Implant-abutment gap versus microbial colonization: Clinical significance based on a literature review

Journal of Biomedical Materials Research - Part B Applied Biomaterials

Volumn 101, Issue 7, 2013, Pages 1321-1328

  Passos, Sheila Pestana ^a   Gressler May, Liliana ^b   Faria, Renata ^c   Özcan, Mutlu ^d   Bottino, Marco Antonio ^e  

^a UNIVERSITY OF ALBERTA   (Canada)

^b FEDERAL UNIVERSITY OF SANTA MARIA   (Brazil)

^c PAULISTA UNIVERSITY   (Brazil)

^d UNIVERSITY OF GRONINGEN   (Netherlands)

^e SÃO PAULO STATE UNIVERSITY UNESP   (Brazil)

Author keywords

bone loss; implant abutment connection; implant abutment gap; microbial leakage; osseointegration

Indexed keywords

BONE LOSS; CONNECTION DESIGNS; IMPLANT-ABUTMENT CONNECTION; IMPLANT-ABUTMENT GAP; LITERATURE REVIEWS; MICROBIAL COLONIZATION; OSSEOINTEGRATION; TISSUE INFLAMMATION;

BACTERIA; BONE;

ABUTMENTS (BRIDGE);

ALVEOLAR BONE LOSS; BACTERIAL GROWTH; BONE DENSITY; BONE REGENERATION; DENTAL ABUTMENT; IN VITRO STUDY; INFLAMMATION; MEDLINE; MICROBIAL COLONIZATION; MOUTH CAVITY; NONHUMAN; OSTEOLYSIS; REVIEW;

BONE LOSS; IMPLANT-ABUTMENT CONNECTION; IMPLANT-ABUTMENT GAP; MICROBIAL LEAKAGE; OSSEOINTEGRATION;

ALVEOLAR BONE LOSS; ANIMALS; BACTERIAL INFECTIONS; DENTAL IMPLANT-ABUTMENT DESIGN; DENTAL IMPLANTS; HUMANS; OSSEOINTEGRATION; PUBMED;

EID: 84884208055     PISSN: 15524973     EISSN: 15524981     Source Type: Journal    
DOI: 10.1002/jbm.b.32945     Document Type: Review

References (62)

