Cargando…

The mechanical and clinical influences of prosthetic index structure in Morse taper implant-abutment connection: a scoping review

AIM: The implant-abutment connection is a crucial factor in determining the long-term stability of dental implants. The use of a prosthetic index structure in the Morse taper implant-abutment connection has been proposed as a potential solution to improve the accuracy of this connection. This study...

Descripción completa

Detalles Bibliográficos
Autores principales: Shen, Liheng, Dong, Chengzhi, Chen, Jianping, Bai, Xiaolei, Yang, Fan, Wang, Linhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10590505/
https://www.ncbi.nlm.nih.gov/pubmed/37865734
http://dx.doi.org/10.1186/s12903-023-03545-3
_version_ 1785124001606008832
author Shen, Liheng
Dong, Chengzhi
Chen, Jianping
Bai, Xiaolei
Yang, Fan
Wang, Linhong
author_facet Shen, Liheng
Dong, Chengzhi
Chen, Jianping
Bai, Xiaolei
Yang, Fan
Wang, Linhong
author_sort Shen, Liheng
collection PubMed
description AIM: The implant-abutment connection is a crucial factor in determining the long-term stability of dental implants. The use of a prosthetic index structure in the Morse taper implant-abutment connection has been proposed as a potential solution to improve the accuracy of this connection. This study aimed to provide a scoping review of the mechanical and clinical effects of the prosthetic index structure in the Morse taper implant-abutment connection. METHODS: A systematic scoping review of articles related to "dental implants," "Morse taper," and "index" was conducted using PubMed/MEDLINE, Web of Science, Cochrane, and Scopus databases, as well as a comprehensive literature search by two independent reviewers. Relevant articles were selected for analysis and discussion, with a specific focus on investigating the impact of prosthetic index structure on the mechanical and clinical aspects of Morse taper implant-abutment connections. RESULTS: Finally, a total of 16 articles that met the inclusion criteria were included for data extraction and review. In vitro studies have demonstrated that the use of a prosthetic index structure in the Morse taper implant-abutment connection can affect stress distribution, biomechanical stability, and reverse torque values, which may reduce stress within cancellous bone and help limit crestal bone resorption. However, retrospective clinical studies have shown that this structure is also associated with a higher risk of mechanical complications, such as abutment fracture and abutment screw loosening. CONCLUSIONS: Therefore, the clinical trade-off between preventing crestal bone resorption and mechanical complications must be carefully considered when selecting appropriate abutments. The findings suggest that this structure can improve the accuracy and stability of the implant-abutment connection, but its use should be carefully evaluated in clinical practice. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12903-023-03545-3.
format Online
Article
Text
id pubmed-10590505
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-105905052023-10-23 The mechanical and clinical influences of prosthetic index structure in Morse taper implant-abutment connection: a scoping review Shen, Liheng Dong, Chengzhi Chen, Jianping Bai, Xiaolei Yang, Fan Wang, Linhong BMC Oral Health Research AIM: The implant-abutment connection is a crucial factor in determining the long-term stability of dental implants. The use of a prosthetic index structure in the Morse taper implant-abutment connection has been proposed as a potential solution to improve the accuracy of this connection. This study aimed to provide a scoping review of the mechanical and clinical effects of the prosthetic index structure in the Morse taper implant-abutment connection. METHODS: A systematic scoping review of articles related to "dental implants," "Morse taper," and "index" was conducted using PubMed/MEDLINE, Web of Science, Cochrane, and Scopus databases, as well as a comprehensive literature search by two independent reviewers. Relevant articles were selected for analysis and discussion, with a specific focus on investigating the impact of prosthetic index structure on the mechanical and clinical aspects of Morse taper implant-abutment connections. RESULTS: Finally, a total of 16 articles that met the inclusion criteria were included for data extraction and review. In vitro studies have demonstrated that the use of a prosthetic index structure in the Morse taper implant-abutment connection can affect stress distribution, biomechanical stability, and reverse torque values, which may reduce stress within cancellous bone and help limit crestal bone resorption. However, retrospective clinical studies have shown that this structure is also associated with a higher risk of mechanical complications, such as abutment fracture and abutment screw loosening. CONCLUSIONS: Therefore, the clinical trade-off between preventing crestal bone resorption and mechanical complications must be carefully considered when selecting appropriate abutments. The findings suggest that this structure can improve the accuracy and stability of the implant-abutment connection, but its use should be carefully evaluated in clinical practice. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12903-023-03545-3. BioMed Central 2023-10-21 /pmc/articles/PMC10590505/ /pubmed/37865734 http://dx.doi.org/10.1186/s12903-023-03545-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Shen, Liheng
Dong, Chengzhi
Chen, Jianping
Bai, Xiaolei
Yang, Fan
Wang, Linhong
The mechanical and clinical influences of prosthetic index structure in Morse taper implant-abutment connection: a scoping review
title The mechanical and clinical influences of prosthetic index structure in Morse taper implant-abutment connection: a scoping review
title_full The mechanical and clinical influences of prosthetic index structure in Morse taper implant-abutment connection: a scoping review
title_fullStr The mechanical and clinical influences of prosthetic index structure in Morse taper implant-abutment connection: a scoping review
title_full_unstemmed The mechanical and clinical influences of prosthetic index structure in Morse taper implant-abutment connection: a scoping review
title_short The mechanical and clinical influences of prosthetic index structure in Morse taper implant-abutment connection: a scoping review
title_sort mechanical and clinical influences of prosthetic index structure in morse taper implant-abutment connection: a scoping review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10590505/
https://www.ncbi.nlm.nih.gov/pubmed/37865734
http://dx.doi.org/10.1186/s12903-023-03545-3
work_keys_str_mv AT shenliheng themechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT dongchengzhi themechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT chenjianping themechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT baixiaolei themechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT yangfan themechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT wanglinhong themechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT shenliheng mechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT dongchengzhi mechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT chenjianping mechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT baixiaolei mechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT yangfan mechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview
AT wanglinhong mechanicalandclinicalinfluencesofprostheticindexstructureinmorsetaperimplantabutmentconnectionascopingreview