Tonin Et Almentioning
confidence: 99%
“…12 Screw loosening may lead to mechanical problems such as loss of function due to excessive prosthesis displacement, loosening of other screws in a multi-unit prosthesis, fracture of screws due to fatigue, loss of restoration, and loss of the implant due to inadequate osseointegration, and biological problems such as microleakage, soft tissue irritation and peri-implantitis. 13,14 Zirconia abutments have become popular in prosthetic treatments due to their superior optical properties compared to titanium and higher fracture resistance than alumina. In vitro studies have reported that the fracture resistance of zirconia abutments exceeds their maximum bite force of 90 to 370 N. 15,16 Unlike the classical failure models described for titanium systems, crack initiation and propagation caused by fatigue in zirconia due to plastic deformation of screw and implant parts cause fractures in thin parts of the ceramic structure.…”
Section: Introductionmentioning
confidence: 99%