1. Piattelli A, Scarano A, Paolantonio M, Assenza B, Leghissa GC, Di Bonaventura G, Catamo G, Piccolomini R,. Fluids and microbial penetration in the internal part of cement-retained versus screw-retained implant-abutment connections. J Periodontol 2001; 72: 1146-1150.
2. Quirynen M, de Soete M, van Steenberghe D,. Infections risks for oral implants: A review of the literature. Clin Oral Implants Res 2002; 13: 1-19.
3. Guindy JS, Besimo CHE, Besimo R, Schiel H, Meyer J,. Bacterial leakeage into and from prefabricated screw-retained implant-borne crowns in vitro. J Oral Rehabil 1998; 25: 403-408.
4. Orsini G, Fanali S, Scarano H, Petrone G, di Silvestro S, Piattelli A,. Tissue reactions, fluids and bacterial infiltration in implants retrieved at autopsy: A case report. Int J Oral Maxillofac Implants 2000; 15: 283-286.
5. Piattelli A, Vrespa G, Petrone G, Iezzi G, Annibali S, Scarano A,. Role of the microgap between implant and abutment: A retrospective histologic evaluation in monkeys. J Periodontol 2003; 74: 346-352.
6. Gross M, Abramovich I, Weiss EI,. Microleakage at abutment-implant interface of osseointegrated implants: A comparative study. Int J Oral Maxillofac Implants 1999; 14: 94-100.
7. Jansen VK, Conrads G, Richter EJ,. Microbial leakage and marginal fit of the implant-abutment interface. Int J Oral Maxillofac Implants 1997; 12: 527-540.
8. Steinebrunner L, Wolfart S, Bossmann K, Kern M,. In vitro evaluation of bacterial leakage along the implant-abutment interface of different implant systems. Int J Oral Maxillofac Implants 2005; 20: 875-881.
9. Dibart S, Warbington M, Su MF, Skobe Z,. In vitro evaluation of the implant-abutment bacterial seal: The locking-taper system. Int J Oral Maxilofac Implants 2005; 20: 732-737.
10. Koutouzis T, Wallet S, Calderon N, Lundgren T,. Bacterial colonization of the implant-abutment interface using an in vitro dynamic loading model. J Periodontol 2011; 82: 613-618.
11. D'Ercole S, Scarano A, Perrotti V, Mulatinho J, Piattelli A, Iezzi G, Tripodi DJ,. Implants with external hexagon and conical implant-abutment connections: An in vitro study of the bacterial contamination. Oral Implantol 2011;[Epub ahead of print].
12. Besimo CE, Guindy JS, Lewetag D, Meyer J,. Prevention of bacterial leakage into and from prefabricated screw-retained crowns on implants in vitro. Int J Oral Maxillofac Implants 1999; 14: 654-660.
13. Covani U, Marconcini S, Crespi R, Barone A,. Bacterial plaque colonization around dental implant surfaces. Implant Dent 2006; 15: 298-304.
14. Sterer N, Tamary I, Katz M, Weiss E,. Association between transmucosal depth of osseointegrated implants and malodor production. Int J Oral Maxillofac Implants 2008; 23: 277-280.
15. 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; 37: 177-180.
16. Traversy MC, Birek P,. Fluid and microbial leakage of implant-abutment assembly in vitro. J Dent Res 1992; 71: 754-757.
17. Quirynen M, van Steenberghe D,. Bacterial colonization of the internal part of two-stage implants. Clin Oral Implants Res 1993; 4: 158-161.
18. O'Mahony A, Macneill SR, Cobb CM,. Design features that may influence bacterial plaque retention: A retrospective analysis of failed implants Quintessence Int 2000; 31: 249-256.
19. Hermann JS, Scoolfield JD, Schenck RK, Buser D, Cochran DL,. Influence of the size of the micro-gap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged implant in the canine mandible. J Periodontol 2001; 72: 1372-1383.
20. Paolantonio M, Perinetti G, D'Ercole S, Graziani F, Catamo G, Sammartino G, Piccolomini R,. Internal decontamination of dental implants: An in vivo randomized microbiologic 6-month trial on the effects of a chlorhexidine gel. J Periodontol 2008; 79: 1419-1425.
21. Mombelli A, Marxer M, Gaberthuel T, Grunder U, Lang NP,. The microbiota of osseointagreted implants in patients with a history of periodontal disease. J Clin Periodontol 1995; 22: 124-130.
22. Michaels GC, Carr AB, Larsen PE,. Effect of prosthetic superstructure accurately on the osseointegrated on the osseointegrated implant bone interface. Oral Surg Oral Med Oral Pathol Radiol Endod 1997; 83: 198-205.
23. Steflik DE, McKinney RV, Sisk AL, Parr GR, Marshall BL,. Dental implants retrieved from humans: A diagnostic light microscopy review of the findings in seven cases of failure. Int J Oral Maxillofac Implants 1991; 6: 147-153.
24. Mombelli A, Buser D, Lang NP,. Colonization of osseointegrated titanium implants in edentulous patients. Oral Microbiol Immunol 1988; 3: 113-120.
25. Meffert RM,. The soft tissue interface in dental implantology. J Dent Educ 1988; 52: 810-811.
26. Mombelli A, Mericske-Stern R,. Microbiological features of stable osseointegrated implants used as abutment for overdentures. Clin Oral Implants Res 1990; 1: 1-17.
27. Broggini N, McManus LM, Hermann JS, Medina RU, Oates TW, Schenk RK, Buser D, Mellonig JT, Cochran DL,. Persistent acute inflammation at the implant-abutment interface. J Dent Res 2003; 82: 232-237.
28. Rangert B, Jemt T, Jorneus L,. Forces and moment on Branemark implants. Int J Oral Maxillofac Implants 1989; 4: 241-247.
29. McCartney J,. Intraoral connection of individual abutment attachments for an osseointegrated implant-supported prosthesis. J Prosthet Dent 1991; 66: 799-803.
30. May KB, Edge MJ, Russell MM, Razzoog ME, Lang BR,. The precision of fit at the implant prosthodontic interface. J Prosthet Dent 1997; 77: 497-502.
31. Persson LG, Lekholm U, Leonhardt A, Dahlén G, Lindhe J,. Bacterial colonization on internal surfaces of Brånemark system implant components. Clin Oral Implant Res 1996; 7: 90-95.
