Impact of Diamond-like Carbon Films on Reverse Torque: Superior Performance in Implant Abutments with Internal Conical Connections
Abstract
:1. Introduction
- There is no influence of the presence of films on reverse torque after mechanical cycling. Reverse torque is a critical parameter in assessing the long-term stability of dental implants, as it reflects the ability of the abutment to resist loosening under functional loads. By testing this null hypothesis, the study aimed to determine whether the application of nanofilms introduces any beneficial or detrimental effects on reverse torque, which could influence clinical outcomes.
- DLC coating does not present different mechanical behavior compared to silver nanoparticle-doped DLC coating. This hypothesis was formulated to compare the mechanical performance of two different types of coatings: pure DLC and silver-doped DLC. Silver doping is known for its antimicrobial properties, but it is important to evaluate whether adding silver nanoparticles affects the mechanical integrity of the coating, particularly in terms of reverse torque after mechanical cycling. By examining this hypothesis, this study sought to clarify whether silver doping compromises the mechanical benefits of DLC or enhances them without negatively impacting reverse torque stability.
- The DLC films do not interfere with reverse torque regardless of abutment wall angulations (8° and 11°). The angulation of the abutment walls can influence the mechanical interaction between the abutment and the implant, potentially affecting the distribution of stresses and the overall stability of the connection. This hypothesis was crucial to determine whether the mechanical benefits or potential drawbacks of DLC films are consistent across different abutment designs, or if they are dependent on specific geometric factors.
2. Materials and Methods
2.1. Samples
2.2. Film Deposition and Abutments Installation
2.3. Mechanical Cycling and Reverse Torque Analysis
2.4. Morphological Analysis of Abutments Adaptation
2.5. Characterization of Films
2.6. Statistical Analysis
3. Results
Morphological Analysis of Abutment Adaptation
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Ceruso, F.M.; Barnaba, P.; Mazzoleni, S.; Ottria, L.; Gargari, M.; Zuccon, A.; Bruno, G.; Di Fiore, A. Implant-Abutment Connections on Single Crowns: A Systematic Review. Oral. Implantol. 2017, 10, 349–353. [Google Scholar] [CrossRef]
- Bagegni, A.; Spies, B.C.; Kern, M.; Hazard, D.; Kohal, R. The Influence of Prosthetic Crown Height and Implant-Abutment Connection Design Selection on the Long-Term Implant-Abutment Stability: A Laboratory Study. J. Mech. Behav. Biomed. Mater. 2021, 113, 104095. [Google Scholar] [CrossRef]
- Passos, S.P.; Gressler May, L.; Faria, R.; Özcan, M.; Bottino, M.A. Implant-Abutment Gap versus Microbial Colonization: Clinical Significance Based on a Literature Review. J. Biomed. Mater. Res. Part B Appl. Biomater. 2013, 101, 1321–1328. [Google Scholar] [CrossRef]
