Background: An accurate fit at the implant-abutment connection is a key factor to preclude biological and mechanical complications.
Purpose:The aim of this study was to compare marginal bone level (MBL), modified sulcus bleeding index (mSBI), simplified gingival index (sGI), modified plaque index (mPI) and prosthetic maintenance in conical and trilobe implant-abutment connections (IACs) in mandibular implant assisted overdenture during 3 years in service.Materials and method: new complete dentures were constructed for fourteen completely edentulous patients. After 3 months of use and adaption to their new denture, 28 implants were inserted such that 14 implants with conical implant-abutment connection (group I) and 14 implants with trilobe implant-abutment connection (group II). Split mouth design was used for all patients participated in this study. Statistical software was used to randomly assign which type of connection to be inserted intraorally in the two contralateral sides for each patient. The implants were inserted in the mandibular canine region using two-stage surgical technique and following conventional loading protocol. After 3 months, each patient received two ball and socket attachments; and pick up was done to the denture fitting surface. The MBL, mSBI, sGI, mPI, and prosthetic complications and maintenance requirements for each group of implants were evaluated at loading time, after 6, 12, 24, and 36 months follow up visits. Data were collected, organized, tabulated, and statistically analyzed.
Results:The implant survival rate at the end of follow up period in conical and trilobe IAC groups were 100% and 92.8% respectively. On comparing MBL in both groups, no significant difference was found at 0-6 months, while at the 0-12 and 0-36 follow up periods a significant (2544)