Fracture Resistance of Internal Conical and External Hexagon: Regular and Narrow Implant-Abutment Assemblies

Implant Dent. 2016 Aug;25(4):510-4. doi: 10.1097/ID.0000000000000446.

Abstract

Purpose: The aim of this study was to compare the maximum load on the elastic limit of internal conical (IC) implants with regular external hexagon (REH) and narrow external hexagon (NEH) implants.

Materials and methods: Thirty cylindrical implants were divided in 3 groups (n = 10): REH (3.75 mm); NEH (3.3 mm); IC (3.5 mm). The implants were evaluated by means of cantilever bending loads using a mechanical testing machine. A strain qualitative analysis and the corresponding angles were analyzed. Using single factor analysis of variance with Tukey Test and Friedman Test (P < 0.05) the statistical analysis for data were performed.

Results: REH (294.37 N) and IC (294.37 N) groups presented statistically greater Fle than NEH (189.16 N). Regarding to the strain, there were no significant differences among groups. However, there were a greater number of fissures and more fractures present on NEH group.

Conclusion: The IC implant with smaller diameter did not result in reduction of elastic limit when compared with the REH implants. Nevertheless, the reduction of 0.45 mm of the hexagonal connection implant's diameter has significantly diminished the elastic limit.

MeSH terms

  • Dental Abutments / adverse effects
  • Dental Implant-Abutment Design / adverse effects*
  • Dental Implantation, Endosseous / adverse effects*
  • Dental Implantation, Endosseous / methods
  • Dental Restoration Failure
  • Dental Stress Analysis / methods
  • Elasticity
  • Humans
  • Weight-Bearing