- Gois Filho, D.M.; de Gois-Santos, V.T.; Silva, R.S.; Marqueti, A.C.; Cortes, A.R.G.; Trento, C.L. Evaluation of Sealing between Abutment and Inner Connection of Cone Morse Dental Implant. Clin. Lab. Res. Dent. 2018, 2018, 1–6. [Google Scholar] [CrossRef]
- Kim, B.J.; Yeo, I.S.; Lee, J.H.; Kim, S.K.; Heo, S.J.; Koak, J.Y. The effect of screw length on fracture load and abutment strain in dental implants with external abutment connections. Int. J. Oral Maxillofac. Implant. 2012, 27, 820–823. [Google Scholar]
- Jo, J.Y.; Yang, D.S.; Huh, J.B.; Heo, J.C.; Yun, M.J.; Jeong, C.M. Influence of Abutment Materials on the Implant-Abutment Joint Stability in Internal Conical Connection Type Implant Systems. J. Adv. Prosthodont. 2014, 6, 491–497. [Google Scholar] [CrossRef] [PubMed]
- Jörn, D.; Kohorst, P.; Besdo, S.; Rücker, M.; Stiesch, M.; Borchers, L. Influence of Lubricant on Screw Preload and Stresses in a Finite Element Model for a Dental Implant. J. Prosthet. Dent. 2014, 112, 340–348. [Google Scholar] [CrossRef]
- dos Santos, M.V.; Elias, C.N.; Cavalcanti Lima, J.H. The Effects of Superficial Roughness and Design on the Primary Stability of Dental Implants. Clin. Implant. Dent. Relat. Res. 2011, 13, 215–223. [Google Scholar] [CrossRef]
- Mangano, C.; Mangano, F.; Piattelli, A.; Iezzi, G.; Mangano, A.; La Colla, L. Prospective Clinical Evaluation of 1920 Morse Taper Connection Implants: Results after 4 Years of Functional Loading. Clin. Oral Implant. Res. 2009, 20, 254–261. [Google Scholar] [CrossRef] [PubMed]
- Stüker, R.A.; Teixeira, E.R.; Beck, J.C.P.; Da Costa, N.P. Preload and Torque Removal Evaluation of Three Different Abutment Screws for Single Standing Implant Restorations. J. Appl. Oral Sci. 2008, 16, 55–58. [Google Scholar] [CrossRef]
- Winkler, S.; Ring, K.; Ring, J.D.; Boberick, K.G. Implant Screw Mechanics and the Settling Effect: An Overview. J. Oral Implant. 2003, 29, 242–245. [Google Scholar] [CrossRef]
- Al Jabbari, Y.S.; Fournelle, R.; Ziebert, G.; Toth, J.; Iacopino, A.M. Mechanical Behavior and Failure Analysis of Prosthetic Retaining Screws after Long-Term Use In Vivo. Part 1: Characterization of Adhesive Wear and Structure of Retaining Screws. J. Prosthodont. 2008, 17, 168–180. [Google Scholar] [CrossRef] [PubMed]
- Cerutti-Kopplin, D.; Rodrigues Neto, D.J.; Lins Do Valle, A.; Pereira, J.R. Influence of Reverse Torque Values in Abutments with or without Internal Hexagon Indexes. J. Prosthet. Dent. 2014, 112, 824–827. [Google Scholar] [CrossRef] [PubMed]
- Cerutti-Kopplin, D.; Rodrigues Neto, D.J.; Do Valle, A.L.; Pereira, J.R.; Pinho, L.G.N.D. Reverse Torque Values in Indexed Abutments. J. Res. Dent. 2013, 1, 192. [Google Scholar] [CrossRef]
- Martins, C.M.; Ramos, E.V.; Kreve, S.; de Carvalho, G.A.P.; Franco, A.B.G.; de Macedo, L.G.S.; Silva, A.D.M.; Dias, S.C. Reverse Torque Evaluation in Indexed and Nonindexed Abutments of Morse Taper Implants in a Mechanical Fatigue Test. Dent. Res. J. 2019, 16, 110–116. [Google Scholar] [CrossRef]
