Microleakage at the implant–abutment interface represents a potential pathway for bacterial penetration and may contribute to peri-implant inflammation, marginal bone loss, and mechanical complications such as screw loosening. The increasing clinical use of compatible prosthetic abutments as cost-effective alternatives to original components has raised concerns regarding their fit, sealing capacity, and mechanical stability at this interface. The aim of this in vitro study was to evaluate differences in sealing capacity and torque loss between original and non-original abutments in a mixed internal connection implant system and to investigate the applicability of a novel quantitative approach for assessing microleakage based on a hydraulic conductance perfusion system. Nine abutments, including four multi-unit and five screw-retained cementable abutments, were connected to Straumann Bone Level implants at two tightening torques (5 N·cm and 35 N·cm). Microleakage was quantified by measuring fluid transport across the implant–abutment interface using the perfusion system, and removal torque values were recorded after testing. Non-original abutments exhibited significantly greater microleakage than original abutments at both torque levels. Microleakage increased significantly when the installation torque was reduced to 5 N·cm. At the manufacturer-recommended torque, screw-retained cementable abutments demonstrated higher microleakage than multi-unit abutments. Non-original abutments also showed significantly greater torque loss. These findings suggest that original abutments provide improved sealing capacity and mechanical stability at the implant–abutment interface, while the hydraulic conductance perfusion system represents a promising quantitative tool for investigating microleakage.
Sánchez-Benito et al. (2026) studied this question.