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Fatigue Resistance of Cast-on Implant Abutment Fabricated with Three Different Alloys

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Abstract Objectives  This study aimed to evaluate fatigue resistance of cast-on implant abutment using three alloys. Materials and Methods  Forty specimens of implant-supported crowns were prepared; Group 1 (TA) stock… Click to show full abstract

Abstract Objectives  This study aimed to evaluate fatigue resistance of cast-on implant abutment using three alloys. Materials and Methods  Forty specimens of implant-supported crowns were prepared; Group 1 (TA) stock titanium abutments, Group 2 (GS) abutment cast with 40% gold alloy, Group 3 (GP) abutment cast with palladium alloy, and Group 4 (CN) abutment cast with nickel–chromium alloy. Specimens were cyclic loaded at 20 Hz, starting from 200 N (5,000 cycles), followed by stepwise loading of 400, 600, 800, 1,000, 1,200, 1,400, 1,600, and 1,800 N (30,000 cycles/step). Specimens were loaded until failure or reached 245,000 cycles. Statistical Analysis  The withstand cycles were analyzed using one-way analysis of variance and Weibull survival analysis. Fracture surfaces were examined using scanning electron microscopy. Results  The results of withstand cycles were TA (189,883 ± 22,734), GS (195,028 ± 22,371), GP (187,662 ± 22,555), and CN (200,350 ± 30,851). The statistical analysis showed no significant difference between the groups ( p  = 0.673). Conclusion  Although CN has higher Weibull characteristic strength which means greater durability, its lower Weibull modulus demonstrated less structural reliability. Consistent failures at implant fixture level were also found in CN group.

Keywords: implant abutment; group; resistance cast; fatigue resistance; cast implant

Journal Title: European Journal of Dentistry
Year Published: 2022

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