Paper Efficiency Part II TIS SM

8/12/2019 Paper Efficiency Part II TIS SM

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MECHANICS OF THE TAPER INTEGRATED SCREWED-IN (TIS)

ABUTMENTS USED DENTAL IMPLANTS

by

Diner Bozkaya, Sinan Mft1, Ph.D.

Graduate Student Associate Professor

Northeastern University

Department of Mechanical Engineering

Boston MA 02115

October 2003

1Corresponding author: Northeastern University Department of Mechanical Engineering, 334 SN

Boston, MA 02115 Tel: 617-373-4743, Fax: 617-373-2921 Email: [email protected]


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ABSTRACT

The tapered implant-abutment interface is becoming more popular due to the

mechanical reliability of retention it provides. Consequently, understanding the

mechanical properties of the tapered interface with or without a screw at the bottom has

been the subject of a considerable amount of studies involving experiments and finite

element (FE) analysis. This paper focuses on the tapered implant-abutment interface with

a screw integrated at the bottom of the abutment. The tightening and loosening torques

are the main factors in determining the reliability and the stability of the attachment.

Analytical formulas are developed to predict tightening and loosening torque values by

combining the equations related to the tapered interface with screw mechanics equations.

This enables the identification of the effects of the parameters such as friction, geometric

properties of the screw, the taper angle, and the elastic properties of the materials on the

mechanics of the system. In particular, a relation between the tightening torque and the

screw pretension is identified. It was shown that the loosening torque is smaller than the

tightening torque for typical values of the parameters. Most of the tightening load is

carried by the tapered section of the abutment, and in certain combinations of the

parameters the pretension in the screw may become zero. The analytical method

developed here was applied to a 4.8 mm ITI implant-abutment system. The calculations

performed to determine the loosening torque as a percentage of tightening torque resulted

in the range 85-137%, depending on the values of taper angle and the friction coefficient.

Keywords:Dental implants; Taper lock; Morse taper; Conical interference fit; Tapered

interference fit; Connection mechanism; Loosening torque, Tightening torque


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INTRODUCTION

The reliability and the stability of an implant-abutment connection mechanism is

an essential prerequisite for long-term success of dental implants.1 High rate of screw

complications such as screw loosening has been encountered with the screw-type

implant-abutment connection mechanism.2,3 Inadequate preload, the misfit of the mating

components and rotational characteristics of the screws were considered to be the reasons

leading to screw loosening or fracture.3 Tapered implant-abutment attachment with or

without screw presents an alternative method to the screw type attachment system. In this

paper, the term taper integrated screwed-in (TIS) abutment is used to indicate an

abutment which uses simultaneously a screw and a tapered fit, whereas an abutment

which uses only the tapered interference fit as the connection means is called a tapered

interference fit (TIF) abutment. Four commercial implant systems are shown in Fig 1.

The design by Nobel Biocare (Nobel Biocare AB, Gteborg, Sweden) uses a screw, the

designs by Ankylos (Degussa Dental, Hanau-Wolfgang, Germany) and ITI (Institut

Straumann AG, Waldenburg, Switzerland) use TIS type abutments; and the design by

Bicon (Bicon Inc., Boston, MA, USA) uses the TIF type abutment.

The main advantage of the TIS abutment is reducing screw-loosening incidents,

attributed to the increased interfacial strength between implant and abutment. A high

incidence of screw loosening, up to 40%, was found for systems using screw-only

implant-abutment connection, whereas the failure rate for tapered interface implants was

lower, as much as 3.6% to 5.3%.4A retrospective study with 80 implants showed that

using the TIS connection provides a very low incidence of failure.5 The lack of

retrievability could be considered as the disadvantage of the system.6 Clinical studies


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showing the success of the TIS type implant-abutment interface encouraged the

researchers and implant companies to focus on understanding and evaluating the

mechanical properties of the tapered interface.

