Evaluation of the resistance to the fracture of temporary fixed prostheses implant-supported varying the extension of the cantilever and the fiber type: glass fibers and poliaramid fibers

No tratamento reabilitador oral as restaurações provisórias são de suma importância. A resistência e a longevidade dos materiais utilizados em sua execução são críticas, principalmente em tratamentos prolongados e em espaços desdentados extensos. O objetivo deste trabalho foi avaliar a resistência e o modo de fratura de espécimes que simularam uma prótese fixa de três elementos variando o comprimento do cantilever (7, 14 e 21mm), confeccionadas em resina acrílica poli(metilmetacrilato) (PMMA) autopolimerizável, com e sem reforço em seu interior, construídos sobre componentes para implantes. Os reforços utilizados foram: fibras de vidro (Fibrante® - Ângelus®, Londrina, PR, Brasil) e fibras de poli(aramida) (Kevlar® - Du Pont®, USA). Os grupos foram constituídos de 10 espécimes cada, incluindo um grupo controle, sem reforço. Os espécimes foram submetidos à carga compressiva até a fratura. A análise dos resultados (ANOVA, p < 0,05), para o teste de resistência, mostrou não haver diferença estatística entre os grupos com respeito ao tipo de reforço, sendo que houve diferença estatística significante no que respeita ao comprimento do cantilever. Quando o comprimento do cantilever foi de 7mm todos os grupos apresentaram os valores médios de resistência a fratura, em N, significativamente maiores que os apresentados pelos grupos com 14 e 21mm de comprimento. Em relação ao modo de fratura os grupos reforçados apresentaram fraturas mais favoráveis ao reparo, tendo sido do tipo Parcial.In the oral rehabilitator treatment, the provisory restorations have extremely importance. The resistance and durability of materials used in the execution are critical, especially in extended treatments and in vast toothless spaces. The goal of this work was to demonstrate the resistance and the types of fracture of specimens that simulate a fixed prosthesis of three elements changing the extension of cantilever (7, 14 e 21mm), made of acrylic resin polymethylmethacrylate (PMMA) autopolymer, with and without reinforcement in its interior, built over implant components. The reinforcements used were: fiberglass (Fibrante® - Angelus®, Londrina, PR, Brazil) and poliaramid fiber (Kevlar® - Du Pont®, USA). The groups have 10 specimens each, including a group of control, without reinforcement. The specimens were submitted to a compressor charge until its fracture. The analysis of results (ANOVA, p < 0,05) for the test of resistance, showed that there is no statistic difference between the groups regarding the type of reinforcement; however, there is a significant statistic difference regarding the cantilever extension. When the extension of cantilever was 7mm, all groups showed medium values of resistance to fractures, in N, significant more than the showed by the groups with 14 and 21mm of extension. In relation with the types of fracture, the reinforcement groups show fractures more favorable to be repaired, even when they were partially fractured

Influence of different catilever extensions and glass or polyamaramid reinforcement fibers on fracture strength of implant-supported temporary

In long-term oral rehabilitation treatments, resistance of provisional crowns is a very important factor, especially in cases of an extensive edentulous distal space. The aim of this laboratorial study was to evaluate an acrylic resin cantilever-type prosthesis regarding the flexural strength of its in-balance portion as a function of its extension variation and reinforcement by two types of fibers (glass and polyaramid), considering that literature is not conclusive on this subject. Each specimen was composed by 3 total crowns at its mesial portion, each one attached to an implant component (abutment), while the distal portion (cantilever) had two crowns. Each specimen was constructed by injecting acrylic resin into a two-part silicone matrix placed on a metallic base. In each specimen, the crowns were fabricated with either acrylic resin (control group) or acrylic resin reinforced by glass (Fibrante, Angelus) or polyaramide (Kevlar 49, Du Pont) fibers. Compression load was applied on the cantilever, in a point located 7, 14 or 21 mm from the distal surface of the nearest crown with abutment, to simulate different extensions. The specimen was fixed on the metallic base and the force was applied until fracture in a universal test machine. Each one of the 9 sub-groups was composed by 10 specimens. Flexural strength means (in kgf) for the distances of 7, 14 and 21 mm were, respectively, 28.07, 8.27 and 6.39 for control group, 31.89, 9.18 and 5.16 for Kevlar 49 and 30.90, 9.31 and 6.86 for Fibrante. Data analysis ANOVA showed statistically significant difference (p<0.05) only regarding cantilever extension. Tukey's test detected significantly higher flexural strength for the 7 mm-distance, followed by 14 and 21 mm. Fracture was complete only on specimens of non-reinforced groups