32. Nakazato G, Tsuchiya H, Sato M, Yamauchi M,. In vivo plaque formation on implant materials. Int J Oral Maxillofac Implants 1989; 4: 321-326.
33. Koka S, Razzoog ME, Bloem TJ, Syed S,. Microbial colonization of dental implants in partially edentulous subjects. J Prosthet Dent 1993; 70: 141-144.
34. Callan DP, O'Mahony A, Cobb CM,. Loss of crestal bone around dental implants: A retrospective study. Implant Dent 1998; 7: 258-266.
35. Dellow AG, Driessen CH, Nel HJ,. Scanning electron microscopy evaluation of the interfacial fit interchanged components of four dental implant systems. Int J Prosthodontic 1997; 10: 216-221.
36. van Winkelhoff AJ, Goené RJ, Benschop C, Folmer T,. Early colonization of dental implants by putative periodontal pathogens in partially edentulous patients. Clin Oral Implants Res 2000; 11: 511-520.
37. Quirynen M, Peeters W, Naert I, Coucke W, van Steenberghe D,. Peri-implant health around screw-shaped c.p. titanium machined implants in partially edentulous patients with or without ongoing periodontitis. Clin Oral Implants Res 2001; 12: 589-594.
38. Goheen KL, Vermilyea SG, Vassoughi J, Agar JR,. Torque generated by handheld screwdrivers and mechanical torquing devices for osseointegrated implants. Int J Oral Maxillofac Implants 1994; 9: 149-155.
39. Weiss EI, Kozak D, Gross MD,. Effect of repeated closures on opening torque values in seven abutment-implant systems. J Prosthet Dent 2000; 84: 194-199.
40. Merz BR, Hunenbart S, Belser UC,. Mechanics of the implant-abutment connection: An 8-degree taper compared to a butt joint connection. Int J Oral Maxillofac Implants 2000; 15: 519-526.
41. Duarte ARC, Rossetti PHO, Rossetti LMN, Torres SA, Bonachela WC,. In vitro sealing ability of two materials at five different implant-abutment surfaces. J Periodontol 2006; 77: 1828-1832.
42. Tenenbaum H, Schaaf J-F, Cuisinier FJG,. Histological analysis of the ankylos peri-implant soft tissues in a dog model. Implant Dent 2003; 12: 259-265.
43. Pautke C, Kolk A, Brokate M, Wehrstedt JC, Kneissl F, Miethke T, Steinhauser E, Horch HH, Deppe H,. Development of novel implant abutments using the shape memory alloy nitinol: Preliminary results. Int J Oral Maxillofac Implants 2009; 24: 477-483.
44. King GN, Hermann JS, Schoolfield JD, Buser D, Cochran DL,. Influence of the size of the microgap on crestal bone levels in non-submerged dental implants: A radiographic study in canine mandibles. J Periodontol 2002; 73: 1111-1117.
45. Teixeira W, Ribeiro RF, Sato S, Pedrazzi V,. Microleakage into and from two-stage implants: An in vitro comparative study. Int J Oral Maxillofac Implants 2011; 26: 56-62.
46. Rismanchian M, Hatami M, Badrian H, Khalighinejad N, Goroohi H,. Evaluation of microgap size and microbial leakage in connection area of four abutments with Straumann (ITI) implant. J Oral Implantol 2012; 38 (6): 677-685.
47. Assenza B, Tripodi D, Scarano A, Perrotti V, Piattelli A, Iezzi G, D'Ercole SJ,. Bacterial leakage in implants with different implant-abutment connections: An in vitro study. Periodontol 2012; 83: 491-497.
48. Jung YC, Han CH, Lee KW,. A 1-year radiographic evaluation of marginal bone around dental implants. Int J Oral Maxillofac Implants 1996; 11: 811-818.
49. Adell R, Lekholm U, Rockler B, Brånemark PI,. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981; 10: 387-416.
50. Bragger U, Hafeli U, Huber B, Hämmerle CH, Lang NP,. Evaluation of postsurgical crestal bone levels adjacent to non-submerged dental implants. Clin Oral Implant Res 1998; 9: 218-224.
51. Oh T-J, Yoon J, Misch CE,. The causes of early implant bone loss: Myth or science? J Periodontol 2002; 73: 322-333.
52. Abrahamsson I, Berghlundh T, Lindhe J,. The mucosal barrier following abutment dis/reconnection: An experimental study in dogs. J Clin Periodontol 1997; 24: 568-572.
53. Hermann JS, Buser D, Schenk RK, Schoolfield JD, Cochran DL,. Biologic width around one- and two-piece titanium implants. Clin Oral Implants Res 2001; 12: 559-571.
54. Tarnow DP, Magner AW, Fletcher P,. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 1992; 63: 995-996.
55. Naert I, Quirynen M, van Steenberghe D, Darius P,. A six year prosthodontic study of consecutively inserted implants for the treatment of partial edentulism. J Prosthet Dent 1992; 67: 236-245.
56. Hermann JS, Schoolfield JD, Nummikoski PV, Cochran DL,. Crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged and submerged implants in the canine mandible. J Periodontol 2000; 71: 1412-1424.
57. Hanggi MP, Hanggi DC, Schoolfield JD, Meyer J, Cochran DL, Hermann JS,. Crestal bone changes around titanium implants. Part I: A retrospective radiographic evaluation in humans comparing two non-submerged implant designs with different machined collar lengths. J Periodontol 2005; 76: 791-802.
58. Todescan FF, Pustiglioni FE, Imbronito AV, Albrektsson T, Gioso M,. Influence of the microgap in the peri-implant hard and soft tissues: A histomorphometric study in dogs. Int J Oral Maxillofac Implants 2002; 17: 467-472.
59. Heydenrijk K, Raghoebar GM, Meijer HJ, Stegenga B,. Clinical and Radiologic Evaluation of 2-stage IMZ implants in a single-stage procedure: 2-year results of a prospective comparative study. Int J Oral Maxillofac Implants 2003; 18: 424-432.
60. Heydenrijk K, Raghoebar GM, Meijer HJ, van der Reijden WA, van Winkelhoff AJ, Stegenga B,. Two-stage IMZ implants and ITI implants inserted in a single-stage procedure. Clin Oral Impl Res 2002; 13: 371-380.
61. Tonetti MS, Schmid J., Pathogenesis of implant failures. Periodontol 2000 1994; 4: 127-138.
62. Ceruti P, Lorenzetti M, Barabino E, Menicucci G,. Management of prosthetic abutments respecting peri-implant soft tissues. Minerva Stomatol 2005; 54: 601-608.