Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review
Identifieur interne : 000838 ( Istex/Corpus ); précédent : 000837; suivant : 000839Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review
Auteurs : Gerhard Iglhaut ; Frank Schwarz ; Robert R. Winter ; Ilja Mihatovic ; Michael Stimmelmayr ; Henning SchliephakeSource :
- Journal of Esthetic and Restorative Dentistry [ 1496-4155 ] ; 2014-09.
Abstract
The soft tissues around dental implants are enlarged compared with the gingiva because of the longer junctional epithelium and the hemidesmosonal attachments are fewer, suggestive of a poorer quality attachment. Inflammatory infiltrates caused by bacterial colonization of the implant‐abutment interface are thought to be one of the factors causing epithelial downgrowth and subsequent peri‐implant bone loss. Gold alloys and dental ceramics as well as the contamination of the implant surface with amino alcohols, appear to promote epithelial downgrowth. Physical manipulaton of the abutment surfaces, including concave abutment designs, platform switching, and microgrooved surfaces are believed to inhibit epithelial downgrowth and minimizes bone loss at the implant shoulder. This paper reviews the factors that are believed to influence the migration of epithelial attachment the dental implant and abutment surfaces. Exploration of innovative computer‐aided design/computer‐aided manufacturing‐based concepts such as “one abutment—one time” and their effect on epithelial downgrowth are discussed.
Url:
DOI: 10.1111/jerd.12097
Links to Exploration step
ISTEX:DB17FB654FBC871CA625CBBA52862041A908D9C1Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review</title><author><name sortKey="Iglhaut, Gerhard" sort="Iglhaut, Gerhard" uniqKey="Iglhaut G" first="Gerhard" last="Iglhaut">Gerhard Iglhaut</name><affiliation><mods:affiliation>Oral Surgery Office, Bahnhofstrasse 20, 87700, Memmingen, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: dr.iglhaut@t-online.de</mods:affiliation></affiliation></author><author><name sortKey="Schwarz, Frank" sort="Schwarz, Frank" uniqKey="Schwarz F" first="Frank" last="Schwarz">Frank Schwarz</name><affiliation><mods:affiliation>Department of Oral Surgery, Heinrich‐Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany</mods:affiliation></affiliation></author><author><name sortKey="Winter, Robert R" sort="Winter, Robert R" uniqKey="Winter R" first="Robert R." last="Winter">Robert R. Winter</name><affiliation><mods:affiliation>Private Office, 9942 E Chiricahua Pass, AZ, 85262, Scottsdale, USA</mods:affiliation></affiliation></author><author><name sortKey="Mihatovic, Ilja" sort="Mihatovic, Ilja" uniqKey="Mihatovic I" first="Ilja" last="Mihatovic">Ilja Mihatovic</name><affiliation><mods:affiliation>Department of Oral Surgery, Heinrich‐Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany</mods:affiliation></affiliation></author><author><name sortKey="Stimmelmayr, Michael" sort="Stimmelmayr, Michael" uniqKey="Stimmelmayr M" first="Michael" last="Stimmelmayr">Michael Stimmelmayr</name><affiliation><mods:affiliation>Oral Surgery Office, Josef‐Heiligbrunnerstrasse 2, 93413, Cham, Germany</mods:affiliation></affiliation></author><author><name sortKey="Schliephake, Henning" sort="Schliephake, Henning" uniqKey="Schliephake H" first="Henning" last="Schliephake">Henning Schliephake</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, George‐Augusta‐University Göttingen, Robert‐Koch‐Strasse 40, 37075, Göttingen, Germany</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:DB17FB654FBC871CA625CBBA52862041A908D9C1</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1111/jerd.12097</idno><idno type="url">https://api.istex.fr/document/DB17FB654FBC871CA625CBBA52862041A908D9C1/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000838</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000838</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review</title><author><name sortKey="Iglhaut, Gerhard" sort="Iglhaut, Gerhard" uniqKey="Iglhaut G" first="Gerhard" last="Iglhaut">Gerhard Iglhaut</name><affiliation><mods:affiliation>Oral Surgery Office, Bahnhofstrasse 20, 87700, Memmingen, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: dr.iglhaut@t-online.de</mods:affiliation></affiliation></author><author><name sortKey="Schwarz, Frank" sort="Schwarz, Frank" uniqKey="Schwarz F" first="Frank" last="Schwarz">Frank Schwarz</name><affiliation><mods:affiliation>Department of Oral Surgery, Heinrich‐Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany</mods:affiliation></affiliation></author><author><name sortKey="Winter, Robert R" sort="Winter, Robert R" uniqKey="Winter R" first="Robert R." last="Winter">Robert R. Winter</name><affiliation><mods:affiliation>Private Office, 9942 E Chiricahua Pass, AZ, 85262, Scottsdale, USA</mods:affiliation></affiliation></author><author><name sortKey="Mihatovic, Ilja" sort="Mihatovic, Ilja" uniqKey="Mihatovic