• The Effect of Probing And Scaling Instrumentation On Implant Restorative Abutments

      Khocht, Ahmed; Jefferies, Steven R.; Suzuki, Jon, 1947- (Temple University. Libraries, 2011)
      Introduction: Dental implant abutments can be exposed to a variety of oral prophylaxis procedures. Instrumentation of restored dental implants could subject the apical collar of the implant restorative abutment to surface scratching. Scratched surfaces may pose a threat to the integrity of the soft-tissue seal around the apical portion of the abutment which eventually may compromise the alveolar support of the implant. The aim of this study was to objectively measure surface roughness on the apical collar of metal implant abutments induced by probing and scaling instruments. Materials and Methods: 14 standard transmucosal 3 in 1, 4.5 mm diameter abutments made of titanium alloy (BioHorizons, Atlanta, GA) and 4 instruments, UNC-15 metal probe, Periowise plastic probe, McCall SM 17/18 metal scaler and universal plastic scaler were used to conduct the study. 4 abutments were used for non-treated measures and 10 abutments were used for instrumentation measures. All abutments were divided into four sections. Abutments used for instrumentation were treated with one of the four indicated instruments, one instrument per each section. Surface roughness of untreated and treated surfaces was assessed using a contact profilometer. Analysis of variance (ANOVA) was used to compare surface roughness between untreated and treated surfaces. Results: ANOVA showed significant differences in surface roughness between the treated and untreated surfaces (p< 0.0001). Add hoc analysis using Tukey-Kramer HSD test showed no statistical differences between untreated measures and metal probe measures (p>0.05). On the other hand, statistical differences were noted between untreated measures with plastic probe measures (p= 0.05), plastic scaler measures (p=0.05) and metal scaler measures (p=0.05). The metal scaler measures were higher than plastic probe measures (p=0.05), and plastic scaler measures (p=0.05). Conclusions: Probing around implant abutments with a metal probe seems to have no relevant effect on abutment surfaces. In contrast, instrumentation with scalers (both metal and plastic) and plastic probe may cause adverse surface changes. It is not known if these changes have clinical relevance.