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Soft Tissue Healing Around Platform Matched And Switched Dental Implants
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Book Synopsis Soft Tissue Healing Around Platform Matched and Switched Dental Implants by : Hsiu-Wan Meng
Download or read book Soft Tissue Healing Around Platform Matched and Switched Dental Implants written by Hsiu-Wan Meng and published by . This book was released on 2013 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Background: Platform switching is an innovative concept in which diameter mismatch is created between the implant body and the crown holder. Recent studies have shown that such a mismatch may prevent crestal bone loss around implants. Although this concept has been applied to clinical practice, its mechanism of action has not been fully understood. Several theories have been suggested to explain its effect on peri-implant tissue; however, no information on the cytokine profiles of the peri-implant crevicular fluid (PICF) around platform switched implants has been documented. The purpose of this study is to investigate soft tissue response around platform switched (PS) implants compared to platform matched (PM) implants.
Book Synopsis Healing of Peri-implant Soft Tissue Around Platformswitching and Platform-matching Single Implants by : Guo-Liang Cheng
Download or read book Healing of Peri-implant Soft Tissue Around Platformswitching and Platform-matching Single Implants written by Guo-Liang Cheng and published by . This book was released on 2017 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: Results: 18 subjects were recruited and completed all the sample collections. The clinical measurements, including PD, mSBI, mPI and PICF volume, all showed a significant improvement over time. However, between-group comparisons were only significant for PD at week-1 and -2 as well as mSBI at week-1, -4 and -6. All these significant between-group differences in PD and mSBI were lower in PS group. Regarding cytokine productions in PICF, significant time-dependent reductions were observed in OPG and IL-1ß on both PM and PS sides. Nevertheless, between-group comparisons showed no significant difference of any target cytokine productions at any time points. Likewise, the results of gene expression displayed no significant difference on any targeted genes between PS and PM sides at any time point examined. However, intra-group comparisons showed only PS side with significantly lower levels of IL-6 and CRP genes at week-6 as compared to week-0. Moreover, both PS and PM sides presented significantly higher levels of RANKL, periostin, and peroxidasin genes at week-6. Conclusion: Within the limits of this study, dental implants with PS design rendered significant benefits over PM implants in terms of PD and mSBI reduction during 6-week healing. However, these benefits could not be reflected in the cytokine and gene expressions because no significant differences were detected between PS and PM sides in this study. It seems that peri-implant soft tissue response around PM and PS implants is mostly similar during the early healing period, especially in respect of cytokine productions and gene expressions.
Book Synopsis A Comparative Evaluation of the Crestal Bone Loss Seen Around Platform Switched and Platform Matched Implants by : Herekar Manisha
Download or read book A Comparative Evaluation of the Crestal Bone Loss Seen Around Platform Switched and Platform Matched Implants written by Herekar Manisha and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Statement of problem: The peri-implant bone level has been used as one of the criteria to assess the success of dental implants. Bone resorption was accepted as a physiologic response to second-stage implant uncovering An average of 1.2 mm of bone loss around submerged two-piece implants in the first year following restoration was noted. The concept of platform switching was proposed to reduce crestal bone loss around implants. Purpose: This study was attempted to study the influence of platform switching on the marginal bone level alterations around implantsMaterials and Methods: 60 implant sites were divided into two groups i.e a test group and a control group. The test group comprised of platform switched implants and the control group comprised of platform matched implants Radiologic assessment was done at varying time intervals after uncovering of the implant.Results: A Comparison of mean bone loss between platform matched and platform switched abutment as noted on the mesial side showed a non-significant difference (p value=0.92) while on the distal side statistically significant difference was noted. Comparison of the results between 2 groups at 1,2 4,6 months of post abutment placement on the distal side showed a statistically significant difference. (p value=0.024).Conclusion: It was noted that bone loss is more in platform matched abutments as compared to platform switched abutments. It can thus be concluded that platform switching results in peri-implant bone preservation and also has esthetic benefits.
