Prosthetic design and choice of components for maintenance of optimal peri-implant health: a comprehensive review

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

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Deep learning-designed implant-supported posterior crowns: Assessing time efficiency, tooth morphology, emergence profile, occlusion, and proximal contacts

Journal of Dentistry, Journal Year: 2024, Volume and Issue: 147, P. 105142 - 105142

Published: June 19, 2024

Language: Английский

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The link between abutment configuration and marginal bone loss in subcrestally placed posterior implant-supported restorations

Journal of Prosthetic Dentistry, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

Language: Английский

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Combined Effect of Abutment Height and Restoration Emergence Angle on Peri‐Implant Bone Loss Progression: A Retrospective Analysis

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

Published: Feb. 10, 2025

This study aimed to investigate the combined effect of trans-mucosal abutment height (TmAH) and restorative emergence angle (REA) on marginal bone loss (MBL) around bone-level implants. Implant radiographs 12-18 months after crown placement (T0) at least one year later (T1) were retrospectively analyzed. Sites separated into four groups: Long/Narrow-Angle (LN) with TmAH > 2 mm REA < 30°, Long/Wide-Angle (LW) ≥ Short/Narrow-Angle (SN) Short/Wide-Angle (SW) 30°. MBL was calculated, multiple linear regression analysis performed control for patient-level implant/prosthesis-level factors. 192 implants pertaining 119 patients included. Group significantly influenced experience (p 0.001). SW experienced average 0.48 (95% CI: 0.25-0.71, p 0.001), 0.43 0.18-0.68, = 0.25 0.00-0.45, 0.013) greater compared Groups LN, LW, SN, respectively. also a significant factor impacting development peri-implantitis 0.041), displaying roughly 4× likelihood having (PI) diagnosed LN (OR: 4.04; 0.091) LW 4.19; 0.013). Every 1 increase in decreased 0 (OR 0.63; 0.003). Abutment may play role reducing PI related 30° found only be when is less than mm.

Language: Английский

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Comparison of Implant Precision with Robots, Navigation, or Static Guides

Journal of Dental Research, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 25, 2024

Precise surgical positioning according to a digital plan is important for aesthetic and biologically stable dental implant restorations. This randomized controlled trial compared placement assisted by robotic surgery (RS), dynamic navigation (DN), or 3-dimensional printed static guide (SG). An overall 45 patients with missing tooth in the premolar/molar region were randomly assigned 1 of 3 groups. Implant positional accuracy (primary outcome), early wound healing, soft tissue microcirculation, patient-reported outcome measures, surgeon preference measured calibrated blind examiners. One adverse event occurred DN RS. In RS (

Language: Английский

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Impact of profile angle of CAD-CAM abutment on the marginal bone loss of implant-supported single-tooth posterior restorations

Journal of Prosthetic Dentistry, Journal Year: 2023, Volume and Issue: unknown

Published: Dec. 1, 2023

Language: Английский

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Prosthetic and soft tissue considerations around anterior maxillary implants

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

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Endoscopic Re‐Instrumentation of Intrabony Defect–Associated Deep Residual Periodontal Pockets Is Non‐Inferior to Papilla Preservation Flap Surgery: A Randomized Trial

Journal Of Clinical Periodontology, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 17, 2024

Clinical practice guidelines suggest access flap surgery for managing deep residual pockets after steps 1 and 2 of periodontal therapy. Papilla-preservation (PPFS) is the least invasive approach to instrument biofilm-contaminated root surfaces. Endoscopic-assisted subgingival debridement (EASD) may enhance outcomes repeated instrumentation provide a minimally non-surgical alternative.

Language: Английский

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Effect of CAD/CAM Abutment Morphology on the Outcomes of Implant Therapy: A Randomized Controlled Trial

Clinical Oral Implants Research, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 6, 2024

ABSTRACT Objectives Variations in transmucosal abutment contour design may affect the outcomes of implant therapy. This randomized controlled trial was primarily aimed at testing effect that CAD/CAM zirconia abutments with either a concave or linear divergent morphology have on peri‐implant mucosal dynamics and indicators health 1 year after final implant‐supported prosthesis insertion anterior maxilla. Materials Methods Following computer‐guided placement osseointegration, eligible subjects were into experimental (concave morphology) control (linear group. A comprehensive set interest related to soft tissue dynamics, phenotypical features, assessed different time points over 1‐year period restoration. Results Out 60 initially recruited subjects, total 54 completed study ( n = 29 group concave/ 25 group). Overall survival restoration rates between master impression 12 months 100% 98.2%, respectively. Although trend for coronal migration buccal mucosa zenith, gain thickness, increased probing depth bleeding observed both groups, these changes clinically negligible, no substantial differences groups regardless variations morphology. Conclusion The use custom screw‐retained, delayed loading approach yielded significant differences.

Language: Английский

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The Effect of Prosthetic Factors on the Long-Term Survival of Dental Implants

Oral and Maxillofacial Surgery Clinics of North America, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 1, 2024

Language: Английский

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