I" first="Ilja" last="Mihatovic">Ilja Mihatovic</name><affiliation><mods:affiliation>Department of Oral Surgery, Heinrich‐Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany</mods:affiliation></affiliation></author><author><name sortKey="Stimmelmayr, Michael" sort="Stimmelmayr, Michael" uniqKey="Stimmelmayr M" first="Michael" last="Stimmelmayr">Michael Stimmelmayr</name><affiliation><mods:affiliation>Oral Surgery Office, Josef‐Heiligbrunnerstrasse 2, 93413, Cham, Germany</mods:affiliation></affiliation></author><author><name sortKey="Schliephake, Henning" sort="Schliephake, Henning" uniqKey="Schliephake H" first="Henning" last="Schliephake">Henning Schliephake</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, George‐Augusta‐University Göttingen, Robert‐Koch‐Strasse 40, 37075, Göttingen, Germany</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Esthetic and Restorative Dentistry</title><title level="j" type="alt">JOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY</title><idno type="ISSN">1496-4155</idno><idno type="eISSN">1708-8240</idno><imprint><biblScope unit="vol">26</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="324">324</biblScope><biblScope unit="page" to="331">331</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2014-09">2014-09</date></imprint><idno type="ISSN">1496-4155</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1496-4155</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">The soft tissues around dental implants are enlarged compared with the gingiva because of the longer junctional epithelium and the hemidesmosonal attachments are fewer, suggestive of a poorer quality attachment. Inflammatory infiltrates caused by bacterial colonization of the implant‐abutment interface are thought to be one of the factors causing epithelial downgrowth and subsequent peri‐implant bone loss. Gold alloys and dental ceramics as well as the contamination of the implant surface with amino alcohols, appear to promote epithelial downgrowth. Physical manipulaton of the abutment surfaces, including concave abutment designs, platform switching, and microgrooved surfaces are believed to inhibit epithelial downgrowth and minimizes bone loss at the implant shoulder. This paper reviews the factors that are believed to influence the migration of epithelial attachment the dental implant and abutment surfaces. Exploration of innovative computer‐aided design/computer‐aided manufacturing‐based concepts such as “one abutment—one time” and their effect on epithelial downgrowth are discussed.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Gerhard Iglhaut DDS</name><affiliations><json:string>Oral Surgery Office, Bahnhofstrasse 20, 87700, Memmingen, Germany</json:string><json:string>E-mail: dr.iglhaut@t-online.de</json:string></affiliations></json:item><json:item><name>Frank Schwarz DDS, PhD</name><affiliations><json:string>Department of Oral Surgery, Heinrich‐Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany</json:string></affiliations></json:item><json:item><name>Robert R. Winter DDS</name><affiliations><json:string>Private Office, 9942 E Chiricahua Pass, AZ, 85262, Scottsdale, USA</json:string></affiliations></json:item><json:item><name>Ilja Mihatovic DDS</name><affiliations><json:string>Department of Oral Surgery, Heinrich‐Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany</json:string></affiliations></json:item><json:item><name>Michael Stimmelmayr DDS</name><affiliations><json:string>Oral Surgery Office, Josef‐Heiligbrunnerstrasse 2, 93413, Cham, Germany</json:string></affiliations></json:item><json:item><name>Henning Schliephake DDS, MD, PhD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, George‐Augusta‐University Göttingen, Robert‐Koch‐Strasse 40, 37075, Göttingen, Germany</json:string></affiliations></json:item></author><articleId><json:string>JERD12097</json:string></articleId><arkIstex>ark:/67375/WNG-F4ZP9367-T</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>reviewArticle</json:string></originalGenre><abstract>The soft tissues around dental implants are enlarged compared with the gingiva because of the longer junctional epithelium and the hemidesmosonal attachments are fewer, suggestive of a poorer quality attachment. Inflammatory infiltrates caused by bacterial colonization of the implant‐abutment interface are thought to be one of the factors causing epithelial downgrowth and subsequent peri‐implant bone loss. Gold alloys and dental ceramics as well as the contamination of the implant surface with amino alcohols, appear to promote epithelial downgrowth. Physical manipulaton of the abutment surfaces, including concave abutment designs, platform switching, and microgrooved surfaces are believed to inhibit epithelial downgrowth and minimizes bone loss at the implant shoulder. This paper reviews the factors that are believed to influence the migration of epithelial attachment the dental implant and abutment surfaces. Exploration of innovative computer‐aided design/computer‐aided manufacturing‐based concepts such as “one abutment—one time” and their effect on epithelial downgrowth are discussed.