Book Synopsis A Clinical Study Evaluating the Bony Changes Around Immediate Implants and a Comparision of the Periimplant Mucosal Changes with Platform Switched and Matched Abutments by : Herekar Manisha
Download or read book A Clinical Study Evaluating the Bony Changes Around Immediate Implants and a Comparision of the Periimplant Mucosal Changes with Platform Switched and Matched Abutments written by Herekar Manisha and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Statement of problem: In immediate implants the major challenge is preservation of bone and peri-implant soft tissue, which provides long term function and esthetics.Purpose: To study the influence of platform switching on soft and hard tissue around immediately placed implants.Material and Methods: 20 immediate implants were divided in 2 groups and restored with matched and switched abutments. The amount of bone gain in area of jumping distance and the changes in buccopalatal bone width was assessed . Measurements of the peri-implant mucosa was done at implant placement, abutment placement and 1 month, 3 month, 6 month post abutment placement Results: Statistical analysis showed a bone gain at the time of stage II surgery (P = .048). 97.19% bone gain at the time of stage II surgery and was statistically significant. Platform matched abutments elicits statistically insignificant change in mesial and distal papilla level and buccal peri-implant mucosa level at different time interval.(p u2265 0.05). Platform switched abutment elicits statistically significant change in mesial and distal papilla level and buccal peri-implant mucosa level at different time interval. Conclusion: This study suggests that platform switching can provide increase in mesial and distal papilla and buccal peri-implant mucosa level along with bone remodeling around implant.
Book Synopsis The Effect of Platform Switching and Crestal Placement on Marginal Bone Loss - a Systematic Review with Meta-analysis by : Itani Sarah
Download or read book The Effect of Platform Switching and Crestal Placement on Marginal Bone Loss - a Systematic Review with Meta-analysis written by Itani Sarah and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Maintaining marginal bone level is a key factor that contributes to the preservation of peri-implant soft tissues and to the prosthetic success. The aim of this study was to systematically review the combined effect of platform switching with implant placement depth on marginal bone loss.An electronic search was conducted up to March 2017. One-piece implants and immediate post-extractive implants were excluded. The mean differences between groups were calculated using the inverse variance method with a random effects model.Twenty studies were included in the meta-analysis. More marginal bone loss was observed around platform-matched implants at 12 months after prosthetic loading (-0.38mm (-0.49; -0.27)). Among platform-switched implants, more marginal bone loss was observed around implants placed subcrestally (-0.67mm (-1.31; -0.03)).Further studies are needed to compare marginal bone loss around (1) platform-matched implants placed at different depths and (2) platform-switched implants placed at crestal versus supracrestal levels.
Book Synopsis Platform Switching In Dental Implants by : Deepanshu Gulati
Download or read book Platform Switching In Dental Implants written by Deepanshu Gulati and published by LAP Lambert Academic Publishing. This book was released on 2015-02-09 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ideal goal of the modern dentistry is to restore the patient oral cavity to normal contour, function, comfort, esthetics, speech and health. All these goals can be achieved with dental implants. But their success depends on peri-implant bone level. Platform switching is a concept where smaller-diameter prosthetic component is connected to a larger-diameter implant platform to create an 90 degree step between the implant and abutment which results in peri-implant hard tissue stability with soft tissue and papilla preservation. This will prevent bacterial accumulation and secondary implantitis. This recent advancement along with change in shape and material of dental implants has made their application wider in dentistry.
Book Synopsis Soft Tissue Healing Around Immediate Implants with Standard Versus Customized Healing Abutment. One-year Outcomes of an Ongoing Randomized Clinical Trial by : Alfonso Caiazzo
Download or read book Soft Tissue Healing Around Immediate Implants with Standard Versus Customized Healing Abutment. One-year Outcomes of an Ongoing Randomized Clinical Trial written by Alfonso Caiazzo and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Objectives: Following tooth extraction, soft and hard tissue alterations occur. This randomized clinical trial aimed at evaluating the soft and hard tissues changes in the esthetic region around immediate implants placed in fresh extraction sockets that received u2013 during the first 4 months of healing - a customized (test) or a standard (control) healing abutment without restoration.Materials and Methods: Patients, who required a single tooth extraction and who received an immediate implant with an alloplastic graft (in situ hardening biphasic calcium phosphate), were randomly assigned to two groups: test group (n=18) that received a customized healing abutment or control group (n=18) that received a standard healing abutment. Clinical and intraoral radiographic examinations were taken immediately after implant placement (baseline) and at 4 and 12 months after implant placement, to assess the peri-implant tissues changes. Results:41 patients were preliminary enrolled, after tooth extractions 5 out of 41 extraction sockets sites were evaluated as not suitable for an immediate implant placement and were excluded from the study. In total 36 patients were randomized in the 2 experimental groups. There were 17 females and 19 males (ranging in age from 23.4 to 77.9), with a mean age of 58 years at the time of implant placement. In total, 28 (77.7%) patients reported to be non-smokers and 8 patients (32,3%) reported to be light smokers (less than 10 cigarettes/day). The two study groups were not balanced for confounding factors, even though at baseline no significant differences were observed between the two groups. No prosthetic or implant failure were registered during the study period with a 100% of survival rate. The test group presented better value of Pink Esthetic Score (PES) at distal papilla sites at 12 months when compared to the control group (p = 0.0002). The mesial and distal Papilla Index (PI) in the customized group were significantly higher than in the standard group at 3 and 12 months (p 0.0002). Regarding the bone tissue, the marginal bone loss at mesial sites was significantly higher in the control group than in the test group (p 0.0014).Conclusion: The use of customized healing abutment demonstrated the most favorable results regarding soft and hard tissue in case of immediate implant in addition to peri-implant bone grafting.
