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Relationship between insertion torque and removal torque analyzed in fresh temporal bone.

M Ueda1, M Matsuki, M Jacobsson

  • 1Nagoya University School of Medicine, Japan.

The International Journal of Oral & Maxillofacial Implants
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

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This study measured fixture insertion and removal torque in human bone, finding removal torque consistently lower than insertion torque. Bone thread fracture occurred at higher torque levels, with microfractures observed in histologic samples.

Area of Science:

  • Biomaterials Science
  • Orthopedic Surgery
  • Dental Implantology

Background:

  • Osseointegration is crucial for dental implant success.
  • Understanding bone-fixture biomechanics informs implant design and surgical technique.
  • Quantifying bone-implant interface strength is essential for predicting long-term stability.

Purpose of the Study:

  • To measure insertion and removal torque of dental fixtures in human cadaver and living bone.
  • To determine the torque at which bone threads fracture.
  • To analyze the correlation between insertion and removal torque and identify microfracture patterns.

Main Methods:

  • Human cadaver temporal bone and living bone were used for fixture insertion and removal torque measurements.
  • Torque levels causing bone thread fracture were recorded.

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  • Histologic examination was performed to identify microfractures.
  • Main Results:

    • Maximum insertion torque without thread fracture was 70.0 Ncm (bicortical) and 50.0 Ncm (unicortical).
    • Removal torque was consistently lower than insertion torque across all measurements.
    • Bone thread fracture occurred at mean torques of 77.0 Ncm (bicortical) and 57.7 Ncm (unicortical).
    • Histologic analysis revealed microfractures primarily at thread bases, oriented superiorly.

    Conclusions:

    • Insertion and removal torque provide insights into bone-fixture stability.
    • Higher torque values are required to fracture bone threads compared to removal.
    • Microfracture patterns suggest potential failure mechanisms under excessive torque.