Effects of different implant-abutment connections on aesthetic restoration of single maxillary anterior teeth

doi:10.3969/j.issn.2095-4344.2016.03.015

Abstract

Abstract:

BACKGROUND: Implant-abutment connection has become a key factor in the success of implant restoration, but
the effects of different implant-abutment connections on peri-implant tissues is unclear.
OBJECTIVE: To compare the effects of three different implant-abutment connections on the alveolar bone and peri-implant soft tissues at the maxillary esthetic zone.
METHODS: Sixty patients undergoing aesthetic restoration of single maxillary anterior tooth were enrolled randomly, including 20 cases of Bego Replace system, 20 of Osstem Replace system, and 20 cases of ITI Replace system. All the patients had a follow-up of 3 to 6 months after the surgery, and then received the two-stage surgery. Radiographic and clinical examinations were made at the same time. Peri-implant bone height measured was used as the reference line. The final crowns were made after 2 weeks, and the peri-implant bone resorption and pink esthetic scores were evaluated after 12 months shown through X-ray films.
RESULTS AND CONCLUSION: There were significant differences in peri-implant marginal bone loss and pink esthetic scores among different groups after implant restoration. The amount of marginal bone loss around implants using platform switching was significantly less than that using platform butt-joint (P < 0.0.5), and the pink esthetic scores of the former group was higher than the later one (P < 0.05). These findings indicate that aesthetic restoration of a single maxillary tooth implant using platform switching is able to preserve better marginal bone and acquire better aesthetic effects.

中国组织工程研究杂志出版内容重点：生物材料；骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性；组织工程

Hou Hong-liang, Dai Xiao-wei, Wang Li, Li Ke, Ji Tao, Wang Jian-qing, Li Shu-hui, Wu Pei-ling. Effects of different implant-abutment connections on aesthetic restoration of single maxillary anterior teeth [J]. Chinese Journal of Tissue Engineering Research, 2016, 20(3): 387-391.

Figures/Tables 2

References

[1] Lazzara RJ, Porter SS. Platform switvhing: a new concept in implant dentistry for controlling postrestorative crestal bone levels. Int J Periodontics Restorative Dent. 2006;26(1):9-17.

[2] Linkevicius T, Apse P, Grybauskas S, et al. Influence of thin mucosal tissues on crestal bone stability around imllants with platform switching: a 1-year pilot study. J Oral Maxillofac Surg. 2010,68(9):2272-2277.

[3] Petrie CS, Williams JL. Comparative evaluation of implant designs: influence of diameter, length, and taper on strains in the alveolar crest. A three-dimensional finite-element analysis. Clin Oral Implants Res. 2005;16(4):486-494.

[4] Maeda Y, Horisaka M, Yagi K. Biomechanical rationale for a single implant-retained mandibular overdenture:an in vitre study. Clin Oral Implants Res. 2008;19(3):271-275.

[5] Covani U, Marcocini S, Crespi R, et al. Bacterial plaque colonization around dental implant surfaces. Implant Dent. 2006;15(3):298-304.

[6] Furhauser R, Florescu D, Benesch T, et al. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res. 2005;16(6):639-644.

[7] 叶蕾,张娜.不同种植系统口腔种植临床病例185例临床分析[J].中国美容医学,2011,10:1603-1604.

[8] Branemark PI, Adell R, Breine U, et al. Intra-osseous anchorage of dental prostheses. Scand J Plast Reconstr Surg. 1969;3(2):81-100.

[9] Noelken R, Morbach T, Kunkel M, et al. Immediate function with Nobel Perfect implants in the anterior dental arch. Int J Periodontics Restorative Dent. 2007;27(3):277-285.

[10] Juodzbalys G, Wang HL. Soft and hard tissue assessment of immediate implant placement:a case series. Clin Oral Implants Res. 2007;18(2):237-243.

[11] 邱立新,林野,李健慧,等.微创拔牙即刻种植的牙龈美学效果观察[J].中华口腔医学杂志,2007,42(11):647-650.

