Biological Width around One- and Two-Piece Implants Retrieved from Human Jaws
Identifieur interne : 001C65 ( Main/Merge ); précédent : 001C64; suivant : 001C66Biological Width around One- and Two-Piece Implants Retrieved from Human Jaws
Auteurs : Ricardo Judgar [Brésil] ; Gabriela Giro [Brésil] ; Elton Zenobio [Brésil] ; Paulo G. Coelho [États-Unis] ; Magda Feres [Brésil] ; Jose A. Rodrigues [Brésil] ; Carlo Mangano [Italie] ; Giovanna Iezzi [Italie] ; Adriano Piattelli [Italie] ; Jamil Awad Shibli [Brésil]Source :
- BioMed Research International [ 2314-6133 ] ; 2014.
Abstract
Several histologic studies regarding peri-implant soft tissues and biological width around dental implants have been done in animals. However, these findings in human peri-implant soft tissues are very scarce. Therefore, the aim of this case series was to compare the biological width around unloaded one- and two-piece implants retrieved from human jaws. Eight partially edentulous patients received 2 test implants in the posterior mandible: one-piece (solid implants that comprise implant and abutment in one piece) and two-piece (external hexagon with a healing abutment) implants. After 4 months of healing, the implants and surrounding tissue were removed for histologic analysis. The retrieved implants showed healthy peri-implant bone and exhibited early stages of maturation. Marginal bone loss, gaps, and fibrous tissue were not present around retrieved specimens. The biologic width dimension ranged between 2.55 ± 0.16 and 3.26 ± 0.15 to one- and two-piece implants, respectively (
Url:
DOI: 10.1155/2014/850120
PubMed: 25050375
PubMed Central: 4094864
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<front><div type="abstract" xml:lang="en"><p>Several histologic studies regarding peri-implant soft tissues and biological width around dental implants have been done in animals. However, these findings in human peri-implant soft tissues are very scarce. Therefore, the aim of this case series was to compare the biological width around unloaded one- and two-piece implants retrieved from human jaws. Eight partially edentulous patients received 2 test implants in the posterior mandible: one-piece (solid implants that comprise implant and abutment in one piece) and two-piece (external hexagon with a healing abutment) implants. After 4 months of healing, the implants and surrounding tissue were removed for histologic analysis. The retrieved implants showed healthy peri-implant bone and exhibited early stages of maturation. Marginal bone loss, gaps, and fibrous tissue were not present around retrieved specimens. The biologic width dimension ranged between 2.55 ± 0.16 and 3.26 ± 0.15 to one- and two-piece implants, respectively (<italic>P</italic>
< 0.05). This difference was influenced by the connective tissue attachment, while sulcus depth and epithelial junction presented the same dimension for both groups (<italic>P</italic>
> 0.05). Within the limits of this study, it could be shown that two-piece implants resulted in the thickening of the connective tissue attachment, resulting in the increase of the biological width, when compared to one-piece implants.</p>
</div>
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