种植单冠螺丝固位的机械原理与松动原因的研究进展
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摘要
在临床种植修复后常出现固位螺丝松动的问题,为此学者们进行了大量的研究,认为螺丝预负荷、螺丝材质与形态、植体-基台界面间的密合度及其连接设计、咬合力大小是影响螺丝固位的重要因素。本文从以上几个方面,对螺丝固位的机械原理和引起松动原因的国内外相关研究进展进行综述。
The problem of retentive screw loosening often occurs after clinical restoration.There are many factors that affect the screw retention,such as the screw preload,screw material and morphology,the degree of cohesion between the implant-abutment interface and its connection design,and occlusion force.This article intends to discuss the mechanical principles and causes for the loosening of fixing screws and the latest relevant research progress.
The problem of retentive screw loosening often occurs after clinical restoration.There are many factors that affect the screw retention,such as the screw preload,screw material and morphology,the degree of cohesion between the implant-abutment interface and its connection design,and occlusion force.This article intends to discuss the mechanical principles and causes for the loosening of fixing screws and the latest relevant research progress.
引文
[1] Millen C,Brgger U,Wittneben JG.Influence of prosthesis type and retention mechanism on complications with fixed implant-supported prostheses:a systematic review applying multivariate analyses[J].Int J Oral Maxillofac Implants,2015,30(1):110-124.
[2] Tey VHS,Phillips R,Tan K.Five-year retrospective study on success,survival and incidence of complications of single crowns supported by dental implants[J].Clin Oral Implants Res,2017,28(5):620-625.
[3]张磊,冯海兰.种植固定修复后机械并发症的预防和处理[J].中华口腔医学杂志,2016,51(1):10-14.
[4] Freitas AC,Almeida EO.Reliability and failure modes of internal conical dental implant connections[J].Clin Oral Implants Res,2013,24(2):197-202.
[5] Lee FK,Tan KB,Nicholls JI.Critical bending moment of four implant-abutment interface designs[J].Int J Oral Maxillofac Implants,2010,25(4):744-751.
[6] Zipprich H,Rathe F,Pinz S,et al.Effects of screw configuration on the preload force of implant-abutment screws[J].Int J Oral Maxillofac Implants,2018,33(2):e25-e32.
[7] Xia D,Lin H,Yuan S,et al.Dynamic fatigue performance of implant-abutment assemblies with different tightening torque values[J].Biomed Mater Eng,2014,24(6):2143-2149.
[8] Gehrke SA,Shibli JA,AramburúJunior JS,et al.Effects of different torque levels on the implant-abutment interface in a conical internal connection[J].Braz Oral Res,2016,30,pii:S1806-83242016000100233.
[9] Augusto G,Barbosa S,Zar P,et al.Effect of different torque levels on the implant/abutment interface using“UCLA”castable[J].Brazjoral Sci,2005,4(15):919-922.
[10] J9rn D,Kohorst P,Besdo S,et al.Influence of lubricant on screw preload and stresses in a finite element model for a dental implant[J].J Prosthet Dent,2014,112(2):340-348.
[11] Bulaqi HA,Mousavi Mashhadi M,Safari H,et al.Dynamic nature of abutment screw retightening:finite element study of the effect of retightening on the settling effect[J].J Prosthet Dent,2015,113(5):412-419.
[12] Bacchi A,Regalin A,Bhering CL,et al.Loosening torque of Universal Abutment screws after cyclic loading:influence of tightening technique and screw coating[J].J Adv Prosthodont,2015,7(5):375-379.
[13] Lee HW,Alkumru H,Ganss B,et al.The Effect of Contamination of Implant Screws on Reverse Torque[J].Int J Oral Maxillofac Implants,2015,30(5):1054-1060.
[14]王志英,李四群,程祥荣.种植体-基台-修复体系统力学分析及疲劳寿命测定[J].武汉理工大学学报,2010,32(14):201-204.
[15] Barbosa GA,Bernardes SR,das Neves FD.Relation between implant/abutment vertical misfit and torque loss of abutment screws[J].Braz Dent J,2008,19(4):358-363.
[16]罗晨晨.不同形态牙合面固位螺钉对种植牙单冠稳定性的影响[J].中国口腔种植学杂志,2009,14(2):44-46.
[17] CoppedêAR,Faria AC,de Mattos Mda G,et al.Mechanical comparison of experimental conical-head abutment screws with conventional flat-head abutment screws for external-hex and internal tri-channel implant connections:an in vitro evaluation of loosening torque[J].Int J Oral Maxillofac Implants,2013,28(6):e321-e329.
[18] Doolabh R,Dullabh HD,Sykes LM.A comparison of preload values in gold and titanium dental implant retaining screws[J].SADJ,2014,69(7):316-320.