An experimental study by Norton7 investigated the variation of the loosening

torque as a percentage of tightening torque with respect to different parameters such as

tightening torque (40-500 N.mm), taper angle (8oand 11o), interfacial surface area (15.3

and 27.9 mm2), existence of saliva contamination and time delay to loosening (10 and 60

minutes). Strong correlation was found between loosening torque as the percentage of

tightening torque. The taper angle, saliva contamination and time delay to loosening did

not have a significant effect on the loosening torque, whereas the interfacial surface area

seemed to have a profound effect on the efficiency of the connection. The efficiency is

defined as the ratio of the loosening torque to the tightening torque. At clinically relevant

torque levels (300-400 N.mm), the loosening torque was 84%-91% of the tightening

torque. This finding was in contrast to the experimental work done by Sutter et al.8, who

showed the loosening torque to be 10-15% higher than the tightening torque. It was also

shown that dynamic loading resulted in 50% reduction of the loosening torque; however,

no decrease occurred in cone-screw connection after 1 million cycles.8The 8otaper angle

with 2 mm diameter screw at the bottom was selected to be the optimum design that

provides a secure assembly between implant and abutment. Squier et al.6investigated the

effects of anodization and reduction of surface area on the tightening and loosening

torque. A 31% reduction of surface area did not cause a significant change in the

loosening torque however the surface coating caused a 20% decrease in the loosening


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torque. In their study, for 350 N.mm tightening torque, the loosening torque was in the

range of 79-106% of the tightening torque.

The strength of the tapered interface in a TIS abutment was assessed by

experimental and finite element methods. The tapered interface was found to be favorable

in terms of resistance to bending forces.9 The stresses induced by off-axis loads were

compared for tapered and butt-joint connection. It was concluded that the tapered

interface distributed the stresses more evenly when compared to the butt joint

connection.4 In an in-vitro comparative study of two commercially available implant

systems, the conical implant-abutment connection, added to the system, increased the

resistance of the implants subjected to considerable amount of forces and bending

moments.9 Also, the conical interface allowed a larger maximum tightening torque. The

maximum tightening torque was 4000 N.mm for the TIS abutment, which was

considerably greater than the 1250 N.mm of the screw-only connection.8

Bacterial leakage through implant-abutment interface is another significant factor

affecting the long-term stability of the implant.11 Although the tapered interface is

considered to be acting as a seal against bacterial leakage and colonization, it cannot

completely prevent leakage due to the gap caused by the misfit between the components.

The rate of bacterial leakage diminishes as the degree of misfit decreases and the

tightening torque of the screw increases.10,11

The mechanics of the purely TIF type implants was first explained by

OCallaghan et al.13 and then by Bozkaya and Mft.14,15 Approximate analytical

solutions for the contact pressure, the pull-out force and loosening torque acting in a

tapered interference were developed by modeling the tapered interference as a series of


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cylindrical interferences with variable radii. These formulas were verified by non-linear

finite element analyses for different design parameters.14

In this paper, approximate closed-form formulas are developed for estimating the

tightening and loosening torque magnitudes for the TIS type abutment connections. The

closed form equations for the tapered interference fit14 are combined with screw

mechanics equations to determine the loosening and tightening torque as a function of

various design parameters. The efficiency of the system, defined as the ratio of the

loosening torque to the tightening torque, is investigated.

MATERIALS AND METHODS

A taper integrated screwed-in (TIS) abutment is placed into the implant by

applying a tightening torque TT.The tightening process causes interference in the tapered

part and also advances the screw where the threads of the abutment and implant engage

with a positive force. This results in a tensile load in the screw known as the preload.

The geometric parameters that affect the mechanics of the connection are defined

in Figure 2 where the implant is depicted as a cylinder. The balance of forces and torques

acting on this system during tightening are evaluated using the free body diagrams given

in Figure 3 and Figure 4. During tightening, the screw preload rTF will be related to the

resultant normal forceN,acting on the tapered section due to the interference fit. Thus by

using, the well known, power screw relations

16

and the tapered interference fit equations

given by Bozkaya and Mft14 it is possible to develop closed form relations for the

tightening and loosening of TIS type abutments.


