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Importance of Crown Height Ratios in Dental
Implants on the Fracture Strength of Different
Connection Designs: An In Vitro Study
Sergio Alexandre Gehrke, DDS, PhD*†
ABSTRACT
Purpose: The aim of the present in vitro study was to assess the resistance to static fatigue of implants with different
connections at various crown heights.
Materials and Methods: Sixty conical implants and 60 abutments were used with the smallest diameters available for each
model. Three groups (n = 20) were established based on the implant connections: Morse taper Ø3.50 mm (group 1),
external hexagon Ø3.50 mm (group 2), and internal hexagon Ø3.50 mm (group 3). Four crown heights were tested:
h = 8 mm, h = 10 mm, h = 12 mm, and h = 14 mm. All groups were subjected to quasi-static loading at a 30° angle to the
1 2 3 4
implant axis in a universal testing machine.
Results: The mean fracture strengths for group 1 were 1524 N (h ), 1469 N (h ), 750 N (h ), and 729 N (h ). Those for group
1 2 3 4
2 were 1504 N (h ), 814 N (h ), 491 N (h ), and 325 N (h ). Those for group 3 were 1543 N (h ), 672 N (h ), 403 N (h ), and
1 2 3 4 1 2 3
390 N (h4 ).
Conclusions: Resistance to loading decreases significantly with increasing crown height, and the connection design can
affect the performance.
KEY WORDS: abutment, crown height, dental implant, fracture mode, fracture strength, implant connection
INTRODUCTION dimensions3 for a given region of the maxilla or
Implants are common tools for the replacement of mandible,4,5 as well as inadequate
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