[12] 李倩,林野,邱立新,等.平台转换技术用于上颌前牙种植修复的临床研究[J].中华口腔医学杂志,2008,43(9):537-541.

[13] Grunder U. Stability of the mucosal topography around single-tooth implants and adjacent teeth: 1-year results. Int J Periodontics Restorative Dent. 2000;20(1):11-17.

[14] Small PN, Tarnow DP. Gingival recession around implants:a 1-year longitudinal prospective study. Int J Oral Maxillofac Implants. 2000;15(4):527-532.

[15] Oates TW, West J, Jones J, et al. Long-term chandes in soft tissue height on the facial surface of dental implants. Implant Dent. 2002;11(3):272-279.

[16] Priest G.Predictability of soft tissue form around single-tooth implant restorations. Int J Periodontics Restorative Dent. 2003;23(1):19-27.

[17] Rompen E, Raepsaet N, Domken O, et al. Soft tissue stability in the facial aspect of gingivally converging abutments in the esthetiv zone: a pilot clinical study. J Prosthet Dent. 2007 97 (6):119-125.

[18] Belser U, Buser D, Higginbottom F. Cinsensus statements and recommended clinical precedures regarding esthetics in implant dentistry. Int J Oral Maxillofac Implants. 2004;19:73-74.

[19] 韩雪莲,李岩涛,张岩,等.单个前牙种植体即刻种植和即刻修复的牙龈美学效果评价[J].中国口腔种植学杂志,2008,13(3):108-123.

[20] 吴展,李靖,陈卓凡.上颌前牙即刻种植即刻修复的临床应用研究[J].中国口腔种植学杂志,2012,17(2):67-82.

[21] Cosyn J, Eghbali A, De Bruyn H, et al. Immediate single-tooth implants in the anterior maxilla: 3-year results of a case series on hard and soft tissue response and aesthetics. J Clin periodontal. 2011;38(8):746-753.

[22] Karl M. Effect of material selection on the passivity of fit of implant-supported restorations created with computer-aided design/computer-assisted manufacture. J Oral Maxillofac Implants. 2011;26(4):739-745.

[23] 刘宝林.口腔种植学[M].北京:人民卫生出版社,2011.

[24] Jabero M, Sarment DP. Advanced surgical guidance technology: a review. Implant Dent. 2006;15:135-142.

[25] 黄原谅.口腔种植外科与修复并发症及其应急处理[J].中国实用口腔科杂志,2011;4(3):143-146.

[26] 宿玉成.现代口腔种植学[M].北京:人民卫生出版社,2004.

[27] 孟焕新.牙周病学[M].北京:人民卫生出版社,2000.

[28] 刘阳,赵宝红,张翀,等.LIFECORE种植系统用于口腔种植修复的近期临床效果评价[J],中国实用口腔科杂志, 2009,2(12): 738-741.

[29] Matarasso S, Rasperini G, Iorio Siciliano V, et al. A 10-year retmspective analysis of radiographic bone level chandes of implants wupporting single-unit crowns in periodontally compromised vs pefiodontally healthy patients. Clin Oral Implants Res. 2010;21(29):898-903.

[30] Karoussis IK, Mtlller S, Salvi GE, et al. Association between periodontal and peri-implant conditions: a 10-year prospective study. Clin Oral Implants Res. 2004;15(1):1-7.

[31] Ramachandran A, Singh K, Rao J, et al. Changes in alveolar bone density around immediate functionally and nonfunctionally loaded implants. J Prosthet Dent. 2016.

[32] Fujita Y, Maki K High-fat diet-induced obesity triggers alveolar bone loss and spontaneous periodontal disease in growing mice. BMC Obes. 2016;3:1.

[33] Wei XX, Chu JP, Zou YZ, et al. Effect of odanacatib on root resorption and alveolar bone metabolism during orthodontic tooth movement. Genet Mol Res. 2015;14(4):17972-17981.