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The resultant normal force N due to interference fit in the tapered section of the

abutment, shown in Figure 3a, is given as14,

( ) ( )2 2222

sin23 sin 3 sin

6

cab c ab c

E z LN b r L r L

b

= +

(1)

where Lc is the contact length, b2 is the outer radius of the implant, rab is the bottom

radius of the abutment, is the taper angle as shown in Figure 2, z is the axial

displacement of the abutment during tightening, and, E is the elastic modulus of implant

and abutment, assumed to be made of the same material.

The Screw Preload

When a TIS type abutment is screwed into the implant, a tensile preload,

develops in the screw and a resisting force rTF along the main axis of the abutment

develops in the tapered part. This resisting force and the screw preload are equal in

magnitude.The resisting force rTF has contributions due to friction force N and the

normal force N, and it can be found from the free body diagram in Figure 3a. Note that

the friction force develops along a helical path, as shown Figure 3d, whose helix angle is

equal to the lead angle (= tan ma l d ) of the screw.

Once the tightening torque is released, the frictional component of the preload

diminishes, and the screw preload during patient use, rF , is determined from the free

body diagram given in Figure 3b. During loosening, the friction force acts in the opposite

direction as compared to the tightening. The screw preload during loosening can be

determined from the Figure 3c.


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Tightening Torque

The total tightening torque TT required to screw-in the TIS abutment should

overcome the resistive torque values sTT andc

TT due to friction in the screw threads and

the conical (tapered) interface, respectively (Figure 4),

s c

T T TT T T= + . (2)

The resistive torque sT

T in the screw threads can be calculated by the power screw

formula16for raising a load rTF ,

sec

2 sec

rs T m k m

Tm

F d l d

T d l

+

= (3)

where dmis the mean diameter of the screw, k is the kinetic friction coefficient, is the

thread angle and l is the lead of the screw. Note that vertical resisting load rTF is used in

this equation, as it is equal to the screw preload as mentioned above. The vertical

component of the resisting force rTF in the tapered section, during tightening is

determined from Figure 4a as,

sin sin cosrT kF N N = + (4)

where the kinetic friction coefficient kis used, as screw tightening is a dynamic process.

In order to find an expression for the resistive torque cTT in the conical section of

the abutment, the friction forces on the tapered section are considered. The horizontal

component of the friction force, cosN , in the conical interface, shown in Figure 3d,

resists the tightening torque. The torque required to overcome this friction force is found

as follows14,


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( ) ( )( )

( ){ }

cos2

10

2 2 2 2

2 22

2

2 cos

sin2 cossin 2 3 sin 4 sin 4

8( ) ( )

cLc

T k c

k cc ab c ab c ab ab

T b z P z dz

E zLL b r L r L r b r

b

=

= + +

(5)

wherePcis the contact pressure whose magnitude varies in thez-direction as described

by Bozkaya and Mft14. An equation for the total tightening torque TT is obtained by

combining equations (1)-(5),

( ){ }2 2 2 22 222

sec

2 sec


8

r

m T k mT

m k

k cc ab c ab c ab ab

d F d l T

d l


b

+= +

+ + ( ) ( )

(6)

where the axial component of resistive force (preload) during tightening rTF is given by

equation (4).

Loosening Torque

An expression for the total loosening torque LT , which equals the sum of the

resistive torque values in the screw threads sLT and in the conec

LT due to friction, can be

found by a similar approach. The total loosening torque is,

s c

L L LT T T= + . (7)

The resistive torque sLT in the screw threads is calculated from the power screw

formulas. The free body diagram given in Figure 3c shows that the preload at the onset of

loosening rLF is expressed as,

sin sin cosrL sF N N = (8)


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where the static friction coefficient s is used at the onset of loosening. Note that during

loosening, the friction force acts in opposite direction as compared to the tightening case

Figure 3d. This results in the negative sign for the frictional component in this equation.

