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Influence of the Use of Transepithelial Abutments vs. Titanium Base Abutments on Microgap Formation at the Dental Implant–Abutment Interface: An In Vitro Study

Authors: Rocío Cascos; Alicia Celemín-Viñuela; Nataly Mory-Rubiños; Cristina Gómez-Polo; Rocío Ortega; Rubén Agustín-Panadero; Miguel Gómez-Polo;

Influence of the Use of Transepithelial Abutments vs. Titanium Base Abutments on Microgap Formation at the Dental Implant–Abutment Interface: An In Vitro Study

Abstract

This in vitro study aimed to assess the presence of microgaps at the implant–abutment interface in monolithic zirconia partial implant-supported fixed prostheses on transepithelial abutments versus Ti-base abutments. Methods: Sixty conical connection dental implants were divided into two groups (n = 30). The control group consisted of three-unit bridge monolithic zirconia connected to two implants by a transepithelial abutment. The test group consisted of monolithic zirconia three-unit restoration connected to two implants directly by a titanium base (Ti-base) abutment. The sample was subjected to thermocycling (10,000 cycles at 5 °C to 55 °C, dwelling time 50 s) and chewing simulation (300,000 cycles, under 200 N at frequencies of 2 Hz, at a 30° angle). The microgap was evaluated at six points (mesiobuccal, buccal, distobuccal, mesiolingual, lingual, and distolingual) of each implant–abutment interface by using a scanning electron microscope (SEM). The data were analyzed using the Mann–Whitney U tests (p > 0.05). Results: The SEM analysis showed a smaller microgap at the implant–abutment interface in the control group (0.270 μm) than in the test group (3.902 μm). Statistically significant differences were observed between both groups (p < 0.05). Conclusions: The use or not of transepithelial abutments affects the microgap size. The transepithelial abutments group presented lower microgap values at the interface with the implant than the Ti-base group in monolithic zirconia partial implant-supported fixed prostheses. However, both groups had microgap values within the clinically acceptable range.

Keywords

Implantes dentales, Dental prosthesis, odontologia, Dental implants, Dental implant–abutment design, 3314 Tecnología Médica, Article, 616.314-089.843, Dental abutments, 3299 Otras Especialidades Médicas, Aparatos y material odontológicos, Scanning electron microscopy, 616.314-089.28, Implant-supported

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Top 10%
Average
Average
Green
gold
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