</abstract><qualityIndicators><score>7.802</score><pdfWordCount>4026</pdfWordCount><pdfCharCount>28328</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>8</pdfPageCount><pdfPageSize>585.069 x 782.928 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>148</abstractWordCount><abstractCharCount>1103</abstractCharCount><keywordCount>0</keywordCount></qualityIndicators><title>Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review</title><genre><json:string>review-article</json:string></genre><host><title>Journal of Esthetic and Restorative Dentistry</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1708-8240</json:string></doi><issn><json:string>1496-4155</json:string></issn><eissn><json:string>1708-8240</json:string></eissn><publisherId><json:string>JERD</json:string></publisherId><volume>26</volume><issue>5</issue><pages><first>324</first><last>331</last><total>8</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>REVIEW ARTICLE</value></json:item></subject></host><ark><json:string>ark:/67375/WNG-F4ZP9367-T</json:string></ark><publicationDate>2014</publicationDate><copyrightDate>2014</copyrightDate><doi><json:string>10.1111/jerd.12097</json:string></doi><id>DB17FB654FBC871CA625CBBA52862041A908D9C1</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/DB17FB654FBC871CA625CBBA52862041A908D9C1/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/DB17FB654FBC871CA625CBBA52862041A908D9C1/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/DB17FB654FBC871CA625CBBA52862041A908D9C1/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Publishing Ltd</publisher><availability><licence>© 2014 Wiley Periodicals, Inc.</licence></availability><date type="published" when="2014-09"></date></publicationStmt><notesStmt><note type="content-type" subtype="review-article" source="reviewArticle" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-L5L7X3NF-P">review-article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="review-article"><analytic><title level="a" type="main">Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review</title><title level="a" type="short">Epithelial Attachment and Downgrowth on Dental Implant Abutments</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Gerhard</forename><surname>Iglhaut</surname><roleName type="degree">DDS</roleName></persName><affiliation><orgName>Oral Surgery Office</orgName><address><street>Bahnhofstrasse 20</street><settlement type="city">Memmingen</settlement><postCode>87700</postCode><country key="DE">Germany</country></address></affiliation><affiliation>Reprint requests: Gerhard Iglhaut, DDS, Oral Surgery Office, Bahnhofstrasse 20, 87700 Memmingen, Germany; Tel.: +498331‐2864; Fax: +498331‐44528; email: dr.iglhaut@t-online.de</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Frank</forename><surname>Schwarz</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation><orgName>Department of Oral Surgery</orgName><orgName>Heinrich‐Heine University</orgName><address><street>Moorenstrasse 5</street><settlement type="city">Düsseldorf</settlement><postCode>40225</postCode><country key="DE">Germany</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Robert R.</forename><surname>Winter</surname><roleName type="degree">DDS</roleName></persName><affiliation><orgName>Private Office</orgName><address><street>9942 E Chiricahua Pass</street><settlement type="city">Scottsdale</settlement><postCode>85262</postCode><region>AZ</region><country key="US">USA</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Ilja</forename><surname>Mihatovic</surname><roleName type="degree">DDS</roleName></persName><affiliation><orgName>Department of Oral Surgery</orgName><orgName>Heinrich‐Heine University</orgName><address><street>Moorenstrasse 5</street><settlement type="city">Düsseldorf</settlement><postCode>40225</postCode><country key="DE">Germany</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Michael</forename><surname>Stimmelmayr</surname><roleName type="degree">DDS</roleName></persName><affiliation><orgName>Oral Surgery Office</orgName><address><street>Josef‐Heiligbrunnerstrasse 2</street><settlement type="city">Cham</settlement><postCode>93413</postCode><country key="DE">Germany</country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Henning</forename><surname>Schliephake</surname><roleName type="degree">DDS, MD, PhD</roleName></persName><affiliation><orgName>Department of Oral and Maxillofacial Surgery</orgName><orgName>George‐Augusta‐University Göttingen</orgName><address><street>Robert‐Koch‐Strasse 40</street><settlement type="city">Göttingen</settlement><postCode>37075</postCode><country key="DE">Germany</country></address></affiliation></author><idno type="istex">DB17FB654FBC871CA625CBBA52862041A908D9C1</idno><idno type="ark">ark:/67375/WNG-F4ZP9367-T</idno><idno type="DOI">10.1111/jerd.12097</idno><idno type="unit">JERD12097</idno><idno type="toTypesetVersion">file://JERD.JERD12097.