Inspection of Eqn (8) shows that the vertical resisting force rLF in the cone during

loosening could take a positive or negative value, depending on the magnitude of the

friction coefficient s, taper angle and screw lead angle . Positive value ofr

LF implies

that the resultant force in the conical interference is in the direction of the screw motion

and negative value of rLF implies that the screw threads have lost contact. Hence, the

torque formula required to lower a load should be used when rLF > 0, and no torque is

transferred to the screw threads when rLF < 0. Torques

LT in the screw threads due to the

preload is found from the power screw formula for lowering a load,16

( )sec

2 sec

rs rL m s m

L L

m s

F d d lT H F

d l

= +

(9)

whereHis the Heaviside step function defined as; ( )rLH F = 1 when rLF > 0 and ( )rLH F =

0 when rLF < 0.

The resistive torque in the cone cLT is obtained by using the same procedure as in

the case of tightening torque given in Eqn (5), by using the static friction coefficient s

instead of the dynamic friction coefficient k ,

( ) }2 2 2 22 222


8( ) ( )c s cL c ab c ab c ab ab

E zLT L b r L r L r b r

b

= + + .

(10)

The total loosening torque LT is obtained from Eqns (7) - (10) as follows,


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( )

( ){ }2 2 2 22 222

sec

2 sec


8

rrm L s m

L L

m s

s cc ab c ab c ab ab

d F d l T H F

d l


b

= + +

+ + ( ) ( )

(11)

where the axial component of resistive force during loosening rLF is given by equation

(8). The efficiency of TIS connection is defined as the ratio of the tightening torque to the

loosening torque,

Ts

L

T

T = . (12)

RESULTS

The parameters, given in Table 1, chosen for the case study are similar to a 4.8

mm diameter ITI implant. The properties of the screw in this implant are as follows;

mean screw diameter dm = 0.875 mm; screw pitch l = 0.44 mm; screw lead angle ? =

9.11o;and, the screw thread angle, = 30o.

The Efficiency of the Attachment

The efficiency of the system, as defined by Eqn. (12) is plotted as a function of

the static s and kinetic k friction coefficients and the taper angle in Figure 5.

Predictions presented in Figure 5a show that the efficiency of the system has a stronger

dependence on the kinetic friction coefficient than the static friction coefficient. For

example, when static and kinetic friction coefficients are equal, and vary in the 0.1 - 0.9

range, the efficiency varies between 0.87 - 0.92; however, when kinetic friction

coefficient is 70% of the static friction coefficient, the efficiency varies between 1.22 -

1.32. According to equation (6) the kinetic friction coefficient only affects the tightening


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torque. Therefore, high efficiency is obtained if the kinetic friction coefficient during

tightening is smaller than the static friction coefficient. Maximum efficiency is obtained

when is between 0.3 and 0.4. Figure 5a also shows the results of the experimental

studies by Norton7, Squier et al.6and Sutter et al.8The comparison shows that the results

predicted by equation (12) and the experiments agree favorably.

Figure 5b, where the efficiency is plotted as a function of the taper angle for

different friction values, can be used at the design stage of a TIS type abutment. In

general, this figure shows that the efficiency of the system is reduced at larger taper

angles. For example, for the case where s= k = 0.5 the efficiency drops from 0.96 to

0.915 as the taper angle increases from 1o to 10o. The slope change observed near =

4.6o in this curve corresponds to the case where the screw preload rLF becomes zero, as

predicted by Eqn. (8). When the screw preload vanishes, the implant-abutment

connection is provided by the tapered interference fit (TIF) alone. A close inspection of

this figure shows that the condition where the change from TIS type to TIF type

connection mechanism occurs at = 0.3 for a 2.8otaper, at = 0.5 for a 4.6

otaper, and at

= 0.7 for a 6.2otaper. Thus it can be seen that a high friction coefficient is necessary if a

large taper angle is chosen in the design of the TIS type abutment.

Effects of System Parameters

The tightening and loosening torque formulas developed here provide a relatively

simple way of assessing the effects of the geometric and material properties on these

torques. For example, the magnitudes of the tightening torque TTand loosening torque TL,

found in Eqns (6) and (11), depend on the parameters ?z and E, linearly; on the


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parameters b2, rabparabolically;on the parameterLcin a cubic manner; on the parameters

? andtrigonometrically; and on the parametersk,s in anon-linear manner. The details

of these functional dependences are given next in Figure 6.

