Performance of conical abutment (Morse Taper) connection implants: A systematic review
Identifieur interne : 000480 ( Istex/Corpus ); précédent : 000479; suivant : 000481Performance of conical abutment (Morse Taper) connection implants: A systematic review
Auteurs : Christian M. Schmitt ; Getulio Nogueira-Filho ; Howard C. Tenenbaum ; Jim Yuan Lai ; Carlos Brito ; Hendrik Döring ; Jörg NonhoffSource :
- Journal of Biomedical Materials Research Part A [ 1549-3296 ] ; 2014-02.
Abstract
In this systematic review, we aimed to compare conical versus nonconical implant–abutment connection systems in terms of their in vitro and in vivo performances. An electronic search was performed using PubMed, Embase, and Medline databases with the logical operators: “dental implant” AND “dental abutment” AND (“conical” OR “taper” OR “cone”). Names of the most common conical implant–abutment connection systems were used as additional key words to detect further data. The search was limited to articles published up to November 2012. Recent publications were also searched manually in order to find any relevant studies that might have been missed using the search criteria noted above. Fifty‐two studies met the inclusion criteria and were included in this systematic review. As the data and methods, as well as types of implants used was so heterogeneous, this mitigated against the performance of meta‐analysis. In vitro studies indicated that conical and nonconical abutments showed sufficient resistance to maximal bending forces and fatigue loading. However, conical abutments showed superiority in terms of seal performance, microgap formation, torque maintenance, and abutment stability. In vivo studies (human and animal) indicated that conical and nonconical systems are comparable in terms of implant success and survival rates with less marginal bone loss around conical connection implants in most cases. This review indicates that implant systems using a conical implant–abutment connection, provides better results in terms of abutment fit, stability, and seal performance. These design features could lead to improvements over time versus nonconical connection systems. © 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 102A: 552–574, 2014.
Url:
DOI: 10.1002/jbm.a.34709
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Schmitt</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, University of Erlangen‐Nuremberg, Erlangen, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: christian.schmitt@uk-erlangen.de</mods:affiliation></affiliation></author><author><name sortKey="Nogueira Ilho, Getulio" sort="Nogueira Ilho, Getulio" uniqKey="Nogueira Ilho G" first="Getulio" last="Nogueira-Filho">Getulio Nogueira-Filho</name><affiliation><mods:affiliation>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Tenenbaum, Howard C" sort="Tenenbaum, Howard C" uniqKey="Tenenbaum H" first="Howard C." last="Tenenbaum">Howard C. Tenenbaum</name><affiliation><mods:affiliation>Department of Periodontology, University of Toronto, Ontario, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Lai, Jim Yuan" sort="Lai, Jim Yuan" uniqKey="Lai J" first="Jim Yuan" last="Lai">Jim Yuan Lai</name><affiliation><mods:affiliation>Department of Periodontology, University of Toronto, Ontario, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Brito, Carlos" sort="Brito, Carlos" uniqKey="Brito C" first="Carlos" last="Brito">Carlos Brito</name><affiliation><mods:affiliation>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Doring, Hendrik" sort="Doring, Hendrik" uniqKey="Doring H" first="Hendrik" last="Döring">Hendrik Döring</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, University of Erlangen‐Nuremberg, Erlangen, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Nonhoff, Jorg" sort="Nonhoff, Jorg" uniqKey="Nonhoff J" first="Jörg" last="Nonhoff">Jörg Nonhoff</name><affiliation><mods:affiliation>Clinical Research DENTSPLY Friadent, Mannheim, Germany</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:80C3063370B8B6F1D40ACE345F3443938434A2E5</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1002/jbm.a.34709</idno><idno type="url">https://api.istex.fr/document/80C3063370B8B6F1D40ACE345F3443938434A2E5/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000480</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000480</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Performance of conical abutment (Morse Taper) connection implants: A systematic review</title><author><name sortKey="Schmitt, Christian M" sort="Schmitt, Christian M" uniqKey="Schmitt C" first="Christian M." last="Schmitt">Christian M. Schmitt</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, University of Erlangen‐Nuremberg, Erlangen, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: christian.schmitt@uk-erlangen.de</mods:affiliation></affiliation></author><author><name sortKey="Nogueira Ilho, Getulio" sort="Nogueira Ilho, Getulio" uniqKey="Nogueira Ilho G" first="Getulio" last="Nogueira-Filho">Getulio Nogueira-Filho</name><affiliation><mods:affiliation>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Tenenbaum, Howard C" sort="Tenenbaum, Howard C" uniqKey="Tenenbaum H" first="Howard C." last="Tenenbaum">Howard C. Tenenbaum</name><affiliation><mods:affiliation>Department of Periodontology, University of Toronto, Ontario, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Lai, Jim Yuan" sort="Lai, Jim Yuan" uniqKey="Lai J" first="Jim Yuan" last="Lai">Jim Yuan Lai</name><affiliation><mods:affiliation>Department of Periodontology, University of Toronto, Ontario, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Brito, Carlos" sort="Brito, Carlos" uniqKey="Brito C" first="Carlos" last="Brito">Carlos Brito</name><affiliation><mods:affiliation>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Doring, Hendrik" sort="Doring, Hendrik" uniqKey="Doring H" first="Hendrik" last="Döring">Hendrik Döring</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, University of Erlangen‐Nuremberg, Erlangen, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Nonhoff, Jorg" sort="Nonhoff, Jorg" uniqKey="Nonhoff J" first="Jörg" last="Nonhoff">Jörg Nonhoff</name><affiliation><mods:affiliation>Clinical Research DENTSPLY Friadent, Mannheim, Germany</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Biomedical Materials Research Part A</title><title level="j" type="alt">JOURNAL OF BIOMEDICAL MATERIALS RESEARCH PART A</title><idno type="ISSN">1549-3296</idno><idno type="eISSN">1552-4965</idno><imprint><biblScope unit="vol">102</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="552">552</biblScope><biblScope unit="page" to="574">574</biblScope><biblScope unit="page-count">23</biblScope><date type="published" when="2014-02">2014-02</date></imprint><idno type="ISSN">1549-3296</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1549-3296</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">In this systematic review, we aimed to compare conical versus nonconical implant–abutment connection systems in terms of their in vitro and in vivo performances. An electronic search was performed using PubMed, Embase, and Medline databases with the logical operators: “dental implant” AND “dental abutment” AND (“conical” OR “taper” OR “cone”). Names of the most common conical implant–abutment connection systems were used as additional key words to detect further data. The search was limited to articles published up to November 2012. Recent publications were also searched manually in order to find any relevant studies that might have been missed using the search criteria noted above. Fifty‐two studies met the inclusion criteria and were included in this systematic review. As the data and methods, as well as types of implants used was so heterogeneous, this mitigated against the performance of meta‐analysis. In vitro studies indicated that conical and nonconical abutments showed sufficient resistance to maximal bending forces and fatigue loading. However, conical abutments showed superiority in terms of seal performance, microgap formation, torque maintenance, and abutment stability. In vivo studies (human and animal) indicated that conical and nonconical systems are comparable in terms of implant success and survival rates with less marginal bone loss around conical connection implants in most cases. This review indicates that implant systems using a conical implant–abutment connection, provides better results in terms of abutment fit, stability, and seal performance. These design features could lead to improvements over time versus nonconical connection systems. © 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 102A: 552–574, 2014.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Christian M. Schmitt</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, University of Erlangen‐Nuremberg, Erlangen, Germany</json:string><json:string>E-mail: christian.schmitt@uk-erlangen.de</json:string></affiliations></json:item><json:item><name>Getulio Nogueira‐Filho</name><affiliations><json:string>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto, Canada</json:string></affiliations></json:item><json:item><name>Howard C. 