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Riberti N, D’Amico E, Pierfelice TV, Furlani M, Giuliani A, Piattelli A, Iezzi G, Comuzzi L. Case Report of a Dental Implant with Conometric Abutment-Prosthetic Cap Connection: Advanced High-Resolution Imaging and Peri-Implant Connective Tissue Performance. Clin Pract 2024; 14:556-569. [PMID: 38666801 PMCID: PMC11049280 DOI: 10.3390/clinpract14020043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 03/19/2024] [Accepted: 03/25/2024] [Indexed: 04/28/2024] Open
Abstract
Background: In recent years, the use of conometric systems to connect dental implant abutments and prosthetic caps has been advocated because they seem to eliminate the side effects reported when using screw- and cement-connected prosthetic restorations. Objectives: The present case study is focused on conometric connection characterization and its performance in terms of the microarchitecture of peri-implant soft tissues by using a cross-linked approach based on optical microscopy and three-dimensional imaging. Methods: Two dental implants were characterized using micro-CT and another identical one was implanted into a patient; the latter was retrieved 45 days later due to changes in prosthetic needs. Afterward, the peri-implant soft tissues were investigated using synchrotron-based phase contrast imaging, histology, and polarized light microscopy. Results: Micro-CT analysis showed perfect adhesion between the abutment and prosthetic cap; histology and polarized light microscopy showed that connective tissue was richly present around the abutment retrieved from the patient. Moreover, the quantitative evaluation of connective tissues using synchrotron imaging, supported by artificial intelligence, revealed that this tissue was rich in mature collagen, with longitudinal and transverse collagen bundles intertwined. The number and connectivity of transverse bundles were consistently greater than those of the longitudinal bundles. Conclusion: It was found that the peri-implant soft tissue was already mature and well organized after only 45 days of implantation, supporting the hypothesis that conometric connections contribute to the significant stabilization of peri-implant soft tissues.
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Affiliation(s)
- Nicole Riberti
- Neuroscience, Imaging and Clinical Sciences Department, University of Chieti-Pescara, 66100 Chieti, Italy;
| | - Emira D’Amico
- Medical, Oral and Biotechnological Sciences Department, University of Chieti-Pescara, 66100 Chieti, Italy; (E.D.); (T.V.P.); (G.I.)
| | - Tania Vanessa Pierfelice
- Medical, Oral and Biotechnological Sciences Department, University of Chieti-Pescara, 66100 Chieti, Italy; (E.D.); (T.V.P.); (G.I.)
| | - Michele Furlani
- Odontostomatologic and Specialized Clinical Sciences Department, Polytechnic University of Marche, Via Brecce Bianche, 60131 Ancona, Italy;
| | - Alessandra Giuliani
- Odontostomatologic and Specialized Clinical Sciences Department, Polytechnic University of Marche, Via Brecce Bianche, 60131 Ancona, Italy;
| | - Adriano Piattelli
- School of Dentistry, Saint Camillus International University for Health Sciences (Unicamillus), 00131 Rome, Italy;
| | - Giovanna Iezzi
- Medical, Oral and Biotechnological Sciences Department, University of Chieti-Pescara, 66100 Chieti, Italy; (E.D.); (T.V.P.); (G.I.)
