Influence of Different Maintenance Times of Torque Application on the Removal Torque Values to Loosen the Prosthetic Abutment Screws of External Hexagon Implants

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Sella G. C., Lopes Pereira Neto A. R., Maziero Volpato C. A., de Vasconcellos D. K., Pekkan G., Oezcan M.

IMPLANT DENTISTRY, vol.22, no.5, pp.534-539, 2013 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 22 Issue: 5
  • Publication Date: 2013
  • Doi Number: 10.1097/id.0b013e31829e548d
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.534-539
  • Kütahya Health Sciences University Affiliated: No


Purpose:To analyze the torque application on prosthetic abutment screws using different maintenance times, to determine an influence on the removal torque values.Materials and Methods:A total of 40 external hexagon implants, 40 titanium screws, and 40 customized abutments were used. In group 1, the screws received a torque of 30 Ncm by instant torque application; in groups 2, 3, and 4, torque of 30 Ncm was applied and maintained for 10, 20, and 30 seconds, respectively. Removal torque was performed 10 minutes after torque application. Data were statistically analyzed using 1-way ANOVA and Tukey HSD test ( = 0.05).Results:The mean and standard deviation (SD) of removal torque values found were 11.61 +/- 1.43 Ncm for group 1; 18.64 +/- 1.71 Ncm for group 2; 21.62 +/- 0.97 Ncm for group 3; and 21.48 +/- 1.55 Ncm for group 4. Groups 3 and 4 exhibited statistically higher values than group 2, which demonstrated significantly higher values than group 1 (P < 0.05).Conclusions:A torque of 30 Ncm applied for 20 seconds seemed to be the best option when considering the removal torque values of external hexagon implants.