- Carr, A.B.; Larsen, P.E.; Papazoglou, E.; McGlumphy, E. Reverse torque failure of screw-shaped implants in baboons: Baseline data for abutment torque application. Int. J. Oral Maxillofac. Implant. 1995, 10, 167–174. [Google Scholar]
- Watabe, T.; Amanov, A.; Tsuboi, R.; Sasaki, S. Friction and Fretting Wear Characteristics of Different Diamond-like Carbon Coatings against Alumina in Water-Lubricated Fretting Conditions. J. Nanosci. Nanotechnol. 2013, 13, 8167–8175. [Google Scholar] [CrossRef]
- Malisz, K.; Świeczko-Żurek, B.; Sionkowska, A. Preparation and Characterization of Diamond-like Carbon Coatings for Biomedical Applications—A Review. Materials 2023, 16, 3420. [Google Scholar] [CrossRef]
- Peng, Y.; Peng, J.; Wang, Z.; Xiao, Y.; Qiu, X. Diamond-like Carbon Coatings in the Biomedical Field: Properties, Applications and Future Development. Coatings 2022, 12, 1088. [Google Scholar] [CrossRef]
- Xuereb, M.; Camilleri, J.; Attard, N. Systematic Review of Current Dental Implant Coating Materials and Novel Coating Techniques. Int. J. Prosthodont. 2015, 28, 51–59. [Google Scholar] [CrossRef]
- del Castillo, R.; Chochlidakis, K.; Galindo-Moreno, P.; Ercoli, C. Titanium Nitride Coated Implant Abutments: From Technical Aspects And Soft Tissue Biocompatibility to Clinical Applications. A Literature Review. J. Prosthodont. 2022, 31, 571–578. [Google Scholar] [CrossRef] [PubMed]
- Schwarz, F.P.; Hauser-Gerspach, I.; Waltimo, T.; Stritzker, B. Antibacterial Properties of Silver Containing Diamond like Carbon Coatings Produced by Ion Induced Polymer Densification. Surf. Coat. Technol. 2011, 205, 4850–4854. [Google Scholar] [CrossRef]
- Odatsu, T.; Kuroshima, S.; Sato, M.; Takase, K.; Valanezhad, A.; Naito, M.; Sawase, T. Antibacterial Properties of Nano-Ag Coating on Healing Abutment: An in Vitro and Clinical Study. Antibiotics 2020, 9, 347. [Google Scholar] [CrossRef]
- Marciano, F.R.; Bonetti, L.F.; Santos, L.V.; Da-Silva, N.S.; Corat, E.J.; Trava-Airoldi, V.J. Antibacterial Activity of DLC and Ag–DLC Films Produced by PECVD Technique. Diam. Relat. Mater. 2009, 18, 1010–1014. [Google Scholar] [CrossRef]
- Aguirrebeitia, J.; Abasolo, M.; Vallejo, J.; Ansola, R. Dental Implants with Conical Implant-Abutment Interface: Influence of the Conical Angle Difference on the Mechanical Behavior of the Implant. Int. J. Oral Maxillofac. Implant. 2013, 28, e72–e82. [Google Scholar] [CrossRef]
- Tang, C.L.; Zhao, S.K.; Huang, C. Features and Advances of Morse Taper Connection in Oral Implant. Chin. J. Stomatol. 2017, 52, 59–62. [Google Scholar] [CrossRef]
- Wang, K.; Geng, J.; Jones, D.; Xu, W. Comparison of the Fracture Resistance of Dental Implants with Different Abutment Taper Angles. Mater. Sci. Eng. C Mater. Biol. Appl. 2016, 63, 164–171. [Google Scholar] [CrossRef]
- Ozdiler, A.; Bakir-Topcuoglu, N.; Kulekci, G.; Isik-Ozkol, G. Effects of Taper Angle and Sealant Agents on Bacterial Leakage Along the Implant-Abutment Interface: An In Vitro Study Under Loaded Conditions. Int. J. Oral Maxillofac. Implant. 2018, 33, 1071–1077. [Google Scholar] [CrossRef]
