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Narrow (\u00d83.5 \u00d7 10 mm) and wide (\u00d85 \u00d7 10 mm) implant systems of two different manufacturers with internal conical connections (16\u00b0) and their respective Ti-base abutments (3.5 and 4.5 mm) were evaluated. Ti-base abutments were torqued to the implants, standardized metallic maxillary incisor crowns were cemented, and step stress accelerated life testing of eighteen assemblies per group was performed in three loading profiles: mild, moderate, and aggressive until fracture or suspension. Reliability for missions of 100,000 cycles at 100 and 150 N was calculated, and fractographic analysis was performed. For missions at 100 N for 100,000 cycles, both narrow and wide implant systems exhibited a high probability of survival (\u226599%, CI: 94\u2013100%) without significant differences. At 150 N, wide-diameter implants presented higher reliability (\u226599%, CI: 99\u2013100%) compared to narrow implants (86%, CI: 61\u201395%), with no significant differences among manufacturers. Failure mode predominantly involved Ti-base abutment fractures at the abutment platform. Ti-base abutments supported by narrow and wide implant systems presented high reliability for physiologic masticatory forces, whereas for high load-bearing applications, wide-diameter implants presented increased reliability. Failures were confined to abutment fractures.<\/jats:p>","DOI":"10.3390\/dj11090207","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T10:47:26Z","timestamp":1693306046000},"page":"207","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Reliability and Failure Mode of Ti-Base Abutments Supported by Narrow\/Wide Implant Systems"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7184-8485","authenticated-orcid":false,"given":"Ernesto B.","family":"Benalc\u00e1zar-Jalkh","sequence":"first","affiliation":[{"name":"Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of Sao Paulo, Bauru 17012-980, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura F.","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of Sao Paulo, Bauru 17012-980, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa M. M.","family":"Alves","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of Sao Paulo, Bauru 17012-980, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiago M. B.","family":"Campos","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of Sao Paulo, Bauru 17012-980, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edisa de Oliveira","family":"Sousa","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of Sao Paulo, Bauru 17012-980, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edmara T. P.","family":"Bergamo","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of Sao Paulo, Bauru 17012-980, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo G.","family":"Coelho","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra C.","family":"Gierthmuehlen","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Medical Faculty and University Hospital D\u00fcsseldorf, Heinrich-Heine University, Moorenstra\u00dfe 5, 40225 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5535-2108","authenticated-orcid":false,"given":"Frank A.","family":"Spitznagel","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Medical Faculty and University Hospital D\u00fcsseldorf, Heinrich-Heine University, Moorenstra\u00dfe 5, 40225 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbas","family":"Zahoui","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of Sao Paulo, Bauru 17012-980, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6867-8350","authenticated-orcid":false,"given":"Estevam A.","family":"Bonfante","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of Sao Paulo, Bauru 17012-980, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,29]]},"reference":[{"key":"ref_1","first-page":"S155","article-title":"A systematic review of survival of single implants as presented in longitudinal studies with a follow-up of at least 10 years","volume":"9","author":"Hjalmarsson","year":"2016","journal-title":"Eur. 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