The Effect of Cooling on the Loosening of the Abutment Screw in Bone Level Implants with Internal Hex in Different Implant System

Document Type : مقاله‌های پژوهشی

Authors

1 PhD, Student Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Dental Implants Research Center, Dental Prosthodontics Department, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

3 Assistant Professor, Dental Materials Research Center, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

4 Postgraduate Student, Dental Students’ Research Committee, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Introduction: One of the most prevalent difficulties and consequences following dental implant therapy is the loosening of the abutment screws. To reduce this complication, giving a reasonable solution that interferes with the therapy as little as possible can be critical. Thus, this study aims to investigate the effect of cold on abutment screw loosening in implants with internal hex done in different bone-level implant systems.
Materials and Methods: This study investigated bone-level implants and the degree of abutment screw loosening caused by cold. The implants were divided into three groups of 10 including (DIO) Korean, (ITI) Swiss, and (Paragon) American implants. The abutment of five samples was cooled with endo cold spray and 5 samples were torqued without cold. The detorque amount of these groups was measured after placing all abutments in a thermocycler undergoing 5000 cycles. After collecting the data, using the Covariance test, the data was examined at a significance level of 0.05.  
Results: The detorque rate of implants under the effect of cold was 26.22 ± 2.62 N/cm, and the group without cold was 25.46 ± 2.70 N/cm. There was a significant difference in detorque between bone level implants before and after cooling (p value < 0.05).
Conclusion: Cold is effective in increasing the detorque force of the abutment screw in implants with internal hex in different bone-level implant systems.
Keywords: Dental implants, Abutment, Temperature, Screw

