Effects of implant diameter and prosthesis retention system on the reliability of single crowns

Estevam A. Bonfante, Erika O. Almeida, Fabio C. Lorenzoni, Paulo G. Coelho

Research output: Contribution to journalArticle

Abstract

Purpose: The probability of survival of implant-supported prostheses may be affected by the interplay between different implant diameters supporting screwed or cemented crowns. The purpose of this study was to investigate the effect of implant diameter and prosthesis retention system on the reliability and failure modes of single crowns. Materials and Methods: Internal-hexagon implants were divided into six groups (n = 21 each) according to implant diameter (3.3, 4.0, or 5.0 mm) and crown retention system (screwed or cemented). Abutments were torqued to the implants, and crowns were then fixed and subjected to step-stress accelerated life testing in water. Use-level probability Weibull curves and reliability for missions of 50,000 cycles at 100, 150, and 200 N were calculated. Failure analysis was performed. Results: Cemented systems presented higher reliability than screwed ones, except between 3.3-mm-diameter cemented and screwed systems at a load of 100 or 150 N. Failure modes were restricted to the abutment screw and varied with implant diameter only in the cement-retained groups. Conclusion: Higher reliability was observed for cementretained crowns and implants of larger diameter compared to screw-retained and smaller diameter. Failure modes differed between groups.

Original languageEnglish (US)
Pages (from-to)95-101
Number of pages7
JournalInternational Journal of Oral and Maxillofacial Implants
Volume30
Issue number1
DOIs
StatePublished - 2015

Keywords

  • Dental implant
  • Fatigue
  • Fractography
  • Reliability
  • Step-stress accelerated life testing
  • Weibull analysis

ASJC Scopus subject areas

  • Oral Surgery

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