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The International Journal of Prosthodontics



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Int J Prosthodont 31 (2018), No. 5     8. Oct. 2018
Int J Prosthodont 31 (2018), No. 5  (08.10.2018)

Page 492-493, doi:10.11607/ijp.5876, PubMed:29772031

Stresses in Implant-Supported Fixed Complete Dentures with Different Screw-Tightening Sequences and Torque Application Modes
Barcellos, Leonardo H. / Palmeiro, Marina Lobato / Naconecy, Marcos M. / Geremia, Tomás / Cervieri, André / Shinkai, Rosemary S.
Purpose: To compare the effects of different screw-tightening sequences and torque applications on stresses in implant-supported fixed complete dentures supported by five abutments.
Materials and Methods: Strain gauges fixed to the abutments were used to test the sequences 2-4-3-1-5; 1-2-3-4-5; 3-2-4-1-5; and 2-5-4-1-3 with direct 10-Ncm torque or progressive torque (5 + 10 Ncm). Data were analyzed using analysis of variance and standardized effect size.
Results: No effects of tightening sequence or torque application were found except for the sequence 3-2-4-1-5 and some small to moderate effect sizes.
Conclusion: Screw-tightening sequences and torque application modes have only a marginal effect on residual stresses.