The Influence of Abutment Selection in the Tridimensional Implant Position: Considerations for Predictable Implant Restorative Long‐Term Outcomes DOI
Alejandro Lanis, Samuel Akhondi, Ignacio Pedrinaci

et al.

Journal of Esthetic and Restorative Dentistry, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 2, 2024

ABSTRACT Objective To explore the influence of abutment selection on 3D implant positioning, emphasizing synergy between surgical and prosthetic considerations for achieving predictable long‐term outcomes in implant‐supported restorations. Main Considerations Implant dentistry has transitioned from a purely approach to prosthetically driven methodology that prioritizes restoration (ISR). This shift been bolstered by advancements digital technologies designs, which allow more precise positioning better management biological, mechanical, esthetic outcomes. The appropriate abutments plays pivotal role optimizing position, influencing peri‐implant tissue stability overall success restoration. manuscript explores into biorestorative concept, highlighting how virtual planning can preemptively assess configurations their interactions with surrounding tissues, guiding placement achieve desired results. Clinical Significance integration strategic prior ensures optimal respecting fundamental biological parameters. minimizes complications, improves stability, enhances patient aligning procedures specific needs.

Language: Английский

The Bio‐Restorative Concept for Implant‐Supported Restorations DOI Creative Commons
Ignacio Pedrinaci, Adam Hamilton, Alejandro Lanis

et al.

Journal of Esthetic and Restorative Dentistry, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 30, 2024

This study aims to present the bio-restorative approach in implant dentistry, which combines biological and restorative concepts through digital planning. concept periodontal, surgical, prosthetic variables, aiming reduce patient morbidity while achieving satisfactory esthetic functional outcomes implant-supported restorations long term.

Language: Английский

Citations

7

Beyond Accuracy: Clinical Outcomes of Computer Assisted Implant Surgery DOI Creative Commons
Sofya Sadilina,

Kay Vietor,

Romain Doliveux

et al.

Clinical and Experimental Dental Research, Journal Year: 2025, Volume and Issue: 11(3)

Published: May 16, 2025

ABSTRACT Objectives Computer Assisted Implant Surgery (CAIS) with different technologies and modalities is becoming increasingly utilized in clinical practice. The aim of this White Paper was to synthesize evidence, reported experience, best practices regard clinically relevant outcomes static, dynamic, robotic CAIS. Materials Methods A review the literature compiled existing evidence from studies up November 2024, which later discussed synthesized into questions a panel international experts. Results There overwhelming for superiority CAIS accuracy implant placement some limited superior esthetic outcomes. At same time, related primary stability, survival rates, intra‐ postoperative complications, marginal bone loss, peri‐implant tissue health appear similar between guided non‐guided surgery, while efficiency poorly defined studied. importance execution comprehensive, prosthetically driven treatment plan not reflected most studies, focus mainly on assessment procedures rather than entire workflows. Such inherent limitations available research might conceal potential Conclusions Guided can achieve at least as good surgery. Studies that assess benefits part workflow, isolated procedures, could improve our understanding these technologies.

Language: Английский

Citations

1

Prosthetic design and choice of components for maintenance of optimal peri-implant health: a comprehensive review DOI Creative Commons
Martin Janda, Nikos Mattheos

BDJ, Journal Year: 2024, Volume and Issue: 236(10), P. 765 - 771

Published: May 24, 2024

Current research has identified features of the prosthetic design with potential to significantly impact long-term health peri-implant tissues, while choice components is also shown be critical in an effort reduce complications implant therapy. Overcontouring prosthesis emergence profile been associated marginal bone loss, recession and peri-implantitis, mucosal angle have a strong association tissue inflammation. Further elements interest include convexity/concavity restoration, connection different geometric configurations junctions, as well dimensions. With regards components, between original third-party-manufactured might come implications, differences material microgeometry precision fit overall performance, potentially leading complications. Scrutiny specifications manufacturing essential when are considered. The aim this narrative review was summarise current evidence restorative selection which can implications for success Furthermore, aimed at interpretating scientific into meaningful strategies recommendations implement clinical practice dentistry.

