Effect of customized healing abutments on the peri-implant linear and volumetric tissue changes at maxillary immediate implant sites: a 1-year prospective randomized clinical trial
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/34579 |
Resumo: | Background: Immediate implant placement (IIP) associated with the use of bone substitutes and collagen matrices (CM) seems to reduce the amount of resorption at peri-implant areas. Recently, customized healing abutments (CA) appeared as another solution in order to seal the socket and preserve the original soft tissue contour. Purpose: To evaluate peri-implant tissues dimensional changes after using customized healing abutments compared with the use of xenogeneic collagen matrices as socket sealing options in flapless maxillary immediate implant placement. Material and methods: The present study was designed as a prospective, randomized, controlled clinical trial. Patients were allocated into two groups depending on the socket sealing option: in the CM group a collagen matrix was used and in the CA group a customized abutment. Digital impressions were taken prior to extraction, 1, 4, and 12 months after implant insertion and the digital files allowed to evaluate linear buccal changes (MBC) and the buccal volumetric variation (BVv) between the different time points at peri-implant tissue areas. Additionally, mucosa variation was computed assessing the papilla presence and the midfacial mucosa height. Statistical significance was set at 0.05. Results: Twenty-eight patients were observed during a 12-month period. Significant differences between mean values of BVv at the first month were observed at the CM and CA group (−9.75 ± 6.65% and −4.76 ± 5.29%, respectively) (p = 0.043). At the 1-year follow-up, no significant differences were found in terms of BVv between the two groups, although the thin bone phenotype (≤1 mm) significantly influenced the volumetric variations that occurred in each group. No significant differences were noticed in midfacial mucosa and papillae alteration between groups, after 1 year of treatment. Conclusion: Both treatment options are predictable solutions for socket sealing in IIP, although a higher volumetric variation can be expected in the presence of thin bone phenotypes. |
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Effect of customized healing abutments on the peri-implant linear and volumetric tissue changes at maxillary immediate implant sites: a 1-year prospective randomized clinical trial3-dimensional imagingAlveolar bone lossAlveolar ridge augmentationDental implantsTreatment outcomeWound healingBackground: Immediate implant placement (IIP) associated with the use of bone substitutes and collagen matrices (CM) seems to reduce the amount of resorption at peri-implant areas. Recently, customized healing abutments (CA) appeared as another solution in order to seal the socket and preserve the original soft tissue contour. Purpose: To evaluate peri-implant tissues dimensional changes after using customized healing abutments compared with the use of xenogeneic collagen matrices as socket sealing options in flapless maxillary immediate implant placement. Material and methods: The present study was designed as a prospective, randomized, controlled clinical trial. Patients were allocated into two groups depending on the socket sealing option: in the CM group a collagen matrix was used and in the CA group a customized abutment. Digital impressions were taken prior to extraction, 1, 4, and 12 months after implant insertion and the digital files allowed to evaluate linear buccal changes (MBC) and the buccal volumetric variation (BVv) between the different time points at peri-implant tissue areas. Additionally, mucosa variation was computed assessing the papilla presence and the midfacial mucosa height. Statistical significance was set at 0.05. Results: Twenty-eight patients were observed during a 12-month period. Significant differences between mean values of BVv at the first month were observed at the CM and CA group (−9.75 ± 6.65% and −4.76 ± 5.29%, respectively) (p = 0.043). At the 1-year follow-up, no significant differences were found in terms of BVv between the two groups, although the thin bone phenotype (≤1 mm) significantly influenced the volumetric variations that occurred in each group. No significant differences were noticed in midfacial mucosa and papillae alteration between groups, after 1 year of treatment. Conclusion: Both treatment options are predictable solutions for socket sealing in IIP, although a higher volumetric variation can be expected in the presence of thin bone phenotypes.Veritati - Repositório Institucional da Universidade Católica PortuguesaFernandes, DaniloNunes, SílviaLópez-Castro, GonzaloMarques, TiagoMontero, JavierBorges, Tiago2021-09-01T14:20:09Z2021-10-012021-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/34579eng1523-089910.1111/cid.130448511320026434423560000687064600001info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-12-12T01:34:16Zoai:repositorio.ucp.pt:10400.14/34579Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:28:01.749408Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Effect of customized healing abutments on the peri-implant linear and volumetric tissue changes at maxillary immediate implant sites: a 1-year prospective randomized clinical trial |
