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Fixation of Spinal Implants : Clinical and Experimental Studies on the Effects of Hydroxyapatite CoatingSandén, Bengt January 2001 (has links)
<p>Loosening of implants is a frequent complication in orthopaedic surgery. The aim of this thesis was to evaluate hydroxyapatite coating of pedicle screws with mechanical and histological methods and to correlate the results with the radiological findings.</p><p>Hydroxyapatite (HA) coating of pedicle screws was investigated in experimental studies in sheep. Nine sheep were operated on with destabilising laminectomies at L2-L3 and L4-L5 and stabilised with pedicle screw instrumentations, where HA coated and uncoated screws were used in a randomised fashion. After both 6 and 12 weeks of implantation, the HA coated screws demonstrated a higher bone-to-implant contact and a higher amount of bone in the area close to the screw. The pull-out resistance, stiffness and total energy to failure was higher for the HA coated screws after 12 weeks of implantation.</p><p>HA coating of pedicle screws was examined in two clinical studies. In the first series, the patients were stabilised with pedicle screw instrumentations, where HA coated screws were used in either the upper or lower instrumented level in a randomised fashion. After 10-22 months of implantation, the extraction torque was markedly higher for the HA coated screws. In the second series, instrumentations with uncoated, partly HA coated or fully HA coated screws were used. After 11-16 months implantation, the extraction torques were recorded. There were significant differences between all three groups, with the lowest extraction torques for the uncoated screws and the highest torques for the fully HA coated screws. The frequency of radiolucent zones surrounding the screws was higher for the uncoated screws than for the HA coated screws.</p><p>Radiographs from both experimental and clinical studies were examined. Screws demonstrating radiolucent zones were compared to screws without zones with respect to pull-out resistance, extraction torque, bone-to-implant contact and amount of bone surrounding the screws. All these variables demonstrated higher values for the screws without radiolucent zones. The frequency of radiolucent zones surrounding uncoated screws in the clinical study was 53%.</p><p>Conclusions: Radiolucent zones are good predictors of screw loosening. The frequency of radiolucent zones is higher than previously described. Hydroxyapatite coating improves the purchase of pedicle screws and reduces the frequency of screw loosening.</p>
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Fixation of Spinal Implants : Clinical and Experimental Studies on the Effects of Hydroxyapatite CoatingSandén, Bengt January 2001 (has links)
Loosening of implants is a frequent complication in orthopaedic surgery. The aim of this thesis was to evaluate hydroxyapatite coating of pedicle screws with mechanical and histological methods and to correlate the results with the radiological findings. Hydroxyapatite (HA) coating of pedicle screws was investigated in experimental studies in sheep. Nine sheep were operated on with destabilising laminectomies at L2-L3 and L4-L5 and stabilised with pedicle screw instrumentations, where HA coated and uncoated screws were used in a randomised fashion. After both 6 and 12 weeks of implantation, the HA coated screws demonstrated a higher bone-to-implant contact and a higher amount of bone in the area close to the screw. The pull-out resistance, stiffness and total energy to failure was higher for the HA coated screws after 12 weeks of implantation. HA coating of pedicle screws was examined in two clinical studies. In the first series, the patients were stabilised with pedicle screw instrumentations, where HA coated screws were used in either the upper or lower instrumented level in a randomised fashion. After 10-22 months of implantation, the extraction torque was markedly higher for the HA coated screws. In the second series, instrumentations with uncoated, partly HA coated or fully HA coated screws were used. After 11-16 months implantation, the extraction torques were recorded. There were significant differences between all three groups, with the lowest extraction torques for the uncoated screws and the highest torques for the fully HA coated screws. The frequency of radiolucent zones surrounding the screws was higher for the uncoated screws than for the HA coated screws. Radiographs from both experimental and clinical studies were examined. Screws demonstrating radiolucent zones were compared to screws without zones with respect to pull-out resistance, extraction torque, bone-to-implant contact and amount of bone surrounding the screws. All these variables demonstrated higher values for the screws without radiolucent zones. The frequency of radiolucent zones surrounding uncoated screws in the clinical study was 53%. Conclusions: Radiolucent zones are good predictors of screw loosening. The frequency of radiolucent zones is higher than previously described. Hydroxyapatite coating improves the purchase of pedicle screws and reduces the frequency of screw loosening.
