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Bacterial microleakage at the abutment-implant interface, in vitro study
Carlos Larrucea1, Aparicio Conrado2, Denise Olivares1
1Postgrado de Rehabilitación Oral, Universidad de Talca, Talca, Chile.
Clinical Implant Dentistry and Related Research
|February 16, 2018
Summary
Applying sufficient torque to implant abutments prevents bacterial leakage. Torques of 20 and 30 N ensured no microleakage at the abutment-implant interface (AII), unlike lower torques.
Area of Science:
- Dental Implantology
- Biomaterials Science
- Microbiology
Background:
- A microspace at the abutment-implant interface (AII) in dental implants can harbor oral microbiome, leading to peri-implant inflammation.
- Preventing microbial leakage through the AII is crucial for maintaining peri-implant tissue health.
Purpose of the Study:
- To investigate the effect of applied torque on the prosthetic implant on marginal bacterial microleakage at the AII.
- To establish a threshold for secure abutment-implant connections against bacterial ingress.
Main Methods:
- Twenty-five internal conical implants were subjected to varying torques (<10, 10, 20, 30, 30 N) for abutment connection.
- Samples underwent occlusal loading and thermocycling, followed by micro-computed tomography (micro-CT) analysis and a bacterial leakage model using Porphyromonas gingivalis.
Main Results:
- Bacterial leakage was detected exclusively in implants subjected to <10 N and 10 N torque.
- Micro-CT analysis revealed poor abutment/implant adjustment in the <10 N and 10 N groups.
- Higher torques (20 N and 30 N) demonstrated no bacterial leakage.
Conclusions:
- The torque applied to the abutment-implant system significantly influences bacterial leakage at the AII.
- A minimum torque of 20 N is recommended to prevent marginal bacterial microleakage and ensure implant stability.
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