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Esthetic and Restorative Dentistry</title><title level="j" type="alt">JOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY</title><idno type="pISSN">1496-4155</idno><idno type="eISSN">1708-8240</idno><idno type="book-DOI">10.1111/(ISSN)1708-8240</idno><idno type="book-part-DOI">10.1111/jerd.2014.26.issue-5</idno><idno type="product">JERD</idno><imprint><biblScope unit="vol">26</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="324">324</biblScope><biblScope unit="page" to="331">331</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2014-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main"><head>Abstract</head><p>The soft tissues around dental implants are enlarged compared with the gingiva because of the longer junctional epithelium and the hemidesmosonal attachments are fewer, suggestive of a poorer quality attachment. Inflammatory infiltrates caused by bacterial colonization of the implant‐abutment interface are thought to be one of the factors causing epithelial downgrowth and subsequent peri‐implant bone loss. Gold alloys and dental ceramics as well as the contamination of the implant surface with amino alcohols, appear to promote epithelial downgrowth. Physical manipulaton of the abutment surfaces, including concave abutment designs, platform switching, and microgrooved surfaces are believed to inhibit epithelial downgrowth and minimizes bone loss at the implant shoulder. This paper reviews the factors that are believed to influence the migration of epithelial attachment the dental implant and abutment surfaces. Exploration of innovative computer‐aided design/computer‐aided manufacturing‐based concepts such as “one abutment—one time” and their effect on epithelial downgrowth are discussed.</p>
Clinical Significance
<p>Based on the review of current literature, the authors recommend inserting definitive abutments at the time of surgical uncovering. To implement this concept, registration of the implant position should to be taken at the time of surgical implant placement.</p></abstract><textClass><keywords rend="tocHeading1"><term>REVIEW ARTICLE</term></keywords><keywords rend="articleCategory"><term>REVIEW ARTICLE</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body" wicri:toSee="Element #text"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="jerd12097" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley">10.1111/(ISSN)1708-8240</doi><issn type="print">1496-4155</issn><issn type="electronic">1708-8240</issn><idGroup><id type="product" value="JERD"></id></idGroup><titleGroup><title sort="JOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY" type="main">Journal of Esthetic and Restorative Dentistry</title><title type="short">J Esthet Restor Dent</title></titleGroup></publicationMeta><publicationMeta level="part" position="09105"><doi>10.1111/jerd.2014.26.issue-5</doi><copyright ownership="publisher">© 2014 Wiley Periodicals, Inc.</copyright><numberingGroup><numbering number="26" type="journalVolume">26</numbering><numbering type="journalIssue">5</numbering></numberingGroup><coverDate startDate="2014-09">September/October 2014</coverDate></publicationMeta><publicationMeta level="unit" status="forIssue" type="reviewArticle" position="40"><doi>10.1111/jerd.12097</doi><idGroup><id type="unit" value="JERD12097"></id></idGroup><countGroup><count number="8" type="pageTotal"></count></countGroup><titleGroup><title type="tocHeading1">REVIEW ARTICLE</title><title type="articleCategory">REVIEW ARTICLE</title></titleGroup><copyright ownership="publisher">© 2014 Wiley Periodicals, Inc.</copyright><eventGroup><event agent="bestset" date="2014-02-25" type="xmlCreated"></event><event type="publishedOnlineEarlyUnpaginated" date="2014-03-11"></event><event type="firstOnline" date="2014-03-11"></event><event type="publishedOnlineFinalForm" date="2014-10-16"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-08"></event></eventGroup><numberingGroup><numbering type="pageFirst">324</numbering><numbering type="pageLast">331</numbering></numberingGroup><correspondenceTo>Reprint requests: Gerhard Iglhaut, DDS, Oral Surgery Office, Bahnhofstrasse 20, 87700 Memmingen, Germany; Tel.: +498331‐2864; Fax: +498331‐44528; email: <email>dr.iglhaut@t-online.de</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file://JERD.JERD12097.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="short">Epithelial Attachment and Downgrowth on Dental Implant Abutments</title><title type="shortAuthors">Iglhaut <i>et al</i>.