Language: Английский

Citations

6

Contour angle and peri‐implant tissue height: Two interrelated features of the implant supracrestal complex DOI Creative Commons
Algirdas Puišys, Martin Janda, Viktorija Auzbikaviciute

et al.

Clinical and Experimental Dental Research, Journal Year: 2023, Volume and Issue: 9(3), P. 418 - 424

Published: March 29, 2023

Recent research has suggested the contour of prosthesis and vertical height peri-implant mucosa as important parameters that can influence long term health stability tissue. In particular, overcontouring been correlated with an increased risk for peri-implantitis, while reduced soft tissue associated marginal bone loss, recession, other complications. Although these two have investigated independent in current literature, clinical experience points toward a close interrelation between transmucosal angle. It is often found implant supracrestal complex main reason prosthesis. At same time, achieving favorable 30o or less not possible unless clinician ensured adequate The purpose this short communication to establish relation by utilizing theoretical geometry equation based on Pythagorean theorem. doing so, one use dimensions well those at mucosal margin calculate essential contour.As treatment plan "top-down," case deficient height, subcrestal placement should be considered achieve proper contour.

Language: Английский

Citations

12

In Vitro Assessment of the Potential Effect of Vertical Peri‐Implant Soft Tissue Thickness on Nonsurgical and Surgical Implant Surface Decontamination Methods DOI Creative Commons

Annika Rahner,

Peter Eickholz,

Jan-Frederik Gueth

et al.

Clinical Oral Implants Research, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 10, 2025

In vitro analysis of the influence vertical peri-implant soft tissue thickness (STT) on nonsurgical and surgical implant surface decontamination efficacy. A total 360 implants were dipped in indelible color to imitate biofilm contamination, distributed 30°, 60° or 90° angulated bone defect models subgroups 40 assigned a method (CUR: curette; SOSC: soundscaler; APA: air powder abrasion). Of these, 20 subjected simulated STT 1.5 3.0 mm, which 10 cleaned within (NST) (ST) treatment. Uncleaned was determined by photographs. Surface changes assessed using scanning electron micrographs (SEM). The overall cleaning efficacy decreased significantly (APA > SOSC CUR, p < 0.001). Cleaning failed show significant difference between both STTs (STT1.5: 63.68%, STT3.0: 63.26%; = 0.877). Within respective STT, differed depending approach CUR: 0.169, 0.004, 0.001; CUR 0.001, STT1.5/NST, 82.34%, 74.98%, 93.60%; STT1.5/ST, 79.85%, 65.37%, 50.12%; STT3.0/NST, 83.19%, 70.85%, 92.31%; STT3.0/ST, 80.00%, 64.61%, 46.49%). Analysis variance revealed associations remnants with approach, used, angulation (p SEMs showed less damages after use APA. this Vitro study no statistically could be detected. Treatment method, angle confirmed as predictors for

Language: Английский

Citations

0

Influence of mucosal tissue height on implant crestal bone: A 10-year follow-up of a controlled clinical trial DOI Creative Commons
Algirdas Puišys, Eglė Vindašiūtė,

Danius Razukevicius

et al.

Journal of Dentistry, Journal Year: 2024, Volume and Issue: 148, P. 105224 - 105224

Published: June 30, 2024

To evaluate the 10-year influence of soft tissue height (STH) on crestal bone level changes (CBC) in bone-level implants with non-matching internal conical connections.

Language: Английский

Citations

3

Clinical efficacy of two vertical soft tissue augmentation techniques for peri‐implant crestal bone level stability: A randomized clinical trial DOI Creative Commons
Algirdas Puišys, Eglė Vindašiūtė, Dainius Razukevičius

et al.

