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      <journal_metadata language="en">
        <full_title>The Open Dentistry Journal</full_title>
        <abbrev_title>TODENTJ</abbrev_title>
        <issn media_type="print">1874-2106</issn>
      </journal_metadata>
      <journal_issue>
        <publication_date media_type="print">
          <month>11</month>
          <day>30</day>
          <year>2018</year>
        </publication_date>
        <journal_volume>
          <volume>12</volume>
        </journal_volume>
        <issue>1</issue>
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      <journal_article publication_type="full_text">
        <titles>
          <title>Effect of Angle and Type of Customized Abutment (Castable &amp; Cast-to) on Torque Loss and Fracture Resistance After Cyclic Loading</title>
        </titles>
        <contributors>
          <person_name contributor_role="author" sequence="first">
            <given_name>Moeen Hosseini</given_name>
            <surname>Shirazi</surname>
          </person_name>
          <person_name contributor_role="author" sequence="additional">
            <given_name>Maryam</given_name>
            <surname>Memarian</surname>
          </person_name>
          <person_name contributor_role="author" sequence="additional">
            <given_name>Marzieh</given_name>
            <surname>Alikhasi</surname>
          </person_name>
          <person_name contributor_role="author" sequence="additional">
            <given_name>Somayeh</given_name>
            <surname>Zeighami</surname>
          </person_name>
        </contributors>
        <jats:abstract>
                <jats:sec>
                    <jats:title>Background:</jats:title>
                    <jats:p>Implant placement with more than 25° angle and use of customized abutments are still challenging in implant dentistry. Also, casting is still the most commonly used method for fabrication of customized abutments.</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Objective:</jats:title>
                    <jats:p>This study evaluated the effect of angulation and type of abutment (castable and cast-to) on torque loss and fracture resistance after cyclic loading.</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Methods:</jats:title>
                    <jats:p>Two implants were mounted with 0 and 30° angle on a gypsum model. Castable and Cast-to abutments were casted by cobalt-chromium alloy on each implant (10 samples in 4 groups). Rotational freedom was measured by a video-measuring microscope. The reverse torque values before and after cyclic loading (500,000 cycles) were measured by a digital torque-meter. Abutments were subjected to fracture resistance test in a universal testing machine. Data were analyzed using the Kruskal Wallis, two-way ANOVA and repeated measures tests.</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Results:</jats:title>
                    <jats:p>Difference between castable and cast-to abutments regarding rotational freedom was not significant. Torque loss in castable abutments was significantly greater than cast-to abutments before and after cyclic loading (<jats:italic>P</jats:italic> &lt; 0.05). The effect of abutment angle on torque loss before and after cyclic loading was not significant.</jats:p>
                </jats:sec>
                <jats:sec>
                    <jats:title>Conclusion:</jats:title>
                    <jats:p>Irrespective of the abutment angle, torque loss was significantly higher in castable groups. Considering the high fracture resistance, abutment fractures were not clinically an issue.</jats:p>
                </jats:sec>
            </jats:abstract>
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          <month>11</month>
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          <year>2018</year>
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        <pages>
          <first_page>987</first_page>
          <last_page>994</last_page>
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