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Pagrindinio žemės dirbimo įtaka cukrinių runkelių derliui / The Influence of Main Soil Cultivation Technology on Sugar Beet YieldBartkėnas, Valdas 02 June 2011 (has links)
Tradiciškai naudojamas dirvos arimas yra daugiausia darbo reikalaujantis ir nenašiausias procesas, kuriam tenka apie 40% ir daugiau visų žemės dirbimo išlaidų. Dėl ilgalaikio žemės arimo ir nuolatinio sunkiųjų žemės ūkio mašinų naudojimo gali atsirasti gilių sukietėjusių ir tankių dirvožemio sluoksnių. Giliai purenant dirvožemį siekiama atkurti prarastas dirvožemio savybes ir išpurenti sutankėjusius dirvos sluoksnius, esančius žemiau už ariamą gylį, jų neapverčiant. Darbo tikslas buvo išanalizuoti tradicinio arimo ir gilaus purenimo įtaką dirvos fizikinėms savybėms, cukrinių runkelių morfometriniams, produktyvumo ir kokybiniams rodikliams. Atlikti tyrimai dirvos kiečio, struktūros ir patvarumo tyrimai. Padarytas dirvos pjūvis, kurio metu analizuota augalų ir dirvos būsena, taip pat nustatyti cukrinių runkelių morfometriniai rodikliai bei jų augimo priklausomybė nuo meteorologinių sąlygų. Giluminis dirvos purenimas sumažins armens sluoksnio ir podirvio kietumą bei struktūrą, taip pat pagerins cukrinių runkelių pasėlio vystymosi sąlygas, produktyvumo ir kokybinius rodiklius. / Traditionally used for plowing the soil is mostly time consuming and least efficient process, which accounts for about 40% or more of the total cultivation costs. The long standing agricultural plowing and heavy machinery use can lead to deep and hardened soil layers thick. Deep loosening of soil to restore the lost soil and loosen compacted soil layers below the depth of the arable, the an invension. The aim was to examine the traditional plowing and hoeing a deep impact on soil physical properties of sugar beet morphometric, productivity and quality indicators. The research on soil hardness and durability of the structure. Incision made in the soil, which analyzed the status of plant and soil, as well as the morphometric characteristics of sugar beet and their growing dependence on weather conditions. Deep soil loosening reduce topsoil and subsoil layer hardness and structure, as well as improve the sugar beet crop conditions for development, productivity and quality indicators.
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Optimising the performance of an oscillatory subsoilerFielke, John M January 2007 (has links)
A prototype low frequency, high amplitude, dual tine oscillating subsoiler was evaluated for deep loosening of compacted soil in Australian vineyards. The study determined the most efficient settings of frequency, amplitude and oscillation angle based on draft reduction, power saving and tractor vibrations.
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Análise do desajuste vertical e do afrouxamento de parafusos de próteses sobre implante confeccionadas pelas técnicas do cilindro cimentado ou soldado a laser / Analysis of vertical misfit and screw loosening of implant-supported prosthesis obtained by cemented cylinder or laser welding techniqueDanilo Flamini Oliveira 16 December 2013 (has links)
Este estudo avaliou próteses implantossuportadas obtidas por 2 técnicas (cilindro cimentado ou soldado a laser) e seus comportamentos no que tange à passividade e afrouxamento de parafusos. Foram confeccionadas PPFs de 3 elementos sobre 2 implantes: G1, técnica do cilindro cimentado; G2, técnica do cilindro soldado a laser (n=10). Avaliados níveis de desajuste vertical e passividade antes e após aplicação de cerâmica prensada e após ciclagem mecânica, e a perda de torque inicial dos parafusos de retenção protética antes e após fadiga. Ciclagem mecânica simulando 1 ano de função mastigatória normal (50N, 300.000 ciclos). Análises de desajuste vertical e passividade realizadas pelo método de Sheffield. Calculada % de perda de torque de inserção. Os dados de desajuste e perda de torque foram comparados estatisticamente pelo Modelo Linear de Efeitos Mistos. De modo geral, G1 apresentou níveis de desajuste vertical estatisticamente inferiores a G2 (p<0,05) nas três condições analisadas pelo teste de Sheffield, tanto antes quanto após ciclagem mecânica, atingindo valores máximos de desajuste correspondentes a: 11,94 ± 3,17μm (G1) e 48,63 ± 39,68 μm (G2), antes da ciclagem, 12,42 ± 6,19μm (G1) e 47,62 ± 35,16μm (G2), após a ciclagem, estando os parafusos parafusados. Adicionalmente, em todas as condições experimentais, a ciclagem mecânica não influenciou no desajuste de ambos os grupos (p<0,05), com exceção do molar em G1 quando analisado apertado (p<0,0001). Quando analisado G2, verificamos aumento estatisticamente significante do desajuste vertical após prensagem cerâmica para todos os elementos (p<0,0001) nos diferentes momentos avaliados, com exceção do molar quando avaliado solto, o qual apresentou desajustes semelhantes antes e após prensagem (p=0,052). Na análise de perda de torque, valores expressos em % de perda são apresentados: Pré-molar - G1- antes ciclagem: 31,04 ± 13,22%; G2- antes ciclagem: 33,97 ± 13,41% (G1 x G2 antes ciclagem: p=0,662); G1- após ciclagem: 42,36 ± 14,99%; G2- após ciclagem: 37,92 ± 9,32% (G1 x G2 após ciclagem: p=0,461). Quando analisado o pré-molar, não foram verificadas diferenças estatísticas antes e após ciclagem mecânica para ambos os grupos (G1: p=0,067; G2: p=0,423); Molar - G1- antes ciclagem: 30,77 ± 12,37%; G2- antes ciclagem: 44,37 ± 11,14% (G1 x G2 antes ciclagem: p=0,032); G1- após ciclagem: 39,28 ± 13,96%; G2- após ciclagem: 54,40 ± 26,39% (G1 x G2 após ciclagem: p=0,189). Quando analisado o molar, diferenças estatísticas também não foram identificadas antes e após ciclagem, para ambos os grupos (G1: p=0,392; G2: p=0,233). Diante dos resultados, é possível concluir que: G1 apresentou índices de desajuste vertical e passividade menores que G2, porém para ambos os grupos os desajustes estão dentro dos padrões aceitáveis pela literatura; ciclagem mecânica não promoveu alterações nos níveis de desajuste vertical e perda de torque (%) para ambos os grupos; ambas as técnicas não foram capazes de promover passividade absoluta, tendo em vista os maiores valores de desadaptação do lado solto quando comparados ao lado parafusado. / This study evaluated implant supported prostheses obtained by two techniques (cemented cylinder or laser welded cylinder) and their behavior regarding passivity and screw loosening. Three-element FPPs were made over 2 implants: G1, cemented cylinder technique, G2, laser welded cylinder technique (n=10). The levels of vertical misfit and passivity were evaluated before and after ceramic pressing, and after mechanical cycling; while loss of initial torque of prosthetic retaining screws, before and after mechanical cycling. The mechanical cycling simulated one year of normal masticatory function (50N, 300,000 cycles). Vertical misfit and passivity were analyzed by Sheffield\'s test. The percentage of torque loss was calculated. The misfit and torque loss data were statistically compared by Mixed Linear Model . Overall, G1 showed vertical misfit statistically lower than G2 (p<0.05) in the three conditions analyzed by Sheffield\'s test, before and after mechanical cycling, reaching maximum values of misfit corresponding to: 11.94 ± 3.17μm (G1) and 48.63 ± 39.68 μm (G2) before cycling; 12.42 ± 6.19μm (G1) and 47.62 ± 35.16μm (G2), after cycling, when screws were tightened. Additionally, in all experimental conditions, the mechanical cycling did not influence the misfit in both groups (p<0.05), except for the molar G1 when analyzed in the tightened condition (p<0.0001). When was analyzed G2, statistically significant increase in the vertical misfit was found after ceramic pressing for all elements (p<0.0001) for different moments, except when the molar was not tightened, which showed similar misfit before and after pressing (p=0.052). In the analysis of torque loss, values expressed as percentage of loss are presented: Pre-molar - G1- before cycling: 31.04 ± 13.22%, G2- before cycling: 33.97 ± 13.41% (G1 x G2 before cycling: p=0.662), G1- after cycling: 42.36 ± 14.99%, G2- after cycling: 37.92 ± 9.32% (G1 x G2 after cycling: p=0.461). When the pre-molar was analyzed, statistical differences before and after cycling were not found for both groups (G1: p=0.067; G2: p=0.423); Molar - G1- before cycling: 30.77 ± 12.37%; G2- before cycling: 44.37 ± 11.14% (G1 x G2 before cycling: p=0.032); G1- after cycling: 39.28 ± 13.96%; G2- after cycling: 54.40 ± 26 , 39% (G1 x G2 after cycling: p=0.189). When the molar was analyzed, statistical differences were not found before and after cycling for both groups (G1: p=0.392; G2: p=0.233). Based on these results, it is possible to conclude that: G1 showed vertical misfit and passivity smaller than G2, but for both groups, the misfits are within acceptable standards for the literature; mechanical cycling did not change the vertical misfit and torque loss (%) for both groups; both techniques were not able to promote absolute passivity, in view of the higher values of misfit when compared to the side no tightened.
