{"id":14375,"date":"2026-11-12T16:57:26","date_gmt":"2026-11-12T15:57:26","guid":{"rendered":"https:\/\/eacim-ceramic-implantology.com\/comportement-en-fatigue-des-protheses-cantilever-sur-implants-en-polymeres-cfao-recemment-introduits-une-etude-in-vitro\/"},"modified":"2026-11-13T13:30:02","modified_gmt":"2026-11-13T12:30:02","slug":"comportement-en-fatigue-des-protheses-cantilever-sur-implants-en-polymeres-cfao-recemment-introduits-une-etude-in-vitro","status":"publish","type":"post","link":"https:\/\/eacim-ceramic-implantology.com\/fr\/comportement-en-fatigue-des-protheses-cantilever-sur-implants-en-polymeres-cfao-recemment-introduits-une-etude-in-vitro\/","title":{"rendered":"Comportement en fatigue des proth\u00e8ses cantilever sur implants en polym\u00e8res CFAO r\u00e9cemment introduits : une \u00e9tude in vitro"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><div id=\"eng-abstract\" class=\"abstract-content selected\">\n<h1 class=\"heading-title\">Comportement en fatigue des proth\u00e8ses cantilever sur implants en polym\u00e8res CFAO r\u00e9cemment introduits : une \u00e9tude in vitro<\/h1>\n<div id=\"abstract\" class=\"abstract\">\n<h2 class=\"title\"><span dir=\"auto\">R\u00e9sum\u00e9<\/span><\/h2>\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\"><span dir=\"auto\">Probl\u00e9matique\u00a0: <\/span><\/strong><span dir=\"auto\">Les proth\u00e8ses compl\u00e8tes implantaires en porte-\u00e0-faux sont g\u00e9n\u00e9ralement fabriqu\u00e9es en zircone et, plus r\u00e9cemment, en zircone \u00e0 gradient de r\u00e9sistance. Diff\u00e9rents mat\u00e9riaux polym\u00e8res, destin\u00e9s aux proth\u00e8ses fixes d\u00e9finitives et utilisables par fabrication additive ou soustractive, ont \u00e9galement \u00e9t\u00e9 commercialis\u00e9s r\u00e9cemment. Cependant, les connaissances sur le comportement en fatigue \u00e0 long terme des proth\u00e8ses implantaires en porte-\u00e0-faux r\u00e9alis\u00e9es \u00e0 partir de ces mat\u00e9riaux polym\u00e8res et de zircone \u00e0 gradient de r\u00e9sistance restent insuffisantes.<\/span><\/p>\n<p><strong class=\"sub-title\"><span dir=\"auto\">Objectif : <\/span><\/strong><span dir=\"auto\">Cette \u00e9tude in vitro visait \u00e0 \u00e9valuer le comportement en fatigue de proth\u00e8ses cantilever support\u00e9es par implants, fabriqu\u00e9es \u00e0 partir de polym\u00e8res et de zircone r\u00e9cemment introduits gr\u00e2ce \u00e0 la conception et \u00e0 la fabrication assist\u00e9es par ordinateur.<\/span><\/p>\n<p><strong class=\"sub-title\"><span dir=\"auto\">Mat\u00e9riel et m\u00e9thodes\u00a0: <\/span><\/strong><span dir=\"auto\">Un fichier STL (Standard Tessellation Language) de r\u00e9f\u00e9rence d\u2019un sp\u00e9cimen de 9\u00a0\u00d7\u00a011\u00a0\u00d7\u00a020\u00a0mm avec un espace \u00e0 base en titane (base Ti), repr\u00e9sentant une proth\u00e8se cantilever sur implant, a servi \u00e0 la fabrication de dix sp\u00e9cimens \u00e0 partir de r\u00e9sine provisoire fabriqu\u00e9e par impression 3D (AM), de polym\u00e9thacrylate de m\u00e9thyle (SM-PM), de polym\u00e9thacrylate de m\u00e9thyle renforc\u00e9 par des nanograph\u00e8nes (SM-GR), de r\u00e9sine composite polym\u00e8re \u00e0 haute r\u00e9sistance aux chocs (SM-CR) et de zircone \u00e0 gradient de r\u00e9sistance (SM-ZR). Chaque sp\u00e9cimen