The Microbial Neck: A Biological Review of the Various Implant–Abutment Connections

2021 ◽  
pp. 232020682110417
Author(s):  
Pronoy Mukhopadhyay ◽  
Arun Khalikar ◽  
Sattyam Wankhade ◽  
Suryakant Deogade
Keyword(s):  
Bone Loss ◽  
English Language ◽  
Pubmed Database ◽  
Implant Abutment ◽  
Even Factor ◽  
Long Term Prognosis ◽  
Bacterial Leakage ◽  
Connection Design

Aim: This study reviews the importance of selecting implant systems with connection designs that ensure better long-term prognosis of the prosthesis, thus placed. Materials and Methods: An electronic search on the PubMed database was done using MeSH keywords (“dental implant OR abutment OR connection AND microleakage OR bone loss”) to review English language articles published since the year 2011, which compared the crestal bone levels and microleakage around various implant–abutment connection designs (external hex, internal hex, and Morse taper). The search screened for articles on human trials and in vitro studies to be included within the review. Results: Based on the inclusion and exclusion criteria applied to the preliminary search, a total of four articles were included in the review for evaluating the influence of connection type on peri-implant bone loss, while nine articles were included to study the influence on bacterial leakage across the implant–abutment interface. Conclusion: Based on the studies reviewed, the conical connection design proved to be the most biologically stable junctional geometry because of the better microbial seal and the lesser micromovement observed in these types of implants during functional loading. Moreover, this review even emphasizes the need for more longitudinal clinical trials to assess the microbial seal of these connection designs within the actual oral environment to evaluate long-term changes in the peri-implant tissues, and subsequently even factor the prognosis of the planned prosthetic intervention.

scholarly journals Mechanical Outcomes, Microleakage, and Marginal Accuracy at the Implant-Abutment Interface of Original versus Nonoriginal Implant Abutments: A Systematic Review of In Vitro Studies

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Marco Tallarico ◽  
Joseph Fiorellini ◽  
Yasushi Nakajima ◽  
Yuki Omori ◽  
Iida Takahisa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quality Assessment ◽  
Grey Literature ◽  
Third Party ◽  
Inclusion Criteria ◽  
Pubmed Database ◽  
Implant Abutments ◽  
Implant Abutment

Purpose. Instead of original abutments, compatible abutments are often selected for financial reasons. The present study aimed to evaluate mechanical outcomes, microleakage, and marginal accuracy at the implant-abutment interface of original versus nonoriginal implant abutments. Study Selection. Search strategy encompassed literature from 1967 up to March 2017 to identify relevant studies meeting the inclusion criteria. The following electronic databases were consulted: PubMed database of the U.S. National Library of Medicine, Embase (Excerpta Medica dataBASE), and the Grey Literature Database (New York Academy of Medicine Grey Literature Report). Quality assessment of the full-text articles selected was performed. Abutments were classified in original (produced by the same implant manufacturer), nonoriginal certified (produced by a third-party milling center, certified by implant companies), and nonoriginal compatible (produced by a third-party milling center for similar connections). Results. A total of 16 articles fulfilled inclusion criteria and quality assessment and were selected for the qualitative analysis. All of the included studies were in vitro research with high or moderate risk of bias and reported data from 653 implant abutments. Original and nonoriginal certified abutments showed better results in terms of mechanical outcomes, microleakage, and marginal accuracy compared to nonoriginal compatible abutments. Conclusions. Following the clear warnings coming from the present systematic review, clinical suggestions regarding the effect of a nonoriginal abutment can be drawn. However, in vivo, long-term, randomized controlled trials are needed to provide definitive clinical conclusion about the long-term clinical outcomes of original and nonoriginal abutments.

Synchrotron-based Radiography of Conical- vs. Butt-joint Implant Abutment Connections

2020 ◽  
Author(s):  
Johannes Angermair ◽  
Wolfram Wiest ◽  
Alexander Rack ◽  
Simon Zabler ◽  
Tobias Fretwurst ◽  
...  
Keyword(s):  
Butt Joint ◽  
Force Distribution ◽  
Joint Implant ◽  
Implant Abutment ◽  
Joint Connection ◽  
Long Term Prognosis ◽  
The Stability ◽  
Favorable Conditions ◽  
Connection Design

As a possible reason for mechanical and microbiological complications, the stability of conical implant-abutment and butt-joint connections is crucial for the long-term prognosis of dental implants.Therefore, the present study quantitatively assessed microgap formation and abutment displacement in different implant-abutment designs. Three implant systems with conical implant-abutment connections Medentika, Medentis, NobelActive and one system with a butt-joint connection Semados implants were tested. For different static loadings and angles (30 N - 90º, 100 N - 90º, 200 N - 30º) abutment displacement and microgap formation were calculated using synchrotron-based microtomography and phase-contrast radioscopy. The method using numerical forward simulation of the optical Fresnel propagation allowed for an accuracy down to 0.1 µm. Microgaps were present in all implant systems prior to loading (0.15 - 9µm). Values increased with mounting force and angle up to 40.5 µm at an off axis loading of 100 N in a 90 degree angle. In contrast to butt-joint connections conical connections demonstrated a tilting abutment displacement with a deformation of the outer implant wall visible in Medentika implants. The connection design seems to be crucial for the force distribution on the implant wall. Varying force distribution could lead to peri-implant bone loss under favorable conditions such as peri-implant inflammation.

