{"id":14439,"date":"2026-11-13T11:36:13","date_gmt":"2026-11-13T10:36:13","guid":{"rendered":"https:\/\/eacim-ceramic-implantology.com\/influence-de-la-geometrie-de-la-section-transversale-du-connecteur-sur-la-capacite-de-charge-en-fatigue-dune-prothese-partielle-fixe-en-zircone-sur-implants\/"},"modified":"2026-11-13T11:36:13","modified_gmt":"2026-11-13T10:36:13","slug":"influence-de-la-geometrie-de-la-section-transversale-du-connecteur-sur-la-capacite-de-charge-en-fatigue-dune-prothese-partielle-fixe-en-zircone-sur-implants","status":"publish","type":"post","link":"https:\/\/eacim-ceramic-implantology.com\/fr\/influence-de-la-geometrie-de-la-section-transversale-du-connecteur-sur-la-capacite-de-charge-en-fatigue-dune-prothese-partielle-fixe-en-zircone-sur-implants\/","title":{"rendered":"Influence de la g\u00e9om\u00e9trie de la section transversale du connecteur sur la capacit\u00e9 de charge en fatigue d’une proth\u00e8se partielle fixe en zircone sur implants"},"content":{"rendered":"
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Influence de la g\u00e9om\u00e9trie de la section transversale du connecteur sur la capacit\u00e9 de charge en fatigue d’une proth\u00e8se partielle fixe en zircone sur implants<\/span><\/h1>\n
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R\u00e9sum\u00e9<\/h2>\n
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Probl\u00e9matique\u00a0: <\/span><\/strong>La zircone est reconnue pour son aptitude \u00e0 la r\u00e9alisation de restaurations monolithiques multi-unitaires. Toutefois, la zone de connexion \u00e9tant le point faible du syst\u00e8me, des \u00e9tudes sont n\u00e9cessaires pour d\u00e9terminer la g\u00e9om\u00e9trie optimale de cette connexion.<\/span><\/p>\n

Objectif : <\/span><\/strong>L\u2019objectif de cette \u00e9tude in vitro \u00e9tait d\u2019\u00e9valuer la capacit\u00e9 de charge sous fatigue des proth\u00e8ses partielles fixes sur implants en zircone monolithique avec diff\u00e9rentes g\u00e9om\u00e9tries de section transversale de connecteur.<\/span><\/p>\n

Mat\u00e9riel et m\u00e9thodes\u00a0: <\/span><\/strong>Des proth\u00e8ses partielles fixes monolithiques de trois unit\u00e9s (de la deuxi\u00e8me pr\u00e9molaire mandibulaire \u00e0 la deuxi\u00e8me molaire) ont \u00e9t\u00e9 r\u00e9alis\u00e9es en zircone (Zenostar T) par conception et fabrication assist\u00e9es par ordinateur (CFAO). Diff\u00e9rentes g\u00e9om\u00e9tries de section transversale des connecteurs, d\u2019une surface de 9\u00a0mm\u00b2 <\/span>,<\/span><\/sup> ont \u00e9t\u00e9 test\u00e9es (n\u00a0=\u00a010)\u00a0: ronde, carr\u00e9e \u00e0 angles arrondis ou trap\u00e9zo\u00efdale \u00e0 angles arrondis. Les proth\u00e8ses ont \u00e9t\u00e9 viss\u00e9es sur deux implants et ins\u00e9r\u00e9es dans des bases en r\u00e9sine acrylique. Les \u00e9chantillons ont \u00e9t\u00e9 soumis \u00e0 un test de fatigue m\u00e9canique jusqu\u2019\u00e0 rupture, la charge \u00e9tant appliqu\u00e9e au pontique selon une m\u00e9thode de contrainte progressive (charge initiale de 100\u00a0N pendant 5\u00a0000\u00a0cycles, puis augmentation \u00e0 200\u00a0N pendant 20\u00a0000\u00a0cycles, avec une augmentation ult\u00e9rieure de 50\u00a0N par palier). Pour l\u2019analyse des donn\u00e9es, la charge de rupture par fatigue (FRF) et le nombre de cycles avant rupture (CFR) ont \u00e9t\u00e9 enregistr\u00e9s. Les structures rompues ont \u00e9t\u00e9 analys\u00e9es par fractographie. Le test de Kaplan-Meier, suivi d’un test post-hoc de Mantel-Cox (log-rank), a \u00e9t\u00e9 utilis\u00e9 pour analyser la FFL et la CFF (\u03b1 = 0,05). Une analyse de Weibull a \u00e9galement \u00e9t\u00e9 r\u00e9alis\u00e9e.<\/span><\/p>\n

R\u00e9sultats\u00a0: <\/span><\/strong>Les groupes rond (1065\u00a0N) et trap\u00e9zo\u00efdal (1010\u00a0N) ont pr\u00e9sent\u00e9 des valeurs de FFL sup\u00e9rieures \u00e0 celle du groupe carr\u00e9 (870\u00a0N) (p\u00a0\u2264\u00a00,05). Concernant le CFF, le connecteur rond (358\u00a0777) s\u2019est av\u00e9r\u00e9 meilleur que le carr\u00e9 (280\u00a0310) (p\u00a0=\u00a00,006), tandis que le trap\u00e9zo\u00efdal (337\u00a0773) a obtenu des r\u00e9sultats statistiquement similaires aux deux (p\u00a0>\u00a00,05). Aucune diff\u00e9rence significative n\u2019a \u00e9t\u00e9 observ\u00e9e entre les groupes pour le module de Weibull, que ce soit pour le CFF ou le FFL. Toutes les ruptures \u00e9taient catastrophiques, prenant naissance \u00e0 la base du connecteur et se propageant vers la surface occlusale du pontique (zone de charge).<\/span><\/p>\n

Conclusions : <\/span><\/strong>La g\u00e9om\u00e9trie de la section transversale du connecteur a influenc\u00e9 de mani\u00e8re significative les performances en fatigue m\u00e9canique des proth\u00e8ses partielles fixes sur implants en zircone monolithique.<\/span><\/p>\n<\/div>\n<\/div>\n

\u00a9 2022 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>\n

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