</title><title type="main">Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review</title></titleGroup><creators><creator affiliationRef="#jerd12097-aff-0001" corresponding="yes" creatorRole="author" xml:id="jerd12097-cr-0001"><personName><givenNames>Gerhard</givenNames><familyName>Iglhaut</familyName><degrees>DDS</degrees></personName><jobTitle>Director</jobTitle></creator><creator affiliationRef="#jerd12097-aff-0002" creatorRole="author" xml:id="jerd12097-cr-0002"><personName><givenNames>Frank</givenNames><familyName>Schwarz</familyName><degrees>DDS, PhD</degrees></personName><jobTitle>Associate Professor</jobTitle></creator><creator affiliationRef="#jerd12097-aff-0003" creatorRole="author" xml:id="jerd12097-cr-0003"><personName><givenNames>Robert R.</givenNames><familyName>Winter</familyName><degrees>DDS</degrees></personName><jobTitle>Prosthodontist</jobTitle></creator><creator affiliationRef="#jerd12097-aff-0002" creatorRole="author" xml:id="jerd12097-cr-0004"><personName><givenNames>Ilja</givenNames><familyName>Mihatovic</familyName><degrees>DDS</degrees></personName><jobTitle>Associate Professor</jobTitle></creator><creator affiliationRef="#jerd12097-aff-0004" creatorRole="author" xml:id="jerd12097-cr-0005"><personName><givenNames>Michael</givenNames><familyName>Stimmelmayr</familyName><degrees>DDS</degrees></personName><jobTitle>Oral Surgeon</jobTitle></creator><creator affiliationRef="#jerd12097-aff-0005" creatorRole="author" xml:id="jerd12097-cr-0006"><personName><givenNames>Henning</givenNames><familyName>Schliephake</familyName><degrees>DDS, MD, PhD</degrees></personName><jobTitle>Head</jobTitle></creator></creators><affiliationGroup><affiliation countryCode="DE" xml:id="jerd12097-aff-0001"><orgName>Oral Surgery Office</orgName><address><street>Bahnhofstrasse 20</street><postCode>87700</postCode><city>Memmingen</city><country>Germany</country></address></affiliation><affiliation countryCode="DE" xml:id="jerd12097-aff-0002"><orgDiv>Department of Oral Surgery</orgDiv><orgName>Heinrich‐Heine University</orgName><address><street>Moorenstrasse 5</street><postCode>40225</postCode><city>Düsseldorf</city><country>Germany</country></address></affiliation><affiliation countryCode="US" xml:id="jerd12097-aff-0003"><orgName>Private Office</orgName><address><street>9942 E Chiricahua Pass</street><city>Scottsdale</city><countryPart>AZ</countryPart><postCode>85262</postCode><country>USA</country></address></affiliation><affiliation countryCode="DE" xml:id="jerd12097-aff-0004"><orgName>Oral Surgery Office</orgName><address><street>Josef‐Heiligbrunnerstrasse 2</street><postCode>93413</postCode><city>Cham</city><country>Germany</country></address></affiliation><affiliation countryCode="DE" xml:id="jerd12097-aff-0005"><orgDiv>Department of Oral and Maxillofacial Surgery</orgDiv><orgName>George‐Augusta‐University Göttingen</orgName><address><street>Robert‐Koch‐Strasse 40</street><postCode>37075</postCode><city>Göttingen</city><country>Germany</country></address></affiliation></affiliationGroup><abstractGroup><abstract type="main"><title type="main">Abstract</title><section xml:id="jerd12097-sec-0001"><p>The soft tissues around dental implants are enlarged compared with the gingiva because of the longer junctional epithelium and the hemidesmosonal attachments are fewer, suggestive of a poorer quality attachment. Inflammatory infiltrates caused by bacterial colonization of the implant‐abutment interface are thought to be one of the factors causing epithelial downgrowth and subsequent peri‐implant bone loss. Gold alloys and dental ceramics as well as the contamination of the implant surface with amino alcohols, appear to promote epithelial downgrowth. Physical manipulaton of the abutment surfaces, including concave abutment designs, platform switching, and microgrooved surfaces are believed to inhibit epithelial downgrowth and minimizes bone loss at the implant shoulder. This paper reviews the factors that are believed to influence the migration of epithelial attachment the dental implant and abutment surfaces. Exploration of innovative computer‐aided design/computer‐aided manufacturing‐based concepts such as “one abutment—one time” and their effect on epithelial downgrowth are discussed.</p></section><section xml:id="jerd12097-sec-0002"><title type="main">Clinical Significance</title><p>Based on the review of current literature, the authors recommend inserting definitive abutments at the time of surgical uncovering. To implement this concept, registration of the implant position should to be taken at the time of surgical implant placement.</p></section></abstract></abstractGroup></contentMeta></header> </component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Epithelial Attachment and Downgrowth on Dental Implant Abutments</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review</title></titleInfo><name type="personal"><namePart type="given">Gerhard</namePart><namePart type="family">Iglhaut</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Oral Surgery Office, Bahnhofstrasse 20, 87700, Memmingen, Germany</affiliation><affiliation>E-mail: dr.iglhaut@t-online.de</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Director</description></name><name type="personal"><namePart type="given">Frank</namePart><namePart type="family">Schwarz</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>Department of Oral Surgery, Heinrich‐Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Associate Professor</description></name><name type="personal"><namePart type="given">Robert R.