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Implant-abutment leaking of replace conical connection nobel biocare® implant system. An in vitro study of the microbiological penetration from external environment to implant-abutment space

Identifieur interne : 000646 ( Pmc/Checkpoint ); précédent : 000645; suivant : 000647

Implant-abutment leaking of replace conical connection nobel biocare® implant system. An in vitro study of the microbiological penetration from external environment to implant-abutment space

Auteurs : E. El Haddad [Italie] ; A. B. Giannì [Italie] ; G. E. Mancini [Italie] ; F. Cura [Italie] ; F. Carinci [Italie]

Source :

RBID : PMC:5159912

Abstract

SUMMARYPurpose

The aim of our study is to value the microbial contamination in the implant-abutment connections (IAC) of a Nobel Replace Conical Connection implant system [Nobel Biocare®, Vimercate (MB), Italy].

Materials and methods

To identify the capability of the implant to protect the internal space from the external environment, the passage of genetically modified bacteria across IAC was evaluated. Four Nobel Replace Conical Connection implants (Nobel Biocare®, Vimercate (MB), Italy) were immerged in a bacterial culture for twenty-four hours and then bacteria amount was measured inside and outside IAC with Real-time PCR. Bacterial quantification was performed by Real-Time Polymerase Chain Reaction using the absolute quantification with the standard curve method.

Results

In all tested implants, bacteria were found in the inner side, with a median percentage of 10.9%. The analysis revealed that in both cases (internally and externally), bacteria grew for the first 48 hours but subsequently they started to dye, probably as a consequence of nutrient consumption. Moreover, the difference between outer and inner bacteria concentration was statistically significant at each time point.

Conclusions

Implant’s internal contamination shows that IAC is not sealing. The reported results are similar to those of previous studies carried out on different implant systems. Until now, no IAC has been proven to seal the gap between implant and abutment.


Url:
DOI: 10.11138/orl/2016.9.2.076
PubMed: 28042434
PubMed Central: 5159912


Affiliations:


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PMC:5159912

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<title>Purpose</title>
<p>The aim of our study is to value the microbial contamination in the implant-abutment connections (IAC) of a Nobel Replace Conical Connection implant system [Nobel Biocare®, Vimercate (MB), Italy].</p>
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<sec>
<title>Materials and methods</title>
<p>To identify the capability of the implant to protect the internal space from the external environment, the passage of genetically modified bacteria across IAC was evaluated. Four Nobel Replace Conical Connection implants (Nobel Biocare®, Vimercate (MB), Italy) were immerged in a bacterial culture for twenty-four hours and then bacteria amount was measured inside and outside IAC with Real-time PCR. Bacterial quantification was performed by Real-Time Polymerase Chain Reaction using the absolute quantification with the standard curve method.</p>
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<title>Results</title>
<p>In all tested implants, bacteria were found in the inner side, with a median percentage of 10.9%. The analysis revealed that in both cases (internally and externally), bacteria grew for the first 48 hours but subsequently they started to dye, probably as a consequence of nutrient consumption. Moreover, the difference between outer and inner bacteria concentration was statistically significant at each time point.</p>
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<title>Conclusions</title>
<p>Implant’s internal contamination shows that IAC is not sealing. The reported results are similar to those of previous studies carried out on different implant systems. Until now, no IAC has been proven to seal the gap between implant and abutment.</p>
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Private practice, Turin, Italy</aff>
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Maxillo-Facial and Dental Unit, “Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico”, Milano, Italy</aff>
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Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy</aff>
<aff id="af4-76-82">
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Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy</aff>
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<corresp id="c1-76-82">Correspondence to: Prof. Francesco Carinci, M.D., Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Via Luigi Borsari 46, 44121 Ferrara, Italy, Phone: +39 0532 455874 - Fax: +39 0532 455876, E-mail:
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<copyright-year>2016</copyright-year>
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<abstract>
<title>SUMMARY</title>
<sec>
<title>Purpose</title>
<p>The aim of our study is to value the microbial contamination in the implant-abutment connections (IAC) of a Nobel Replace Conical Connection implant system [Nobel Biocare®, Vimercate (MB), Italy].</p>
</sec>
<sec>
<title>Materials and methods</title>
<p>To identify the capability of the implant to protect the internal space from the external environment, the passage of genetically modified bacteria across IAC was evaluated. Four Nobel Replace Conical Connection implants (Nobel Biocare®, Vimercate (MB), Italy) were immerged in a bacterial culture for twenty-four hours and then bacteria amount was measured inside and outside IAC with Real-time PCR. Bacterial quantification was performed by Real-Time Polymerase Chain Reaction using the absolute quantification with the standard curve method.</p>
</sec>
<sec>
<title>Results</title>
<p>In all tested implants, bacteria were found in the inner side, with a median percentage of 10.9%. The analysis revealed that in both cases (internally and externally), bacteria grew for the first 48 hours but subsequently they started to dye, probably as a consequence of nutrient consumption. Moreover, the difference between outer and inner bacteria concentration was statistically significant at each time point.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Implant’s internal contamination shows that IAC is not sealing. The reported results are similar to those of previous studies carried out on different implant systems. Until now, no IAC has been proven to seal the gap between implant and abutment.</p>
</sec>
</abstract>
<kwd-group>
<kwd>bone resorption</kwd>
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