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KirkevangClinical epidemiology. Stangvaltaite, R. Kundzina, and H. This microgap opens and closes under occlusal forces, leading to a pumping effect and to a contamination of the implant from bacteria and oral fluids. This kind of contamination is seen in all systems even if less often with internal connections that offers a better fit. Apart from this junction area, the screw well is another contamination pathway if the filling materials do not guarantee a hermetic sealing. The nature of contamination depends on the surrounding oral flora.
When present, contamination leads to a persistent inflammatory reaction nearby the seal.