Figure 6a shows the effect of different taper angles on the tightening torque TT

and the loosening torque TLfor k=s = 0.3, 0.5 and 0.7. This figure indicates that the

tightening torque is always greater than the loosening torque when the kinetic and static

friction coefficients are identical. The difference between the tightening and loosening

torque values increases for larger taper angles and at higher friction coefficient values.

Note that the tightening torque values reported in this figure are conservative values, as

the kinetic friction coefficient is taken to be the same as the static friction coefficient.

However, the figure can be used as a guide in the design of the new TIS type abutments.

More detail on the TTvalues can be easily obtained by using Eqn. (11) for the case when

kinetic friction coefficient is different than the static one.

Figure 6b shows the variation of tightening and loosening torque values with the

contact length of the tapered section of the abutment for three different friction

coefficient values. The tightening torque TT and loosening torque TL depend on Lc

linearly, as depicted in this figure. However, the effect of friction coefficient for a given

torque value is strong. For example, if a clinically relevant tightening torque value of TT

= 400 N.mm is considered, the contact required contact length changes from Lc= 0.35

mm for s = 0.7 toLc= 0.85 mm for s = 0.3.

Figure 6c shows the variation of the tightening and loosening torque values with

the outer radius b2 of the implant. This figure shows that for larger radius implants a

higher torque value is required to tighten the implant. The loosening torque follows the


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same trend, however its value is predicted to be lower than the tightening torque when the

kinetic and static friction coefficients are equal. Bozkaya and Mft14have shown that, in

the tapered section, the contact pressure between the implant and the abutment increases

with increasing implant radius. Thus larger normal and frictional forces develop in the

interface, resulting in increased torque values.

Figure 6d shows the variation of the tightening and loosening torque values as a

function of coefficient of friction, for the case where s= k. The torque values required

to tighten and loosen the abutment increase with increasing friction coefficient. The

dependence is nearly linear in the range of friction coefficients (i.e., 0.1 - 0.9) used in this

figure.

A relation between the tightening torque and the loosening torque can be obtained

from equations (6) and (11), by noting that z is common in both relations. This shows

that loosening torque is linearly proportional to the tightening torque as shown in Figure

6e. This finding is in agreement with the experimental data by Norton7 showing a linear

relation between tightening and loosening torque. The slope of the curves, which is equal

to the efficiency, is slightly different which may stem from the difference in kinetic and

static friction values.

Screw Preload vs. Torque

The screw preload as a function of relevant torque values can be obtained from

equations (6) and (11). Various preload conditions have been described in Figure 7; the

preload rTF during tightening, the preload duringr

LF loosening, and the preloadrF when

no torque or biting forces are applied on the system are plotted as a function of torque for


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= 0.3 and 0.5, in Figure 7. This figure shows that, in general, the screw preload is

linearly proportional to the applied torque. For a given torque value, the highest preload

occurs during tightening; after the release of the tightening torque, the screw is subjected

to preloadFr. This is the "seated" preload of the screw. The preload becomes even lower

during loosening.

Friction has an interesting effect on the preload; for a given torque value, the

preloadFr reduces as the friction coefficient is increased. For example at 350 N.mm the

preload moves from 100 N to 60 N, as the friction coefficient is increased from 0.3 to 0.5.

Note that Merz et al.4

predicted 53 N of preload, by modeling a 12 mm long, 8o

taper,

TIS type ITI implant with non-linear finite element analysis.4The preload value of 60 N,

predicted by the analytical method introduced here, is remarkably close to their value

considering the assumptions made in this paper.

Distribution of Torque

The tapered surface of the TIS type abutment provides a great deal of frictional

resistance as compared to the frictional resistance on the screw threads. This is evidenced

by the plots given in Figure 8, where the percentage of the total tightening torque carried

by the tapered section as a function of friction coefficient and taper angle are shown.

In Figure 8a, it is seen that, the cone carries 87-92% of the total tightening torque

during tightening, when the static friction coefficient sis changed between 0.1 and 0.9.

