Methodology of experimental study of microleakage at the implant-abutment junction

Methodology of experimental study of microleakage at the implant-abutment junction

Authors

  • Shomurodov K.E., Kurmaev S.I., Alimjanova M.S.

DOI:

https://doi.org/10.57231/j.idmfs.2024.3.3.021

Keywords:

dental implant, abutment, microleakage, bacterial invasion, colonization, peri-implantitis

Abstract

Several studies have proven that the presence of a micro-gap at the implant-abutment junction (IAJ) can lead to the penetration of bacteria and contribute to the development of peri-implantitis. In addition, transverse occlusal loads (cyclic load) on the prosthesis during operation cause bending and micro-movement of the entire dental implant system (DIS), increase the gap at the joint and create a pumping effect between the inner surfaces of the implant and surrounding tissues. The article is devoted to a critical review of the methodology for the experimental study of the degree of microleakage of IAJ and bacterial invasion into the internal interface of the DI.

References

Akula SKJ, Ramakrishnan H, Sivaprakasam AN. Comparative evaluation of the microbial leakage at two different implant-abutment interfaces using a new sealant. J Dent Implant Res 2021;40:35–47.

Al-Jadaa, A., Attin, T., Peltomäki, T., Heumann, C. and Schmidlin, P.R., 2015. Impact of dynamic loading on the implant-abutment interface using a gas-enhanced permeation test in vitro. The open dentistry journal, 9, p.112.

Aloise, J.P., Curcio, R., Laporta, M.Z., Rossi, L., Da Silva, A.M.Á. and Rapoport, A., 2010. Microbial leakage through the implant–abutment interface of Morse taper implants in vitro. Clinical Oral Implants Research, 21(3), pp.328-335.

Bittencourt A, Neto C, Penitente PA, Pellizzer EP, Dos Santos DM, Goiato MC. Comparison of the Morse Cone connection with the internal hexagon and external hexagon connections based on microleakage - review. Prague Med Rep. 2021;122(3):181–90.

Camps-Font, O.; Rubianes-Porta, L.; Valmaseda-Castellón, E.; Jung, R.E.; Gay-Escoda, C.; Figueiredo, R. Comparison of external, internal flat-to-flat, and conical implant abutment connections for implant-supported prostheses: A systematic review and network meta-analysis of randomized clinical trials. J. Prosthet. Dent. 2021, 1–14.

Carra, M. C., N. Blanc-Sylvestre, A. Courtet, and P. Bouchard. 2023. “Primordial and Primary Prevention of Peri-Implant Diseases: A Systematic Review and Meta-Analysis.” Journal of Clinical Periodontology 50, no. Suppl 26: 77–112.

D’Ercole, S.; Cellini, L.; Pilato, S.; Di Lodovico, S.; Iezzi, G.; Piattelli, A.; Petrini, M. Material characterization and Streptococcus oralis adhesion on Polyetheretherketone (PEEK) and titanium surfaces used in implantology. J. Mater. Sci. Mater. Med. 2020, 31, 1–11.

D’Ercole, S.; Dotta, T.C.; Farani, M.R.; Etemadi, N.; Iezzi, G.; Comuzzi, L.; Piattelli, A.; Petrini, M. Bacterial Microleakage at the Implant-Abutment Interface: An In Vitro Study. Bioengineering 2022, 9, 277.

D’Ercole, S.; Mangano, C.; Cellini, L.; Di Lodovico, S.; Ozkaya, C.A.; Iezzi, G.; Piattelli, A.; Petrini, M. A novel 3d titanium surface produced by selective laser sintering to counteract streptococcus oralis biofilm formation. Appl. Sci. 2021, 11, 11915.

da Silva-Neto JP, Prudente MS, Dantas TS, Senna PM, Ribeiro RF, das Neves FD. Microleakage at different implant–abutment connections under unloaded and loaded conditions. Implant Dent. 2017;26(3):388–92.

Dias, E.L.C.M.; Sperandio, M.; Napimoga, M. Association Between Implant-Abutment Microgap and Implant Circularity to Bacterial Leakage: An In Vitro Study Using Tapered Connection Implants. Int. J. Oral Maxillofac. Implants 2017, 33, 505–511.

do Nascimento C, Barbosa RE, Issa JP, Watanabe E, Ito IY, Albuquerque RF Jr. Bacterial leakage along the implant-abutment interface of premachined or cast components. Int J Oral Maxillofac Surg. 2008 Feb;37(2):177-80.

