Wear of Titanium Implant Platforms with Different Abutment Connections and Abutment Materials: A Pilot Study

The most commonly used material in dental implants and their abutments is titanium. Zirconia is a more aesthetic alternative to titanium abutments; however, it is much harder. There are concerns that zirconia could damage the surface of the implant over time, especially in less stable connections. T...

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Main Authors: Teresa A. Mendes, Luis Vilhena, Jaime Portugal, João Caramês, Amilcar L. Ramalho, Luis P. Lopes
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Journal of Functional Biomaterials
Subjects:
Online Access:https://www.mdpi.com/2079-4983/14/4/178
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author Teresa A. Mendes
Luis Vilhena
Jaime Portugal
João Caramês
Amilcar L. Ramalho
Luis P. Lopes
author_facet Teresa A. Mendes
Luis Vilhena
Jaime Portugal
João Caramês
Amilcar L. Ramalho
Luis P. Lopes
author_sort Teresa A. Mendes
collection DOAJ
description The most commonly used material in dental implants and their abutments is titanium. Zirconia is a more aesthetic alternative to titanium abutments; however, it is much harder. There are concerns that zirconia could damage the surface of the implant over time, especially in less stable connections. The aim was to evaluate the wear of implants with different platforms connected to titanium and zirconia abutments. A total of six implants were evaluated, two of each connection type: external hexagon, tri-channel, and conical connections (n = 2). Half of the implants were connected to zirconia abutments, and the other half to titanium abutments (n = 3). The implants were then cyclically loaded. The implant platforms were evaluated by digital superimposing micro CT files and calculating the area of the loss surface (wear). In all the implants, a statistically significant loss of the surface area (<i>p</i> = 0.028) was observed when comparing the area before and after cyclic loading. The average lost surface area was 0.38 mm<sup>2</sup> with titanium abutments and 0.41 mm<sup>2</sup> with zirconia abutments. The average lost surface area was 0.41 mm<sup>2</sup> with the external hexagon, 0.38 mm<sup>2</sup> with the tri-channel, and 0.40 mm<sup>2</sup> with the conical connection. In conclusion, the cyclic loads induced implant wear. However, neither the type of abutment (<i>p</i> = 0.700) nor the connection (<i>p</i> = 0.718) influenced the amount of surface area lost.
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spelling doaj.art-ebdaf8da75ee4a50a57a7d0c0f824a6b2023-11-17T19:52:49ZengMDPI AGJournal of Functional Biomaterials2079-49832023-03-0114417810.3390/jfb14040178Wear of Titanium Implant Platforms with Different Abutment Connections and Abutment Materials: A Pilot StudyTeresa A. Mendes0Luis Vilhena1Jaime Portugal2João Caramês3Amilcar L. Ramalho4Luis P. Lopes5Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisbon, PortugalDepartment of Mechanical Engineering, Centre for Mechanical Engineering, Materials and Processes (CEMMPRE), University of Coimbra, 3004-516 Coimbra, PortugalFaculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisbon, PortugalFaculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisbon, PortugalDepartment of Mechanical Engineering, Centre for Mechanical Engineering, Materials and Processes (CEMMPRE), University of Coimbra, 3004-516 Coimbra, PortugalFaculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisbon, PortugalThe most commonly used material in dental implants and their abutments is titanium. Zirconia is a more aesthetic alternative to titanium abutments; however, it is much harder. There are concerns that zirconia could damage the surface of the implant over time, especially in less stable connections. The aim was to evaluate the wear of implants with different platforms connected to titanium and zirconia abutments. A total of six implants were evaluated, two of each connection type: external hexagon, tri-channel, and conical connections (n = 2). Half of the implants were connected to zirconia abutments, and the other half to titanium abutments (n = 3). The implants were then cyclically loaded. The implant platforms were evaluated by digital superimposing micro CT files and calculating the area of the loss surface (wear). In all the implants, a statistically significant loss of the surface area (<i>p</i> = 0.028) was observed when comparing the area before and after cyclic loading. The average lost surface area was 0.38 mm<sup>2</sup> with titanium abutments and 0.41 mm<sup>2</sup> with zirconia abutments. The average lost surface area was 0.41 mm<sup>2</sup> with the external hexagon, 0.38 mm<sup>2</sup> with the tri-channel, and 0.40 mm<sup>2</sup> with the conical connection. In conclusion, the cyclic loads induced implant wear. However, neither the type of abutment (<i>p</i> = 0.700) nor the connection (<i>p</i> = 0.718) influenced the amount of surface area lost.https://www.mdpi.com/2079-4983/14/4/178implantwearabutmentconnectiontitaniumzirconia
spellingShingle Teresa A. Mendes
Luis Vilhena
Jaime Portugal
João Caramês
Amilcar L. Ramalho
Luis P. Lopes
Wear of Titanium Implant Platforms with Different Abutment Connections and Abutment Materials: A Pilot Study
Journal of Functional Biomaterials
implant
wear
abutment
connection
titanium
zirconia
title Wear of Titanium Implant Platforms with Different Abutment Connections and Abutment Materials: A Pilot Study
title_full Wear of Titanium Implant Platforms with Different Abutment Connections and Abutment Materials: A Pilot Study
title_fullStr Wear of Titanium Implant Platforms with Different Abutment Connections and Abutment Materials: A Pilot Study
title_full_unstemmed Wear of Titanium Implant Platforms with Different Abutment Connections and Abutment Materials: A Pilot Study
title_short Wear of Titanium Implant Platforms with Different Abutment Connections and Abutment Materials: A Pilot Study
title_sort wear of titanium implant platforms with different abutment connections and abutment materials a pilot study
topic implant
wear
abutment
connection
titanium
zirconia
url https://www.mdpi.com/2079-4983/14/4/178
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AT luisvilhena wearoftitaniumimplantplatformswithdifferentabutmentconnectionsandabutmentmaterialsapilotstudy
AT jaimeportugal wearoftitaniumimplantplatformswithdifferentabutmentconnectionsandabutmentmaterialsapilotstudy
AT joaocarames wearoftitaniumimplantplatformswithdifferentabutmentconnectionsandabutmentmaterialsapilotstudy
AT amilcarlramalho wearoftitaniumimplantplatformswithdifferentabutmentconnectionsandabutmentmaterialsapilotstudy
AT luisplopes wearoftitaniumimplantplatformswithdifferentabutmentconnectionsandabutmentmaterialsapilotstudy