The kinetic friction k coefficient has a relatively small effect on this percentage. The

effect of the taper angle on the taper total T T ratio during tightening is shown in Figure

8b. This figure shows that in a TIS type abutment with a smaller taper angle more of the


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total torque is carried by the tapered section, in contrast to larger taper angle. The range

of taper total T T ratio is between 88 - 96% depending on the value of static friction

coefficient s.

During loosening, the friction force in the screw threads act in a direction to

reduce the screw preload as evidenced by equation (8). Thus by varying the static friction

coefficient sor the taper angle it is possible to relieve the preload. When this happens

all of the torque in the TIS type abutment is carried by the tapered section, and the

taper total T T becomes one. The conditions which cause this are identified in Figure 8a and

b. In particular, Figure 8a shows that friction coefficient values less than 0.15 would

cause the loss of preload during loosening for an 8otaper. The effect of taper angle on

the loss of preload depends on the value of the static friction coefficient s as shown in

Figure 8b; increasing friction coefficient values allow use of larger taper angles before

screw preload is lost during loosening. Also low static coefficient of friction in the screw

threads smay cause the screw torque to be negative, contributing to the loosening of the

attachment. This happens when the static friction coefficient s is smaller than 0.15

causing the taper total T T to be larger than one.

DISCUSSION

The general range of efficiency, predicted to be 0.85-1.37, for the range of

parameters considered in this paper, match closely the experimental results.6-8The only

condition that causes the efficiency to be greater than 1.0 is encountered when the kinetic

coefficient of friction is taken 10% smaller than the static coefficient of friction. The

efficiency becames as low as 0.85 for very low values of the coefficient of friction, such


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as 0.1. The efficiency also depends on the taper angle; an increase in taper angle from 1o

to 10oresults in a decrease in the efficiency, from 0.97 to 0.9, depending on the value of

the friction coefficient.

Other causes for further losses known as embedment relaxation which cause 2-

10% reduction in the preload have been reported.2 Issues related to manufacturing

tolerance, surface roughness, and creep of surface asperities that are not captured by the

analytical method presented here.

The behavior of the TIS type of abutment attachment method is governed by the

tapered section of the abutment, as a large fraction of the loosening and tightening torque

values are used to overcome the friction in the tapered section. The analytical method

demonstrated that over 86% of the tightening torque, and over 98% of the loosening

torque are balanced by the frictional forces in the tapered section.

This study clearly shows that friction coefficient strongly affects tightening and

loosening torque values; when friction coefficient is high the tightening torque value

required to secure the abutment may become too high, to be clinically safe; on the other

hand low friction coefficient does not seem to have an obvious adverse effect.

Nevertheless, it is typically difficult to determine the friction coefficient exactly.

Therefore, a margin should be built into the design of the TIS type abutments.

ACKNOWLEDGMENT

The authors would like to thank Mr. Fred Weekley (United Titanium Inc., Wooster, OH,

USA) for his valuable discussion related to this paper and acknowledge the support of

Bicon Implants (Bicon Inc., Boston, MA, USA).


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REFERENCES

1. Scacchi M., Merz BR, Schr A.R., 2000. The development of the ITI Dental Implant

System. Clin Oral Imp Res 11(Suppl.), 22-32.

2. Geng J., Tan K., Liu G., 2001. Application of finite element analysis in implant

dentistry: A review of the literature. J Prosthet Dent 85, 585-598.

3. Schwarz, M.S. 2000. Mechanical complications of dental implants. Clin Oral Impl

Res 2000; 11(Suppl.), 156-158.

4. Merz B.R., Hunenbart S., Belser U.C., 2000. Mechanics of the implant-abutment

connection: An 8-degree taper compared to a butt joint connection. Int J Oral

Maxillofac Implants, 15, 519-526.

5. Mangano C., Bartolucci E.G., 2001. Single tooth replacement by morse taper

connection implants: A retrospective study of 80 implants. Int J Oral Maxillofac

Implants, 16, 675-680.

