Avaliação da interface de cinco sistemas de implantes e seus respectivos abutments com auxílio do método de microscopia eletrônica de varredura
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Data
2005
Autores
Fujiwara, Carlos Alberto [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
A adaptação entre a plataforma do implante e seu respectivo abutment deve ser precisa, isto é, sem nenhuma fenda, que é denominada microgap, entre as estruturas. A presença do microgap permite que microorganismos presentes na microbiota bucal migrem para o interior do implante, o que pode ocasionar problemas de natureza inflamatória e ou infecciosa, e, conseqüentemente, causar a perda do implante. Neste estudo utilizamos uma amostragem de 26 (vinte e seis) implantes e seus respectivos abutments provenientes de 5 (cinco) marcas comerciais diferentes: AS Tecnology, Conexão Sistema de Prótese, Neodent Implante Osteointegrado, Sterngold Implamed, e 3i Implant Innovation. Os abutments receberam um torque de 20Ncm. Os cortes longitudinais da interface implante/abutment foram mensurados em 6 (seis) locais com o auxílio da microscopia eletrônica de varredura. Os resultados das mensurações foram submetidos à análise estatística. Foi possível concluir que: 1) A seqüência dos grupos, em relação ao gap encontrado, do menor para o maior, foram: abutment cônico, abutment gold ucla, abutment mult unit. 2) O abutment cônico e o abutment mult unit apresentaram gaps menores que o abutment gold ucla. 3) O ponto interno apresentou gap menor em relação ao ponto médio, o qual foi menor que o ponto externo, portanto, as peças tenderam a convergir para o ponto interno.
The adaptation of the implant platform and its respective abutment must be precise, with no space denominated microgap, between the structures. The presence of a microgap allows microorganisms that are present in the buccal microbiology to migrate into the implant, what could cause inflammatory and/or infectious problems, and consequent loss of the implant. In this study, a sample of 26 (twenty six) implants and their respective abutments was taken: conic, multi unit, and the gold ucla - together with their respective fixing screws. The abutments received a manual torque of 20Ncm. After the manual preparation, the interface implant/abutment longitudinal cuts were measured on 6 (six) different points through an Scanning Electron Microscope (SEM). The results of such measurements were statistically analyzed, and according to the experimental conditions of this study, was possible to conclude: 1) The sequential groups of implants/abutments, in relation to the gap found, from the smaller to the biggest, were: a) conic abutment , b) gold ucla abutment , c) multi unit abutment. 2) The conic and the multi unit abutments showed smaller gaps than the gold ucla abutments. 3) The internal point showed a smaller gap than the middle point, and the middle point, in return, also showed a smaller gap in relation to the external point; therefore, the pieces tended to converge to the internal point.
The adaptation of the implant platform and its respective abutment must be precise, with no space denominated microgap, between the structures. The presence of a microgap allows microorganisms that are present in the buccal microbiology to migrate into the implant, what could cause inflammatory and/or infectious problems, and consequent loss of the implant. In this study, a sample of 26 (twenty six) implants and their respective abutments was taken: conic, multi unit, and the gold ucla - together with their respective fixing screws. The abutments received a manual torque of 20Ncm. After the manual preparation, the interface implant/abutment longitudinal cuts were measured on 6 (six) different points through an Scanning Electron Microscope (SEM). The results of such measurements were statistically analyzed, and according to the experimental conditions of this study, was possible to conclude: 1) The sequential groups of implants/abutments, in relation to the gap found, from the smaller to the biggest, were: a) conic abutment , b) gold ucla abutment , c) multi unit abutment. 2) The conic and the multi unit abutments showed smaller gaps than the gold ucla abutments. 3) The internal point showed a smaller gap than the middle point, and the middle point, in return, also showed a smaller gap in relation to the external point; therefore, the pieces tended to converge to the internal point.
Descrição
Palavras-chave
Implantes dentários osseointegrados, Microscopia eletronica de varredura, Infiltração, Implante dentário, Abutment
Como citar
FUJIWARA, Carlos Alberto. Avaliação da interface de cinco sistemas de implantes e seus respectivos abutments com auxílio do método de microscopia eletrônica de varredura. 2005. 125 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Odontologia de Araçatuba, 2005.