| | - Luca Comuzzi
- Independent Researcher, Via Raffaello 36/a, 31020 San Vendemiano (TV), Italy;
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Yüce E, Sharifikolouei E, Micusik M, Ferraris S, Rashidi R, Najmi Z, Gümrükçü S, Scalia A, Cochis A, Rimondini L, Spriano S, Omastova M, Sarac AS, Eckert J, Sarac B. Anticorrosion and Antimicrobial Tannic Acid-Functionalized Ti-Metallic Glass Ribbons for Dental Abutment. ACS APPLIED BIO MATERIALS 2024; 7:936-949. [PMID: 38299869 PMCID: PMC10880059 DOI: 10.1021/acsabm.3c00948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2023] [Revised: 01/10/2024] [Accepted: 01/11/2024] [Indexed: 02/02/2024]
Abstract
In this study, a recently reported Ti-based metallic glass (MG), without any toxic element, but with a significant amount of metalloid (Si-Ge-B, 18 atom %) and minor soft element (Sn, 2 atom %), was produced in ribbon form using conventional single-roller melt-spinning. The produced Ti60Zr20Si8Ge7B3Sn2 ribbons were investigated by differential scanning calorimetry and X-ray diffraction to confirm their amorphous structure, and their corrosion properties were further investigated by open-circuit potential and cyclic polarization tests. The ribbon's surface was functionalized by tannic acid, a natural plant-based polyphenol, to enhance its performance in terms of corrosion prevention and antimicrobial efficacy. These properties can potentially be exploited in the premucosal parts of dental implants (abutments). The Folin and Ciocalteu test was used for the quantification of tannic acid (TA) grafted on the ribbon surface and of its redox activity. Fluorescent microscopy and ζ-potential measurements were used to confirm the presence of TA on the surfaces of the ribbons. The cytocompatibility evaluation (indirect and direct) of TA-functionalized Ti60Zr20Si8Ge7B3Sn2 MG ribbons toward primary human gingival fibroblast demonstrated that no significant differences in cell viability were detected between the functionalized and as-produced (control) MG ribbons. Finally, the antibacterial investigation of TA-functionalized samples against Staphylococcus aureus demonstrated the specimens' antimicrobial properties, shown by scanning electron microscopy images after 24 h, presenting a few single colonies remaining on their surfaces. The thickness of bacterial aggregations (biofilm-like) that were formed on the surface of the as-produced samples reduced from 3.5 to 1.5 μm.
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Affiliation(s)
- Eray Yüce
- Erich
Schmid Institute of Materials Science, Austrian
Academy of Sciences, 8700 Leoben, Austria
- Department
of Materials Science, Chair of Materials Physics, Montanuniversität Leoben, 8700 Leoben, Austria
| | - Elham Sharifikolouei
- Department
of Applied Science and Technology (DISAT), Politecnico di Torino (POLITO), 10129 Turin, Italy
| | - Matej Micusik
- Polymer
Institute, Slovak Academy of Sciences, Dubravska cesta 9, 845 41 Bratislava, Slovakia
| | - Sara Ferraris
- Department
of Applied Science and Technology (DISAT), Politecnico di Torino (POLITO), 10129 Turin, Italy
- POLITO
BIOMed LAB, Politecnico di Torino, 10129 Torino, Italy
| | - Reza Rashidi
- Department
of Applied Science and Technology (DISAT), Politecnico di Torino (POLITO), 10129 Turin, Italy
| | - Ziba Najmi
- Department
of Health Sciences, Center for Translational Research on Autoimmune
and Allergic Diseases-CAAD, Università
del Piemonte Orientale UPO, 28100 Novara, Italy
| | - Selin Gümrükçü
- Department
of Chemistry, Istanbul Technical University, 34469 Istanbul, Türkiye
| | - Alessandro Scalia
- Department
of Health Sciences, Center for Translational Research on Autoimmune
and Allergic Diseases-CAAD, Università
del Piemonte Orientale UPO, 28100 Novara, Italy
| | - Andrea Cochis
- Department
of Health Sciences, Center for Translational Research on Autoimmune
and Allergic Diseases-CAAD, Università