[34] Guimarães MV, Melo IM, Araújo VM, et al. Dry Extract of Matricaria Recutita L. (Chamomile) Prevents Ligature-Induce Alveolar Bone Resorption in Rats via Inhibition of TNF-α and IL-1β. J Periodontol. 2016.

[35] Katagiri W, Osugi M, Kawai T, et al. First-in-human study and clinical case reports of the alveolar bone regeneration with the secretome from human mesenchymal stem cells. Head Face Med. 2016;12(1):5.

[36] Kumar S, Patil V, Pai KM, et al. Re: "Five-year alveolar bone level changes in women of varying skeletal bone mineral density and bone trabeculation-a commentary". Oral Surg Oral Med Oral Pathol Oral Radiol. 2015.

[37] Ge J, Zheng JW, Yang C, et al. Variations in the buccal-lingual alveolar bone thickness of impacted mandibular third molar: our classification and treatment perspectives. Sci Rep. 2016;6: 16375.

[38] Liu L, Ma L, Lin J, et al. A new three-dimensional scale in the evaluation of the secondary alveolar bone grafting. Zhonghua Kou Qiang Yi Xue Za Zhi. 2015;50(10):598-602.

[39] Garib DG, Miranda F, Sathler R, et al. Rapid maxillary expansion after alveolar bone grafting with rhBMP-2 in UCLP evaluated by means of CBCT. Cleft Palate Craniofac J. 2016.

[40] K?rz?o?lu FY, Fento?lu Ö, Bulut MT, et al. Is a Cholesterol-Enriched Diet a Risk Factor for Alveolar Bone Loss? J Periodontol. 2016.

[41] Pisek P, Manosudprasit M, Wangsrimongkol T, et al. Orthodontic Treatment Combined with Orthognathic Surgery and Simultaneous Alveolar Bone Graft of a Unilateral Complete Cleft Lip and Palate Patient: A Case Report. J Med Assoc Thai. 2015;98 Suppl 7:S225-S233.

[42] Hong CE, Lee JY, Choi J, et al. Prediction of the alveolar bone level after the extraction of maxillary anterior teeth with severe periodontitis. J Periodontal Implant Sci. 2015;45(6):216-222.

[43] Huojia M, Wu Z, Zhang X, et al. Effect of dental pulp stem cells (DPSCs) in repairing rabbit alveolar bone defect. Clin Lab. 2015;61(11):1703-1708.

[44] Oh TS, Park JS, Choi JW, et al. Risk factor analysis of bone resorption following secondary alveolar bone grafting using three-dimensional computed tomography. J Plast Reconstr Aesthet Surg. 2015 .

[45] Engelke W, Lazzarini M, Stühmer W, et al. Support immersion endoscopy in post-extraction alveolar bone chambers: a new window for microscopic bone imaging in vivo. PLoS One. 2015;10(12):e0145767.

[46] Birgfeld CB, Roberts S. Discussion: comparative outcomes of primary gingivoperiosteoplasty and secondary alveolar bone grafting in patients with unilateral cleft lip and palate. Plast Reconstr Surg. 2016;137(1):228-229.

[47] Wang YC, Liao YF, Chen PK. Comparative outcomes of primary gingivoperiosteoplasty and secondary alveolar bone grafting in patients with unilateral cleft lip and palate. Plast Reconstr Surg. 2016;137(1):218-227.

[48] Jonasson G. Re: "Five-year alveolar bone level changes in women of varying skeletal bone mineral density and bone trabeculation-a commentary". Oral Surg Oral Med Oral Pathol Oral Radiol. 2015.

[49] Kirschneck C, Proff P, Fanghänel J, et al. Reference genes for valid gene expression studies on rat dental, periodontal and alveolar bone tissue by means of RT-qPCR with a focus on orthodontic tooth movement and periodontitis. Ann Anat. 2015;204:93-105.

[50] Kwon HJ, Kim JM, Han KI, et al. Mutan: a mixed linkage α-[(1,3)- and (1,6)]-d-glucan from Streptococcus mutans, that induces osteoclast differentiation and promotes alveolar bone loss. Carbohydr Polym. 2016;137:561-569.