Review of the Mechanical Behavior of Different Implant-Abutment Connections

被引:54
|
作者
Vinhas, Ana Sofia [1 ]
Aroso, Carlos [2 ]
Salazar, Filomena [1 ]
Lopez-Jarana, Paula [1 ]
Rios-Santos, Jose Vicente [3 ]
Herrero-Climent, Mariano [4 ]
机构
[1] Inst Univ Ciencias Saude, Dept Periodontol, P-4585116 Gandra, Portugal
[2] Inst Univ Ciencias Saude, Dept Prosthodont, P-4585116 Gandra, Portugal
[3] Univ Seville, Sch Dent, Dept Periodontol, C Avicena S-N, Seville 41009, Spain
[4] Porto Dent Inst, P-4150518 Porto, Portugal
关键词
implant– abutment connection; preload; tightening torque; cyclic loading; misfit; microleakage; IN-VITRO EVALUATION; EXTERNAL-CONNECTION; TORQUE MAINTENANCE; BACTERIAL LEAKAGE; REMOVAL TORQUE; PRELOAD; HEXAGON; DESIGN; INTERFACE; FATIGUE;
D O I
10.3390/ijerph17228685
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Introduction: Different implant-abutment connections have been developed to reduce mechanical and biological failure. The most frequent complications are loss of preload, screw loosening, abutment or implant fracture, deformations at the different interfaces, and bacterial microleakage. Aim: To review the evidence indicating whether the implant-abutment connection type is significant regarding the following issues: (1) maintenance of the preload in static and dynamic in vitro studies; (2) assessment of possible deformations at the implant-abutment interfaces, after repeated application of the tightening torque; (3) evaluation of the sealing capability of different implant connections against microleakage. Materials and Methods: In June 2020, an electronic literature search was performed in Medline, EBSCO host, and PubMed databases. The search was focused on the ability of different implant connections to maintain preload, resist deformation after tightening and retightening, and prevent microleakage. The related titles and abstracts available in English were screened, and the articles that fulfilled the inclusion criteria were selected for full-text reading. Results: The literature search conducted for this review initially resulted in 68 articles, among which 19 articles and 1 systematic review fulfilled the criteria for inclusion. The studies were divided according to the three proposed objectives, with some studies falling into more than one category (maintenance of preload, surface abutment-implant deformation, and resistance to microleakage). Conclusions: Conical abutment appears to result in fewer mechanical complications, such as screw loosening or fractures, and higher torque preservation. After SEM evaluation, damage was observed in the threads of the abutment screws, before and after loading in internal and external connections. Internal hexagon implants and predominantly internal conical (Morse taper) implants showed less microleakage in dynamic loading conditions. We suggest further studies to guarantee excellence in methodological quality.
引用
收藏
页码:1 / 20
页数:20
相关论文
共 50 条
  • [1] Implant-Abutment Connections: A Structured Review
    Hariharan A.S.
    Sivaswamy V.
    Subhashini R.
    Journal of Long-Term Effects of Medical Implants, 2022, 33 (01) : 47 - 56
  • [2] Microbial contamination of the implant-abutment connections: Review of the literature
    Baixe, S.
    Tenenbaum, H.
    Etienne, O.
    REVUE DE STOMATOLOGIE DE CHIRURGIE MAXILLO-FACIALE ET DE CHIRURGIE ORALE, 2016, 117 (01) : 20 - 25
  • [3] Mechanical performance of conical implant-abutment connections under different cyclic loading conditions
    Yao, Kuang-Ta
    Kao, Hung-Chan
    Cheng, Cheng-Kung
    Fang, Hsu-Wei
    Huang, Chang-Hung
    Hsu, Ming-Lun
    JOURNAL OF THE MECHANICAL BEHAVIOR OF BIOMEDICAL MATERIALS, 2019, 90 : 426 - 432
  • [4] Evaluation of different debridement strategies for implant-abutment connections: An in vitro
    Lang, Lilly K.
    Karl, Matthias
    Klaer, Virgilia
    JOURNAL OF PROSTHETIC DENTISTRY, 2023, 130 (05): : 738.e1 - 738.e8
  • [5] The Effect of Different Implant-Abutment Connections on Screw Joint Stability
    Michalakis, Konstantinos X.
    Calvani, Pasquale
    Muftu, Sinan
    Pissiotis, Argiris
    Hirayama, Hiroshi
    JOURNAL OF ORAL IMPLANTOLOGY, 2014, 40 (02) : 146 - 152
  • [6] The Microbial Neck: A Biological Review of the Various Implant-Abutment Connections
    Mukhopadhyay, Pronoy
    Khalikar, Arun
    Wankhade, Sattyam
    Deogade, Suryakant
    JOURNAL OF ADVANCED ORAL RESEARCH, 2022, 13 (01) : 22 - 28
  • [7] Biomechanical Analysis of Implant-Supported Prostheses with Different Implant-Abutment Connections
    Dayrell, Andreza Costa
    Noritomi, Pedro Yoshito
    Ferreira Koyama Takahashi, Jessica Mie
    Xediek Consani, Rafael Leonardo
    Mesquita, Marcelo Ferraz
    Fernandes dos Santos, Mateus Bertolini
    INTERNATIONAL JOURNAL OF PROSTHODONTICS, 2015, 28 (06) : 621 - 623
  • [8] Mechanical behavior of titanium and zirconia abutments at the implant-abutment interface: A systematic review
    Pereira, Anne Karoline de Holanda Cavalcanti
    Limirio, Joao Pedro Justino de Oliveira
    Vasconcelos, Belmiro Cavalcanti do Egito
    Pellizzer, Eduardo Piza
    de Moraes, Sandra Lucia Dantas
    JOURNAL OF PROSTHETIC DENTISTRY, 2024, 131 (03): : 420 - 426
  • [9] Microleakage at Different Implant-Abutment Connections Under Unloaded and Loaded Conditions
    da Silva-Neto, Joao Paulo
    Prudente, Marcel Santana
    Dantas, Talita Souza
    Senna, Plinio Mendes
    Ribeiro, Ricardo Faria
    das Neves, Flavio Domingues
    IMPLANT DENTISTRY, 2017, 26 (03) : 388 - 392
  • [10] Bacterial Leakage in Implants With Different Implant-Abutment Connections: An In Vitro Study
    Assenza, Bartolomeo
    Tripodi, Domenico
    Scarano, Antonio
    Perrotti, Vittoria
    Piattelli, Adriano
    Iezzi, Giovanna
    D'Ercole, Simonetta
    JOURNAL OF PERIODONTOLOGY, 2012, 83 (04) : 491 - 497