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Porovnání technologií zpracování půdy při pěstování plodin v podniku zemědělské prvovýroby / Comparison of tillage technology in growing crops in the business of agricultural productionKULÍK, Jan January 2015 (has links)
When soil tillage is possible to use several technologies . In business, ZD Trhový Stepanov a.s.. the use of technology plough (plow) and minimazation (deep loosening) . For each of these types was performed characteristics of individual elements lines and were also calculated their efficiency. In another part of both technologies have been economically evaluated and then compared the cultivation of winter rapeseed and winter wheat in 2013 and 2014.
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Análise comparativa do grau de rotação de parafusos para sistema UCLA em estruturas fundidas em monobloco, soldadas com solda TIG e solda convencional / Comparative analysis of the degree of rotation of screws for UCLA system in one-piece cast structures welded with TIG and Conventional weldingRomão Adalberto de Souza Mansano 14 October 2011 (has links)
Com disseminação dos implantes osseointegrados na pratica clinica a ocorrência de complicações mecânicas tornam-se comuns, causando problemas para pacientes e profissionais. O objetivo deste estudo foi comparar o grau de rotação de parafusos de titânio (grau 5), durante testes de torque, re-torque e os valores de destorque (Ncm), sobre infra-estruturas fundidas em monobloco, soldadas com solda TIG e solda Convencional, a partir de abutments tipo UCLA com cinta usinada em Co-Cr. Um dispositivo leitor da quantidade de graus foi especialmente desenvolvido para este estudo, juntamente com um software. Seis implantes Titaniun Fix de 3,75 mm de diâmetro e 13 mm de comprimento e hexágono externo foram montados na base de um dispositivo e diretamente sobre eles foram obtidos os padrões para fundição dos corpos de prova. Para os grupos que foram submetidos a soldagem os corpos foram montados à análogos de implantes Titaniun Fix, e vazados blocos de gesso especial tipo IV (Durone) para serem seccionados e fundidos. Cada corpo de prova foi formado por dois abutments tipo UCLA com cinta em Co-Cr, interligados por uma barra acrílica. Foram obtidos 10 corpos de prova para cada grupo e 60 parafusos de titânio (Grau 5- Titaniun Fix) foram usados para os testes. Obteve-se então a medição do ângulo criado durante o aperto e re-aperto dos parafusos, sendo o re-aperto realizado após 10 minutos do aperto inicial, ambos sob torque de 30Ncm. Após o procedimento de re-aperto, o valor de destoque era imediatamente aferido e anotado em Ncm, possibilitando avaliar a quantidade de torque retido pelo parafuso após o procedimento, sendo esta seqüência realizada 3 vezes para cada corpo de prova. Sendo a análise estatística realizada para essa comparação (ANOVA) Análise de Variância a um critério de classificação, o teste Tukey, para verificar se havia diferença estatística entre os grupos. Os resultados revelaram que durante os procedimentos de torque (aperto), os parafusos empregados em infra-estruturas fundidas em monobloco apresentaram um maior grau de rotação (56,12°), quando comparados aos parafusos empregados em infra-estruturas segmentadas e fundidas separadamente soldadas com solda TIG valor médio de (43,2°) e solda Convencional com valor médio (35,7°), sendo a diferença entre os grupos estatisticamente significante em todos os grupos para o momento torque; p<0,05. Durante o momento re-torque, o ângulo formado na cabeça dos parafusos também foi sempre maior para o grupo monobloco (15,55°) , comparado aos grupos solda TIG (10,15º) e solda Convencional (9,85°) , sendo que diferença estatisticamente significante foi encontrada entre os grupos monobloco em relação aos grupos soldados, e não havendo diferença estatística entre os grupos soldados, p<0,05. Os valores médios de destorque (quantidade de torque retido durante o aperto dos parafusos) foram maiores para o grupo solda TIG (26,77Ncm) em relação aos grupos monobloco (26,55Ncm) e grupo solda Convencional (25,10Ncm) respectivamente, porém sem diferença estatisticamente significante entre os grupos. Tanto para o momento de torque quanto para o momento de re-torque, infra-estruturas do grupo Monobloco permitiram maior rotação dos parafusos dos abutments, quando comparados com os grupos Soldados. Na análise dos valores de destorque, estatisticamente os grupos foram considerados semelhantes. / With the spread of osseointegrated implants in clinical practice the incidence of mechanical complications have become common, causing problems for patients and professionals. The aim of this study was to compare the degree of rotation of