Clinical comparison of different abutment connection on peri-implant tissues

doi:10.3877/cma.j.issn.1674-1366.2014.04.007

Abstract

Abstract:

Objective

The purpose of this study is to compare peri-implant tissues outcomes of single-tooth implants using platform switching and platform butt-joint placed into maxillary esthetics area.

Methods

One hundred and ten single-tooth implants were placed into the maxillary aesthetic area of 95 patients selected randomly； 54 implants of 47 patients were using Ankylos system （platform switching）； and 56 implants of 48 patients were using Nobel Replace system （butt-joint）. All the patients had a follow-up of 36 to 62 months after the implant restoration. Radiographic and clinical examinations were made at the time of the final crowns delivery and the subsequent following-up month.The peri-implant bone resorption and the index of Red Aesthetic Standard were evaluated， respectively.

Results

There were significant differences in bone resorption and red aesthetic index between the two groups after implant restoration. Bone resorption around implants using platform switching was significantly less than that using platform butt-joint， and aesthetic index of the former group was higher than the later one.

Conclusion

Dental implants using platform switching placed into the maxillary esthetic area were able to preserve better marginal bone and acquired better aesthetic effect.

Key words: Esthetic zone, Single-tooth implant, Platform switching, Bone resorption

Yalin Wu, Zhibin Luo, Xiumei Zhuang, Qin Liu, Ke Wang, Xin Xie, Feilong Deng. Clinical comparison of different abutment connection on peri-implant tissues[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2014, 8(04): 301-305.

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URL: https://zhkqyxyjzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-1366.2014.04.007

https://zhkqyxyjzz.cma-cmc.com.cn/EN/Y2014/V8/I04/301

Figures/Tables 8

评分项目	得分
评分项目	0分	1分	2分
近中龈乳头	缺失	不完全	完全
远中龈乳头	缺失	不完全	完全
软组织龈缘水平程度	＞2mm	1～2mm	＜1mm
软组织轮廓	不自然	尚可	自然
牙槽骨丰隆度	明显	轻度	无差异
牙龈颜色	明显差异	轻微差异	无差异
牙龈质地	明显差异	轻微差异	无差异

组别	种植体（枚）	最小值	最大值	骨吸收量	统计量
平台转换组	54	-0.83	-1.35	0.51±0.05	t=15.73
传统基台组	56	-0.74	-3.07	1.77±0.07	P＜0.01^a

组别	切牙	尖牙	前磨牙	统计量
平台转换组	0.49±0.08	0.44±0.07	0.62±0.07	F=1.06，P=0.35
传统基台组	1.91±0.09	1.65±0.15	1.59±0.09	F=2.44，P=0.098
统计量	Z=-6.33，	t=-7.49，	t=-8.48，
	P＜0.01^a	P＜0.01^a	P＜0.01^a

组别	窄颈	常规颈	统计量
平台转换组	0.44±0.40	1.78±0.54	Z=-1.86，P=0.062
传统基台组	0.60±0.23	1.75±0.41	t=-0.22，P=0.825

组别	种植体（枚）	最大值	最小值	PES（ $\overset{ˉ}{x}$ ±s）	统计量
平台转换组	54	14	8	11.39±1.23	Z=-7.57
传统基台组	56	12	8	9.27±0.75	P＜0.01^a

组别	种植体（枚）	最大值	最小值	PES（ $\overset{ˉ}{x}$ ±s）	统计量
平台转换组	54	14	8	11.39±1.23	Z=-7.57
传统基台组	56	12	8	9.27±0.75	P＜0.01^a

组别	切牙	尖牙	前磨牙	统计量
平台转换组	9.07±0.80	9.69±0.63	9.29±0.61	Z=0.83，P=0.662
传统基台组	11.50±1.14	11.07±1.53	11.54±1.05	Z=8.80，P=0.012^a
统计量	Z=-5.78，	Z=-2.67，	Z=-4.09，
	P＜0.01^a	P＜0.05^a	P＜0.01^a

