In Vitro Evaluation of Bacterial Leakage at Implant-Abutment Connection: An 11-Degree Morse Taper Compared to a Butt Joint Connection

Abstract

Background and Aim. The geometry of implant-abutment interface (IAI) affects the risk of bacterial leakage and invasion into the internal parts of the implant. The aim of this study was to compare the bacterial leakage of an 11-degree Morse taper IAI with that of a butt joint connection. Materials and Methods. Two implants systems were tested (n=10 per group): CSM (submerged) and TBR (connect). The deepest inner parts of the implants were inoculated with 2 μL of Streptococcus mutans suspension with a concentration of 108 CFU/mL. The abutments were tightened on the implants. The specimens were stored in the incubator at a temperature of 37°C for 14 days and the penetration of the bacterium in the surrounding area was determined by the observation of the solution turbidity and comparison with control specimens. Kaplan-Meier survival curve was traced for the estimation of bacterial leakage and the results between two groups of implants were statistically analyzed by chi-square test. Results. No case of the implant system with the internal conical connection design revealed bacterial leakage in 14 days and no turbidity of the solution was reported for it. In the system with butt joint implant-abutment connection, 1 case showed leakage on the third day, 1 case on the eighth day, and 5 cases on the 13th day. In total, 7 (70%) cases showed bacterial leakage in this system. Significant differences were found between the two groups of implants based on the incidence of bacterial leakage (p<0.05). Conclusion. The 11-degree Morse taper demonstrated better resistance to microbial leakage than butt joint connection.