titanium screws, during testing of torque, re-torque and destorque values (Ncm) in one-piece casting infrastructures, welded with TIG and Conventional welding, from UCLA strap machined Cr-Co abutments. A reader device for the number of degrees has been specially developed for this study, together with a software. Titaniun Fix implants (n=6) of 3.75mm in diameter and 13mm in length and external hexagon were mounted at the base of a device and they were obtained directly from the casting patterns of the specimens. Groups that were subjected to welding were mounted to the implant analogues, submitted to special plaster type IV (Durone) blocks. Each sample was formed by two UCLA type abutments with strap on Co-Cr, connected by an acrylic bar. It were obtained 10 specimens for each group and 60 titanium screws (Grade 5 - Titaniun Fix) were used for testing. The measurement of the angle created during tightening and re-tightening the screws, and re-grip performed 10 minutes after the initial torque, both under torque 30Ncm were obtained. After re-tightening procedure, the value of destoque was immediately measured and recorded in Ncm, to evaluate the amount of torque by the screw retained after the procedure, being this sequence performed three times for each specimen. The statistical analysis used were, analysis of variance (1 way - ANOVA) and the Tukey test to see whether there were differences between the groups. The results revealed that during the procedures of torque (tightening), the screws used in the one-piece infrastructure castings showed a higher degree of rotation (56,12°) compared to the screws used on targeted infrastructure and rendered separately welded with TIG (43,2°) and Conventional welding with a mean value (35,7°), bei ng the difference between the groups statistically significant in all groups for the torque moment (p<0.05). During the re-torque, the angle formed at the head of the screws was also always greater for the one-piece casting group (15,55°) compared to TI G welding groups (10,15°) and Conventional welding (9,85°), and significant diffe rences were found between the groups (p<0.05). The average values of destorque (retained amount of torque when tightening the screws) were higher for the TIG welding group (26,77Ncm) compared to one-piece casting groups (26,55Ncm) and Conventional welding group (25,10Ncm), respectively, however no statistically significant difference between groups were found. For both the torque and re-torque moments, one-piece infrastructure group allowed more rotation of the abutment screws when compared with the welded groups. In the analysis of destorque values, the groups were statistically similar.
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Molecular Mechanisms Leading to Interleukin-1β Release by Macrophages in Response to Wear and Corrosion Products from Metal ImplantsArchibald, Jennifer 29 May 2020 (has links)
Wear particles and ions from cobalt-chromium-molybdenum (CoCrMo)-based implants have been shown to cause adverse immune responses, including periprosthetic osteolysis leading to aseptic loosening, the main cause of implant failure. Previous studies have shown that these wear and corrosion products can lead to the release of inflammatory cytokines, including interleukin-1β (IL-1β), suggesting the involvement of the NLRP3 inflammasome. However, the mechanisms leading to IL-1β release have not been fully elucidated. The primary objectives of this thesis were to determine if, in murine macrophages, IL-1β release induced by micrometre-size CoCrMo particles and nanometre-size chromium oxide (Cr2O3) particles is: 1. Caspase-1-dependent; 2. Reduction-oxidation (redox)-dependent; and 3. NLRP3 inflammasome-dependent. Additionally, the effects of metal ions (Co2+, Cr3+, and Ni2+) on NLRP3 inflammasome activation and the effects of matrix metalloproteinase (MMP) inhibition on IL-1β release induced by CoCrMo particles were analyzed. Results showed that IL-1β release induced by CoCrMo particles was partly caspase-1-, redox-, and MMP-dependent, but NLRP3 inflammasome-independent. On the other hand, IL-1β release induced by Cr2O3 particles appeared to be NLRP3 inflammasome-dependent. Finally, IL-1β release induced by Cr3+, but not Co2+, appeared to be NLRP3 inflammasome-dependent, while Ni2+-induced IL-1β release appeared to be only partially NLRP3 inflammasome-dependent, suggesting that other pathways may also be involved. These findings, which provide additional insights into the mechanisms leading to IL-1β release induced by wear particles and ions from CoCrMo-based implants, may help the future development of therapeutic treatments to modulate wear product-induced inflammation and increase implant longevity.