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An electronic search was performed using PubMed, Embase, and Medline databases with the logical operators: “dental implant” AND “dental abutment” AND (“conical” OR “taper” OR “cone”). Names of the most common conical implant–abutment connection systems were used as additional key words to detect further data. The search was limited to articles published up to November 2012. Recent publications were also searched manually in order to find any relevant studies that might have been missed using the search criteria noted above. Fifty‐two studies met the inclusion criteria and were included in this systematic review. As the data and methods, as well as types of implants used was so heterogeneous, this mitigated against the performance of meta‐analysis. In vitro studies indicated that conical and nonconical abutments showed sufficient resistance to maximal bending forces and fatigue loading. However, conical abutments showed superiority in terms of seal performance, microgap formation, torque maintenance, and abutment stability. In vivo studies (human and animal) indicated that conical and nonconical systems are comparable in terms of implant success and survival rates with less marginal bone loss around conical connection implants in most cases. This review indicates that implant systems using a conical implant–abutment connection, provides better results in terms of abutment fit, stability, and seal performance. These design features could lead to improvements over time versus nonconical connection systems. © 2013 Wiley Periodicals, Inc. 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M. Schmitt; e‐mail: christian.schmitt@uk-erlangen.de</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Getulio</forename><surname>Nogueira‐Filho</surname></persName><affiliation><orgName>Department of Preventive Dentistry</orgName><orgName>University of Toronto</orgName><address><settlement type="city">Toronto</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Howard C.</forename><surname>Tenenbaum</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>University of Toronto</orgName><address><settlement type="city">Toronto</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Jim Yuan</forename><surname>Lai</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>University of Toronto</orgName><address><settlement type="city">Toronto</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Carlos</forename><surname>Brito</surname></persName><affiliation><orgName>Department of Preventive Dentistry</orgName><orgName>University of Toronto</orgName><address><settlement type="city">Toronto</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Hendrik</forename><surname>Döring</surname></persName><affiliation><orgName>Department of Oral and Maxillofacial Surgery</orgName><orgName>University of Erlangen‐Nuremberg</orgName><address><settlement type="city">Erlangen</settlement><country key="DE">Germany</country></address></affiliation><affiliation><orgName>Department of Preventive Dentistry</orgName><orgName>University of Toronto</orgName><address><settlement type="city">Toronto</settlement><region>Ontario</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">Jörg</forename><surname>Nonhoff</surname></persName><affiliation><orgName>Clinical Research DENTSPLY Friadent</orgName><address><settlement type="city">Mannheim</settlement><country key="DE">Germany</country></address></affiliation></author><idno type="istex">80C3063370B8B6F1D40ACE345F3443938434A2E5</idno><idno type="ark">ark:/67375/WNG-P7R0PC8C-P</idno><idno type="DOI">10.1002/jbm.a.34709</idno><idno type="unit">JBMA34709</idno><idno type="toTypesetVersion">file:JBM.JBMA34709.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Biomedical Materials Research Part A</title><title level="j" type="alt">JOURNAL OF BIOMEDICAL MATERIALS RESEARCH PART A</title><idno type="pISSN">1549-3296</idno><idno type="eISSN">1552-4965</idno><idno type="book-DOI">10.1002/(ISSN)1552-4965</idno><idno type="book-part-DOI">10.1002/jbm.a.v102.2</idno><idno type="product">JBM</idno><imprint><biblScope unit="vol">102</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="552">552</biblScope><biblScope unit="page" to="574">574</biblScope><biblScope unit="page-count">23</biblScope><date type="published" when="2014-02"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main"><head>Abstract</head><p>In this systematic review, we aimed to compare conical versus nonconical implant–abutment connection systems in terms of their <hi rend="italic">in vitro</hi> and <hi rend="italic">in vivo</hi> performances. An electronic search was performed using PubMed, Embase, and Medline databases with the logical operators: “dental implant” AND “dental abutment” AND (“conical” OR “taper” OR “cone”). Names of the most common conical implant–abutment connection systems were used as additional key words to detect further data. The search was limited to articles published up to November 2012. Recent publications were also searched manually in order to find any relevant studies that might have been missed using the search criteria noted above. Fifty‐two studies met the inclusion criteria and were included in this systematic review. As