Performance of conical abutment (Morse Taper) connection implants: A systematic review
Identifieur interne : 001E75 ( Main/Merge ); précédent : 001E74; suivant : 001E76Performance of conical abutment (Morse Taper) connection implants: A systematic review
Auteurs : Christian M. Schmitt [Allemagne] ; Getulio Nogueira-Filho [Canada] ; Howard C. Tenenbaum [Canada] ; Jim Yuan Lai [Canada] ; Carlos Brito [Canada] ; Hendrik Döring [Allemagne, Canada] ; Jörg Nonhoff [Allemagne]Source :
- 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:
- https://api.istex.fr/document/80C3063370B8B6F1D40ACE345F3443938434A2E5/fulltext/pdf
- https://api.istex.fr/document/AF8736EB0F5E819831759ACEBB25D15953D4364D/fulltext/pdf
DOI: 10.1002/jbm.a.34709
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<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>
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</placeName>
</affiliation>
<affiliation wicri:level="1"><country wicri:rule="url">Allemagne</country>
</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 wicri:level="4"><country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</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 wicri:level="4"><country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Periodontology, University of Toronto, Ontario, Toronto</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</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 wicri:level="4"><country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Periodontology, University of Toronto, Ontario, Toronto</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Brito, Carlos" sort="Brito, Carlos" uniqKey="Brito C" first="Carlos" last="Brito">Carlos Brito</name>
<affiliation wicri:level="4"><country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Doring, Hendrik" sort="Doring, Hendrik" uniqKey="Doring H" first="Hendrik" last="Döring">Hendrik Döring</name>
<affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, University of Erlangen‐Nuremberg, Erlangen</wicri:regionArea>
<placeName><settlement type="city">Erlangen</settlement>
<region type="land" nuts="1">Bavière</region>
<region type="district" nuts="2">District de Moyenne-Franconie</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Preventive Dentistry, University of Toronto, Ontario, Toronto</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Nonhoff, Jorg" sort="Nonhoff, Jorg" uniqKey="Nonhoff J" first="Jörg" last="Nonhoff">Jörg Nonhoff</name>
<affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Clinical Research DENTSPLY Friadent, Mannheim</wicri:regionArea>
<placeName><region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Mannheim</settlement>
</placeName>
</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>
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<seriesStmt><idno type="ISSN">1549-3296</idno>
</seriesStmt>
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<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>
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