a \u00e9t\u00e9 pr\u00e9par\u00e9 conform\u00e9ment aux recommandations du fabricant, et les piliers \u00e0 base Ti ont \u00e9t\u00e9 scell\u00e9s \u00e0 l\u2019aide d\u2019une r\u00e9sine composite de scellement autopolym\u00e9risable. Apr\u00e8s scellement, les sp\u00e9cimens ont \u00e9t\u00e9 mont\u00e9s dans un simulateur de mastication et soumis \u00e0 1,2\u00a0million de cycles de charge sous une force de 100\u00a0N \u00e0 1,5\u00a0Hz. Les sp\u00e9cimens ayant r\u00e9sist\u00e9 ont ensuite \u00e9t\u00e9 soumis \u00e0 1,2\u00a0million de cycles de charge suppl\u00e9mentaires sous une force de 200\u00a0N \u00e0 1,5\u00a0Hz. La charge a \u00e9t\u00e9 appliqu\u00e9e \u00e0 l&rsquo;extension en porte-\u00e0-faux, \u00e0 12 mm de la pince du simulateur de mastication. L&rsquo;analyse de survie de Kaplan-Meier et le mod\u00e8le de Cox \u00e0 risques proportionnels ont \u00e9t\u00e9 utilis\u00e9s pour \u00e9valuer les donn\u00e9es (\u03b1 = 0,05).<\/span><\/p>\n<p><strong class=\"sub-title\"><span dir=\"auto\">R\u00e9sultats\u00a0: <\/span><\/strong><span dir=\"auto\">Des diff\u00e9rences significatives de taux de survie et de rapport de risque ont \u00e9t\u00e9 observ\u00e9es entre les mat\u00e9riaux (p\u00a0&lt;\u00a00,001). Parmi les mat\u00e9riaux test\u00e9s, le SM-ZR pr\u00e9sentait le taux de survie le plus \u00e9lev\u00e9 et l\u2019AM le plus faible (p\u00a0\u2264\u00a00,031). Tous les mat\u00e9riaux pr\u00e9sentaient un rapport de risque significativement plus \u00e9lev\u00e9 que le SM-ZR (p\u00a0\u2264\u00a00,011), dans l\u2019ordre croissant suivant\u00a0: SM-GR, SM-PM, SM-CR et AM.<\/span><\/p>\n<p><strong class=\"sub-title\"><span dir=\"auto\">Conclusions\u00a0: <\/span><\/strong><span dir=\"auto\">Le SM-ZR a pr\u00e9sent\u00e9 le taux de survie le plus \u00e9lev\u00e9, sans aucune rupture. Bien que la plupart des mat\u00e9riaux polym\u00e8res test\u00e9s aient c\u00e9d\u00e9 lors des cycles de chargement, ces ruptures ont g\u00e9n\u00e9ralement \u00e9t\u00e9 observ\u00e9es au cours des 1,2 million de cycles suivants, avec une charge de 200\u00a0N. Tous les mat\u00e9riaux pr\u00e9sentaient un rapport de risque sup\u00e9rieur \u00e0 celui du SM-ZR.<\/span><\/p>\n<\/div>\n<\/div>\n<p id=\"copyright\" class=\"copyright\"><span dir=\"auto\">\u00a9 2025 Conseil de r\u00e9daction du Journal of Prosthetic Dentistry. Publi\u00e9 par Elsevier Inc. Tous droits r\u00e9serv\u00e9s.<\/span><\/p>\n<\/div>\n<div class=\"fusion-button-wrapper fusion-align-inline-medium\"><a class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" target=\"_self\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38760311\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">LIRE L&rsquo;ARTICLE<\/span><\/a><\/div>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":14373,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"link","meta":{"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":""},"categories":[63],"tags":[855,856],"class_list":["post-14375","post","type-post","status-publish","format-link","has-post-thumbnail","hentry","category-nouveaute","tag-comportement-en-fatigue-des-protheses-cantilever-sur-implants","tag-etude-in-vitro","post_format-post-format-link"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - 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