</namePart><namePart type="family">Winter</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Private Office, 9942 E Chiricahua Pass, AZ, 85262, Scottsdale, USA</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Prosthodontist</description></name><name type="personal"><namePart type="given">Ilja</namePart><namePart type="family">Mihatovic</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Department of Oral Surgery, Heinrich‐Heine University, Moorenstrasse 5, 40225, Düsseldorf, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Associate Professor</description></name><name type="personal"><namePart type="given">Michael</namePart><namePart type="family">Stimmelmayr</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Oral Surgery Office, Josef‐Heiligbrunnerstrasse 2, 93413, Cham, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Oral Surgeon</description></name><name type="personal"><namePart type="given">Henning</namePart><namePart type="family">Schliephake</namePart><namePart type="termsOfAddress">DDS, MD, PhD</namePart><affiliation>Department of Oral and Maxillofacial Surgery, George‐Augusta‐University Göttingen, Robert‐Koch‐Strasse 40, 37075, Göttingen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Head</description></name><typeOfResource>text</typeOfResource><genre type="review-article" displayLabel="reviewArticle" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-L5L7X3NF-P">review-article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-09</dateIssued><dateCreated encoding="w3cdtf">2014-02-25</dateCreated><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>The soft tissues around dental implants are enlarged compared with the gingiva because of the longer junctional epithelium and the hemidesmosonal attachments are fewer, suggestive of a poorer quality attachment. Inflammatory infiltrates caused by bacterial colonization of the implant‐abutment interface are thought to be one of the factors causing epithelial downgrowth and subsequent peri‐implant bone loss. Gold alloys and dental ceramics as well as the contamination of the implant surface with amino alcohols, appear to promote epithelial downgrowth. Physical manipulaton of the abutment surfaces, including concave abutment designs, platform switching, and microgrooved surfaces are believed to inhibit epithelial downgrowth and minimizes bone loss at the implant shoulder. This paper reviews the factors that are believed to influence the migration of epithelial attachment the dental implant and abutment surfaces. Exploration of innovative computer‐aided design/computer‐aided manufacturing‐based concepts such as “one abutment—one time” and their effect on epithelial downgrowth are discussed.</abstract><abstract>Based on the review of current literature, the authors recommend inserting definitive abutments at the time of surgical uncovering. To implement this concept, registration of the implant position should to be taken at the time of surgical implant placement.</abstract><relatedItem type="host"><titleInfo><title>Journal of Esthetic and Restorative Dentistry</title></titleInfo><titleInfo type="abbreviated"><title>J Esthet Restor Dent</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>REVIEW ARTICLE</topic></subject><identifier type="ISSN">1496-4155</identifier><identifier type="eISSN">1708-8240</identifier><identifier type="DOI">10.1111/(ISSN)1708-8240</identifier><identifier type="PublisherID">JERD</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>26</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>324</start><end>331</end><total>8</total></extent></part></relatedItem><identifier type="istex">DB17FB654FBC871CA625CBBA52862041A908D9C1</identifier><identifier type="ark">ark:/67375/WNG-F4ZP9367-T</identifier><identifier type="DOI">10.1111/jerd.12097</identifier><identifier type="ArticleID">JERD12097</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2014 Wiley Periodicals, Inc.© 2014 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/DB17FB654FBC871CA625CBBA52862041A908D9C1/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV1/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000838 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 000838 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV1
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:DB17FB654FBC871CA625CBBA52862041A908D9C1
|texte= Epithelial Attachment and Downgrowth on Dental Implant Abutments—A Comprehensive Review
}}
| This area was generated with Dilib version V0.6.33. |  |