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Title

Comparative evaluation of marginal gap and distortion following repeated healing abutment replacement: A SEM study

 

Authors

Ankita Agarwal, Varun Kumar* & Meenakshi Choudhary

 

Affiliation

Department of Prosthodontics and Crown & Bridge, Seema Dental College and Hospital, Rishikesh, Uttarakhand, India; *Corresponding author

 

Email

Ankita Agarwal - E-mail: ankita.hpgdc@gmail.com
Varun Kumar - E-mail: drvarun_smile@yahoo.co.in
Meenakshi Choudhary - E-mail: drminakshi27mc@gmail.com

 

Article Type

Research Article

 

Date

Received August 1, 2026; Revised August 31, 2026; Accepted August 31, 2026, Published August 31, 2026

 

Abstract

Repeated clinical reuse of healing abutments may compromise the implant–abutment interface, although manufacturer reuse limits remain undefined. Therefore, it is of interest to evaluate the surface changes and marginal gap formation in 360 healing abutments after repeated placement–removal cycles. Mechanical deterioration increased significantly with reuse, with marginal gaps rising from 5.189 ± 0.407 μm to 12.866 ± 0.606 μm (p < 0.001). Surface pitting, microcracks, thread deformation and marginal discrepancies became evident after repeated cycling and increased with higher reuse frequencies. Thus, data shows the quantitative reuse thresholds that can guide evidence-based clinical protocols to preserve implant–abutment precision and long-term peri-implant health.

 

Keywords

Dental implants, healing abutment, marginal gap, screw thread, screw head, wear, distortion, surface roughness and scanning electron microscope (SEM), repeated cycles

 

Citation

Agarwal et al. Bioinformation 22(8): 5002-5007 (2026)

 

Edited by

Ritik Kashwani

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.