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The influence of customized abutments and custom metal abutments on the presence of the interproximal papilla at implants inserted in single‐unit gaps: a 1‐year prospective clinical study

Identifieur interne : 003F27 ( Istex/Corpus ); précédent : 003F26; suivant : 003F28

The influence of customized abutments and custom metal abutments on the presence of the interproximal papilla at implants inserted in single‐unit gaps: a 1‐year prospective clinical study

Auteurs : Tiago Borges ; Tiago Lima ; Ágata Carvalho ; Catarina Dourado ; Vasco Carvalho

Source :

RBID : ISTEX:7F9C67B6183AA42AE75D13C08AFD2976B6D75B13

Abstract

To assess and compare the papilla presence mesially and distally to dental implants restored with customized abutments and custom metal abutments in the anterior maxilla.

Url:
DOI: 10.1111/clr.12257

Links to Exploration step

ISTEX:7F9C67B6183AA42AE75D13C08AFD2976B6D75B13

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Objectives
<p>To assess and compare the papilla presence mesially and distally to dental implants restored with customized abutments and custom metal abutments in the anterior maxilla.</p>
Material and methods
<p>Thirty‐eight patients receiving 38 single‐tooth implants, restored with 26 customized abutments and 12 custom metal abutments in the anterior maxillary region were enrolled in this study. The cases where did not existed contact point were excluded. Presence/absence of the interproximal papilla, inter‐tooth–implant distance (
<hi rend="fc">ITD</hi>
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<hi rend="fc">CPB</hi>
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<hi rend="italic">P</hi>
‐values were determined for changes in
<hi rend="fc">CPB</hi>
and papilla score over time (
<hi rend="italic"></hi>
<
<hi rend="italic"> </hi>
0.05).</p>
Results
<p>Thirty‐six patients with 36 implants were available for the 12‐month follow‐up. The abutments and reconstruction survival rate was 100% with no fracture or crown loss. A mean mesial
<hi rend="fc">CPB</hi>
of 5.71 ± 1.54 mm and distal
<hi rend="fc">CPB</hi>
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<hi rend="fc">CPB</hi>
of 5.41 ± 1.31 mm and distal
<hi rend="fc">CPB</hi>
of 4.77 ± 1.21 mm were assessed in the control group for an overall mean papilla presence of 1.08 ± 0.65.</p>
Conclusions
<p>The restoration of single‐implants using computer‐assisted design/computer‐assisted manufacturing abutments appears to help maintaining a regular papillary filling although the variations of the implant positioning or the restoration/teeth relation.</p>
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<title type="main">The influence of customized abutments and custom metal abutments on the presence of the interproximal papilla at implants inserted in single‐unit gaps: a 1‐year prospective clinical study</title>
<title type="shortAuthors">Borges et al</title>
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<familyName>Lima</familyName>
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<givenNames>Ágata</givenNames>
<familyName>Carvalho</familyName>
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<personName>
<givenNames>Catarina</givenNames>
<familyName>Dourado</familyName>
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<personName>
<givenNames>Vasco</givenNames>
<familyName>Carvalho</familyName>
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<affiliation countryCode="PT" type="organization" xml:id="clr12257-aff-0001">
<orgDiv>Department of Oral Surgery and Implant Dentistry</orgDiv>
<orgName>Portuguese Catholic University</orgName>
<address>
<city>Viseu</city>
<country>Portugal</country>
</address>
</affiliation>
<affiliation countryCode="PT" type="organization" xml:id="clr12257-aff-0002">
<orgDiv>Department of Oral Surgery and Implant Dentistry</orgDiv>
<orgName>Bragança Private Medical Centre</orgName>
<address>
<city>Bragança</city>
<country>Portugal</country>
</address>
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<affiliation countryCode="PT" type="organization" xml:id="clr12257-aff-0003">
<orgName>Chaves Private Medical Centre</orgName>
<address>
<city>Chaves</city>
<country>Portugal</country>
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<keyword xml:id="clr12257-kwd-0001">computer‐assisted design</keyword>
<keyword xml:id="clr12257-kwd-0002">computer‐assisted manufacturing</keyword>