[19]李四群,郭华,徐东选,等.种植义齿部件松动的试验研究Ⅰ.力学模型的建立和基台螺丝疲劳寿命的测定[J].口腔医学研究,2001,17(4):259-261.
[20]Arshad M,Mahgoli H,Payaminia L.Effect of repeated screw joint closing and opening cycles and cyclic loading on abutment screw removal torque and screw thread morphology:scanning electron microscopy evaluation[J].Int J Oral Maxillofac Implants,2018,33(1):31-40.
[21] Xiao H,Yang Y,Liu Z,et al.Opinions regarding reuse or replacement of implant prosthesis retaining screws:a systematic review[J].Int J Oral Maxillofac Implants,2017,32(5):985-991.
[22] Bulaqi HA,Mousavi Mashhadi M,Geramipanah F,et al.Effect of the coefficient of friction and tightening speed on the preload induced at the dental implant complex with the finite element method[J].J Prosthet Dent,2015,113(5):405-411.
[23] Park SD,Lee Y,Kim YL,et al.Microleakage of different sealing materials in access holes of internal connection implant systems[J].J Prosthet Dent,2012,108(3):173-180.
[24] Cem S,Simel A.Correlation between microleakage and screw loosening at implant-abutment connection[J].J Adv Prosthodont,2014,6(1):35-38.
[25] Al-Otaibi HN,Akeel RF.The effects of two torque values on the screw preload of implant-supported prostheses with passive fit or misfit[J].Int J Oral Maxillofac Implants,2014,29(5):1058-1063.
[26] Assun OWG,Delben JA.Effect of vertical misfit on screw joint stability of implant-supported crowns[J].JMEP,2011,20(6):947-951.
[27] Spazzin AO,Costa AR,Correr AB,et al.Effect of bar crosssection geometry on stress distribution in overdenture-retaining system simulating horizontal misfit and bone loss[J].J Biomech,2013,46(12):2039-2044.
[28] Tsuruta K,Ayukawa Y,Matsuzaki T,et al.The influence of implant-abutment connection on the screw loosening and microleakage[J].Int J Implant Dent,2018,4(1):11.
[29] Pardal-Pelaez B,Montero J.Preload loss of abutment screws after dynamic fatigue in single implant-supported restorations.A systematic review[J].J Clin Exp Dent,2017,9(11):e1355-e1361.
[30] Yao KT,Kao HC,Cheng CK,et al.The effect of clockwise and counterclockwise twisting moments on abutment screw loosening[J].Clin Oral Implants Res,2012,23(10):1181-1186.
[31] Michalakis K,Calvani P,Muftu S,et al.The effect of different implant-abutment connection on screw joint stability[J].J Oral Implantol,2014,40(2):146-152.
[32] Chrcanovic BR,Kisch J,Albrektsson T,et al.Bruxism and dental implant treatment complications:a retrospective comparative study of 98bruxer patients and a matched group[J].Clin Oral Implants Res,2017,28(7):e1-e9.
[33] Gehrke SA,De Carvalho Serra R.Load fatigue performance of conical implant-abutment connection:effect of torque level and interface junction[J].Minerva Stomato,2015,64(1):1-7.
[2] Tey VHS,Phillips R,Tan K.Five-year retrospective study on success,survival and incidence of complications of single crowns supported by dental implants[J].Clin Oral Implants Res,2017,28(5):620-625.
[3]张磊,冯海兰.种植固定修复后机械并发症的预防和处理[J].中华口腔医学杂志,2016,51(1):10-14.
[4] Freitas AC,Almeida EO.Reliability and failure modes of internal conical dental implant connections[J].Clin Oral Implants Res,2013,24(2):197-202.
[5] Lee FK,Tan KB,Nicholls JI.Critical bending moment of four implant-abutment interface designs[J].Int J Oral Maxillofac Implants,2010,25(4):744-751.
[6] Zipprich H,Rathe F,Pinz S,et al.Effects of screw configuration on the preload force of implant-abutment screws[J].Int J Oral Maxillofac Implants,2018,33(2):e25-e32.
[7] Xia D,Lin H,Yuan S,et al.Dynamic fatigue performance of implant-abutment assemblies with different tightening torque values[J].Biomed Mater Eng,2014,24(6):2143-2149.
[8] Gehrke SA,Shibli JA,AramburúJunior JS,et al.Effects of different torque levels on the implant-abutment interface in a conical internal connection[J].Braz Oral Res,2016,30,pii:S1806-83242016000100233.
[9] Augusto G,Barbosa S,Zar P,et al.Effect of different torque levels on the implant/abutment interface using“UCLA”castable[J].Brazjoral Sci,2005,4(15):919-922.
[10] J9rn D,Kohorst P,Besdo S,et al.Influence of lubricant on screw preload and stresses in a finite element model for a dental implant[J].J Prosthet Dent,2014,112(2):340-348.
