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 : 000D84 ( PubMed/Curation ); précédent : 000D83; suivant : 000D85Effect 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 :
- Clinical implant dentistry and related research [ 1708-8208 ] ; 2016.
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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<author><name sortKey="Gamborena, Inaki" sort="Gamborena, Inaki" uniqKey="Gamborena I" first="Inãki" last="Gamborena">Inãki Gamborena</name>
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<author><name sortKey="Susin, Cristiano" sort="Susin, Cristiano" uniqKey="Susin C" first="Cristiano" last="Susin">Cristiano Susin</name>
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<author><name sortKey="Schupbach, Peter" sort="Schupbach, Peter" uniqKey="Schupbach P" first="Peter" last="Schüpbach">Peter Schüpbach</name>
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<author><name sortKey="Susin, Cristiano" sort="Susin, Cristiano" uniqKey="Susin C" first="Cristiano" last="Susin">Cristiano Susin</name>
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<front><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>
</front>
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<pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">24629102</PMID>
<DateRevised><Year>2016</Year>
<Month>04</Month>
<Day>06</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1708-8208</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>18</Volume>
<Issue>2</Issue>
<PubDate><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>
<Pagination><MedlinePgn>217-25</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/cid.12216</ELocationID>
<Abstract><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>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wenzel</LastName>
<ForeName>Brent A</ForeName>
<Initials>BA</Initials>
<AffiliationInfo><Affiliation>Laboratory for Applied Periodontal & Craniofacial Regeneration (LAPCR), Georgia Regents University, Augusta, GA, USA.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Gamborena</LastName>
<ForeName>Inãki</ForeName>
<Initials>I</Initials>
<AffiliationInfo><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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<Author ValidYN="Y"><LastName>Lee</LastName>
<ForeName>Jaebum</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Laboratory for Applied Periodontal & Craniofacial Regeneration (LAPCR), Georgia Regents University, Augusta, GA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fiorini</LastName>
<ForeName>Tiago</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Laboratory for Applied Periodontal & Craniofacial Regeneration (LAPCR), Georgia Regents University, Augusta, GA, USA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Section of Periodontology, School of Dentistry, Federal University Rio Grande do Sul, Porto Alegre, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Schüpbach</LastName>
<ForeName>Peter</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Laboratory for Applied Periodontal & Craniofacial Regeneration (LAPCR), Georgia Regents University, Augusta, GA, USA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Peter Schüpbach Ltd, Horgen, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wikesjö</LastName>
<ForeName>Ulf M E</ForeName>
<Initials>UM</Initials>
<AffiliationInfo><Affiliation>Laboratory for Applied Periodontal & Craniofacial Regeneration (LAPCR), Georgia Regents University, Augusta, GA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Susin</LastName>
<ForeName>Cristiano</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Laboratory for Applied Periodontal & Craniofacial Regeneration (LAPCR), Georgia Regents University, Augusta, GA, USA.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>03</Month>
<Day>14</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Clin Implant Dent Relat Res</MedlineTA>
<NlmUniqueID>100888977</NlmUniqueID>
<ISSNLinking>1523-0899</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">alveolar bone</Keyword>
<Keyword MajorTopicYN="N">animal models</Keyword>
<Keyword MajorTopicYN="N">crestal resorption/remodeling</Keyword>
<Keyword MajorTopicYN="N">dental implants</Keyword>
<Keyword MajorTopicYN="N">platform shift/switch</Keyword>
</KeywordList>
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<Month>3</Month>
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