Book Synopsis Osseointegrated Implants in the Treatment of the Edentulous Jaw by :
Download or read book Osseointegrated Implants in the Treatment of the Edentulous Jaw written by and published by . This book was released on 1977 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Zero Bone Loss Concepts by : Tomas Linkevic̆ius
Download or read book Zero Bone Loss Concepts written by Tomas Linkevic̆ius and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Loading Protocols in Implant Dentistry by : Daniel Wismeijer
Download or read book Loading Protocols in Implant Dentistry written by Daniel Wismeijer and published by Quintessenz Verlag. This book was released on 2019-09-03 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: Implant dentistry has become a standard option for the rehabilitation of fully and partially edentulous patients. With the ever-increasing number of dentists involved in implant dentistry, it is essential to ensure that their treatment methods follow the highest standard. The ITI Treatment Guide series, a compendium of evidence-based implant-therapy techniques in daily practice, is written by renowned clinicians and provides a comprehensive overview of various therapeutic options. Using an illustrated step-by-step approach, the ITI Treatment Guide shows practitioners how to manage different clinical situations, with the emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes. The second volume of the ITI Treatment Guide is devoted to the restoration of partially dentate patients. Central to this volume of the ITI Treatment Guide are loading protocols available to the clinician and the patient and how they relate to various treatment indications, including both single and multiple missing teeth in the posterior and anterior regions of the mouth. Among potential topics for upcoming volumes are implant placement in extraction sockets, loading protocols in edentulous patients, implant therapy in the esthetic zone in extended edentulous spaces, and many more.
Book Synopsis Surgical Complications in Oral Implantology by : Louie Al-Faraje
Download or read book Surgical Complications in Oral Implantology written by Louie Al-Faraje and published by Quintessence Publishing (IL). This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This exceptional new book is designed as a self-instruction guide to the diagnosis, management, and prevention of surgery-related complications in implant dentistry. It functions in two ways: First, it is a valuable resource for the implant surgeon seeking practical and succinct information about how to manage a complication in an emergency setting; and second, it can be read from cover to cover as a primer on implant surgery, from the initial consultation and treatment planning through the restorative phase of treatment. Besides addressing pre-, intra-, and postoperative implant surgery complications, the book also includes a comprehensive treatment-planning protocol that allows for the early detection of potential surgical complications and how to avoid them. Early detection of complications that are amenable to rescue therapies may reverse the fate of a failing implant or a bone-grafting procedure. Invaluable for the novice and experienced implant surgeon alike.