1. Kawahara H, Inoue M, Okura K, Oshima M, Matsuka Y. Risk factors for tooth loss in patients with ≥25 remaining teeth undergoing mid-long-term maintenance: A retrospective study. Int J Environ Res Public Health 2021; 18(13): 7174.
2. Petersen PE. The World Oral Health Report 2003: Continuous improvement of oral health in the 21st century-the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003; 31(Suppl 1): 3-23.
3. Mokhtari MR, Radvar M, Alinejad N, Solati M, Sadeghi MH. Evaluation of alveolar crestal bone loss around cantilever-based implants and comparison with single tooth implants [in Persian]. J Mashhad Dent Sch 2019; 43(2): 167-78.
4. Cardash HS, Applebaum B, Baharav H, Liberman R. Effect of retention grooves on tooth-denture base bond. J Prosthet Dent 1990; 64(4): 492-6.
5. Rajati Haghi HR, Nikzad S, Azari A, Kashani J. Finite element stress analysis of tooth-implant supported bridges in rigid/non-rigid connectors in cemented prostheses [in Persian]. JDM 2010; 23(2): 95-103.
6. Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Periodontol 2002; 29 (Suppl 3): 197-212.
7. McAlarney ME, Stavropoulos DN. Determination of cantilever length-anterior-posterior spread ratio assuming failure criteria to be the compromise of the prosthesis retaining screw-prosthesis joint. Int J Oral Maxillofac Implants 1996; 11(3): 331-9.
8. Haack JE, Sakaguchi RL, Sun T, Coffey J. Elongation preload stress in dental implant abutment screws. Int J Oral Maxillofac Implants 1995; 10(5): 529-36.
9. Kallus T, Bessing C. Loose gold screws frequently occur in full-arch fixed prostheses supported by osseointegrated implants after 5 years. Int J Oral Maxillofac Implants 1994; 9(2): 169-78.
10. Johansson LA, Ekfeldt A. Implant-supported fixed partial prostheses: a retrospective study. Int J Prosthodont 2003; 16(2): 172-6.
11. Byrne D, Jacobs S, O’Connell B, Houston F, Claffey N. Preloads generated with repeated tightening in three types of screws used in dental implant assemblies. J Prosthodont 2006; 15(3): 164-71.
12. Hebel KS, Gajjar RC. Cement-retained versus screw-retained implant restorations: achieving optimal occlusion and esthetics in implant dentistry. J Prosthet Dent 1997; 77(1): 28-35.
13. Zarb GA, Zarb FL. Tissue integrated dental prostheses. Quintessence Int 1985; 16(1): 39-42.
14. Park IS, Won SY, Bae TS, Song KY, Park CW, Eom TG, et al. Fatigue characteristics of five types of implant-abutment joint designs. Met Mater Int 2008; 14(2): 133-8.
15. Shin HM, Jeong CM, Jeon YC, Yun MJ, Yoon JH. Influence of tightening torque on implant-abutment screw joint stability. J Korean Acad Prosthodont 2008; 46(4): 396-408.
16. Duyck J, Corpas L, Vermeiren S, Ogawa T, Quirynen M, Vandamme K, et al. Histological, histomorphometrical, and radiological evaluation of an experimental implant design with a high insertion torque. Clin Oral Implants Res 2010; 21(8): 877-84.
17. Baldi D, LombardiT, Colombo J, Cervino G, Perinetti G, Di Lenarda R, et al. Correlation between insertion torque and implant stability quotient in tapered implants with knife-edge thread design. Biomed Res Int 2018; 2018: 7201093.
18. de Oliveira Silva TS, Alencar SMM, do Silva Valente V, de Moura CDVS. Effect of internal hexagonal index on removal torque and tensile removal force of different Morse taper connection abutments. J Prosthet Dent 2017; 117(5): 621 -7.
19. Shin HM, Huh JB, Yun MJ, JeonYC, Chang BM, Jeong CM. Influence of the mplant-abutment connection design and diameter on the screw joint stability. J Adv Prosthodont 2014; 6(2): 126-32.
20. Sammour SR, El-Sheikh MM, El-Gendy AA. Effect of implant abutment connection designs, and implant diameters on screw loosening before and after cyclic loading: Invitro study. Dent Mater 2019; 35(11): e265-e71.
21. Srimurugan-Thayanithi N, Abou-Ayash S, Yilmaz B, Schimmel M, Brägger U. Effect of Abutment Cooling on Reverse Torque Values of Abutment Screws: An in Vitro Study. Int J Oral Maxillofac Implants 2023; 38(1): 94-100.
22. Koosha S, Toraji S, Mostafavi AS. Effect of fluid contamination on the reverse torque values of abutment screws at implant-abutment connections. J Prosthet Dent 2020; 123(4): 618-21.
23. Jalali H, Moslemion M, Nokar S. Effect of blood and saliva contamination of the implant-abutment interface on the amount of preload. Dent Adv Res 2018; 3(4): 1-7.
24. Asli HN, Saberi BV, Fatemi AS. In vitro effect of chlorhexidine gel on torque and detorque values of implant abutment screw. Indian J Dent Res 2017; 28(3): 314-9.
25. Kourtis S, Damanaki M, Kaitatzidou S, Kaitatzidou A, Roussou V. Loosening of the fixing screw in single implant crowns: predisposing factors, prevention and treatment options. J Esthet Restor Dent 2017; 29: 233-46.
26. Al-Turki LE, Chai J, Lautenschlager EP, Hutten MC. Changes in prosthetic screw stability because of misfit of implant-supported prostheses. Int J Prosthodont 2002; 15(1): 38-42.
27. Alonso-Perez R, Bartolome JF, Ferreiroa A, Salido MP, Pradies G. Evaluation of the mechanical behavior and marginal accuracy of stock and laser-sintered implant abutments. Int J Prosthodont 2017; 30(2): 136-8.
28. Sola-Ruiz MF, Selva-Otaolaurruchi E, Senent-Vicente G, Gonzalez-de-Cossio I, Amigo-Borras V. Accuracy combining different brands of implants and abutments. Med Oral Patol Oral Cir Bucal 2013; 18(2): e332-6.
29. Berberi A, Maroun D, Kanj W, Amine EZ, Philippe A. Micromovement evaluation of original and compatible abutments at the implant-abutment interface. J Contemp Dent Pract 2016; 17(11): 907-13.
30. Gigandet M, Bigolin G, Faoro F, Bürgin W, Brägger U. Implants with original and non-original abutment connections. Clin Implant Dent Relat Res 2014; 16(2): 303-11.
31. Berberi A, Tehini G, Rifai K, Eddine FBN, Badran B, Akl H. Leakage evaluation of original and compatible implant-abutment connections: in vitro study using rhodamine B. J Dent Biomech 2014; 5: 1758736014547143.
32. Tzenakis GK, Nagy WW, Fournelle RA, Dhuru VB. The effect of repeated torque and salivary contamination on the preload of slotted gold implant prosthetic screws. J Prosthet Dent 2002; 88(2): 183-91.
33. Assche NV, Collaert B, Coucke W, Quirynen M. Correlation between early perforation of cover screws and marginal bone loss: A retrospective study. J Clin Periodontol 2008; 35(1): 76-9.
34. Ghanbarzadeh J, Dashti H, Abbasi M, Nakhaei M. Torque removal evaluation of one-piece and two-piece abutment screws under dry and wet conditions [in Persian]. J Mashhad Dent Sch 2015; 39(1): 89-98.