Comparative study on stress distribution around internal tapered connection implants according to fit of cement- and screw-retained prostheses

Mi Young Lee, Seong Joo Heo, Eun Jin Park, Ji Man Park

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


PURPOSE: The aim of this study was to compare the passivity of implant superstructures by assessing the strain development around the internal tapered connection implants with strain gauges. MATERIALS AND METHODS. A polyurethane resin block in which two implants were embedded served as a measurement model. Two groups of implant restorations utilized cement-retained design and internal surface of the first group was adjusted until premature contact between the restoration and the abutment completely disappeared. In the second group, only nodules detectable to the naked eye were removed. The third group employed screw-retained design and specimens were generated by computer-aided design/computer-aided manufacturing system (n=10). Four strain gauges were fixed on the measurement model mesially and distally to the implants. The strains developed in each strain gauge were recorded during fixation of specimens. To compare the difference among groups,repeated measures 2-factor analysis was performed at a level of significance of α=.05. RESULTS. The absolute strain values were measured to analyze the magnitude of strain. The mean absolute strain value ranged from 29.53 to 412.94 μm/m at the different strain gauge locations. According to the result of overall comparison, the cement-retained prosthesis groups exhibited significant difference. No significant difference was detected between milled screw-retained prostheses group and cement-retained prosthesis groups. CONCLUSION. Within the limitations of the study, it was concluded that the cement-retained designs do not always exhibit lower levels of stress than screw-retained designs. The internal adjustment of a cement-retained implant restoration is essential to achieve passive fit.

Original languageEnglish
Pages (from-to)312-318
Number of pages7
JournalJournal of Advanced Prosthodontics
Issue number3
StatePublished - 2013


  • Cement retention
  • Cement space
  • Implant prosthesis
  • Passive fit
  • Screw retention
  • Strain gauge


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