Effect of abutment geometry on the microgap size in a taper connection

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Abstract

Background: For implant-supported restorations, clinicians use both original and non-original abutments, which are widely available in today’s dental market. The finite element analysis previously conducted by the authors revealed that the microgap size in a taper connection depends on the selected abutment and affects the state of the marginal bone surrounding the implant.

Aim: To determine the distinguishing factor between original and non-original abutments that has the greatest impact on the microgap size in a taper connection during masticatory force modeling.

Materials and methods: The study used Straumann Bone Level (BL), BioHorizons Tapered Internal, and NobelParallel Conical Connection (CC) implants and standard abutments, as well as non-original ADM Dental abutments. Before conducting a serial computational experiment, the geometric parameters of the samples were manually measured. In the first stage of the study, four main factors were identified: screw material, abutment material, screw geometry, and abutment geometry. The calculations were based on the authors’ earlier research findings and were performed using finite element modelling with the Mechanical module of the ANSYS Workbench software.

The NeoScan N80 microtomography system was used in the second stage of the study. Moreover, the microgap size and length of cone generatrixes between the components were measured to better understand the geometry of the samples. The results were processed using the DataViewer and CTVox (Bruker Micro-CT) software.

Results: The abutment geometry had the greatest impact on the microgap size of a taper connection in both the Straumann BL and BioHorizons Tapered Internal systems. In the NobelParallel CC system, the abutment screw geometry had a greater impact on the microgap size. The microtomography findings revealed a difference in the length of implant-abutment cone generatrixes for the Straumann BL (0.1 mm) and BioHorizons Tapered Internal (0.07 mm) systems, with no difference between the original and non-original abutment for NobelParallel CC implants. The cone generatrix of the screw is smaller with the original NobelParallel CC abutment compared to the non-original one. This is the only negative difference value (–0.34 mm), with the modulus significantly exceeding that of the difference between Straumann BL (0.2 mm) and BioHorizons Tapered Internal (0.2 mm).

Conclusion: The study revealed that selecting an original versus non-original abutment has a greater impact on the microgap size of a taper connection due to differences in abutment geometry, particularly the geometry of its fixing screw.

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About the authors

Viktoriya V. Kirsanova

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Author for correspondence.
Email: vikt.kirs@yandex.ru
ORCID iD: 0009-0002-7248-5310
SPIN-code: 1987-4544
Russian Federation, Krasnoyarsk

Taras V. Furtsev

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: taras.furtsev@gmail.com
ORCID iD: 0000-0002-5300-9274
SPIN-code: 7108-0928

MD, Dr. Sci.(Medicine)

Russian Federation, Krasnoyarsk

Roman S. Lukin

Siberian Federal University

Email: rlukin@sfu-kras.ru
ORCID iD: 0000-0002-4789-2128
SPIN-code: 9585-3128
Russian Federation, Krasnoyarsk

References

  1. Kirsanova VV, Furtsev TV, Lukin RS. Micro-gap at the conical connection with original or non-original abutment: A comparison of finite element modeling results. Clinical Dentistry (Russia). 2023;26(4):92–100. EDN: SBHZAE doi: 10.37988/1811-153X_2023_4_92
  2. Koutouzis T. Implant-abutment connection as contributing factor to peri-implant diseases. Periodontol 2000. 2019;81(1):152–166. doi: 10.1111/prd.12289
  3. Grecchi F, DI Girolamo M, Cura F, et al. A new system of implant abutment connection: how to improve a two piece implant system sealing. Oral Implantol (Rome). 2017;10(3):234–240. doi: 10.11138/orl/2017.10.3.234
  4. Martynov DV, Salamov MYA, Olesova VN, et al. Precision comparison of standard and individual titanium abutments. Russian Bulletin of Dental Implantology. 2020:(3-4):4–11. EDN: CMUULF
  5. Candotto V, Gabrione F, Oberti L, et al. The role of implant-abutment connection in preventing bacterial leakage: a review. J Biol Regul Homeost Agents. 2019;33(3 Suppl. 1).
  6. Lauritano D, Moreo G, Lucchese A, et al. The impact of implant-abutment connection on clinical outcomes and microbial colonization: a narrative review. Materials (Basel). 2020;13(5):1131. doi: 10.3390/ma13051131
  7. Menacho-Mendoza E, Cedamanos-Cuenca R, Díaz-Suyo A. Stress analysis and factor of safety in three dental implant systems by finite element analysis. Saudi Dent J. 2022;34(7):579–584. doi: 10.1016/j.sdentj.2022.08.006
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  9. Operational documentation for the medical device “Sterile orthopedic elements for dental implantation and dental prosthetics”, in variants of execution. Available from: https://www.straumann.com/content/dam/media-center/straumann/ru-ru/documents/instructions/IFU%20RZN%202021_14871%2023.07.2021%20Elementy%20ortoped%20sterile%20STRAUMANN.pdf Accessed: May 17, 2024. (In Russ.)
  10. Furtsev TV, Zeer GM, Zelenkova EG, Kirsanova VV. Comparison of the micro-gap of original and non-original abutment platforms in conical connections. Russian Bulletin of Dental Implantology. 2021;(3-4):25–33. EDN: DMEQHI

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Geometric values of the dental implant system: BioHorizons Tapered Internal with original (a), non-original (b) abutment; NobelParallel CC with original (c), non-original (d) abutment; Straumann BL with original (e), non-original (f) abutment.

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3. Fig. 3. Scheme of conical generatrix “screw-abutment” (A) and “implant-abutment” (B) using the example of BioHorizons Tapered Internal implantation system.

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4. Fig. 5. Longitudinal microtomographic section of the different Nobels implants with the original and non-original abutment: a, b — NobelParallel CC; c, d — Straumann BL; e, f — BioHorizons Tapered Internal.

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5. Fig. 2. Implant system materials: BioHorizons Tapered Internal with an original (a) and non-original (b) abutment; NobelParallel CC with an original (c) and non-original (d) abutment; Straumann BL with an original (e) and non-original (f) abutment.

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6. Fig. 4. Impact of various factors under loads of 300 N and 450 N in different implant systems: a, b: Straumann BL; c, d: BioHorizons Tapered Internal; e, f: NobelParallel CC.

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