Title: | Evaluation of the Sealing Capability of the Implant Healing Screw by Using Real Time Volatile Organic Compounds Analysis: Internal Hexagon Versus Cone Morse |
Author(s): | Scarano A; Lorusso C; Di Giulio C; Mazzatenta A; |
Address: | "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. Department of Neuroscience, Physiology and Physiopathology Section, Imaging and Clinical Science, 'G. D'Annunzio' University of Chieti-Pescara" |
ISSN/ISBN: | 1943-3670 (Electronic) 0022-3492 (Linking) |
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" |
Keywords: | *Bone Screws Dental Abutments *Dental Implant-Abutment Design Dental Implants Humans Male Volatile Organic Compounds/*analysis *Bone remodeling *volatile organic compounds;neuroscience; |
Notes: | "MedlineScarano, A Lorusso, C Di Giulio, C Mazzatenta, A eng 2016/07/16 J Periodontol. 2016 Dec; 87(12):1492-1498. doi: 10.1902/jop.2016.160076. Epub 2016 Jul 15" |