[11] Bulaqi HA,Mousavi Mashhadi M,Safari H,et al.Dynamic nature of abutment screw retightening:finite element study of the effect of retightening on the settling effect[J].J Prosthet Dent,2015,113(5):412-419.
[12] Bacchi A,Regalin A,Bhering CL,et al.Loosening torque of Universal Abutment screws after cyclic loading:influence of tightening technique and screw coating[J].J Adv Prosthodont,2015,7(5):375-379.
[13] Lee HW,Alkumru H,Ganss B,et al.The Effect of Contamination of Implant Screws on Reverse Torque[J].Int J Oral Maxillofac Implants,2015,30(5):1054-1060.
[14]王志英,李四群,程祥荣.种植体-基台-修复体系统力学分析及疲劳寿命测定[J].武汉理工大学学报,2010,32(14):201-204.
[15] Barbosa GA,Bernardes SR,das Neves FD.Relation between implant/abutment vertical misfit and torque loss of abutment screws[J].Braz Dent J,2008,19(4):358-363.
[16]罗晨晨.不同形态牙合面固位螺钉对种植牙单冠稳定性的影响[J].中国口腔种植学杂志,2009,14(2):44-46.
[17] CoppedêAR,Faria AC,de Mattos Mda G,et al.Mechanical comparison of experimental conical-head abutment screws with conventional flat-head abutment screws for external-hex and internal tri-channel implant connections:an in vitro evaluation of loosening torque[J].Int J Oral Maxillofac Implants,2013,28(6):e321-e329.
[18] Doolabh R,Dullabh HD,Sykes LM.A comparison of preload values in gold and titanium dental implant retaining screws[J].SADJ,2014,69(7):316-320.
[19]李四群,郭华,徐东选,等.种植义齿部件松动的试验研究Ⅰ.力学模型的建立和基台螺丝疲劳寿命的测定[J].口腔医学研究,2001,17(4):259-261.
[20]Arshad M,Mahgoli H,Payaminia L.Effect of repeated screw joint closing and opening cycles and cyclic loading on abutment screw removal torque and screw thread morphology:scanning electron microscopy evaluation[J].Int J Oral Maxillofac Implants,2018,33(1):31-40.
[21] Xiao H,Yang Y,Liu Z,et al.Opinions regarding reuse or replacement of implant prosthesis retaining screws:a systematic review[J].Int J Oral Maxillofac Implants,2017,32(5):985-991.
[22] Bulaqi HA,Mousavi Mashhadi M,Geramipanah F,et al.Effect of the coefficient of friction and tightening speed on the preload induced at the dental implant complex with the finite element method[J].J Prosthet Dent,2015,113(5):405-411.
[23] Park SD,Lee Y,Kim YL,et al.Microleakage of different sealing materials in access holes of internal connection implant systems[J].J Prosthet Dent,2012,108(3):173-180.
[24] Cem S,Simel A.Correlation between microleakage and screw loosening at implant-abutment connection[J].J Adv Prosthodont,2014,6(1):35-38.
[25] Al-Otaibi HN,Akeel RF.The effects of two torque values on the screw preload of implant-supported prostheses with passive fit or misfit[J].Int J Oral Maxillofac Implants,2014,29(5):1058-1063.
[26] Assun OWG,Delben JA.Effect of vertical misfit on screw joint stability of implant-supported crowns[J].JMEP,2011,20(6):947-951.
[27] Spazzin AO,Costa AR,Correr AB,et al.Effect of bar crosssection geometry on stress distribution in overdenture-retaining system simulating horizontal misfit and bone loss[J].J Biomech,2013,46(12):2039-2044.
[28] Tsuruta K,Ayukawa Y,Matsuzaki T,et al.The influence of implant-abutment connection on the screw loosening and microleakage[J].Int J Implant Dent,2018,4(1):11.
[29] Pardal-Pelaez B,Montero J.Preload loss of abutment screws after dynamic fatigue in single implant-supported restorations.A systematic review[J].J Clin Exp Dent,2017,9(11):e1355-e1361.
[30] Yao KT,Kao HC,Cheng CK,et al.The effect of clockwise and counterclockwise twisting moments on abutment screw loosening[J].Clin Oral Implants Res,2012,23(10):1181-1186.
[31] Michalakis K,Calvani P,Muftu S,et al.The effect of different implant-abutment connection on screw joint stability[J].J Oral Implantol,2014,40(2):146-152.
[32] Chrcanovic BR,Kisch J,Albrektsson T,et al.Bruxism and dental implant treatment complications:a retrospective comparative study of 98bruxer patients and a matched group[J].Clin Oral Implants Res,2017,28(7):e1-e9.
[33] Gehrke SA,De Carvalho Serra R.Load fatigue performance of conical implant-abutment connection:effect of torque level and interface junction[J].Minerva Stomato,2015,64(1):1-7.