An In Vitro Investigation Concerning the Bacterial Leakage at Implants With Internal Hexagon and Morse Taper Implant-Abutment Connections

2012 ◽  
Vol 21 (4) ◽  
pp. 335-339 ◽  
Author(s):  
Domenico Tripodi ◽  
Giovanni Vantaggiato ◽  
Antonio Scarano ◽  
Vittoria Perrotti ◽  
Adriano Piattelli ◽  
...  
Keyword(s):  
In Vitro Investigation ◽  
Implant Abutment ◽  
Bacterial Leakage

scholarly journals Association between implant abutment microgap and implant circularity to bacterial leakage - an in vitro study using tapered connection implants

2018 ◽  
Vol 29 ◽  
pp. 294-294
Author(s):  
Eduardo Claudio Lopes de Chaves E. Mello Dias ◽  
Marcelo Sperandio ◽  
Marcelo Henrique Napimoga
Keyword(s):  
In Vitro Study ◽  
Vitro Study ◽  
Implant Abutment ◽  
Bacterial Leakage ◽  
Tapered Connection

scholarly journals Impact of Dynamic Loading on the Implant-abutment Interface Using a Gas-enhanced Permeation Test In Vitro

2015 ◽  
Vol 9 (1) ◽  
pp. 112-119
Author(s):  
Anas Al-Jadaa ◽  
Thomas Attin ◽  
Timo Peltomäki ◽  
Christian Heumann ◽  
Patrick Roger Schmidlin
Keyword(s):  
Dynamic Loading ◽  
Group Testing ◽  
Pressure Change ◽  
Leakage Resistance ◽  
Implant Abutment ◽  
Bacterial Leakage ◽  
Static Conditions ◽  
Implant System ◽  
Permeation Test

Purpose : To assess implant leakage under static conditions as well as during and after dynamic loading. Materials and methods : Implants (Astra Tech (A), Biomet 3i (B) and Nobel Biocare (C)) were evaluated for leakage (n=8/group). Testing to assess the gas pressure change over time (hPa/min) and infiltrated fluid volume, was performed in a Gas Enhanced Permeation Test (GEPT) to qualify embedding. Implant apexes were then drilled, abutments were mounted and resin build-ups were fabricated. GEPT was reassessed. Samples were afterward mounted in a computer-controlled masticator while tested to bacterial leakage, they were daily observed for turbidity. Samples were then reassessed using GEPT. Dunnett's and Fisher's exact tests were utilized to compare implant and to analyze bacterial leakage. Results : Significant differences in GEPT values were shown after loading (p=0.034). Leakage resistance was best for B when compared to C (p=0.023). Samples with higher GEPT values demonstrated earlier bacterial leakage, occurring after 1 or 2 days (A=4, B=0, C=6) and showing favorability for implant system B (p=0.009). Conclusion : Implants leaking under static conditions had increased potential for bacterial leakage under dynamic conditions. As strongly correlating to sophisticated analytical methods, GEPT is a promising technique for assessing the overall implant system leakage resistance.

scholarly journals Does Implant-Abutment Interface affect Marginal Bone Levels around Implants?

2019 ◽  
Vol 13 (01) ◽  
pp. 047-052 ◽  
Author(s):  
Eser Elemek ◽  
Artun Urgancioglu ◽  
Janberd Dincer ◽  
Altug Cilingir
Keyword(s):  
Bone Loss ◽  
Dental Implants ◽  
Marginal Bone Loss ◽  
Single Crown ◽  
Implant Abutment ◽  
Different Types ◽  
Group A ◽  
Group B ◽  
Switch Group

Abstract Objective The use of dental implants with different types of surface roughness and implant-abutment interface has brought about a situation of marginal bone loss. Therefore, the aim of this study was to analyze and compare marginal bone levels of different types of osseointegrated dental implants with platform switch (Group A: Ankylos, Mannheim, Germany) and platform match (Group B: Dentsply Xive, Mannheim, Germany, and Group C: MIS Implant Technologies, Karmiel, Israel). Materials and Methods One hundred and seven patients (52 men and 55 women) with a mean age of 54.79 (standard deviation ± 12.35) years and a total of 321 dental implants (Group A, n = 198; Group B, n = 58; and Group C, n = 65) placed in a private practice between April 2006 and May 2015 were retrospectively analyzed. In addition to demographic information and implant characteristics, marginal bone levels were evaluated by Image J (Wayne Rasband, National Institute of Health, Maryland) program. Results The mean age of all patients was 54.79 ± 12.35 years, and 51.5% of them were women. Implants supporting fixed bridge were most commonly used in all groups (65%), whereas only 20% were restored with a single crown and 15% with overdentures. In total, 47.5% of all implants showed no marginal bone loss. Mean bone loss in Group A was significantly lower (0.81 ± 1.60 mm) as compared to Group B (1.58 ± 1.59 mm) and Group C (1.18 ± 1.36) (p < 0.005). Conclusion Among different types of dental implants, platform switch seems to preserve marginal bone levels and increase the long-term success of dental implants.

