Resumo A falta de passividade tem sido associada a problemas biomecânicos em próteses implantossuportadas. A proposta deste estudo foi avaliar, por meio da fotoelasticidade, a influência de três diferentes de fabricação de infraestrutura em liga de Co-Cr na passividade destas. O modelo foi obtido a partir de uma matriz de aço simulando uma mandíbula edêntula com 4 análogos de implantes de hexágono externo com plataforma padrão. Neste modelo, foram confeccionados cinco amostras para cada grupo: infraestruturas em monobloco, infraestruturas soldadas a laser e soldadas a TIG. O modelo fotoelástico foi feito com uma resina epóxi flexível (GIII, Polipox Industria e Comercio Ltda.). Na análise fotoelástica, as infraestruturas foram aparafusadas no modelo para a verificação da tensão de cisalhante máxima em 34 pontos selecionados ao redor dos implantes e 5 pontos na região média do modelo. Foram comparadas as tensões em todo o modelo fotoelástico, entre as regiões direita, esquerda e centro e também entre as regiões cervical e apical. Os valores foram submetidos à análise de variância a dois critérios, seguido pelo teste de Tukey (α=0,05). Os resultados não mostraram diferença significativa entre as tensões presentes nos grupos e nas áreas estudadas. Conclui-seque as tensões geradas ao redor dos implantes foram semelhantes entre as diferentes técnicas de confecção e entre todas as regiões analisadas.

Lack of passivity has been associated with biomechanical problems in implant-supported prosthesis. The aim of this study was to evaluate the passivity of three techniques to fabricate an implant framework from a Co-Cr alloy by photoelasticity. The model was obtained from a steel die simulating an edentulous mandible with 4 external hexagon analog implants with a standard platform. On this model, five frameworks were fabricated for each group: a monoblock framework (control), laser and TIG welding frameworks. The photoelastic model was made from a flexible epoxy resin. On the photoelastic analysis, the frameworks were bolted onto the model for the verification of maximum shear stress at 34 selected points around the implants and 5 points in the middle of the model. The stresses were compared all over the photoelastic model, between the right, left, and center regions and between the cervical and apical regions. The values were subjected to two-way ANOVA, and Tukey's test (α=0.05). There was no significant difference among the groups and studied areas (p>0.05). It was concluded that the stresses generated around the implants were similar for all techniques.

OBJECTIVES: This study evaluated the microleakage at the implant/abutment interface of external hexagon (eH) implants and abutments with different amounts of bacteria and tightening torques. MATERIAL AND METHODS: A bacterial suspension was prepared to inoculate the implants. The first phase of this study used nine EH implants and abutments that were divided into three groups with different amounts of bacterial suspension (n=3): V0.5: 0.5 µL; V1.0: 1.0 µL e V1.5: 1.5 µL, and tightened to the manufacturer's recommended torque. The second phase of this experiment used 27 assemblies that were similar to those used in the first phase. These samples were inoculated with 0.5 µL of bacterial suspension and divided into three groups (n=9). T10: 10 Ncm; T20: 20 Ncm and T32: 32 Ncm. The samples were evaluated according to the turbidity of the broth every 24 hours for 14 days, and the bacteria viability was tested after that period. The statistical evaluation was conducted by Kruskal-Wallis testing (p<.05). RESULTS: During the first phase, groups V1.0 and V1.5 was presented with bacterial contamination in all samples after 24 h. During the second phase, two samples from group T10 and one from T20 presented positive results for bacterial contamination. Different amounts of bacterial solution led to overflow and contamination during the first 24 h of the experiment. The tightening torques did not statistically affect the microleakage in the assemblies. However, the group that was tightened to 32 Ncm torque did not show any bacterial contamination. CONCLUSION: After 14 days of experimentation, the bacteria were proven to remain viable inside the implant internal cavity.

Widely used in dentistry, Ti-6Al-4V alloy is difficult to cast and solder, as it frequently exhibits pores inside the structure. This study was conducted to evaluate the effect of joint openings and diameters of laser-welded joints executed in Ti-6Al-4V structures on the presence of pores as checked by radiographic procedures. Sixty dumbbell rods with central diameters of 1.5, 2.0 and 3.5 mm were created from Ti-6Al-4V-wrought bars. Specimens were sectioned and welded using two joint openings (0.0 and 0.6 mm). The combination of variables created six groups (n = 10). Laser welding was executed using 360V/8ms (1.5 and 2.0 mm) and 380V/9ms (3.5 mm), with the focus and frequency set to zero. The joints were finished, polished and submitted to radiographic examination. The radiographs were visually examined for the presence of pores in the joints, qualitatively. The percentage of radiographic presence of pores was calculated without counting pores per joint. Data were analyzed using a chi-square test (α = 0.05). For the 1.5-mm specimens, the incidence of pore presence was significantly higher (p = 0.0001) when using 0.6-mm joint openings (40%) compared to 0.0-mm openings (0%). For the 2.0-mm specimens, there was no significant difference between groups (p = 0.2008). However, for the 3.5-mm specimens, the incidence of pore presence was lower (p = 0.0061) for 0.6-mm openings (50%) compared to 0.0-mm openings (70%). Therefore, laser welding of Ti-6Al-4V structures with thin diameters provides the best condition for the juxtaposition of the parts.