<keyword xml:id="clr12257-kwd-0003">implant abutments</keyword>
<keyword xml:id="clr12257-kwd-0004">interproximal papilla</keyword>
<keyword xml:id="clr12257-kwd-0005">outcomes assessment</keyword>
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<title type="main">Abstract</title>
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<title type="main">Objectives</title>
<p>To assess and compare the papilla presence mesially and distally to dental implants restored with customized abutments and custom metal abutments in the anterior maxilla.</p>
</section>
<section xml:id="clr12257-sec-0002">
<title type="main">Material and methods</title>
<p>Thirty‐eight patients receiving 38 single‐tooth implants, restored with 26 customized abutments and 12 custom metal abutments in the anterior maxillary region were enrolled in this study. The cases where did not existed contact point were excluded. Presence/absence of the interproximal papilla, inter‐tooth–implant distance (
<fc>ITD</fc>
) and distance from the base of the contact point to dental crest bone of adjacent tooth (
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<fc>CPB</fc>
and papilla score over time (
<i></i>
<
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0.05).</p>
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<title type="main">Results</title>
<p>Thirty‐six patients with 36 implants were available for the 12‐month follow‐up. The abutments and reconstruction survival rate was 100% with no fracture or crown loss. A mean mesial
<fc>CPB</fc>
of 5.71 ± 1.54 mm and distal
<fc>CPB</fc>
of 4.01 ± 1.73 mm were assessed in the customized abutment group for an overall mean papilla presence of 1.69 ± 0.46. A mean mesial
<fc>CPB</fc>
of 5.41 ± 1.31 mm and distal
<fc>CPB</fc>
of 4.77 ± 1.21 mm were assessed in the control group for an overall mean papilla presence of 1.08 ± 0.65.</p>
</section>
<section xml:id="clr12257-sec-0004">
<title type="main">Conclusions</title>
<p>The restoration of single‐implants using computer‐assisted design/computer‐assisted manufacturing abutments appears to help maintaining a regular papillary filling although the variations of the implant positioning or the restoration/teeth relation.</p>
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<title>The influence of customized abutments and custom metal abutments on the presence of the interproximal papilla at implants inserted in single‐unit gaps: a 1‐year prospective clinical study</title>
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<affiliation>Department of Oral Surgery and Implant Dentistry, Portuguese Catholic University, Viseu, Portugal</affiliation>
<affiliation>Department of Oral Surgery and Implant DentistryBragança Private Medical CentreRua João XXI, 59/60, R/Ch Esq., 5300‐435 Bragança, PortugalTel.: +00351 917411447Fax: +00351 273328639e‐mail:</affiliation>
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<abstract>To assess and compare the papilla presence mesially and distally to dental implants restored with customized abutments and custom metal abutments in the anterior maxilla.</abstract>
<abstract>Thirty‐eight patients receiving 38 single‐tooth implants, restored with 26 customized abutments and 12 custom metal abutments in the anterior maxillary region were enrolled in this study. The cases where did not existed contact point were excluded. Presence/absence of the interproximal papilla, inter‐tooth–implant distance (ITD) and distance from the base of the contact point to dental crest bone of adjacent tooth (CPB) were accessed. Global P‐values were determined for changes in CPB and papilla score over time (P < 0.05).</abstract>
<abstract>Thirty‐six patients with 36 implants were available for the 12‐month follow‐up. The abutments and reconstruction survival rate was 100% with no fracture or crown loss. A mean mesial CPB of 5.71 ± 1.54 mm and distal CPB of 4.01 ± 1.73 mm were assessed in the customized abutment group for an overall mean papilla presence of 1.69 ± 0.46. A mean mesial CPB of 5.41 ± 1.31 mm and distal CPB of 4.77 ± 1.21 mm were assessed in the control group for an overall mean papilla presence of 1.08 ± 0.65.</abstract>
<abstract>The restoration of single‐implants using computer‐assisted design/computer‐assisted manufacturing abutments appears to help maintaining a regular papillary filling although the variations of the implant positioning or the restoration/teeth relation.</abstract>
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