Evaluation of the accuracy and related factors of the mechanical torque-limiting device for dental implants.

Accurate delivery of torque to implant screws is critical to generate ideal preload in the screw joint and to offer protection against screw loosening. Mechanical torque-limiting devices (MTLDs) are available for this reason. In this study, the accuracy of one type of friction-style and two types of...

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Main Authors: Mahmood Kazemi, Ahmad Rohanian, Abbas Monzavi, Mohammad Sadegh Nazari
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2013-03-01
Series:Frontiers in Dentistry
Subjects:
Online Access:https://jdt.tums.ac.ir/index.php/jdt/article/view/692
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author Mahmood Kazemi
Ahmad Rohanian
Abbas Monzavi
Mohammad Sadegh Nazari
author_facet Mahmood Kazemi
Ahmad Rohanian
Abbas Monzavi
Mohammad Sadegh Nazari
author_sort Mahmood Kazemi
collection DOAJ
description Accurate delivery of torque to implant screws is critical to generate ideal preload in the screw joint and to offer protection against screw loosening. Mechanical torque-limiting devices (MTLDs) are available for this reason. In this study, the accuracy of one type of friction-style and two types of spring-style MTLDs at baseline, following fatigue conditions and sterilization processes were determined.Five unused MTLDs were selected from each of Straumann (ITI), Astra TECH and CWM systems. To measure the output of each MTLD, a digital torque gauge with a 3-jaw chuck was used to hold the driver. Force was applied to the MTLDs until either the friction styles released at a pre-calibrated torque value or the spring styles flexed to a pre-calibrated limit (target torque value). The peak torque value was recorded and the procedure was repeated 5 times for each MTLD. Then MTLDs were subjected to fatigue conditions at 500 and 1000 times and steam sterilization processes at 50 and 100 times and the peak torque value was recorded again at each stage.Adjusted difference between measured torque values and target torque values differed significantly between stages for all 3 systems. Adjusted difference did not differ significantly between systems at all stages, but differed significantly between two different styles at baseline and 500 times fatigue stages.Straumann (ITI) devices differed minimally from target torque values at all stages. MTLDs with Spring-style were significantly more accurate than Friction-style device in achieving their target torque values at baseline and 500 times fatigue.
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spelling doaj.art-388ffca356354a95a662646dc5b0230a2022-12-22T02:39:12ZengTehran University of Medical SciencesFrontiers in Dentistry2676-296X2013-03-01102Evaluation of the accuracy and related factors of the mechanical torque-limiting device for dental implants.Mahmood Kazemi0Ahmad Rohanian1Abbas Monzavi2Mohammad Sadegh Nazari3Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. Accurate delivery of torque to implant screws is critical to generate ideal preload in the screw joint and to offer protection against screw loosening. Mechanical torque-limiting devices (MTLDs) are available for this reason. In this study, the accuracy of one type of friction-style and two types of spring-style MTLDs at baseline, following fatigue conditions and sterilization processes were determined.Five unused MTLDs were selected from each of Straumann (ITI), Astra TECH and CWM systems. To measure the output of each MTLD, a digital torque gauge with a 3-jaw chuck was used to hold the driver. Force was applied to the MTLDs until either the friction styles released at a pre-calibrated torque value or the spring styles flexed to a pre-calibrated limit (target torque value). The peak torque value was recorded and the procedure was repeated 5 times for each MTLD. Then MTLDs were subjected to fatigue conditions at 500 and 1000 times and steam sterilization processes at 50 and 100 times and the peak torque value was recorded again at each stage.Adjusted difference between measured torque values and target torque values differed significantly between stages for all 3 systems. Adjusted difference did not differ significantly between systems at all stages, but differed significantly between two different styles at baseline and 500 times fatigue stages.Straumann (ITI) devices differed minimally from target torque values at all stages. MTLDs with Spring-style were significantly more accurate than Friction-style device in achieving their target torque values at baseline and 500 times fatigue.https://jdt.tums.ac.ir/index.php/jdt/article/view/692CalibrationDental ImplantationTorque
spellingShingle Mahmood Kazemi
Ahmad Rohanian
Abbas Monzavi
Mohammad Sadegh Nazari
Evaluation of the accuracy and related factors of the mechanical torque-limiting device for dental implants.
Frontiers in Dentistry
Calibration
Dental Implantation
Torque
title Evaluation of the accuracy and related factors of the mechanical torque-limiting device for dental implants.
title_full Evaluation of the accuracy and related factors of the mechanical torque-limiting device for dental implants.
title_fullStr Evaluation of the accuracy and related factors of the mechanical torque-limiting device for dental implants.
title_full_unstemmed Evaluation of the accuracy and related factors of the mechanical torque-limiting device for dental implants.
title_short Evaluation of the accuracy and related factors of the mechanical torque-limiting device for dental implants.
title_sort evaluation of the accuracy and related factors of the mechanical torque limiting device for dental implants
topic Calibration
Dental Implantation
Torque
url https://jdt.tums.ac.ir/index.php/jdt/article/view/692
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AT ahmadrohanian evaluationoftheaccuracyandrelatedfactorsofthemechanicaltorquelimitingdevicefordentalimplants
AT abbasmonzavi evaluationoftheaccuracyandrelatedfactorsofthemechanicaltorquelimitingdevicefordentalimplants
AT mohammadsadeghnazari evaluationoftheaccuracyandrelatedfactorsofthemechanicaltorquelimitingdevicefordentalimplants