6. Squier R.S., Psoter W.J., Taylor T.D., 2002. Removal torques of conical, tapered

implant abutments: The effects of anodization and reduction of surface area. Int J

Oral Maxillofac Implants, 17, 24-27.

7. Norton M.R., 1999. Assessment of cold welding of the internal conical interface of

two commercially available implant systems. J Prosthet Dent, 81, 159-166.

8. Sutter F., Weber H.P., Sorensen J., Belser U., 1993. The new restorative concept of

the ITI Dental Implant System: Design and engineering. Int J Periodont Rest Dent,

13, 409-431.


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9. Norton M.R., 2000. In vitro evaluation of the strength of the conical implant-to-

abutment joint in two commercially available implant systems. J Prosthet Dent, 83,

567-571.

10.Guimares P.M., Nishioka R.S., Bottino M.A., 2001. Analysis of implant/abutment

marginal fitting. Ps-Grad Rev Fac Odontal So Jos dos Campos, 4, 12-19.

11.Jansen V.K., Richter E.J., 1997. Microbial leakage and marginal fit of the implant-

abutment interface. Int J Oral Maxillofac Implants, 12, 527-540.

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loosen single- tooth implant abutment screws before and after simulated function.

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13.O'Callaghan J., Goddard T., Birichi R., Jagodnik J., Westbrook S., 2002. Abutment

hammering tool for dental implants. American Society of Mechanical Engineers,

IMECE-2002 Proceedings Vol. 2, Nov. 11-16, 2002, Paper No. DE- 25112.

14.Bozkaya D., Mft S., 2003. Mechanics of the tapered interference fit in dental

implants. J Biomech, 36:11, 1649-1658.

15.Bozkaya D., Mft S., 2003. Efficiency considerations for the purely tapered

interference fit (TIF) abutments used in dental implants. Journal of Biomechanical

Engineering, submitted for review, 2003.

16.Shigley J.E. and Mischke C.R., 1989. Mechanical Engineering Design, 5th edition,

McGraw Hill, Boston.


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List of Figures

Figure 1 Various implant-abutment attachment methods.

Figure 2 The geometric parameters that affect the mechanics of the TIS type abutment-

implant attachment method.

Figure 3 a) Free body diagram (FBD) of the taper integrated screw-in (TIS) abutment

during tightening. b) The FBD of the tapered section of the TIS abutment. c) The FBD ofthe screw section of the TIS abutment. Note that the total tightening torque TTis equal to

the torque required to tighten the tapered section cTT and the screw sections

TT .

Figure 4 The FBD diagrams of the tapered section of the TIS type abutment duringtightening (a), regular patient use (b), and loosening (c) give the corresponding pre-

tension levels rTF ,rF and rLF caused in the screw as shown in this figure. d) Friction

force in tightening.

Figure 5 The efficiency of the attachment with respect to different parameters.Taper angle?, friction coefficientare the significant parameters affecting the efficiency

of the attachment.

Figure 6 The effect of various parameters on loosening and tightening torque.

Figure 7 Screw preload as a function of external torque for two different friction

coefficients.

Figure 8 The percentage of the total tightening torque carried by the tapered section as afunction of a) friction coefficient and b) taper angle.

List of Tables

Table 1 Design parameters of the tapered interface in a4.8 mm ITI system (Implant:043.241S; Abutment: 048.542).*The static friction coefficient was fixed at 0.5 for analyzing the effect of different static and kinetic

friction offset values.


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21

*The static friction coefficient was fixed at 0.5 for analyzing the effect of different static and kinetic

friction offset values.

Implant Parameters [

o]

/k s

L c(mm)

?z(mm)

b2(mm)

E(MPa)

rab(mm)

ITI Base Values 8 0.3, 0.5* 1 0.731 0.036 2.24 113.8x10 1.42

Range 1 - 14 0.1 - 0.9 0.7 - 1 0.4 1.5 0.02 0.05 1 - 4 50 - 200 N/A

Table 1Design parameters of the tapered interface in a 4.8 mm ITI system (Implant: 043.241S;Abutment: 048.542).


