title: Stability of the implant/abutment joint in a single-tooth external-hexagon implant system: clinical and mechanical review.
abstract: Rigorous efforts have recently been made to reduce the recurrence of implant/abutment joint failure in single-tooth implant restorations. However, the current knowledge about the stability of implant/abutment joints in an external hexagon implant system is incomplete. We reviewed clinical data regarding single-tooth implant treatment with Brånemark implants, specifically the CeraOne abutment system (Nobel Biocare AB, Göteborg, Sweden). In vitro studies on joint stability were systematically assessed. Bending overload and the presence of misfit at the implant/abutment joint interface are the critical mechanical conditions that can make the joint unstable. Appropriate joint fitness and proper alignment of the implant should be assessed, and occlusal adjustment by narrowing the restoration width and flattening cuspal inclination should be applied to avoid bending moments caused by the lateral component of occlusal forces. Sufficient clinical reports of longer duration that evaluate and verify longer-term success of the newly manufactured joint components were unavailable.
authors.affiliation: Department of Conservative Dentistry and Prosthodontics, Faculty of Dentistry, University of Jordan, Amman, Jordan. khraisat@lycos.com
authors.forename: Ameen
authors.initials: A
authors.lastname: Khraisat
authors.forename: Osama
authors.initials: O
authors.lastname: Abu-Hammad
authors.forename: Awni M
authors.initials: AM
authors.lastname: Al-Kayed
authors.forename: Najla
authors.initials: N
authors.lastname: Dar-Odeh
mesh_terms: D000044:Dental Abutments; D003758:Dental Implantation, Endosseous; D019250:Dental Implants, Single-Tooth; D017267:Dental Prosthesis Design; D017268:Dental Prosthesis Retention / Q000295:instrumentation*; D019232:Dental Restoration Failure; D003799:Dental Stress Analysis; D006801:Humans; D019563:Mechanics; D019558:Occlusal Adjustment