Effect of Electrodeposited Gold Coatings on Micro-Gaps, Surface Profile and Bacterial Leakage of Cast UCLA Abutments Attached to External Hexagon Dental Implants

Abstract

Purpose: The objective of the study was to qualitatively assess the micro-gap dimensions, connecting fitting surface profile, and bacterial leakage of cast high-gold-alloy UCLA abutments, with or without electrodeposited gold coatings attached to external hexagon implants. Materials and methods: Sixteen plastic UCLAs (PUCLAs) were cast with a high-gold-content alloy. Eight were electrolytically gold plated. Five machined cast-to-UCLA (GUCLA) control abutments were cast with the same alloy. All abutments were attached to external hexagon implants, giving 21 implant-abutment combinations (IACs). External perimeter micro-gaps measured with SEM under shadow eliminating silhouette illumination and 2000× magnification were averaged over three regions. The IACs were examined for E. coli leakage following an initial sterility test. Disassembled combinations were examined with SEM, and surface profiles were qualitatively assessed. Results: External micro-gap measurements did not reflect the variable connecting surface profiles, but average values < 5.0 μm were observed for all IACs measured under the shadow eliminating silhouette illumination for both cast and pre-machined external hexagon abutments with and without Au plating. E. coli transfer was observed in 3 of 5 PUCLA-plated and 2 of 5 PUCLA-non-plated IACs. No transfer occurred in the 3 GUCLA-non-plated or 2 GUCLA-plated control IACs. Abutment connecting surfaces, both Au-plated and not Au-plated, showed plastic deformation (smearing) in variable mosaic patterns across the micro-gap. Conclusions: Micro-gap dimensions < 5μm were obtained with both the high noble metal cast and pre-machined control external hexagon abutments with and without Au electrodeposited on the abutment connecting surface. Regions of intimate contact due to plastic deformation (smearing) of these surfaces were observed. A continuous smeared region around the circumference of the surfaces can provide an effective barrier to the egress of E. coli bacteria from the internal regions of the implant under static loading. The sample size was insufficient to determine if the gold coating resulted in a superior bacterial barrier.