scholarly journals Microbiological Sealing Analysis of a Tapered Connection and External Hexagon System

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Gardel Nepomuceno Costa ◽  
Elizabeth Ferreira Martinez ◽  
Aluísio Martins de Oliveira Ruellas ◽  
Daiane Cristina Peruzzo ◽  
Júlio Cesar Joly ◽  
...  
Keyword(s):  
Descriptive Analysis ◽  
In Vitro Study ◽  
Positive Control ◽  
Negative Control ◽  
Microbiological Analysis ◽  
Significance Level ◽  
Implant Abutment ◽  
Bacterial Leakage ◽  
Tapered Connection

Considering the variety of implant connection systems available in the market and the contrasting literature regarding tapered connection systems in terms of bacterial leakage, the aim of this in vitro study was to compare the effectiveness of the bacterial seal at the implant/abutment interface between an external hexagon and a tapered connection system. Twelve sets of indexed tapered connection components and twelve sets of external hexagon connection components were used for microbiological analysis. In addition, for each model, an implant with its respective prosthetic abutment was used as a negative control and another as a positive control of microbial contamination. Failure of the abutment/implant interface seal was observed via turbidity or presence of deposits in the culture. Descriptive analysis of the data and relative frequency (percentage) as well as Fisher’s exact test were used at a significance level of 5%. Two of ten (20%) external hexagon specimens showed contamination against 0/10 (0%) tapered connection implants. In conclusion, both implant/abutment connections were able to prevent bacterial leakage in vitro.

scholarly journals Restoration of Endodontically Treated Teeth Review and Treatment Recommendations

2009 ◽  
Vol 2009 ◽  
pp. 1-9 ◽  
Author(s):  
Iris Slutzky-Goldberg ◽  
Hagay Slutzky ◽  
Colin Gorfil ◽  
Ami Smidt
Keyword(s):  
Root Canal ◽  
Endodontically Treated Teeth ◽  
Root Canal Filling ◽  
Finish Line ◽  
Oral Fluids ◽  
Post And Core ◽  
Long Term Prognosis ◽  
Bacterial Leakage ◽  
Tooth Tissue

Coronal restorations and posts can positively influence the long-term prognosis of teeth following root canal therapy. Final sealing the canal by placing an appropriate post and core will minimize leakage of oral fluids and bacteria into the periradicular area and is recommended as soon as possible after completion of root canal filling. Glass ionomer or MTA placed over the residual root canal filling after post space preparation may be effective to prevent bacterial leakage. A ferrule of 1-2 mm of tooth tissue coronal to the finish line of the crown significantly improves the fracture resistance of the tooth and is more important than the type of the material the core and post are made of.

scholarly journals Original vs Non-Original “Cast-To” Gold Abutment-Implant Connection: Analysis of the Internal Fit and Long-Term Fatigue Performance

2020 ◽  
Author(s):  
Raquel Alonso-Pérez ◽  
José F. Bartolomé ◽  
Cristina Fraile ◽  
Guillermo Pradíes
Keyword(s):  
Artificial Saliva ◽  
Testing Machine ◽  
Cyclic Fatigue ◽  
Fatigue Performance ◽  
Tight Contact ◽  
Implant Abutment ◽  
Implant System ◽  
Internal Fit

Abstract Background: Restoring implants with not original abutment-implant connection are widely used by clinicians. Due to the current scarcity of in-vitro studies about compatible abutments and lack of relevant clinical studies, long-term fatigue performance of non-original abutments should be analyzed. The aim of this research was to assess the internal accuracy and the cyclic fatigue life after artificial aging of three implant-abutment configurations restored with one original and two compatible non-original “cast-to” gold abutments.Materials and Methods: Forty-eight original internal hexagon connection implants were connected to three different brands of abutments (n= 16 each): one original to the implant system and two non-originals. Internal accuracy and the percentage of surface with tight contact were assessed under Scanning Electron Microscope (SEM) in twelve cross-sectioned samples at three different areas (platform, internal and screw). To evaluate the fatigue mechanical behaviour under cyclic load, samples were loaded according to the ISO Norm 14801 in a universal testing machine at 2 Hz in air. Previously, samples were aged by thermocycling with 10,000 cycles at 5 °C and 55 °C in artificial saliva. Results: Original abutments presented the best accuracy and highest percentage of tight contact in the internal areas. Meanwhile, original abutments showed the lower cyclic fatigue strength degradation and the long-term success. Conclusions: Occlusal loads are transferred more homogenously through the system when original abutments are used because the better fit between the different internal components. This fact provides the highest fatigue resistance for all the restorations studied.

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