del Piemonte Orientale UPO, 28100 Novara, Italy
| | - Lia Rimondini
- Department
of Health Sciences, Center for Translational Research on Autoimmune
and Allergic Diseases-CAAD, Università
del Piemonte Orientale UPO, 28100 Novara, Italy
| | - Silvia Spriano
- Department
of Applied Science and Technology (DISAT), Politecnico di Torino (POLITO), 10129 Turin, Italy
- POLITO
BIOMed LAB, Politecnico di Torino, 10129 Torino, Italy
| | - Maria Omastova
- Polymer
Institute, Slovak Academy of Sciences, Dubravska cesta 9, 845 41 Bratislava, Slovakia
| | | | - Jürgen Eckert
- Erich
Schmid Institute of Materials Science, Austrian
Academy of Sciences, 8700 Leoben, Austria
- Department
of Materials Science, Chair of Materials Physics, Montanuniversität Leoben, 8700 Leoben, Austria
| | - Baran Sarac
- Erich
Schmid Institute of Materials Science, Austrian
Academy of Sciences, 8700 Leoben, Austria
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Rajadurai ANT, Ramakrishnan H, Sampathkumar J, Mahadevan V, Baskaran S, Jeyapalan V, Ragupathi M. Escherichia coli Cellular Activity and Frontal Trizonal Evaluation of Microspace Between Implants and Abutments Under Calibrated Cyclic Stress. Cureus 2023; 15:e44816. [PMID: 37809176 PMCID: PMC10559082 DOI: 10.7759/cureus.44816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/06/2023] [Indexed: 10/10/2023] Open
Abstract
AIM To evaluate microspace and microleakage between implant and abutments subjected to pre- and post-calibrated cyclic stress. MATERIALS AND METHODS Twelve screw-retained implant prostheses with BioHPP polyetheretherketone (PEEK) abutment (Noris Dental Implant System Ltd., Nesher, Israel) (Group I) and 12 screw-retained implant prostheses with computer-assisted design/computer-assisted manufacturing (CAD/CAM) milled zirconia abutment (DentGallop, Houston, TX, USA) (Group II) were connected to their respective implant, and the prosthetic screw was torqued to 30N/cm (Noris). The microspace was evaluated using scanning electron microscopy (SEM; TeScan, Brno, Czech Republic). Twenty-four samples were then induced to cyclic stress (Lokesh Industries, Pune, India) simulating 180 days duration of oral stress. The microspaces (Group IA and Group IIB) were measured post-cyclic stress. Group I and II were again renamed into Group Ia and Group IIb for microbial study. Both implant assemblies were immersed in fresh soybean casein digest broth (SCDB) (Himedia, Mumbai, India) and subsequently inoculated with 1.0µL E. coli suspension (Himedia) at the open end and incubated at 37ºC for seven days. After the incubation period, cellular activity was determined by the spread plate method, and total colony-forming units (CFU) were calculated. The results were evaluated using independent T and Mann-Whitney tests. RESULT Average and microspace at the implant-abutment junction of Group I samples in the front right was 12.98µm, center 13.76µm, front left 13.22µm, and in Group II samples, the front right was 18.52µm, center 17.84µm, front left 18.58µm.After being subjected to cyclic loading, the mean levels of the vertical microgap for Group IA samples were: in the front right region 10.37µm, in the center 9.34µm, in the front left 10.51µm and in Group IIB samples front right was 14.59µm, center 13.39µm, front left 13.8µm. Independent t-tests showed insignificant differences between the two groups. The median value of microbial leakage of Group Ia samples after cyclic loading was 30 x 103 CFU/ml, and Group IIb samples were 42 x 103 CFU/ml and were significant. CONCLUSION There was minimal variation in the mean microspace between the BioHPP PEEK abutment and CAD/CAM milled zirconia abutment, and it was insignificant before and after cyclic stress. BioHPP PEEK abutment-titanium implant interfaces showed significantly decreased microbial leakage than CAD/CAM milled zirconia abutment-titanium implant interfaces after cyclic stress.