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22

Ankylos ITI Bicon Nobel Biocare

Figure 1Various implant-abutment attachment methods


23/28

23

z

b2

rab

Lc

rabutment

implant

b1(z)

s

dm

Figure 2


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24

cL

T

rL

F

rF

cT

T

Nsin

rT

F

a) FBD in tightening b) FBD during use

c) FBD in loosening

Figure 3The FBD diagrams of the tapered section of the TIS type abutment during tightening (a),

regular patient use (b), and loosening (c) give the corresponding pre-tension levels rTF ,rF and rLF

caused in the screw as shown in this figure. d) Friction force in tightening.

NNsin

r

Ncos

TT

d) Friction force in tightening

Nsin


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25

rT

F

Fn

FnP

sT

TrTF

TT

dm

cT

T

Nsin

rT

F

a) b) c)

Figure 4a) Free body diagram (FBD) of the taper integrated screw-in (TIS) abutment during tightening. b) TheFBD of the tapered section of the TIS abutment. c) The FBD of the screw section of the TIS abutment. Note that

the total tightening torque TTis equal to the torque required to tighten the tapered sectionc

TT and the screw

section sTT .

Nsin


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26

Figure 5 The efficiency of the attachment with respect to different parameters.

Taper angle?, friction coefficientare the significant parameters affecting the efficiency

of the attachment.

b)

Taper Angle,

Efficiency,

s

1 2 3 4 5 6 7 8 9 100.85

0.875

0.9

0.925

0.95

0.975

1

s=

k=0.7

s=

k=0.5

s=

k=0.3

S a ic Coe icien o Fric ion,s

E

cienc

s

0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.90.85

0.9

0.95

1

1.05

1.1

1.15

1.2

1.25

1.3

1.35

1.4

k=0.7

s

k=0.9s

k=s

Norton7

Squier6

Sutter8

a)

Efficiency, s


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27

Outer Implant Radius, b2(mm)

Torque(N.mm)

2 3 40

200

400

600

800

1000

1200

1400

TL

TT

= 0.3

= 0.5

= 0.7

Coefficient of Friction,

Torque(N.mm)

0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.90

100

200

300

400

500

600

700

800

900

1000

1100

TL

Tt

a) b)

c) d)

e)

Figure 6

Taper Angle,

Torque(N.

mm)

1 2 3 4 5 6 7 8 9 10300

400

500

600

700

800

900

TL

TT

= 0.3

= 0.5

= 0.7

Contact Length, Lc(mm)

Torque(N.mm)

0 0.25 0.5 0.75 1 1.25 1.50

200

400

600

800

1000

1200

1400

1600

1800

TL

TT

= 0.3

= 0.5

= 0.7

Tightening Torque, Tt(N.mm)

LooseningTorqu

e,

TL

(N.m

m)

0 100 200 300 400 5000

100

200

300

400

500

Thiswork

ITI Implant 8o

taper, (Experimental) Norton8


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Figure 7 Screw preload as a function of external torque for two different frictio

coefficients.

Torque (N.mm)

Preload(N)

100 200 300 400 5000

20

40

60

80

100

120

140

160

180

200

k=

s= 0.3

k=s = 0.5

Tightening Preload, FT

r

Preload, Fr

Loosening Preload, FL

r

FEA Solution for= 0.5 by Merz et al.8

TaperAngle,

Ttaper/

Ttotal

1 2 3 4 5 6 7 8 9 100.84

0.86

0.88

0.9

0.92

0.94

0.96

0.98

1

1.02

s=0.3

s=0.5

s=0.7

Tightening Torque

Loosening Torque

a) b)

Figure 8The percentage of the total tightening torque carried by the tapered

section as a function of a) friction coefficient and b) taper angle.

Static Coefficient of Friction,s

Ttaper

/T

total

0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.90.84

0.86

0.88

0.9

0.92

0.94

0.96

0.98

1

1.02

k=

s

k= 0.9

s

k= 0.7

s

Tightening Torque

Loosening Torque

Date post:	03-Jun-2018
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Paper Efficiency Part II TIS SM

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