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Inflammatory Pathways in the Macrophage Response to Orthopaedic Wear ParticlesFort, Brian P. January 2020 (has links)
No description available.
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Análise comparativa do grau de rotação de parafusos para sistema UCLA em estruturas fundidas em monobloco provenientes de \'abutments\' calcináveis e com cinta de Colbato-Cromo / Comparative analysis of the rotational angle degree on UCLA burnout/Cobalt-Chromium machined collar abutment screws for one-piece cast metal frameworksButignon, Luis Eduardo 21 May 2007 (has links)
Problemática: De ocorrência clínica bastante comum, o afrouxamento dos parafusos que compõe uma prótese sobre implante é uma complicação que traz transtornos tanto para o profissional quanto para o paciente. Proposição: O objetivo deste estudo foi comparar o grau de rotação de parafusos de titânio (grau 5), durante testes de torque, re-torque e os valores de destorque (Ncm), sobre infra-estruturas fundidas em monobloco, a partir de abutments tipo UCLA totalmente calcináveis e com cinta usinada em Co-Cr. Material e métodos: Um dispositivo leitor da quantidade de graus foi especialmente desenvolvido para este estudo, juntamente com um software . Dois implantes Revolution - SIN de 3,75 mm de diâmetro e 13 mm de comprimento e hexágono externo foram montados na base de um dispositivo e diretamente sobre eles foram obtidos os padrões para fundição dos corpos de prova. Cada corpo de prova foi formado por dois abutments tipo UCLA, totalmente calcináveis ou com cinta em Co-Cr, interligados por uma barra acrílica. Foram obtidos 10 corpos de prova para cada grupo e 40 parafusos de titânio (Grau 5) foram usados para os testes. Obteve-se então a medição do ângulo criado durante o aperto e re-aperto dos parafusos, sendo o re-aperto realizado após 10 minutos do aperto inicial, ambos sob torque de 30Ncm. Após o procedimento de re-aperto, o valor de destoque era imediatamente aferido e anotado em Ncm, possibilitando avaliar a quantidade de torque retido pelo parafuso após o procedimento, sendo esta seqüência realizada 3 vezes para cada corpo de prova. Análises em MEV foram realizadas nas bases de assentamento dos abutments antes e após a realização dos testes, assim como na superfície dos parafusos, a fim de se encontrar eventuais danos na microestrutura dos mesmos. O teste ?t? de student foi aplicado para uma avaliação entre os grupos e o teste ANOVA a um critério foi utilizado para análise intra-grupo. Resultados: Os resultados revelaram que durante os procedimentos de torque (aperto), os parafusos empregados em infra-estruturas obtidas a partir de abutments totalmente calcináveis apresentaram um maior grau de rotação (ensaio1: 61,664°; ensaio 2: 47,718°; ensaio 3: 47,374°), quando comparados aos parafusos empregados em infra-estruturas obtidas de abutments com cinta usinada em Co-Cr (ensaio 1: 49,038°; ensaio 2: 41,636°; ensaio 3: 43,273°), sendo a diferença entre os grupos estatisticamente significante em todos os ensaios realizados; P<0,05. Além disso, em ambos os grupos, a maior rotação dos parafusos ocorreu no primeiro aperto dos mesmos tanto durante o procedimento de torque quanto no procedimento de re-torque. Durante o re-torque, o ângulo formado na cabeça dos parafusos também foi sempre maior para o grupo Acrílico Calcinável (ensaio 1: 14,591°; ensaio 2: 12,987°; ensaio 3: 13,095°), comparado ao grupo Co-Cr (ensaio 1: 11,481°; ensaio 2: 10,117°; ensaio 3: 12,213°), sendo que diferença estatisticamente significante foi encontrada entre os ensaio 1 e 2; P<0,05. Os valores médios de destorque (quantidade de torque retido durante o aperto dos parafusos) também foram sempre maiores para o grupo Acrílico Calcinável (ensaio 1: 27,325Ncm; ensaio 2: 27,050Ncm; ensaio 3: 26,975Ncm), quando comparado ao grupo Co-Cr (ensaio 1: 26,250Ncm; ensaio 2: 26,975Ncm; ensaio 3: 26,400Ncm), porém sem diferença estatisticamente significante. As Imagens obtidas das análises em MEV demonstraram que as superfícies das bases de assentamentos do abutments obtidos a partir de abutments totalmente calcináveis apresentaram grandes irregularidades superficiais, comparadas às obtidas a partir de bases usinadas em Co-Cr, as quais apresentaram um padrão mais liso e uniforme. Quanto à análise dos parafusos, foi encontrado