Ellakany P, Mahrous AA, Al Eraky DM, Albarrak A, AlJindan R, Fouda SM. Evaluation of bacterial leakage in platform-switching dental implant with Morse taper connection under thermocycling and loading effects: in vitro study. Int J Oral Maxillofac Implants. 2021;36(1):68–74.

Fernandes, P.F.; Grenho, L.; Fernandes, M.H.; Sampaio-Fernandes, J.C.; Gomes, P.S. Microgap and bacterial microleakage during the osseointegration period: An in vitro assessment of the cover screw and healing abutment in a platform-switched implant system. J. Prosthet. Dent. 2021, 1–9.

Harder, S., Dimaczek, B., Açil, Y., Terheyden, H., Freitag-Wolf, S. and Kern, M., 2010. Molecular leakage at implant-abutment connection—in vitro investigation of tightness of internal conical implant-abutment connections against endotoxin penetration. Clinical oral investigations, 14(4), pp.427-432.

He Y, Fok A, Aparicio C, Teng W. Contact analysis of gap formation at dental implant–abutment interface under oblique loading: a numerical-experimental study. Clin Implant Dent Relat Res. 2019;21(4):741–52.

Hjerppe J, Lassila LV, Rakkolainen T, Narhi T, Vallittu PK. Load-bearing capacity of custom-made versus prefabricated commercially available zirconia abutments. Int J Oral Maxillofac Implants. 2011 Jan-Feb;26(1):132-8.

Karl M, Irastorza-Landa A. In vitro characterization of original and nonoriginal implant abutments. Int J Oral Maxillofac Implants. 2018;33(6):1229–39.

Koutouzis, T., Mesia, R., Calderon, N., Wong, F. and Wallet, S., 2014. The effect of dynamic loading on bacterial colonization of the dental implant fixture–abutment interface: an in vitro study. Journal of oral implantology, 40(4), pp.432-437.

Lopes de Chaves EMDEC, Sperandio M, Napimoga MH. Association between implant-abutment microgap and implant circularity to bacterial leakage: an in vitro study using tapered connection implants. Int J Oral Maxillofac Implants. 2018;33(3):505–11.

Mishra, S.K., Chowdhary, R. and Kumari, S., 2017. Microleakage at the different implant abutment interface: A systematic review. Journal of clinical and diagnostic research: JCDR, 11(6), p.ZE10.

Ortega-Martínez J, Delgado LM, Ortiz-Hernández M, Punset M, Cano-Batalla J, Cayon MR, et al. In vitro assessment of PEEK and titanium implant abutments: screw loosening and microleakage evaluations under dynamic mechanical testing. J Prosthet Dent. 2022;127(3):470–6.

Ozdiler A, Bakir-Topcuoglu N, Kulekci G, Isik-Ozkol G. Effects of taper angle and sealant agents on bacterial leakage along the implant–abutment interface: an in vitro study under loaded conditions. Int J Oral Maxillofac Implants. 2018;33(5):1071–7.

Ranieri, R., Ferreira, A., Souza, E., Arcoverde, J., Dametto, F., Gade‐Neto, C., Seabra, F. and Sarmento, C., 2015. The bacterial sealing capacity of Morse Taper implant-abutment systems in vitro. Journal of periodontology, 86(5), pp.696-702.

Siadat, H., Arshad, M., Mahgoli, H. A., & Fallahi, B. (2016). Microleakage Evaluation at Implant-Abutment Interface Using Radiotracer Technique. Journal of dentistry (Tehran, Iran), 13(3), 176-183.

Sousa CA, C., Conforte, J.J., Caiaffa, K.S., Duque, C. and Assunção, W.G., 2019. Sealing agent reduces formation of single and dual-species biofilms of Candida albicans and Enterococcus faecalis on screw joints at the abutment/implant interface. PloS one, 14(10), p.e0223148.

Teixeira, W.; Ribeiro, R.F.; Sato, S.; Pedrazzi, V. Microleakage into and from Two-Stage Implants: An In Vitro Comparative Study. J. Am. Dent. Assoc. 2014, 145, 542–551.

Tripodi, D.; Vantaggiato, G.; Scarano, A.; Perrotti, V.; Piattelli, A.; Iezzi, G.; D’Ercole, S. An in vitro investigation concerning the bacterial leakage at implants with internal hexagon and morse taper implant-abutment connections. Implant Dent. 2012, 21, 335–339.

Published

2024-12-20

Issue

Section

Article
Loading...