Este estudo avaliou a influência do retorque no Ta dos parafusos protéticos em próteses implantossuportadas com diferentes níveis de adaptação. Foram confeccionadas 10 próteses mandibulares implantossuportadas. Vinte modelos de gesso foram fabricados utilizando as estruturas protéticas para criar os 2 níveis de adaptação: adaptação passiva (AP) e desajuste (D). Foram avaliadas 2 técnicas de aperto do parafuso: inicial torque (T1); e inicial torque e retorque após 10 min (T2). Foram usados parafusos de ouro e titânio, resultando em 4 grupos para cada material do parafuso: AP/T1, AP/T2, D/T1, D/T2. O Ta foi mensurado 24 h após o torque de aperto utilizando torquímetro digital. Os resultados foram analisados pela ANOVA (2 fatores) e teste de Tukey (α=0,05), separadamente para cada material dos parafusos. Para os parafusos de titânio, não foi encontrada diferença estatística significante entre AP/T1 e AP/T2, ou AP/T2 e D/T2; porém, diferença significante foi encontrada entre AP/T1 e D/T1, ou D/T1 e D/T2. Onde, D reduziu a Ta utilizando T1; e T2 aumentou o Ta para D. Retorque e adaptação não apresentaram influência significante no Ta dos parafusos de ouro. A aplicação do retorque tornou insignificante o efeito do desajuste no Ta dos parafusos de titânio, sugerindo que este procedimento deveria ser usado rotineiramente durante os parafusos protéticos de titânio em próteses múltiplas.

This study evaluated the influence of retorque on loosening torque (Lt) of prosthetic screws in implant-supported dentures with different fit levels. Ten mandibular implant-supported dentures were fabricated and then 20 cast models were then prepared using prosthetic structures to create 2 fit levels: passive fit (Pf) and misfit (Mf). Two tightening techniques were also evaluated: initial torque only (T1); and initial torque and retorque after 10 min (T2). Gold or titanium screws were used, resulting in 4 groups to each one: Pf/T1, Pf/T2, Mf/T1, Mf/T2. The Lt was measured 24 h after the tightening torque using digital torque meter. Data were analyzed statistically by two-way ANOVA and Tukey's test (α=0.05), separately for each screw material. For titanium screws, no significant difference (p>0.05) was found between Pf/T1 and Pf/T2, or between Pf/T2 and Mf/T2. However, statistically significant difference (p<0.05) was found between Pf/T1 and Mf/T1, and between Mf/T1 and Mf/T2. Mf reduced the Lt using T1, while and T2 increased the Lt for Mf. Retorque and fit were shown to have no significant influence on the Lt of the gold screws. Retorque application made insignificant the misfit effect on the Lt of the titanium screws, suggesting that this procedure should be performed routinely during the screw tightening in multi-unit dentures.

O objetivo deste estudo foi avaliar o efeito de tratamentos térmicos na dureza Vickers do titânio comercialmente puro e da liga Ti-6Al-4V. Corpos-de-prova cilíndricos com 6 mm de diâmetro foram fundidos no sistema Rematitan. Os corpos-de-prova de titânio comercialmente puro e da liga Ti-6Al-4V foram divididos aleatoriamente em 3 grupos (n=10): controle (sem tratamento térmico); tratamento 1 (T1): aquecido a 750ºC por 2 h; tratamento 2 (T2): aquecido a 955ºC por 1 h e envelhecido a 620ºC por 2 h. Após os tratamentos térmicos, os corpos-de-prova foram incluídos em resina acrílica, a superfície foi regularizada e polida, e a dureza foi mensurada. As médias de dureza Vickers (VHN) e os desvios padrão foram analisados estatisticamente usando o teste de Kruskal-Wallis com nível de significância a 5%. Para o titânio comercialmente puro, a média de dureza do grupo T2 (259,90 VHN) foi significativamente maior que os outros grupos (controle-200,26 VHN e T1-202,23 VHN) (p<0,05), que apresentaram valores médios similares (p>0,05). Para a liga Ti-6Al-4V, diferenças estatisticamente significantes foram observadas entre os três grupos: T2 (369,08 VHN), T1 (351,94 VHN) e controle (340,51 VHN) (p<0,05). Os resultados demonstraram diferente comportamento de dureza do titânio comercialmente puro e da liga Ti-6Al-4V quando diferentes tratamentos foram usados. Para o titânio comercialmente puro, a média de VHN grupo T2 foi consideravelmente maior que as médias dos grupos controle e T1, os quais demonstraram médias similares entre si. Para a liga Ti-6Al-4V, entretanto, a média de VHN registrada para cada grupo pode ser apresentada da seguinte maneira: T2>T1>controle.

The purpose of this study was to evaluate the effect of heat treatments on the Vickers hardness of commercially pure titanium and Ti-6Al-4V castalloys. Six-millimeter-diameter cylindrical specimens were cast in a Rematitan System. Commercially pure titanium and Ti-6Al-4V alloy specimens were randomly assigned to 3 groups (n=10) that received the following heat treatments: control (no heat treatment); treatment 1 (T1): heating at 750ºC for 2 h; and treatment 2 (T2): annealing at 955ºC for 1 h and aging at 620ºC for 2 h. After heat treatments, the specimens were embedded in acrylic resin and their surface was ground and polished and hardness was measured. Vickers hardness means (VHN) and standard deviations were analyzed statistically by Kruskal-Wallis test at 5% significance level. For commercially pure titanium, Vickers hardness means of group T2 (259.90 VHN) was significantly higher than those of the other groups (control - 200.26 VHN and T1 - 202.23 VHN), which presented similar hardness means to each other (p>0.05). For Ti-6Al-4V alloy, statistically significant differences were observed among the three groups: T2 (369.08 VHN), T1 (351.94 VHN) and control (340.51 VHN) (p<0.05). The results demonstrated different hardness of CP Ti and Ti-6Al-4V when different heat treatments were used. For CP Ti, VHN means of T2 group was remarkably higher than those of control and T1 group, which showed similar VHN means to each other. For Ti-6Al-4V alloy, however, VHN means recorded for each group may be presented as follows: T2>T1>control.