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Affiliation(s)
| | - Hariharan Ramakrishnan
- Department of Prosthodontics and Implantology, Ragas Dental College and Hospital, Chennai, IND
| | | | - Vallabh Mahadevan
- Department of Prosthodontics and Implantology, Ragas Dental College and Hospital, Chennai, IND
| | - Shivakumar Baskaran
- Department of Periodontics and Implantology, Ragas Dental College and Hospital, Chennai, IND
| | - Vidhya Jeyapalan
- Department of Prosthodontics and Implantology, Ragas Dental College and Hospital, Chennai, IND
| | - Maniamuthu Ragupathi
- Department of Prosthodontics and Implantology, Ragas Dental College and Hospital, Chennai, IND
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Mandurino M, Di Domenico GL, Baldani S, Collivasone G, Gherlone EF, Cantatore G, Paolone G. Dental Restorations. Bioengineering (Basel) 2023; 10:820. [PMID: 37508847 PMCID: PMC10376857 DOI: 10.3390/bioengineering10070820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 07/04/2023] [Indexed: 07/30/2023] Open
Abstract
Fulfilling a patient's request for a healthy, functional and esthetic smile represents a daily challenge for dental practitioners [...].
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Affiliation(s)
- Mauro Mandurino
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, Italy
| | | | - Sofia Baldani
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, Italy
| | - Giacomo Collivasone
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, Italy
| | | | - Giuseppe Cantatore
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, Italy
| | - Gaetano Paolone
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milan, Italy
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D'Orto B, Chiavenna C, Leone R, Longoni M, Nagni M, Capparè P. Marginal Bone Loss Compared in Internal and External Implant Connections: Retrospective Clinical Study at 6-Years Follow-Up. Biomedicines 2023; 11:biomedicines11041128. [PMID: 37189746 DOI: 10.3390/biomedicines11041128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 03/29/2023] [Accepted: 03/31/2023] [Indexed: 05/17/2023] Open
Abstract
The aim of this study was to assess and compare the marginal bone loss between two different categories of implants (Winsix, Biosafin, Ancona, Italy) having the same diameter and belonging to the Torque Type® (TT®) line, in the internal hexagon version (TTi, Group A) and in the external hexagon configuration (TTx, Group B). Patients with one or more straight implants (insertion parallel to the occlusal plane) in the molar and premolar regions in association with tooth extraction at least 4 months prior to implant insertion, who have a fixture diameter of 3.8 mm, who followed up for at least 6 years, and whose radiographic records were available were enrolled in this study. Depending on implant connections (externally or internally), the sample was divided into groups A and B. For externally connected implants (66), the marginal resorption was 1.1 ± 0.17 mm. The subgroup of single and bridge implants showed no statistically significant differences with a marginal bone resorption of 1.07 ± 0.15 mm and 1.1 ± 0.17 mm, respectively. Internally connected implants (69) showed an overall marginal resorption of 0.91 ± 0.17 mm, while the subgroup of single and bridge implants showed resorption of 0.90 ± 0.19 mm and 0.90 ± 0.17 mm, respectively, with no statistically significant differences. According to the obtained results, internally connected implants showed less marginal bone resorption than externally connected implants.
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Affiliation(s)
- Bianca D'Orto
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Carlo Chiavenna
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Renato Leone
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, Division of Fixed Prosthodontics, "Federico II" University of Naples, 80100 Naples, Italy
| | - Martina Longoni
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Matteo Nagni
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Paolo Capparè
- Dental School, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
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Cortellini D, Canale A, Schmitz JH, Valenti M, Valenti A. A digital protocol for the fabrication of anatomic-contour implant zirconia crowns directly screwed on external hexagonal implant connections without the interposition of a Ti-base component. J Prosthet Dent 2023:S0022-3913(23)00061-6. [PMID: 36898867 DOI: 10.1016/j.prosdent.2023.01.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 01/15/2023] [Accepted: 01/18/2023] [Indexed: 03/12/2023]
Abstract
A straightforward and effective restorative option is proposed for implant-supported fixed prostheses with external connections by using monolithic zirconia without the interposition of a Ti-base component. The technique is based on a modification of the Brånemark connection used to link metal-ceramic or metal-composite resin restorations directly to the implant.
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