the data and methods, as well as types of implants used was so heterogeneous, this mitigated against the performance of meta‐analysis. <hi rend="italic">In vitro</hi> studies indicated that conical and nonconical abutments showed sufficient resistance to maximal bending forces and fatigue loading. However, conical abutments showed superiority in terms of seal performance, microgap formation, torque maintenance, and abutment stability. <hi rend="italic">In vivo</hi> studies (human and animal) indicated that conical and nonconical systems are comparable in terms of implant success and survival rates with less marginal bone loss around conical connection implants in most cases. This review indicates that implant systems using a conical implant–abutment connection, provides better results in terms of abutment fit, stability, and seal performance. These design features could lead to improvements over time versus nonconical connection systems. © 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 102A: 552–574, 2014.</p></abstract><textClass><keywords><term xml:id="jbma34709-kwd-0001">systematic review</term><term xml:id="jbma34709-kwd-0002">dental implant</term><term xml:id="jbma34709-kwd-0003">dental abutment</term><term xml:id="jbma34709-kwd-0004">Morse Taper</term><term xml:id="jbma34709-kwd-0005">implant–abutment connection</term></keywords><keywords rend="articleCategory"><term>Review Article</term></keywords><keywords rend="tocHeading1"><term>Review Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en" xml:id="jbma34709"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1002/(ISSN)1552-4965</doi><issn type="print">1549-3296</issn><issn type="electronic">1552-4965</issn><idGroup><id type="product" value="JBM"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF BIOMEDICAL MATERIALS RESEARCH PART A">Journal of Biomedical Materials Research Part A</title><title type="subtitle">An Official Journal of The Society for Biomaterials, The Japanese Society for Biomaterials, and The Australian Society for Biomaterials and the Korean Society for Biomaterials</title><title type="short">J. 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Res.</title></titleGroup></publicationMeta><publicationMeta level="part" position="20"><doi>10.1002/jbm.a.v102.2</doi><copyright ownership="publisher">© 2013 Wiley Periodicals, Inc.</copyright><numberingGroup><numbering type="journalVolume" number="102">102</numbering><numbering type="journalIssue">2</numbering></numberingGroup><coverDate startDate="2014-02">February 2014</coverDate></publicationMeta><publicationMeta level="unit" position="270" type="reviewArticle" status="forIssue"><doi>10.1002/jbm.a.34709</doi><idGroup><id type="unit" value="JBMA34709"></id></idGroup><countGroup><count type="pageTotal" number="23"></count></countGroup><titleGroup><title type="articleCategory">Review Article</title><title type="tocHeading1">Review Articles</title></titleGroup><copyright ownership="publisher">© 2013 Wiley Periodicals, Inc.</copyright><eventGroup><event type="manuscriptReceived" date="2013-01-07"></event><event type="manuscriptRevised" date="2013-02-20"></event><event type="manuscriptAccepted" date="2013-02-20"></event><event type="xmlCreated" agent="Cenveo Publisher Services" date="2013-04-03"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.2.7 mode:FullText" date="2013-12-14"></event><event type="publishedOnlineAccepted" date="2013-03-27"></event><event type="publishedOnlineEarlyUnpaginated" date="2013-05-09"></event><event type="firstOnline" date="2013-05-09"></event><event type="publishedOnlineFinalForm" date="2013-12-14"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-09"></event></eventGroup><numberingGroup><numbering type="pageFirst">552</numbering><numbering type="pageLast">574</numbering></numberingGroup><correspondenceTo><b>Correspondence to</b>: C. M. Schmitt; e‐mail: <email>christian.schmitt@uk-erlangen.de</email></correspondenceTo><selfCitationGroup><citation xml:id="jbma34709-cit-1036" type="self"><b>How to cite this article:</b> <author><familyName>Schmitt</familyName> <givenNames>CM</givenNames></author>, <author><familyName>Nogueira‐Filho</familyName> <givenNames>G</givenNames></author>, <author><familyName>Tenenbaum</familyName> <givenNames>HC</givenNames></author>, <author><familyName>Lai</familyName> <givenNames>JY</givenNames></author>, <author><familyName>Brito</familyName> <givenNames>C</givenNames></author>, Döring H, <author><familyName>Nonhoff</familyName> <givenNames>J</givenNames></author>. 2014. <articleTitle>Performance of conical abutment (Morse Taper) connection implants: A systematic review</articleTitle>. <journalTitle>J Biomed Mater Res Part A</journalTitle> <pubYear year="2014">2014</pubYear>:<vol>102A</vol>:<pageFirst>552</pageFirst>–<pageLast>574</pageLast>.
</citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:JBM.JBMA34709.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Performance of conical abutment (Morse Taper) connection implants: A systematic review</title><title type="short">Performance of Conical Implant–Abutment Connection Systems</title><title type="shortAuthors">Schmitt et al.</title></titleGroup><creators><creator affiliationRef="#jbma34709-aff-0001" corresponding="yes" creatorRole="author" xml:id="jbma34709-cr-0001"><personName><givenNames>Christian M.</givenNames><familyName>Schmitt</familyName></personName></creator><creator affiliationRef="#jbma34709-aff-0002" creatorRole="author" xml:id="jbma34709-cr-0002"><personName><givenNames>Getulio</givenNames><familyName>Nogueira‐Filho</familyName></personName></creator><creator affiliationRef="#jbma34709-aff-0003" creatorRole="author" xml:id="jbma34709-cr-0003"><personName><givenNames>Howard C.</givenNames><familyName>Tenenbaum</familyName></personName></creator><creator affiliationRef="#jbma34709-aff-0003" creatorRole="author" xml:id="jbma34709-cr-0004"><personName><givenNames>Jim Yuan</givenNames><familyName>Lai</familyName></personName></creator><creator affiliationRef="#jbma34709-aff-0002" creatorRole="author" xml:id="jbma34709-cr-0005"><personName><givenNames>Carlos</givenNames><familyName>Brito</familyName></personName></creator><creator affiliationRef="#jbma34709-aff-0001 #jbma34709-aff-0002" creatorRole="author" xml:id="jbma34709-cr-0006"><personName><givenNames>Hendrik</givenNames><familyName>Döring</familyName></personName></creator><creator affiliationRef="#jbma34709-aff-0004" creatorRole="author" xml:id="jbma34709-cr-0007"><personName><givenNames>Jörg</givenNames><familyName>Nonhoff</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="DE" type="organization" xml:id="jbma34709-aff-0001"><orgDiv>Department of Oral and Maxillofacial Surgery</orgDiv><orgName>University of Erlangen‐Nuremberg</orgName><address><city>Erlangen</city><country>Germany</country></address></affiliation><affiliation countryCode="CA" type="organization" xml:id="jbma34709-aff-0002"><orgDiv>Department of Preventive Dentistry</orgDiv><orgName>University of Toronto</orgName><address><city>Toronto</city><countryPart>Ontario</countryPart><country>Canada</country></address></affiliation><affiliation countryCode="CA" type="organization" xml:id="jbma34709-aff-0003"><orgDiv>Department of Periodontology</orgDiv><orgName>University of Toronto</orgName><address><city>Toronto</city><countryPart>Ontario</countryPart><country>Canada</country></address></affiliation><affiliation countryCode="DE" type="organization" xml:id="jbma34709-aff-0004"><orgName>Clinical Research DENTSPLY Friadent</orgName><address><city>Mannheim</city><country>Germany</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="jbma34709-kwd-0001">systematic review</keyword><keyword xml:id="jbma34709-kwd-0002">dental implant</keyword><keyword xml:id="jbma34709-kwd-0003">dental abutment</keyword><keyword xml:id="jbma34709-kwd-0004">Morse Taper</keyword><keyword xml:id="jbma34709-kwd-0005">implant–abutment connection</keyword></keywordGroup><fundingInfo><fundingAgency>Bavarian Association for Scientific Dentistry, Germany (VfwZ)</fundingAgency></fundingInfo><abstractGroup><abstract type="main"><title type="main">Abstract</title><p>In this systematic review, we aimed to compare conical versus nonconical implant–abutment connection systems in terms of their <i>in vitro</i> and <i>in vivo</i> performances. An electronic search was performed using PubMed, Embase, and Medline databases with the logical operators: “dental implant” AND “dental abutment” AND (“conical” OR “taper” OR “cone”). Names of the most common conical implant–abutment connection systems were used as additional key words to detect further data. The search was limited to articles published up to November 2012. Recent publications were also searched manually in order to find any relevant studies that might have been missed using the search criteria noted above. Fifty‐two studies met the inclusion criteria and were included in this systematic review. As the data and methods, as well as types of implants used was so heterogeneous, this mitigated against the performance of meta‐analysis. <i>In vitro</i> studies indicated that conical and nonconical abutments showed sufficient resistance to maximal bending forces and fatigue loading. However, conical abutments showed superiority in terms of seal performance, microgap formation, torque maintenance, and abutment stability. <i>In vivo</i> studies (human and animal) indicated that conical and nonconical systems are comparable in terms of implant success and survival rates with less marginal bone loss around conical connection implants in most cases. This review indicates that implant systems using a conical implant–abutment connection, provides better results in terms of abutment fit, stability, and seal performance. These design features could lead to improvements over time versus nonconical connection systems. © 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 102A: 552–574, 2014.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Performance of conical abutment (Morse Taper) connection implants: A systematic review</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Performance of Conical Implant–Abutment Connection Systems</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Performance of conical abutment (Morse Taper) connection implants: A systematic review</title></titleInfo><name type="personal"><namePart type="given">Christian M.