Effect of unilateral misfit on preload of retention screws of implant-supported prostheses submitted to mechanical cycling

Abstract

Purpose: The aim of this study was to evaluate the effect of different levels of unilateral angular misfit on preload maintenance of retention screws of single implant-supported prostheses submitted to mechanical cycling.

Materials and methods: Premachined UCLA abutments were cast with cobalt-chromium alloy to obtain 48 crowns divided into four groups (n=12). The crowns presented no misfit in Group A (control group) and unilateral misfits of 50 μm, 100 μm and 200 μm in the groups B, C and D, respectively. The crowns were attached to external hexagon implants with a titanium retention screw with torque of 30 N/cm. Oblique loading of 130 N at 2 Hz was applied on each replica, totalizing 5×10⁴ and 1×10⁶ cycles. Detorque values were measured initially and after each cycling period. Data were evaluated by analysis of variance and Tukey's HSD test (p<0.05).

Results: All groups presented reduced initial detorque values (p<0.05) in comparison to the insertion torque (30±0.5 N/cm) and Group A (25.18 N/cm) exhibited the lowest reduction. After mechanical cycling, all groups presented detorque values from 19.5 N/cm to 22.38 N/cm and the mechanical cycling did not statistically influence the detorque values regardless the misfit level of the replicas.

Conclusion: The unilateral misfit influenced the preload maintenance only before mechanical cycling. The mechanical cycling did not influence the torque reduction.