This study evaluated how abutment screw preload affects peri-implant bone under vertical dynamic loading using an in vivo rabbit tibia model. Eight Japanese white rabbits received two implants in each tibia. After 8 weeks of healing, implants were assigned to a control group without abutment connection or to abutment-connected groups tightened to 35 Ncm or 70 Ncm. The abutment groups were further divided into loading and non-loading subgroups. In the loading groups, vertical dynamic loading (50 N, 3 Hz, 1800 cycles) was applied twice weekly for 4 weeks. Peri-implant bone responses were assessed by micro-computed tomography, histology, and histomorphometry. Under loading conditions, the 35 Ncm group showed significantly higher bone volume, bone-to-implant contact, and bone area fraction than the 70 Ncm group (p < 0.05). Histologically, the 35 Ncm group exhibited more continuous cortical bone and new bone formation, whereas the 70 Ncm group more frequently showed cortical discontinuity and enlarged marrow spaces. Within the limitations of this animal study, abutment screw preload influenced peri-implant bone adaptation under repeated loading, and the manufacturer-recommended torque of 35 Ncm was associated with more favorable bone parameters than the 70 Ncm condition.
Yamamoto et al. (Sat,) studied this question.