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BMC Oral Health

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Open Access 01-12-2023 | Research

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

Authors: Liheng Shen, Chengzhi Dong, Jianping Chen, Xiaolei Bai, Fan Yang, Linhong Wang

Published in: BMC Oral Health | Issue 1/2023

Abstract

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.

Available only for authorised users

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Title: The mechanical and clinical influences of prosthetic index structure in Morse taper implant-abutment connection: a scoping review
Authors: Liheng Shen
Chengzhi Dong
Jianping Chen
Xiaolei Bai
Fan Yang
Linhong Wang
Publication date: 01-12-2023
Publisher: BioMed Central
Published in: BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-023-03545-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Aim

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Methods

Results

Conclusions

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