Book Synopsis Esthetic Soft Tissue Management of Teeth and Implants by : Andre P. Saadoun
Download or read book Esthetic Soft Tissue Management of Teeth and Implants written by Andre P. Saadoun and published by John Wiley & Sons. This book was released on 2012-08-28 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a step by step guide to success in periodontics and implant dentistry, helping clinicians to create a natural and esthetically pleasing smile for their patients. Starting with a general discussion of facial esthetics and analyzing the dento-gingival constituents of the smile, the book goes on to consider the impact of these on people’s quality of life, both in terms of health and social engagement. Subsequent chapters focus on specific esthetic treatments such as crown lengthening procedures, gingival recession coverage with connective tissue grafts or periodontal regenerative material, and soft tissue management for natural teeth and implants. Highly illustrated with an abundance of supporting photographs, Esthetic Soft Tissue Management of Teeth and Implants is an essential companion for periodontists and other dental specialists, as well as advanced general dentists with an interest in esthetic periodontics and implant dentistry. KEY FEATURES Provides practical coverage of an important and challenging skill in periodontics and implant dentistry Emphasizes the esthetic preservation of the natural dentition as well as implants Includes a comprehensive review of literature on these topics Contains many high quality full color clinical photographs Written by an internationally renowned expert in the field
Book Synopsis Peri-implant Soft Tissues Reaction to Healing Abutments Made from Different Materials by : Sasa Jankovic
Download or read book Peri-implant Soft Tissues Reaction to Healing Abutments Made from Different Materials written by Sasa Jankovic and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Single-stage implant placement protocol involves healing abutmentsu2019 (HA) insertion to allow non-submerged dental implant healing. In addition to osseointegration process, healing of peri-implant soft tissues, as well as soft tissue stability are of a great importance, for the long-term implant success. Routinely, HA made of titanium (Ti) are used. Due to some material related limitations, the aim is to find novel materials that would have the same mechanical properties, but show less biofilm-adhesion affinity and lower local inflammatory soft tissue response. Polyetheretherketone (PEEK) is a thermoplastic polymer that has favorable mechanical characteristics, high biocompatibility and low submissiveness to microorganism adhesion. It has been introduced in implant dentistry as a material for various prosthetic components. The Aim: To compare the formation of dental plaque on PEEK and Ti HA and examine the local inflammatory response of peri-implant soft tissues.Materials and Methods: The study included 11 patients with at least two missing teeth in the posterior regions. In each patient, 2 implants were installed, with PEEK abutment (test group) placed on one implant, while on the other implant, Ti abutment (control group) was placed. 6 months after implant placement, both HA were replaced with new ones and a thin layer of peri-implant soft tissue was sent to histological analysis. For microscopic histological evaluation, biopsies were fixed in 10% neutral-buffered formalin. Three 5-u03bcm-thick paraffin-embedded horizontal sections were cut, dyed with a haematoxylinu2013eosin (HE) stain and analyzed by light microscopy and microscope Nikon Eclipse Ci with control unit DS-L3 and pre-installed software. Following morphological changes were analyzed: presence, localization and intensity of the inflammation. Presence in epithelial and subepithelial tissue was categorized qualitatively (yes/no) and intensity semi-qualitatively (light, medium, intensive).Results: All 11 patients successfully completed the study, without implant loss or implant related complications. Histological immunohistochemical analysis of samples of peri-implant soft tissues showed that all the samples had inflammation in subepithelial tissue. However, inflammatory cells in epithelium were present only in the test group. Semiquantitative analysis showed wary similar distribution of inflammation intensity. Inflammatory responses were classified as u201cintensiveu201d, u201cmediumu201d or u201clightu201d. Intensive inflammatory infiltration in subepithelial tissue in the test group was observed in 90.9% of the specimens, while in the control group it was classified as moderate or weak in 63.3% and 36.4%, respectively. Correlation between intensity, localization and inflammatory cell phenotype showed predominant T-cell proliferation in massive inflammation, with lymphoepithelial lesion in the test group.Conclusion: Both types of HA have been shown to be successful in single-stage implantation protocol. However, contrary to the expectations and preliminary findings from the literature, PEEK healing abutments showed a more pronounced inflammatory response of the surrounding soft tissues compared to Titanium abutments.
Book Synopsis Implants in the Aesthetic Zone by : Todd R. Schoenbaum
Download or read book Implants in the Aesthetic Zone written by Todd R. Schoenbaum and published by Springer. This book was released on 2018-11-19 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book concisely elucidates the science underlying implant treatment in the aesthetic zone in partially edentulous patients and clearly describes the techniques and protocols used by world-leading experts in the field. The book is divided into four parts that address treatment planning; site preparation (hard and soft tissue augmentation); immediate implant placement and provisional restoration; and the design, fabrication, and delivery of the definitive implant prosthesis. Complex cases of this nature present a significant challenge to even the most well informed and experienced of doctors. Implants in the Aesthetic Zone has been specifically crafted to meet all the needs of the clinician involved in their management, providing a reliable road map for interdisciplinary implant treatment in clinical practice. The authors have been carefully selected from a wide range of fields for their expertise in particular areas of implant science or treatment.
