The Influence of Connection on the Microleakage Development of ImplantSupported Fixed Bridges

Purpose: If bacteria penetrate through the implant-abutment connection, they may initiate inflammatory reactions in the peri-implant tissue. It seems that the type of connection plays a key role in the development of peri-implantitis. The aim of the present in vitro study was to compare the microleakage of implant-supported fixed complete arch bridges at the levels of abutment and implant. Methods: Ten identical polyurethane model bases containing six implants each were produced using an edentulous model of the upper jaw. These models were prepared with two types of implant-supported complete arch prostheses. Five specimens were fixed at implant level and five at abutment level. The inner parts implants were inoculated with Escherichia coli (E.coli). Each implant was surrounded with closed bacteria-proof vessels to observe bacterial migration from the inner parts of implants to the nutrient solution. Samples of nutrient solution were taken at different time points up to 2 to 10 days and colony forming units were determined. Results: The bacterial accumulation in the implant-supported bridges at the implant level was significantly lower than at the abutment-level (p=0.00953). Conclusion: For implant-supported fixed complete arch prostheses, bacterial accumulation was lower at the implant level than at the abutment-level.

E.coli Microleakage Implant-level Abutment-level Bacterial Penetration