Antiseptic sealant and a nanocoated implant‐abutment interface improve the results of dental implantation

Abstract

Background Clinical measures and implant design innovation to improve primary osseointegration and reduce the bacterial contamination of the peri‐implant area are intended to reduce the incidence of late inflammatory complications in dental implantation. Purpose To study the effect of nanostructured coating and antiseptic sealant on the outcomes of dental implantation. Materials and methods Ninety‐six individuals were clinically supervised. In the first group (Screw Ti + sealant), a special antiseptic sealant matrix was used; the same sealant was used with nanocoated implants in the second group (Nanocoat + sealant), and the conventional treatment protocol was used in the control group (Screw Ti). Patients were evaluated longitudinally during treatment and rehabilitation phases with clinical examinations, radiography, periodontal pathogen detection, and patient experience surveys. Results For patients who received a nanocoated implant and an antiseptic sealant (Nanocoat + sealant), relatively better hygienic indices were observed; there was less contamination with periodontal pathogens, bone density remained at the required level, and the overall results of treatment were better. Conclusions Using a matrix for sealing the dental implant‐abutment interface with a nanostructured surface provides reliable results regarding stable osseointegration and clinical and patient‐reported outcomes of treatment success.

The impact of Morse taper implant design on microleakage at implant-healing abutment interface

“…Factors that influence microleakage include IAI geometry, torque values, implant connection type, sterilizing methods, and use of adhesives and sealants 8,9) . Numerous in vivo and in vitro studies have examined microleakage of implants with different IAI geometry, confirming the high correlation between the type of implant-abutment connection and bacterial accumulation 6,[10][11][12][13][14][15][16][17][18][19] . While previous studies have focused on the leakage following definitive abutment placement, leakage during healing processes should also be investigated.…”

Comparative evaluation of the microbial leakage at two different implant-abutment interfaces using a new sealant

“…Numerous efforts were put in, to seal the microgap between the implant and the abutment for preventing microleakage at the implant-abutment interface. Several materials have been used to seal the implantabutment interface, such as, adhesive, silicone Oring, a silicon hermetic washer, chlorhexidine-thymol varnish, and 2% chlorhexidine solution, some commercial antiseptic sealents like Gapseal, Keiroseal are also available [28][29][30][31][32][33] .…”

“…Zekiy concluded that an antiseptic sealant and a nanocoated implant-abutment interface will provide better osseointegration and stability to the implants with better outcomes 31) .…”