Abutment Connection Structural Changes in Dual-Retained and Screw-Retained Metal-Ceramic Implant-Supported Restorations: An in Vitro Study, Part I Publisher Pubmed

Summary: Dual-retained implants show less structural change than screw-retained ones under stress, indicating better stability. Surprising insights for future designs! #ImplantDentistry #DentalResearch

Habibzadeh S¹ ; Ghodsi S² ; Alikhasi M² ; Mosaddad SA^{3, 4} ; Mohebbi H⁵
Source: BMC Oral Health Published:2025

Abstract

Background: This study sought to compare the rotational freedom and structural changes of abutment connections in dual-retained and screw-retained metal-ceramic implant restorations at different fabrication stages and following thermomechanical loading. Methods: Twenty metal-ceramic restorations were equally divided into two groups. Group 1 (G1) consisted of dual-retained restorations on prefabricated titanium abutments, while Group 2 (G2) comprised screw-retained restorations on UCLA chromium-cobalt overcast abutments. Specimens underwent 500 cycles of thermocycling and 500,000 cycles of mechanical loading. Changes in connection dimensions and rotational freedom were compared within and between the groups before- and post-loading. Statistical analyses were conducted using a generalized linear model (GLM). The significance level was set at α = 0.05. Results: Initially, no significant differences in connection dimensions were observed between the groups (P >.05). After loading, G2 exhibited significantly smaller hexagon side lengths and diagonal measurements, along with increased hexagonal angle deformation and concentricity (P <.001) compared to G1. Rotational freedom was significantly greater in G2 compared to G1 both before and after thermomechanical loading (P <.001). G2 experienced significant dimensional changes before and after loading (P <.001), whereas G1 showed no significant changes in connection dimensions pre- and post-loading (P >.05). Conclusions: Dual-retained restorations outperformed screw-retained ones with minimal connection alteration and higher rotational stability. © The Author(s) 2025.