References 18

［1］	Lazzara RJ， Porter SS. Platform switching：a new concept in implant dentistry for controlling postrestorative crestal bone levels［J］. Int J Periodontics Restorative Dent， 2006，26（1）：9-17.
［2］	Serrano-Sánchez P， Calvo-Guirado JL， Manzanera-Pastor E， et al. The influence of platform switching in dental implants. A literature review ［J］. Med Oral Patol Oral Cir Bucal， 2011，16（3）：e400-e405.
［3］	Albrektsson T， Zarb G， Worthington P， et al. The long-term efficacy of currently used dental implants：a review and proposed criteria of success［J］. Int J Oral Maxillofac Implants，1986，1（1）：11-25.
［4］	Furhauser R， Florescu D， Benesch T， et al. Evaluation of soft tissue around single-tooth implant crowns：the pink esthetic score ［J］. Clin Oral Implants Res， 2005，16（6）：639-644.
［5］	Pessoa RS， Vaz LG， Marcantonio E Jr， et al. Biomechanical evaluation of platform switching in different implant protocols：computed tomography-based three-dimensional finite element analysis ［J］. Int J Oral Maxillofac Implants， 2010，25（5）：911-919.
［6］	Maeda Y， Horisaka M， Yagi K. Biomechanical rationale for a single implant-retained mandibular overdenture：an in vitro study［J］. Clin Oral Implants Res， 2008，19（3）：271-275.
［7］	Covani U， Marconcini S， Crespi R， et al. Bacterial plaque colonization around dental implant surfaces ［J］. Implant Dent，2006，15（3）：298-304.
［8］	Vandeweghe S， De Bruyn H. A within-implant comparison to evaluate the concept of platform switching：a randomised controlled trial［J］. Eur J Oral Implantol， 2012，5（3）：253-262.
［9］	Sorni-Bröker M， Peñarrocha-Diago M， Peñarrocha-Diago M.Factors that influence the position of the peri-implant soft tissues：a review［J］. Med Oral Patol Oral Cir Bucal， 2009，14（9）：e475-e479.
［10］	Rodríguez-Ciurana X， Vela-Nebot X， Segalà-Torres M， et al.The effect of interimplant distance on the height of the interimplant bone crest when using platform-switched implants［J］. Int J Periodontics Restorative Dent， 2009，29（2）：141-151.
［11］	Rodríguez X， Vela X， Calvo-Guirado JL， et al. Effect of platform switching on collagen fiber orientation and bone resorption around dental implants：a preliminary histologic animal study ［J］. Int J Oral Maxillofac Implants， 2012，27（5）：1116-1122.
［12］	Linkevicius T， Apse P， Grybauskas S， et al. Influence of thin mucosal tissues on crestal bone stability around implants with platform switching：a 1-year pilot study ［J］. J Oral Maxillofac Surg， 2010，68（9）：2272-2277.
［13］	Andersen E， Saxegaard E， Knutsen BM， et al. A prospective clinical study evaluating the safety and effectiveness of narrowdiameter threaded implants in the anterior region of the maxilla［J］. Int J Oral Maxillofac Implants， 2001，16（2）：217-224.
［14］	Yu W， Jang YJ， Kyung HM. Combined influence of implant diameter and alveolar ridge width on crestal bone stress：a quantitative approach ［J］. Int J Oral Maxillofac Implants， 2009，24（1）：88-95.
［15］	Petrie CS， Williams JL. Comparative evaluation of implant designs：influence of diameter， length， and taper on strains in the alveolar crest. A three-dimensional finite-element analysis［J］. Clin Oral Implants Res， 2005，16（4）：486-494.
［16］	Baggi L， Cappelloni I， Di Girolamo M， et al. The influence of implant diameter and length on stress distribution of osseointegrated implants related to crestal bone geometry：a three-dimensional finite element analysis ［J］. J Prosthet Dent，2008，100（6）：422-431.
［17］	Hsu JT， Fuh LJ， Lin DJ， et al. Bone strain and interfacial sliding analyses of platform switching and implant diameter on an immediately loaded implant：experimental and threedimensional finite element analyses［J］. J Periodontol， 2009，80（7）：1125-1132.
［18］	Canullo L， Fedele GR， Iannello G， et al. Platform switching and marginal bone-level alterations：the results of a randomized-controlled trial ［J］. Clin Oral Implants Res， 2010，21（1）：115-121.

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