Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (7): 1021-1026.doi: 10.3969/j.issn.2095-4344.2014.07.007

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A short-term assessment of angulated abutments for the implant denture restorations in posterior teeth

Feng Wei, Geng Jin-you, Sun Yuan-yuan, Geng Hai-xia   

  1. Department of Stomatology, Affiliated Hospital of Jining Medical College, Jining 272000, Shandong Province, China
  • Revised:2013-12-12 Online:2014-02-12 Published:2014-02-12
  • Contact: Geng Hai-xia, Professor, Chief physician, Department of Stomatology, Affiliated Hospital of Jining Medical College, Jining 272000, Shandong Province, China
  • About author:Feng Wei, Master, Department of Stomatology, Affiliated Hospital of Jining Medical College, Jining 272000, Shandong Province, China

Abstract:

BACKGROUND: As the rapid development of oral implantation and restoration techniques, as well as the increasing enlargement of indications, angulated abutments have been widely used. Posterior teeth region, as the weight-loading region of occlusion, can bear great force from the implants, the assessment of angulated abutments in posterior teeth region has clinical value.
OBJECTIVE: To evaluate the short-term clinical efficacy of angulated abutments on the implant denture in posterior teeth region.
METHODS: From January 2008 to January 2013, 114 patients with 175 ITI implants in the posterior teeth region were included in this study and they all underwent single-crown restoration. The involved patients were divided into angulated abutment group and straight abutment group. Periodontal probing depth, modified plaque index, modified sulcus bleeding index and peri-implant crestal bone loss in two groups were recorded at 6 months and   2 years after restoration. Cumulative survival rate of the implant denture was calculated by life-table analysis.
RESULTS AND CONCLUSION: There was no significant difference in periodontal probing depth, modified plaque index, and modified sulcus bleeding index between two groups (P > 0.05). The annual crestal bone loss showed no significant difference between two groups (P > 0.05). Moreover, the 5-year cumulative survival rate with 15° and 20° abutments was 95.6%, and that with straight abutment was 96.4%. The angle of abutments has no correlation with peri-implant soft tissue and peri-implant crestal bone loss, implant restorations with 15° and 20° angulated abutments may be successfully used in the posterior region, whereas the long-term effects need further research.



中国组织工程研究
杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程


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Key words: dental implants, dental abutments, alveolar bone loss, life tables

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