- Schauer, J.C.; Winter, J. Plasma Deposition of Elastic Wear Resistant Si-C Coatings on Nickel-Titanium for Biomedical Applications. J. Appl. Phys. 2008, 103, 113302. [Google Scholar] [CrossRef]
- de Figueiredo, V.M.G.; de Silva, A.D.M.; Massi, M.; Sobrinho, A.S.D.S.; de Queiroz, J.R.C.; Machado, J.P.B.; Do Prado, R.F.; Junior, L.N. Effect of the Nanofilm-Coated Zirconia Ceramic on Resin Cement Bond Strength. J. Dent. Res. Dent. Clin. Dent. Prospect. 2022, 16, 170–178. [Google Scholar] [CrossRef]
- Molly, L.; Molly, L. Bone Density and Primary Stability in Implant Therapy. Clin. Oral Implant. Res. 2006, 17, 124–135. [Google Scholar] [CrossRef]
- Turkyilmaz, I.; Tözüm, T.F.; Tumer, C. Bone Density Assessments of Oral Implant Sites Using Computerized Tomography. J. Oral Rehabil. 2007, 34, 267–272. [Google Scholar] [CrossRef] [PubMed]
- Di Stefano, D.A.; Arosio, P.; Pagnutti, S.; Vinci, R.; Gherlone, E.F. Distribution of Trabecular Bone Density in the Maxilla and Mandible. Implant. Dent. 2019, 28, 340–348. [Google Scholar] [CrossRef]
- Venkatakrishnan, C.J.; Bhuminathan, S.; Chandran, C.A.R. Dental Implant Insertion Torque and Bone Density—Short Review. Biomed. Pharmacol. J. 2017, 10, 1305–1309. [Google Scholar] [CrossRef]
- Maló, P.; Lopes, A.; de Araújo Nobre, M.; Ferro, A. Immediate Function Dental Implants Inserted with Less than 30 N·cm of Torque in Full-Arch Maxillary Rehabilitations Using the All-on-4 Concept: Retrospective Study. Int. J. Oral Maxillofac. Surg. 2018, 47, 1079–1085. [Google Scholar] [CrossRef]
- Lemos, C.A.A.; Verri, F.R.; de Oliveira Neto, O.B.; Cruz, R.S.; Luna Gomes, J.M.; da Silva Casado, B.G.; Pellizzer, E.P. Clinical Effect of the High Insertion Torque on Dental Implants: A Systematic Review and Meta-Analysis. J. Prosthet. Dent. 2021, 126, 490–496. [Google Scholar] [CrossRef]
- Björling, M.; Larsson, R.; Marklund, P. The Effect of DLC Coating Thickness on Elstohydrodynamic Friction. Tribol. Lett. 2014, 55, 353–362. [Google Scholar] [CrossRef]
- Ozkomur, A.; Erbil, M.; Akova, T. Diamondlike Carbon Coating as a Galvanic Corrosion Barrier between Dental Implant Abutments and Nickel-Chromium Superstructures. Int. J. Oral Maxillofac. Implant. 2013, 28, 1037–1047. [Google Scholar] [CrossRef]
- Bordin, D.; Coelho, P.G.; Bergamo, E.T.P.; Bonfante, E.A.; Witek, L.; Del Bel Cury, A.A. The Effect of DLC-Coating Deposition Method on the Reliability and Mechanical Properties of Abutment’s Screws. Dent. Mater. 2018, 34, e128–e137. [Google Scholar] [CrossRef]
- Cannizzaro, G.; Leone, M.; Torchio, C.; Viola, P.; Esposito, M. Immediate versus Early Loading of 7-Mm-Long Flapless-Placed Single Implants: A Split-Mouth Randomised Controlled Clinical Trial. Eur. J. Oral Implant. 2008, 1, 277–292. [Google Scholar]
- Ottoni, J.M.P.; Oliveira, Z.F.L.; Mansini, R.; Cabral, A.M. Correlation between Placement Torque and Survival of Single-Tooth Implants. Int. J. Oral Maxillofac. Implant. 2005, 20, 769–776. [Google Scholar]
