A Scarano1, C Lorusso1, C Di Giulio2, A Mazzatenta2. 1. Department of Medical, Oral and Biotechnological Sciences and Center for Research on Aging and Translational Medicine, "G. D'Annunzio" University of Chieti-Pescara, Chieti, Italy. 2. Department of Neuroscience, Physiology and Physiopathology Section, Imaging and Clinical Science, "G. D'Annunzio" University of Chieti-Pescara.
Abstract
BACKGROUND: Implant sealing capability is a crucial issue in assessment of implant success and peri-implant marginal bone loss. Clinical studies demonstrated presence of viable bacteria in the internal part of functioning implants during tissue healing. For this study, a volatile organic compounds (VOCs) emission test was developed to evaluate the existing "seal" between implant and healing screw. Two kinds of implant-screw connection were compared: 1) internal hexagon; and 2) cone Morse. METHODS: Fifteen patients were enrolled in the study, three males and 12 females, who required fixed prosthetic rehabilitation. A total of 37 implants was placed, 23 with a cone Morse taper internal connection and 14 with a screw-retained internal hexagon abutment. VOCs real-time measures were performed in the implant site immediately after removing the healing screw. RESULTS: Statistical analysis was carried out. Results showed VOCs maximum peak amplitude in cone Morse versus internal hexagon showed significant difference (P <0.001), whereas VOCs time to peak showed no significant difference (P = 0.7). CONCLUSIONS: Use of the new methodology for the VOCs emission test may lead to important new data for understanding how the "failed" attachment of implant components, in two-part assemblies, may contribute to implant losses. In particular, study results support the hypothesis that the microgap of the implant-screw healing junction could cause differences in bacterial penetration. VOCs emission test evaluation represents a new diagnostic tool with an effective approach to quickly analyze, in real time, sealing capability of dental implants with healing screw interfaces.
BACKGROUND: Implant sealing capability is a crucial issue in assessment of implant success and peri-implant marginal bone loss. Clinical studies demonstrated presence of viable bacteria in the internal part of functioning implants during tissue healing. For this study, a volatile organic compounds (VOCs) emission test was developed to evaluate the existing "seal" between implant and healing screw. Two kinds of implant-screw connection were compared: 1) internal hexagon; and 2) cone Morse. METHODS: Fifteen patients were enrolled in the study, three males and 12 females, who required fixed prosthetic rehabilitation. A total of 37 implants was placed, 23 with a cone Morse taper internal connection and 14 with a screw-retained internal hexagon abutment. VOCs real-time measures were performed in the implant site immediately after removing the healing screw. RESULTS: Statistical analysis was carried out. Results showed VOCs maximum peak amplitude in cone Morse versus internal hexagon showed significant difference (P <0.001), whereas VOCs time to peak showed no significant difference (P = 0.7). CONCLUSIONS: Use of the new methodology for the VOCs emission test may lead to important new data for understanding how the "failed" attachment of implant components, in two-part assemblies, may contribute to implant losses. In particular, study results support the hypothesis that the microgap of the implant-screw healing junction could cause differences in bacterial penetration. VOCs emission test evaluation represents a new diagnostic tool with an effective approach to quickly analyze, in real time, sealing capability of dental implants with healing screw interfaces.
Entities:
Keywords:
Bone remodeling; volatile organic compounds
Authors: Francesco Carinci; Dorina Lauritano; Carlo Alberto Bignozzi; Daniele Pazzi; Valentina Candotto; Paulo Santos de Oliveira; Antonio Scarano Journal: Int J Mol Sci Date: 2019-08-09 Impact factor: 5.923
Authors: Ana I Nicolas-Silvente; Eugenio Velasco-Ortega; Ivan Ortiz-Garcia; Alvaro Jimenez-Guerra; Loreto Monsalve-Guil; Raul Ayuso-Montero; Javier Gil; Jose Lopez-Lopez Journal: Int J Environ Res Public Health Date: 2020-12-02 Impact factor: 3.390