Effect of retention design of artificial teeth and implant-supported titanium CAD-CAM structures on fracture resistance
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Ladetzki, Kristin; Mateos Palacios, Rocío; Pascual Moscardó, Agustín; Selva Otaolaurruchi, Eduardo J.
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Aquest document és un/a article, creat/da en: 2016
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Background: For implant-supported hybrid prostheses, high mastication forces and reduced acrylic resin thickness
over a metal substructure often cause failures arising from tooth or resin fractures. To assay fracture resistance of
artificial teeth and resin in implant-supported hybrid prostheses in relation to the titanium structure and retention
design supporting teeth.
Material and Methods: 40 specimens bearing incisors were divided into four groups according to the titanium structure supporting the teeth and the type of load force applied: Group I (Control; n=10): Application of static loading
to ten incisors set over a metal structure with internal retention. Group II (Control; n=10): Application of static
loading to ten incisors set over a metal structure with external retention. The remaining study specimens (n=20)
were subjected to 120,000 masticatory and thermal cycles in a chewing simulator. Afterwards, static loading was
applied until the point of fracture using an Instron machine. Group III (Study; n=10): Application of dynamic and
static loading to ten incisors set over a metal structure with internal retention. Group IV (Study; n=10): Application
of dynamic and static loading to ten incisors set over a metal structure with external retention. Data obtained for the
four groups was analyzed and compared, determining the type of fracture (cohesive or adhesive) using a reflected
light microscope.
Results: Statistical analysis confirmed that there were significant differences in fracture resistance between the four
groups. External retention was found to have more fracture resistance than the internal retention.
Conclusions: Hybrid prostheses with titanium substructures and external retention obtained significantly better
results than samples with internal retention.
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