- Karl, M.; Kelly, J.R. Influence of Loading Frequency on Implant Failure under Cyclic Fatigue Conditions. Dent. Mater. 2009, 25, 1426–1432. [Google Scholar] [CrossRef]
- Lee, C.K.; Karl, M.; Kelly, J.R. Evaluation of Test Protocol Variables for Dental Implant Fatigue Research. Dent. Mater. 2009, 25, 1419–1425. [Google Scholar] [CrossRef]
- Colpak, E.D.; Gumus, H.O. Effect of Surface Modifications of Abutment Screws on Reverse Torque Values: An In Vitro Study. Int. J. Prosthodont. 2020, 33, 401–409. [Google Scholar] [CrossRef]
- Rosentritt, M.; Behr, M.; Gebhard, R.; Handel, G. Influence of Stress Simulation Parameters on the Fracture Strength of All-Ceramic Fixed-Partial Dentures. Dent. Mater. 2006, 22, 176–182. [Google Scholar] [CrossRef] [PubMed]
- Corazza, P.H.; De Moura Silva, A.; Cavalcanti Queiroz, J.R.; Salazar Marocho, S.M.; Bottino, M.A.; Massi, M.; Rodrigo, R.O. Carbon Film Coating of Abutment Surfaces: Effect on the Abutment Screw Removal Torque. Implant. Dent. 2014, 23, 434–438. [Google Scholar] [CrossRef]
- Gehrke, S.A.; Carvalho Serra, R.D. Load Fatigue Performance of Conical Implant-Abutment Connection: Effect of Torque Level and Interface Junction. Minerva Stomatol. 2015, 64, 1–7. [Google Scholar]
- Thomé, G.; Gomes, A.; de Moura, M.; Beng, C.; Trojan, L. Evaluation of the Mechanical Reliability of Different Implant-Abutment Connections for Single Crowns According to the ISO 14801 Fatigue Test Protocol. Int. J. Oral Maxillofac. Implant. 2021, 36, 47–54. [Google Scholar] [CrossRef] [PubMed]
- Park, I.S.; Won, S.Y.; Bae, T.S.; Song, K.Y.; Park, C.W.; Eom, T.G.; Jeong, C.M. Fatigue Characteristics of Five Types of Implant-Abutment Joint Designs. Met. Mater. Int. 2008, 14, 133–138. [Google Scholar] [CrossRef]
- Lepesqueur, L.; Figueiredo, V.; Ferreira, L.; Sobrinho, A.; Massi, M.; Bottino, M.; Nogueira Junior, L. Coating Dental Implant Abutment Screws with Diamondlike Carbon Doped with Diamond Nanoparticles: The Effect on Maintaining Torque After Mechanical Cycling. Int. J. Oral. Maxillofac. Implant. 2015, 30, 1310–1316. [Google Scholar] [CrossRef]
- Bacchi, A.; Regalin, A.; Brilhante Bhering, C.L.; Alessandretti, R.; Spazzin, A.O. Loosening Torque of Universal Abutment Screws after Cyclic Loading: Influence of Tightening Technique and Screw Coating. J. Adv. Prosthodont. 2015, 7, 375–379. [Google Scholar] [CrossRef]
- Jiménez-Melendo, M.; Llena-Blasco, O.; Bruguera, A.; Llena-Blasco, J.; Yáñez-Vico, R.M.; García-Calderón, M.; Vaquero-Aguilar, C.; Velázquez-Cayón, R.; Gutiérrez-Pérez, J.L.; Torres-Lagares, D. Mechanical Behavior of Single-Layer Ceramized Zirconia Abutments for Dental Implant Prosthetic Rehabilitation. J. Clin. Exp. Dent. 2014, 6, e485–e490. [Google Scholar] [CrossRef] [PubMed]
- Basílio, M.d.A.; Butignon, L.E.; Arioli Filho, J.N. Effectiveness of Screw Surface Coating on the Stability of Zirconia Abutments after Cyclic Loading. Int. J. Oral Maxillofac. Implant. 2012, 27, 1061–1067. [Google Scholar]
- Kim, S.K.; Lee, J.B.; Koak, J.Y.; Heo, S.J.; Lee, K.R.; Cho, L.R.; Lee, S.S. An Abutment Screw Loosening Study of a Diamond Like Carbon-Coated CP Titanium Implant. J. Oral Rehabil. 2005, 32, 346–350. [Google Scholar] [CrossRef] [PubMed]