</namePart><namePart type="family">Schmitt</namePart><affiliation>Department of Oral and Maxillofacial Surgery, University of Erlangen‐Nuremberg, Erlangen, Germany</affiliation><affiliation>E-mail: christian.schmitt@uk-erlangen.de</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Getulio</namePart><namePart type="family">Nogueira‐Filho</namePart><affiliation>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Howard C.</namePart><namePart type="family">Tenenbaum</namePart><affiliation>Department of Periodontology, University of Toronto, Ontario, Toronto, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jim Yuan</namePart><namePart type="family">Lai</namePart><affiliation>Department of Periodontology, University of Toronto, Ontario, Toronto, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Carlos</namePart><namePart type="family">Brito</namePart><affiliation>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hendrik</namePart><namePart type="family">Döring</namePart><affiliation>Department of Oral and Maxillofacial Surgery, University of Erlangen‐Nuremberg, Erlangen, Germany</affiliation><affiliation>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jörg</namePart><namePart type="family">Nonhoff</namePart><affiliation>Clinical Research DENTSPLY Friadent, Mannheim, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="review-article" displayLabel="reviewArticle" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-L5L7X3NF-P">review-article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-02</dateIssued><dateCreated encoding="w3cdtf">2013-04-03</dateCreated><dateCaptured encoding="w3cdtf">2013-01-07</dateCaptured><dateValid encoding="w3cdtf">2013-02-20</dateValid><edition>How to cite this article: Schmitt CM, Nogueira‐Filho G, Tenenbaum HC, Lai JY, Brito C, Döring H, Nonhoff J. 2014. Performance of conical abutment (Morse Taper) connection implants: A systematic review. J Biomed Mater Res Part A 2014:102A:552–574.</edition><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>In this systematic review, we aimed to compare conical versus nonconical implant–abutment connection systems in terms of their in vitro and in vivo performances. An electronic search was performed using PubMed, Embase, and Medline databases with the logical operators: “dental implant” AND “dental abutment” AND (“conical” OR “taper” OR “cone”). Names of the most common conical implant–abutment connection systems were used as additional key words to detect further data. The search was limited to articles published up to November 2012. Recent publications were also searched manually in order to find any relevant studies that might have been missed using the search criteria noted above. Fifty‐two studies met the inclusion criteria and were included in this systematic review. As the data and methods, as well as types of implants used was so heterogeneous, this mitigated against the performance of meta‐analysis. In vitro studies indicated that conical and nonconical abutments showed sufficient resistance to maximal bending forces and fatigue loading. However, conical abutments showed superiority in terms of seal performance, microgap formation, torque maintenance, and abutment stability. In vivo studies (human and animal) indicated that conical and nonconical systems are comparable in terms of implant success and survival rates with less marginal bone loss around conical connection implants in most cases. This review indicates that implant systems using a conical implant–abutment connection, provides better results in terms of abutment fit, stability, and seal performance. These design features could lead to improvements over time versus nonconical connection systems. © 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 102A: 552–574, 2014.</abstract><note type="funding">Bavarian Association for Scientific Dentistry, Germany (VfwZ)</note><subject><genre>keywords</genre><topic>systematic review</topic><topic>dental implant</topic><topic>dental abutment</topic><topic>Morse Taper</topic><topic>implant–abutment connection</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Biomedical Materials Research Part A</title><subTitle>An Official Journal of The Society for Biomaterials, The Japanese Society for Biomaterials, and The Australian Society for Biomaterials and the Korean Society for Biomaterials</subTitle></titleInfo><titleInfo type="abbreviated"><title>J. Biomed. Mater. Res.</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Review Article</topic></subject><identifier type="ISSN">1549-3296</identifier><identifier type="eISSN">1552-4965</identifier><identifier type="DOI">10.1002/(ISSN)1552-4965</identifier><identifier type="PublisherID">JBM</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>102</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>552</start><end>574</end><total>23</total></extent></part></relatedItem><identifier type="istex">80C3063370B8B6F1D40ACE345F3443938434A2E5</identifier><identifier type="ark">ark:/67375/WNG-P7R0PC8C-P</identifier><identifier type="DOI">10.1002/jbm.a.34709</identifier><identifier type="ArticleID">JBMA34709</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2013 Wiley Periodicals, Inc.© 2013 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/80C3063370B8B6F1D40ACE345F3443938434A2E5/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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