Michael Stimmelmayr1,2, Anna Lang3, Florian Beuer4, Sonia Mansour4, Kurt Erdelt3, Gerald Krennmair5, Jan-Frederik Güth3. 1. Private Practice for Oral Surgery, 93413, Cham, Germany. michael.stimmelmayr@med.uni-muenchen.de. 2. Department of Prosthodontics, University of Munich, Goethestr 70, 80336, Munich, Germany. michael.stimmelmayr@med.uni-muenchen.de. 3. Department of Prosthodontics, University of Munich, Goethestr 70, 80336, Munich, Germany. 4. Department of Prosthodontics and Gerontostomtology, University of Berlin, Assmannshauser Strasse 4-6, 14197, Berlin, Germany. 5. Dental School, University of Vienna, Sensengasse 2a, 1090, Vienna, Austria.
Abstract
OBJECTIVES: To measure the abutment rotation and fracture load of two-piece zirconia implants screwed with three different abutment screw materials. MATERIAL AND METHODS: Thirty-six zirconia implants with 36 zirconia abutments were distributed into 3 test groups: group G connected with gold screws, group T with titanium screws, and group P with peek screws. In the first part of the study, the rotation angle of the abutments was measured. The second part of the study measured the maximum fracture force of adhesively bonded lithium disilicate crowns after artificial aging and fracture modes were reported. RESULTS: In group G, the median rotation angle was 8.0°, in group T 11.6°, and in group P 9.5°. After artificial aging, no screw loosening, crown, abutment, or implant fracture occurred. The median fracture force in group G was 250 N, in group T 263 N, and in group P 196 N. CONCLUSIONS: Rotation angles and fracture loads of two-piece zirconia implants with gold, titanium, or peek screws showed no significant differences; however, fracture loads showed inferior results for group P. CLINICAL RELEVANCE: The indication for the material peek as an abutment screw is still questionable and should be considered carefully.
OBJECTIVES: To measure the abutment rotation and fracture load of two-piece zirconia implants screwed with three different abutment screw materials. MATERIAL AND METHODS: Thirty-six zirconia implants with 36 zirconia abutments were distributed into 3 test groups: group G connected with gold screws, group T with titanium screws, and group P with peek screws. In the first part of the study, the rotation angle of the abutments was measured. The second part of the study measured the maximum fracture force of adhesively bonded lithium disilicate crowns after artificial aging and fracture modes were reported. RESULTS: In group G, the median rotation angle was 8.0°, in group T 11.6°, and in group P 9.5°. After artificial aging, no screw loosening, crown, abutment, or implant fracture occurred. The median fracture force in group G was 250 N, in group T 263 N, and in group P 196 N. CONCLUSIONS: Rotation angles and fracture loads of two-piece zirconia implants with gold, titanium, or peek screws showed no significant differences; however, fracture loads showed inferior results for group P. CLINICAL RELEVANCE: The indication for the material peek as an abutment screw is still questionable and should be considered carefully.
Authors: Ludan Qin; Shuo Yao; Jiaxin Zhao; Chuanjian Zhou; Thomas W Oates; Michael D Weir; Junling Wu; Hockin H K Xu Journal: Materials (Basel) Date: 2021-01-15 Impact factor: 3.623