que as maiores deformações dos mesmos ocorrem na base de assentamento de sua cabeça no interior do abutments assim como na região da sua primeira rosca (apical). Conclusões: Tanto para o momento de torque quanto para o momento de re-torque, infra-estruturas do grupo Acrílico Calcinável permitiram maior rotação dos parafusos dos abutments, quando comparados com o grupo Co-Cr. Na análise dos valores de destorque, estatisticamente os grupos foram considerados semelhantes. Imagens em MEV, antes da realização dos testes de torque, re-torque e destorque revelaram que a base de assentamento do grupo Acrílico Calcinável apresentou aspecto mais irregular da fundição quando comparado ao grupo Co-Cr. Em ambos os grupos, partículas de titânio foram encontradas incrustadas nestas bases de assentamento após a realização desses testes, segundo dados do EDS. As imagem em MEV revelaram ainda que os parafusos se deformam principalmente na base de sua cabeça que se assenta no interior dos abutments, assim como na região da sua primeira rosca(apical). / Problem: The abutment screw loosening is a common drawback which concerns both patients and practitioners. Purpose: The aim of this study is to compare the rotational angle degree of Grade V titanium screws during torque, retorque and detorque steps (Ncm) on one-piece cast metal frameworks obtained from UCLA burnout/Co-Cr machined collar abutments. Material and methods: Two external hexagonal implants with 3.75mm in diameter and 13mm in length (Revolution, SIN) were secured to a metallic base and the wax patterns directly fabricated over them. The UCLA burnout/ Co-Cr machined collar abutments were screwed to the implants and joined together with an acrylic resin bar. Ten samples for each abutment type were fabricated. Forty Grade V titanium screws were used in the test. The rotation angle degree was measured with the aid of an specially constructed device and a computer software, during torque and retorque procedures, being the retorque made 10 minutes after the initial torque, both under 30Ncm. After the retorque procedures, the detorque values were measured. The overall sequence (torque, retorque, and detorque) was made three times for each sample. SEM analysis at the implant-abutment interfaces were made before and after the tests, as well as on the screw surfaces to detect possible microdamaging. The Student?s t test was used for between group analyses and the one-way ANOVA test for within group analyses. Results: The rotational angle degree was higher for screws used in the UCLA burnout (test 1: 61,664°; test 2: 47,718°; test 3: 47,374°) than in the Co-Cr machined collar abutments (test 1: 49,038°; test 2: 41,636°; test 3: 43,273°) (P<.05). The highest rotational degree values were observed on the first screwing during torque and retorque procedures. During retorque, the angle formed on the screw head was higher for the UCLA burnout (test 1: 14,591°; test 2: 12,987°; test 3: 13,095°) than the Co-Cr machined collar abutments (test 1: 11,481°; test 2: 10,117°; test 3: 12,213°), being these differences statistically significant between the first and second screwing (P<.05). The mean detorque values were higher in the UCLA burnout (test 1: 27,325Ncm; test 2: 27,050Ncm; test 3: 26,975Ncm) than in the Co-Cr machined collar screw abutments (test 1: 26,250Ncm; test 2: 26,975Ncm; test 3: 26,400Ncm), but not statistically significant. The SEM images demonstrated that the seating surface of the UCLA burnout abutments presented greater irregularities than the Co-Cr machined collar surfaces, which present a more smooth and flat pattern. Greater deformations were found at the seating abutment screw undersurfaces and in the first apical thread as well. Conclusions: The rotational degree was higher in the torque and retorque procedures for UCLA burnout than in the Co-Cr machined collar screw abutments. The detorque values were similar in both groups. The SEM images before torque, retorque and detorque procedures revealed more surface irregularities in the UCLA burnout abutments. In both groups, titanium debris were found in the seating abutment platforms after the tests by EDS images. The SEM images revealed that the abutment screws suffer deformation in the abutment head undersurface as well as in their first apical threads.
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