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Clinical Outcomes of Implant Abutments in the Anterior Region: A Systematic Review

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Clinical Outcomes of Implant Abutments in the Anterior Region: A Systematic Review

Auteurs : Avinash S. Bidra [États-Unis] ; Patchanee Rungruanganunt [États-Unis]

Source :

Journal of Esthetic and Restorative Dentistry [ 1496-4155 ] ; 2013-06.

RBID : ISTEX:5BC30026D15CB997933D0924FE562D0341035467

Descripteurs français

Wicri :
- topic : Titane.

English descriptors

KwdEn :
- Abutment, Abutment screw, Alumina, Alumina abutments, Andersson, Anterior abutments, Anterior region, Anterior region bidra, Bidra, Biocare, Buccal, Clin, Data extraction, Dentistry, Discoloration, Esthetic, Esthetic outcomes, Fracture, Gingival, Implant, Implant abutments, Jemt, Mandible, Maxilla, Maxillofac, Metal abutments, Mucosal, Multicenter, Procera, Prospective study, Prosthetic, Prosthodont, Restorative dentistry, Retrospective, Rungruanganunt, Sailer, Stulas, Systematic review, Titanium, Titanium abutment, Titanium abutments, Wiley periodicals, Zembic, Zirconia, Zirconia abutment, Zirconia abutments.
Teeft :
- Abutment, Abutment screw, Alumina, Alumina abutments, Andersson, Anterior abutments, Anterior region, Anterior region bidra, Bidra, Biocare, Buccal, Clin, Data extraction, Dentistry, Discoloration, Esthetic, Esthetic outcomes, Fracture, Gingival, Implant, Implant abutments, Jemt, Mandible, Maxilla, Maxillofac, Metal abutments, Mucosal, Multicenter, Procera, Prospective study, Prosthetic, Prosthodont, Restorative dentistry, Retrospective, Rungruanganunt, Sailer, Stulas, Systematic review, Titanium, Titanium abutment, Titanium abutments, Wiley periodicals, Zembic, Zirconia, Zirconia abutment, Zirconia abutments.

Abstract

Abstract Statement of Problem The clinical outcomes of anterior implant abutments are not well reported. Purpose of the Study To systematically review the existing literature to identify survival, mechanical, biological, and esthetic outcomes of anterior implant abutments. Material and Methods An electronic search was performed using PubMed/MEDLINE with specific search terms and predetermined criteria. After application of inclusion and exclusion criteria, the final list of articles was reviewed in‐depth to meet the objectives of this review. Results Systematic application of inclusion and exclusion criteria resulted in identification of 27 studies that described outcomes of anterior implant abutments. Because of substantial heterogeneity of data, true survival, or cumulative survival of abutments could not be calculated. However, the mean failure of abutments was 1.15%, attributable to fractures restricted to ceramic abutments. Mechanical complications included abutment screw loosening, primarily restricted to external hex implants. Biological complications included fistulas and mucosal recession. Esthetic outcomes showed lesser gingival discoloration for zirconia abutments compared with metal abutments. Conclusions Minimal anterior abutment fractures have been reported and are restricted to ceramic abutments. Studies using spectrophotometry showed lesser gingival discoloration with zirconia abutments, but there is no evidence for difference in patient's esthetic satisfaction between ceramic and metal abutments.

Url:

https://api.istex.fr/document/5BC30026D15CB997933D0924FE562D0341035467/fulltext/pdf

DOI: 10.1111/jerd.12031

Affiliations:

États-Unis

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<front><div type="abstract">Abstract Statement of Problem The clinical outcomes of anterior implant abutments are not well reported. Purpose of the Study To systematically review the existing literature to identify survival, mechanical, biological, and esthetic outcomes of anterior implant abutments. Material and Methods An electronic search was performed using PubMed/MEDLINE with specific search terms and predetermined criteria. After application of inclusion and exclusion criteria, the final list of articles was reviewed in‐depth to meet the objectives of this review. Results Systematic application of inclusion and exclusion criteria resulted in identification of 27 studies that described outcomes of anterior implant abutments. Because of substantial heterogeneity of data, true survival, or cumulative survival of abutments could not be calculated. However, the mean failure of abutments was 1.15%, attributable to fractures restricted to ceramic abutments. Mechanical complications included abutment screw loosening, primarily restricted to external hex implants. Biological complications included fistulas and mucosal recession. Esthetic outcomes showed lesser gingival discoloration for zirconia abutments compared with metal abutments. Conclusions Minimal anterior abutment fractures have been reported and are restricted to ceramic abutments. Studies using spectrophotometry showed lesser gingival discoloration with zirconia abutments, but there is no evidence for difference in patient's esthetic satisfaction between ceramic and metal abutments.</div>
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Clinical Outcomes of Implant Abutments in the Anterior Region: A Systematic Review

Clinical Outcomes of Implant Abutments in the Anterior Region: A Systematic Review

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

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Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri