The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지

EFFECT OF A COUNTER-TORQUE DEVICE AND THE INTERNAL HEXAGON OF ABUTMENT ON THE TIGHTENING TORQUE TRANSMITTED TO THE IMPLANT

회전방지장치와 지대주의 내육각구조가 임플란트로 전달되는 조임 회전력에 미치는 영향

  • Lee Sang-Min (Department of Prosthodontics, College of Dentistry, Pusan National University) ;
  • Jeon Young-Chan (Department of Prosthodontics, College of Dentistry, Pusan National University) ;
  • Jeong Chang-Mo (Department of Prosthodontics, College of Dentistry, Pusan National University)
  • 이상민 (부산대학교 치과대학 보철학교실) ;
  • 전영찬 (부산대학교 치과대학 보철학교실) ;
  • 정창모 (부산대학교 치과대학 보철학교실)
  • Published : 2003.04.01
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Abstract

Statement of problem : Little is known about the effect of a counter-torque device and the internal hexagon of abutment on the tightening torque transmitted to the implant. Purpose : The purpose of this study was to examine the effect of a counter-torque device and the internal hexagon of abutment on the tightening torque transmitted to the implant. Material and Methods : In this study, three types of abutment were used, (1) two-piece conical abutment with hexagon, (2) two-piece conical abutment without hexagon, and (3) one-piece conical abutment without hexagon. The experimental groups were divided into five groups according to the type of abutment and the usage of a counter-torque device. Group I : two-piece conical abutment with internal hexagon was tightened without the use of a counter-torque device. Group II : two-piece conical abutment without internal hexagon was tightened without the use of a counter-torque device. Group III : one-piece conical abutment without internal hexagon was tightened without the use of a counter-torque device. Group IV : two-piece conical abutment with internal hexagon was tightened with the use of a counter-torque device Group V : two-piece conical abutment without internal hexagon was tightened with the use of a counter-torque device. Abutments were tightened 20Ncm torque with the use of manual torque wrench and then torque values were measured by torque-gauge. After the measurement of torque values, all groups were loosened with the use of manual torque wrench and then detorque values were measured by torque-gauge. Results : The results were as follows. 1. There were no differences in torque values among three types of abutment. 2. Regardless of the existence of the internal hexagon of abutment, a counter-torque device decreased the tightening torque transmitted to the implant about 92% 3. In group III showed the highest detorque value, however there were no differences among group I, II, IV and V. Conclusion : Within the limitations of this study, it was concluded that the internal hexagon of abutment has no effect on the tightening torque transmitted to the implant and the detorque value of abutment screw. The use of a counter-torque device is essential to prevent microfracture on the implant-bone interface but has no effect on preload.

Keywords

References

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