Book Synopsis Evidence-Based Implant Dentistry by : Oreste Iocca
Download or read book Evidence-Based Implant Dentistry written by Oreste Iocca and published by Springer. This book was released on 2016-09-28 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all aspects of implant dentistry, presenting up-to-date information that reflects the highest level of scientific evidence as presented in the specialized literature. Among the topics addressed by expert authors are the prognosis of natural tooth versus implant restorations, bone response to implant treatment, placement and loading time, implant design and length, platform design, implant abutments, prosthodontic treatment, reconstructive surgery, and periimplantitis. The amount of data available for the clinician working in the field of implantology is huge and constantly increasing. The task of remaining abreast of the latest evidence and applying it effectively in clinical practice is further hindered by the fact that many scientific papers make contradictory claims and contain methodological flaws and biases that generate confusion and lack of reliability. Against this background, Evidence-Based Implant Dentistry will serve the reader as a dependable and scientifically supported guide to current implant treatment and key issues in the field.
Book Synopsis Immediate Loading by : Tiziano Testori
Download or read book Immediate Loading written by Tiziano Testori and published by Quintessence Publishing (IL). This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered outcomes: the patient's viewpoint / M. Del Fabbro and T. Testori -- Management of the implant patient: state of the art / J. Ganeles, F. Bianchi, and F. Mandelli -- Medicolegal implications and clinical guidelines in immediate loading / M.L. Scarpelli, L. Fumagalli, and M. Del Fabbro -- The Role of computer-assisted surgery / T. Testori, L. Fumagalli, and M. Del Fabbro -- Guidelines for the collection and organization of scientific data / M. Del Fabbro and T. Testori.
Book Synopsis Soft Tissue and Esthetic Considerations in Implant Therapy by : Anthony Sclar
Download or read book Soft Tissue and Esthetic Considerations in Implant Therapy written by Anthony Sclar and published by Quintessence Publishing (IL). This book was released on 2003 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preface; Acknowledgments; Chapter 1: Beyond Osseointegration, Anatomy and Biology of Peri-implant Soft Tissues, Choosing Between a Submerged and Nonsubmerged Approach; Chapter 2: Systematic Evaluation of the Esthetic Implant Patient, A Simplified Approach to Patient Evaluation, Facial and Dental Symmetry, Periodontal Biotype, Anatomic Limitations, Marginal Tissue Recession, Classification of Alveolar Ridge Defects in Esthetic Implant Therapy; Chapter 3: Surgical Techniques for Management of Peri-implant Soft Tissues, Instrumentation for Soft Tissue Management in Implant Therapy, Criteria for Optimal Flap Design in Implant Therapy, Application of Plastic Surgery Principles in Implant Therapy, Flap Management Considerations, Surgical Maneuvers for Management of Peri-implant Soft Tissues, Flap Management Considerations for Mandibular Implant Surgery, Flap Management Considerations for Maxillary Implant Surgery, Flap Design and Management Considerations for Esthetic Implant Therapy; Chapter 4: The Bio-Col Technique, The Importance of Site Preservation, Bio-Col Technique for Delayed Implant Placement, Bio-Col Technique for Immediate Implant Placement, Long-Term Clinical Results Obtained with the Bio-Col Technique, Suggested Refinements, Summary; Chapter 5: Soft Tissue Grafting in Implant Therapy, Periodontal Plastic Surgery, Oral Soft Tissue Grafting with Dental Implants, Modified Palatal Roll Technique for Dental Implants, Epithelialized Palatal Graft Technique for Dental Implants, Subepithelial Connective Tissue Graft Technique for Dental Implants, Summary; Chapter 6: The Vascularized Interpositional Periosteal-Connective Tissue (VIP-CT) Flap, Rationale and Biologic Basis, General Considerations, Potential Complications, Surgical Procedure, Clinical Experience, Summary; Chapter 7: Esthetic Implant Therapy: A Comprehensive Approach, Philosophy of Care, Rationale for Site Preservation, Implant Site-Development Techniques, Prosthetic Considerations for Enhancing Outcomes in Implant Therapy, Surgical Considerations for Enhancing Outcomes in Implant Therapy, Use of Platelet-Rich Plasma to Enhance Outcomes in Implant Therapy, Conceptual Framework for Esthetic Implant Site Development, Appendix: Treatment Algorithms for Esthetic Implant Therapy, Index.