- Silva, D.; Dziedzic, M.; Nhata, J.; Jamcoski, V.H.; Dziedzic, M. Assessment of Preload in Carbon Coated Prosthetic Screws. RSBO 2012, 9, 137–142. [Google Scholar]
- Bulaqi, H.A.; Mousavi Mashhadi, M.; Safari, H.; Samandari, M.M.; Geramipanah, F. Dynamic nature of abutment screw retightening: Finite element study of the effect of retightening on the settling effect. J. Prosthet. Dent. 2015, 113, 412–419. [Google Scholar] [CrossRef]
- Love, C.A.; Cook, R.B.; Harvey, T.J.; Dearnley, P.A.; Wood, R.J.K. Diamond like Carbon Coatings for Potential Application in Biological Implants—A Review. Tribol. Int. 2013, 63, 141–150. [Google Scholar] [CrossRef]
- Fu, J.H.; Wang, H.L. Breaking the Wave of Peri-Implantitis. Periodontology 2000 2020, 84, 145–160. [Google Scholar] [CrossRef]
- Berglundh, T.; Armitage, G.; Araujo, M.G.; Avila-Ortiz, G.; Blanco, J.; Camargo, P.M.; Chen, S.; Cochran, D.; Derks, J.; Figuero, E.; et al. Peri-Implant Diseases and Conditions: Consensus Report of Workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J. Periodontol. 2018, 89, S313–S318. [Google Scholar] [CrossRef]
Group | Unit | Internal Conical 8° | Internal Conical 11° | p-Value |
---|---|---|---|---|
C | 2.75 A | 1.5 A | 0.45 | |
DLC | Ncm | −1.55 B | 4.1 B | <0.0001 * |
DLC-Ag | 1.45 AB | 3.2 AB | 0.08 | |
C | 8.52 a | 7.39 a | 0.81 | |
DLC | % | −4.81 b | 20.45 b | <0.0001 * |
DLC-Ag | 4.52 ab | 15.65 ab | 0.0001 * |
DLC | DLC-Ag | |||||
---|---|---|---|---|---|---|
LC1 (N) | LC2 (N) | Removal | LC1 (N) | LC2 (N) | Removal | |
−5.8 | −5.8 | NO | −4.5 | −5.5 | NO | |
−4.2 | −6.0 | NO | −4.6 | −5.0 | NO | |
−4.7 | −5.8 | NO | −4.7 | −6.1 | 9.7 N. | |
Mean | −4.9 | −5.87 | −4.6 | −5.53 |
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Coelho, A.V.P.; Figueiredo, V.M.G.d.; Ferreira, L.L.; Silva, A.d.M.; Oliani, M.G.; Queiroz, J.R.C.d.; Sobrinho, A.S.d.S.; Nogueira Junior, L.; Prado, R.F.d. Impact of Diamond-like Carbon Films on Reverse Torque: Superior Performance in Implant Abutments with Internal Conical Connections. Coatings 2024, 14, 1168. https://doi.org/10.3390/coatings14091168
Coelho AVP, Figueiredo VMGd, Ferreira LL, Silva AdM, Oliani MG, Queiroz JRCd, Sobrinho ASdS, Nogueira Junior L, Prado RFd. Impact of Diamond-like Carbon Films on Reverse Torque: Superior Performance in Implant Abutments with Internal Conical Connections. Coatings. 2024; 14(9):1168. https://doi.org/10.3390/coatings14091168
Chicago/Turabian StyleCoelho, Arianne Vallim Pinto, Viviane Maria Gonçalves de Figueiredo, Leandro Lameirão Ferreira, Alecsandro de Moura Silva, Marcelo Gallo Oliani, José Renato Cavalcanti de Queiroz, Argemiro Soares da Silva Sobrinho, Lafayette Nogueira Junior, and Renata Falchete do Prado. 2024. "Impact of Diamond-like Carbon Films on Reverse Torque: Superior Performance in Implant Abutments with Internal Conical Connections" Coatings 14, no. 9: 1168. https://doi.org/10.3390/coatings14091168