The microenvironment of the oral cavity is altered when an implant, a biocompatible foreign body, is inserted into the mouth. Bacteria settle in the tissues in and around the implant due to the passage of microorganisms through the microgap at the connection of the implant and prosthetic abutment. To prevent colonization of the implant by microorganisms, one idea is to use sealing and antimicrobial materials to decontaminate the implant-abutment interface and close the microgap. The purpose of this study is to evaluate the antimicrobial efficacy and permeability of different types of sealing materials at the implant-abutment interface, under static conditions. Three different sealing material (GapSeal gel, Oxysafe gel and Flow.sil) were used for sealing the implant-abutment interfaces in 60 titanium dental implants, which were first contaminated with a solution containing and for 14 days under an aerobic condition. Results showed that a complete seal against bacterial infection was not formed at the implant-abutment interface, while for fungal infections, only GapSeal material helped to prevent microleakage. Findings of this in vitro study reported that application of sealing material before abutment connection may reduce peri-implant bacterial and fungal population compared with the interface without sealing material.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7830056 | PMC |
http://dx.doi.org/10.3390/ma14020385 | DOI Listing |
Clin Oral Investig
January 2025
Department of Conservative Dentistry and Bucofacial Prostheses, Faculty of Odontology, Complutense University of Madrid, Madrid, Spain.
Objectives: This study aimed to assess the vertical misfit at the implant-abutment interface in external and internal connections across various implant brands, comparing original milled titanium abutments with laser-sintered cobalt-chromium (Co-Cr) abutments.
Materials And Methods: A total of 160 implants from four different brands were utilized, with 80 featuring external connections (EC) and 80 internal connections (IC). Original milled titanium abutments (n = 160) and Co-Cr laser-sintered abutments (n = 160) were randomly attached to each connection type, following the manufacturer's recommended torque.
J Adv Prosthodont
December 2024
Department Prosthetic Dental Sciences, College of Dentistry, Jouf University, Jouf, Saudia Arabia.
Purpose: This study assessed the microgap width and adhesion of three bacterial species in four dental implants with different interlocks under four screwing torques.
Materials And Methods: Ten samples of four implant systems with various interlockings, including full-hexagonal (FHI), cylindrical-conical trilobe-index (TLI), Morse-taper with octagon terminal index (OI), and hexagonal interlock (slip-fit) (HI-SF), were used. The abutments were screwed to the fixtures under torques of 10, 20, 30, and 40 Ncm.
J Dent
February 2025
Senior Research and Teaching Assistant, Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, Plattenstrasse 11, Zurich 8032, Switzerland. Electronic address:
Objectives: A new abutment-free implant connection allows for direct screwing of FDPs on implants to avoid complications caused by cement rests or screw loosening, which may affect to screw torque and load distribution. The objective of this study was to test the initial (Fi) and final failure (Ff) loads and torque changes of abutment-free monolithic zirconia CAD-CAM fixed dental prostheses (FDPs) compared to titanium FDPs on different abutment designs.
Methods: Three-unit screw-retained FDPs (n = 50) on two implants (n = 100) were divided into groups (n = 10) based on the implant-abutment connection and material of the supra-structure: (1) abutment-free monolithic CAD-CAM zirconia FDP (Abut-free-Zr), (2) abutment-free veneered titanium FDPs (Abut-free-Ti), (3) monolithic zirconia FDPs with titanium base abutments (Zr-Ti-Base), (4) monolithic zirconia FDPs on multi-unit abutments (Zr-MU), (5) veneered titanium FDP on multi-unit abutments (Ti-MU).
Int J Dent
December 2024
Department of Prosthodontics, Faculty of Dentistry, Tehran Medical Sciences of Azad University, Tehran, Iran.
This study aimed to assess the effect of cyclic loading on the amount of fixture-abutment microgap in short implants compared to standard implants. This in vitro experimental study was conducted on two groups of short and standard implants ( = 10). The microgap at the fixture-abutment interface was measured under a light microscope at ×75 magnification.
View Article and Find Full Text PDFJ Prosthodont Res
January 2025
School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China.
Purpose: This study aimed to evaluate the effect of functional loading on microgaps and microleakage at implant-abutment interfaces (IAIs) in the aesthetic zone when using different abutments and to provide a clinical reference for abutment selection.
Methods: This study included 30 patients with 36 implants divided into three groups: zirconia (Zr)-one-piece custom abutment, titanium (Ti)-custom abutment, and Ti-original abutment. Scanning electron microscopy was used to examine alterations in the microgaps at the IAIs under functional loading.
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