title |
Effect of customized healing abutments on the peri-implant linear and volumetric tissue changes at maxillary immediate implant sites: a 1-year prospective randomized clinical trial |
spellingShingle |
Effect of customized healing abutments on the peri-implant linear and volumetric tissue changes at maxillary immediate implant sites: a 1-year prospective randomized clinical trial Fernandes, Danilo 3-dimensional imaging Alveolar bone loss Alveolar ridge augmentation Dental implants Treatment outcome Wound healing |
title_short |
Effect of customized healing abutments on the peri-implant linear and volumetric tissue changes at maxillary immediate implant sites: a 1-year prospective randomized clinical trial |
title_full |
Effect of customized healing abutments on the peri-implant linear and volumetric tissue changes at maxillary immediate implant sites: a 1-year prospective randomized clinical trial |
title_fullStr |
Effect of customized healing abutments on the peri-implant linear and volumetric tissue changes at maxillary immediate implant sites: a 1-year prospective randomized clinical trial |
title_full_unstemmed |
Effect of customized healing abutments on the peri-implant linear and volumetric tissue changes at maxillary immediate implant sites: a 1-year prospective randomized clinical trial |
title_sort |
Effect of customized healing abutments on the peri-implant linear and volumetric tissue changes at maxillary immediate implant sites: a 1-year prospective randomized clinical trial |
author |
Fernandes, Danilo |
author_facet |
Fernandes, Danilo Nunes, Sílvia López-Castro, Gonzalo Marques, Tiago Montero, Javier Borges, Tiago |
author_role |
author |
author2 |
Nunes, Sílvia López-Castro, Gonzalo Marques, Tiago Montero, Javier Borges, Tiago |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Fernandes, Danilo Nunes, Sílvia López-Castro, Gonzalo Marques, Tiago Montero, Javier Borges, Tiago |
dc.subject.por.fl_str_mv |
3-dimensional imaging Alveolar bone loss Alveolar ridge augmentation Dental implants Treatment outcome Wound healing |
topic |
3-dimensional imaging Alveolar bone loss Alveolar ridge augmentation Dental implants Treatment outcome Wound healing |
description |
Background: Immediate implant placement (IIP) associated with the use of bone substitutes and collagen matrices (CM) seems to reduce the amount of resorption at peri-implant areas. Recently, customized healing abutments (CA) appeared as another solution in order to seal the socket and preserve the original soft tissue contour. Purpose: To evaluate peri-implant tissues dimensional changes after using customized healing abutments compared with the use of xenogeneic collagen matrices as socket sealing options in flapless maxillary immediate implant placement. Material and methods: The present study was designed as a prospective, randomized, controlled clinical trial. Patients were allocated into two groups depending on the socket sealing option: in the CM group a collagen matrix was used and in the CA group a customized abutment. Digital impressions were taken prior to extraction, 1, 4, and 12 months after implant insertion and the digital files allowed to evaluate linear buccal changes (MBC) and the buccal volumetric variation (BVv) between the different time points at peri-implant tissue areas. Additionally, mucosa variation was computed assessing the papilla presence and the midfacial mucosa height. Statistical significance was set at 0.05. Results: Twenty-eight patients were observed during a 12-month period. Significant differences between mean values of BVv at the first month were observed at the CM and CA group (−9.75 ± 6.65% and −4.76 ± 5.29%, respectively) (p = 0.043). At the 1-year follow-up, no significant differences were found in terms of BVv between the two groups, although the thin bone phenotype (≤1 mm) significantly influenced the volumetric variations that occurred in each group. No significant differences were noticed in midfacial mucosa and papillae alteration between groups, after 1 year of treatment. Conclusion: Both treatment options are predictable solutions for socket sealing in IIP, although a higher volumetric variation can be expected in the presence of thin bone phenotypes. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-01T14:20:09Z 2021-10-01 2021-10-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.14/34579 |
url |
http://hdl.handle.net/10400.14/34579 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1523-0899 10.1111/cid.13044 85113200264 34423560 000687064600001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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