Clinical Implant Dentistry and Related Research, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 11, 2024

Abstract Objectives This study aimed to compare the efficacy of two techniques—acellular dermal matrix (ADM) grafting and tenting technique (TT)—for soft tissue height (STH) augmentation simultaneous implant placement minimize peri‐implant crestal bone level (CBL) changes. Methods Forty patients with a healed single mandibular posterior edentulous site thin phenotype were enrolled. Twenty received simultaneously ADM grafting, while others submerged healing abutment (TT). Clinical radiographic CBL changes measured at restoration delivery 1‐year follow‐up. Results Both techniques effectively increased thickness, resulting in final average STH 3.4 ± 0.5 mm after augmentation. On average, by 1.6 group 1.8 0.4 TT In Group ADM, mesial decreased from 0.3 0.1 0.2 mm, distal over 1 year. TT, remained stable reduced slightly mm. groups showed minimal CBL, indicating great stability ( p = 0.003, 0.004). was particularly effective preventing loss 0.019). The significantly differed between 0.019), not sites 0.944). Neither treatment exhibited significant remodeling below shoulder. Conclusion suggests that both successful augmentation, they may reduce changes, being superior. more prone post‐surgical complications. RCT registered before participant recruitment randomization.

Language: Английский

Citations

3

Prosthetic and soft tissue considerations around anterior maxillary implants DOI Creative Commons
Ricardo Palacios‐Bañuelos,

María José Zilleruelo-Pozo,

Ludovica Oreglia

et al.

Dentistry Review, Journal Year: 2024, Volume and Issue: 4(2), P. 100089 - 100089

Published: May 8, 2024

This article provides a comprehensive exploration of critical factors influencing optimal outcomes in single-implant restorations the anterior maxilla. The review delves into key considerations, including peri-implant mucosa thickness, restorative materials, abutment height, emergence profile, 3-D implant position, and provisionalization timing. It highlights importance meticulous planning, from accurate diagnosis to precise positioning, while addressing advancements computer-guided surgery. present emphasizes complex interaction surgical prosthetic considerations need for approach achieve success dentistry.

Language: Английский

Citations

2

Association of Peri‐Implant Mucosa Dimensions With Emergence Profile Angles of the Implant Prosthesis DOI Creative Commons

Piboon Rungtanakiat,

Natchaya Thitaphanich,

Martin Janda

et al.

Clinical and Experimental Dental Research, Journal Year: 2024, Volume and Issue: 10(4)

Published: July 23, 2024

ABSTRACT Objectives The primary aim of this cross‐sectional study was to investigate the association between prosthesis design and peri‐implant mucosa dimensions morphology. secondary associations mucosal presence mucositis. Materials Methods Forty‐seven patients with 103 posterior bone level implants underwent clinical radiographic examination, including cone beam computer tomography intraoral optical scanning. Three‐dimensional models for each implant were constructed. Vertical height (TH), horizontal width at platform (TW), 1.5 mm coronal (TW1.5), as well emergence angle (MEA), deep (DA), total contour (TA) measured six sites implant. Results There a consistent correlation ( β = 0.217, p < 0.001), consistently surpassing by factor 1.4–2.1. All three angles (MEA, DA, TA) negatively associated while DA (TW1.5) 0.001, −0.02, 95% CI: −0.03, −0.01). significant negative bleeding on probing (BoP) (OR 0.903, 0.818–0.997, 0.043) 0.877, 0.778–0.989, 0.033). Implants less than half positive BoP (0–2/6) had significantly higher 3.51, 1.72–7.14, 0.001). Conclusions Prosthesis can influence mucosa, wider profile reduced height. In particular, is in sites. Reduced are more signs inflammation. Trial Registration Registered Thai Clinical Trials Registry: http://www.thaiclinicaltrials.org/show/TCTR20220204002 .

Language: Английский

Citations

2

Soft tissue management as part of peri-implantitis treatment: when, why and how? DOI Creative Commons

Paternò Holtzman Lucrezia,

Malpassi Chiara,

Cuppini Marla

et al.

Dentistry Review, Journal Year: 2024, Volume and Issue: unknown, P. 100147 - 100147

Published: Sept. 1, 2024

Language: Английский

Citations

1