Microflora of Laboratory-Customized Dental Implant Abutments.

ABSTRACT

OBJECTIVE: This study aimed to detect and categorize the microorganisms of customized abutments returned from laboratories due to probable contamination and their role in peri-implantitis. METHODS: The samples included 202 abutments from 10 laboratories. Ten µL aliquots obtained from the microbial suspension of each abutment were inoculated on sheep blood agar (as non-selective enriched media), MacConkey agar (selective media for Gram-negative bacteria), Columbia agar with colistin and nalidixic acid agar (selective media for Gram-positive bacteria) and Sabouraud Dextrose Agar with antibiotics (selective media for fungi). They were then incubated in an aerobic atmosphere at 37°C. The molecular methods based on 16S rRNA gene sequence analysis were used in the identification of isolates that did not fi t with any recognized biochemical profi les. The distribution of qualitative variables was presented numerically and according to frequency. Complex sample analysis with a 95% confidential interval was used for analysis. RESULTS: The results showed that the mean number of teeth increased in the more recent study for the age category 35 - 44 years, this increased from 19.2 to 23.8 teeth; however, both studies described a signifi cant decrease in the number of teeth at later ages. Values for the extent and severity index were high in both studies. A larger proportion of subjects was affected by mild and generalized attachment loss in the new study, but the percentages of participants affected by moderate and severe attachment loss were similarFrom a total of 49 detected microorganisms, 44 were aerobic bacteria and 5 were fungi. Micrococcus luteus, Bacillus subtilis, Staphylococcus epidermis and Candida (the dominant genus among fungi) were the dominant species observed in samples from all 10 laboratories, and on average presented on 13.7, 6.2, 5.0 and 4.1 abutments, respectively. The most abundant Gram-positive and Gram-negative bacteria were M. luteus and Acinetobacter baumannii, respectively. B. subtilis was the most common bacillus, and M.luteus was the most common coccus. CONCLUSION: Certain decontamination protocols and regulations must be defined to eliminate bacteria and fungi, as both were present in samples from all of the laboratories.