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Effect of Platform Shift on Crestal Bone Levels and Mucosal Profile Following Flap Surgery and Subcrestal Implant Placement in Presence/Absence of Gap Defects.

Identifieur interne : 000A86 ( Ncbi/Merge ); précédent : 000A85; suivant : 000A87

Effect of Platform Shift on Crestal Bone Levels and Mucosal Profile Following Flap Surgery and Subcrestal Implant Placement in Presence/Absence of Gap Defects.

Auteurs : Brent A. Wenzel [États-Unis] ; Inãki Gamborena [États-Unis] ; Jaebum Lee [États-Unis] ; Tiago Fiorini [États-Unis] ; Peter Schüpbach [États-Unis] ; Ulf M E. Wikesjö [États-Unis] ; Cristiano Susin [États-Unis]

Source :

RBID : pubmed:24629102

Abstract

Physiologic remodeling resulting in crestal bone loss appears a common corollary to dental implant surgery. Several hypotheses and clinical strategies have been advanced to explain and avert crestal remodeling; however, causative mechanisms remain unclear and the efficacy of clinical protocols uncertain.

DOI: 10.1111/cid.12216
PubMed: 24629102

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pubmed:24629102

Le document en format XML

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<title level="j">Clinical implant dentistry and related research</title>
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<div type="abstract" xml:lang="en">Physiologic remodeling resulting in crestal bone loss appears a common corollary to dental implant surgery. Several hypotheses and clinical strategies have been advanced to explain and avert crestal remodeling; however, causative mechanisms remain unclear and the efficacy of clinical protocols uncertain.</div>
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<Year>2016</Year>
<Month>04</Month>
<Day>06</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1708-8208</ISSN>
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<Volume>18</Volume>
<Issue>2</Issue>
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<Year>2016</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Effect of Platform Shift on Crestal Bone Levels and Mucosal Profile Following Flap Surgery and Subcrestal Implant Placement in Presence/Absence of Gap Defects.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Physiologic remodeling resulting in crestal bone loss appears a common corollary to dental implant surgery. Several hypotheses and clinical strategies have been advanced to explain and avert crestal remodeling; however, causative mechanisms remain unclear and the efficacy of clinical protocols uncertain.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The objective of the present study was to provide a histologic account of crestal bone levels and mucosal profile at implant sites receiving platform shift/switch and standard abutments following conventional flap surgery and subcrestal implant placement in presence or absence of crestal gap defects using a dog model.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Four dental implants were placed into the left/right edentulated posterior mandible in five adult male Hound Labrador mongrel dogs using flap surgery including subcrestal placement with/without a 1 × 5 mm (width × depth) gap defect, and using platform shift/switch and standard abutments. Block biopsies were collected for histological/histometric analysis following an 8-week healing interval.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">No significant differences in crestal resorption were observed among experimental groups; crestal resorption being significantly more advanced at buccal than at lingual sites (p < .001). Similarly, crestal bone-implant contact was not significantly different among groups; crestal bone-implant contact being consistently below the implant platform at buccal sites (p < .01). Moreover, the peri-implant mucosal profile was not statistically different among groups, the mucosal height being significantly greater at buccal than at lingual sites (p < .001). Also, no significant differences among groups were observed for the apical extension of the epithelial attachment, the epithelial attachment being arrested more than 2 mm above the implant platform at both platform shift/switch and standard abutments.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Using a clinical strategy including flap surgery and subcrestal implant placement, implant technology comparing platform shift/switch with standard abutments, surgical approach, and abutment selection seems to have a limited impact on crestal remodeling, associated bone loss, and mucosal profile.</AbstractText>
<CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation>
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</AffiliationInfo>
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<Affiliation>Laboratory for Applied Periodontal & Craniofacial Regeneration (LAPCR), Georgia Regents University, Augusta, GA, USA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Clinica Dental Gamborena, San Sebastian, Spain.</Affiliation>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Section of Periodontology, School of Dentistry, Federal University Rio Grande do Sul, Porto Alegre, Brazil.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
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<Affiliation>Peter Schüpbach Ltd, Horgen, Switzerland.</Affiliation>
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</AffiliationInfo>
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<ForeName>Cristiano</ForeName>
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<Affiliation>Laboratory for Applied Periodontal & Craniofacial Regeneration (LAPCR), Georgia Regents University, Augusta, GA, USA.</Affiliation>
</AffiliationInfo>
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<Year>2014</Year>
<Month>03</Month>
<Day>14</Day>
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<Keyword MajorTopicYN="N">alveolar bone</Keyword>
<Keyword MajorTopicYN="N">animal models</Keyword>
<Keyword MajorTopicYN="N">crestal resorption/remodeling</Keyword>
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