Evaluation of Microleakage and Microgap of Two Different Internal Implant–Abutment Connections: An In Vitro Study

JOURNAL TITLE: The Journal of Contemporary Dental Practice

Author
1. Prashant Babaji
2. Kyatsandra N Jagadeesh
3. Anuj Singh Parihar
4. Sridhar Annapoorneshwari
5. Sami Alduwayhi
6. Anuj Singh Parihar
7. Faiz Muslimveetil Khalid
ISSN
DOI
10.5005/jp-journals-10024-2817
Volume
21
Issue
6
Publishing Year
2020
Pages
3
Author Affiliations
    1. Department of Dentistry (Prosthodontics), Rangaraya Medical College, Kakinada, Andhra Pradesh, India
    1. Department of Prosthodontics and Implantology, Sree Siddharth Dental College, Sree Siddharth Academy of Higher Education, Tumkur, Karnataka, India
    1. Department of Periodontology, RKDF Dental College & Research Centre, Bhopal, Madhya Pradesh, India
    1. Department of Prosthodontics, College of Dentistry, Majmaah University, Al-Majmaah, Kingdom of Saudi Arabia
    1. Private Practitioner, Bengaluru, Karnataka, India
    1. Department of Prosthodontics, PSM College of Dental Sciences and Research, Akkikkavu, Thrissur, Kerala, India
    1. Sharavathi Dental College and Hospital, Shivamogga, Karnataka, India
  • Article keywords

    Abstract

    Aim: The higher success rate (>90%) of dental implants over 5 years has made this treatment option favorable for dental surgeons as well as for patients. The present in vitro study was conducted to assess microleakage and microgap of two dissimilar internal implant–abutment associations. Materials and methods: Forty dental implants were divided into two groups: trilobe internal connection fixtures in group I and internal hexagonal geometry fixtures in group II. For the immersion of implant abutment assemblies, sterilized tubes containing 4 mL of Staphylococcus aureus broth culture were incubated at 37°C for 2 weeks. Gram's stain and biochemical reactions were used for identification of colonies. Results: The mean log10 colony-forming unit (CFU) in group I was 8.6 and was 9.3 in group II. The disparity among two groups was found to be significant (p < 0.05). The mean microgap in group I was 7.2 μm and was 10.4 μm in group II. The disparity among the two groups was found to be significant (p < 0.05). Conclusion: Authors found that microscopic space between implant and abutment may be the site of penetration of bacteria. There was significant higher log10 CFU in dental implant fixtures with an internal hexagonal geometry compared to the dental implant fixtures with a trilobe internal connection. Clinical significance: Microscopic space between implant and abutment may be the site of penetration of bacteria. This information will help to avoid microleakage to improve implant success rate.

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