Effect of Implant-Abutment Connection Type on Bone Around Dental Implants in Long-Term Observation

2019 ◽  
Vol 28 (5) ◽  
pp. 430-436
Author(s):  
Adam Szyszkowski ◽  
Marcin Kozakiewicz
Keyword(s):  
Dental Implants ◽  
Implant Abutment ◽  
Connection Type ◽  
Long Term Observation

scholarly journals Influence of Connection Type and Platform Diameter on Titanium Dental Implants Fatigue: Non-Axial Loading Cyclic Test Analysis

2020 ◽  
Vol 17 (23) ◽  
pp. 8988
Author(s):  
Ana I. Nicolas-Silvente ◽  
Eugenio Velasco-Ortega ◽  
Ivan Ortiz-Garcia ◽  
Alvaro Jimenez-Guerra ◽  
Loreto Monsalve-Guil ◽  
...  
Keyword(s):  
Dental Implants ◽  
Axial Loading ◽  
Test Analysis ◽  
Load Limit ◽  
Implant Abutment ◽  
Connection Type ◽  
Number Of Cycles ◽  
Oblique Load ◽  
Titanium Dental Implants

Two-pieces dental implants must provide stability of the implant-abutment-interface. The connection type and platform diameter could influence the biomechanical resistance and stress distribution. This study aims to evaluate the fatigue for different types of connections, external and internal, and different platform diameters. Three implant designs with the same length were used: (a) external hexagon/narrow platform; (b) internal double hexagon/narrow platform; (c) internal octagon/regular platform. A fatigue test was developed to establish the number of cycles needed before fracture. A 30º oblique load with a sinusoidal function of fatigue at a frequency of 15 Hz and 10% stress variation was applied to each system. The fatigue load limit (FLL) for design (a) was 190 N, being the nominal-curvature-moment (NCM) = 1.045; FLL = 150 N, with a NCM = 0.825 for (b), and FLL = 325 N, with a NCM = 1.788 for (c). The platform diameter affects the FLL, obtaining lower FLL on a narrow platform. The connection type interferes with the implant walls’ width, especially in narrow implants, making internal connections more unstable at this level. Long-term clinical studies to assess the restoration’s success rate and survival are mandatory.

scholarly journals Does Implant-Abutment Interface affect Marginal Bone Levels around Implants?

2019 ◽  
Vol 13 (01) ◽  
pp. 047-052 ◽  
Author(s):  
Eser Elemek ◽  
Artun Urgancioglu ◽  
Janberd Dincer ◽  
Altug Cilingir
Keyword(s):  
Bone Loss ◽  
Dental Implants ◽  
Marginal Bone Loss ◽  
Single Crown ◽  
Implant Abutment ◽  
Different Types ◽  
Group A ◽  
Group B ◽  
Switch Group

Abstract Objective The use of dental implants with different types of surface roughness and implant-abutment interface has brought about a situation of marginal bone loss. Therefore, the aim of this study was to analyze and compare marginal bone levels of different types of osseointegrated dental implants with platform switch (Group A: Ankylos, Mannheim, Germany) and platform match (Group B: Dentsply Xive, Mannheim, Germany, and Group C: MIS Implant Technologies, Karmiel, Israel). Materials and Methods One hundred and seven patients (52 men and 55 women) with a mean age of 54.79 (standard deviation ± 12.35) years and a total of 321 dental implants (Group A, n = 198; Group B, n = 58; and Group C, n = 65) placed in a private practice between April 2006 and May 2015 were retrospectively analyzed. In addition to demographic information and implant characteristics, marginal bone levels were evaluated by Image J (Wayne Rasband, National Institute of Health, Maryland) program. Results The mean age of all patients was 54.79 ± 12.35 years, and 51.5% of them were women. Implants supporting fixed bridge were most commonly used in all groups (65%), whereas only 20% were restored with a single crown and 15% with overdentures. In total, 47.5% of all implants showed no marginal bone loss. Mean bone loss in Group A was significantly lower (0.81 ± 1.60 mm) as compared to Group B (1.58 ± 1.59 mm) and Group C (1.18 ± 1.36) (p < 0.005). Conclusion Among different types of dental implants, platform switch seems to preserve marginal bone levels and increase the long-term success of dental implants.

scholarly journals Long-term Observation of Porous Sapphire Dental Implants

2008 ◽  
Vol 49 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Toshiyuki Takahashi ◽  
Toru Sato ◽  
Ryuichi Hisanaga ◽  
Otoaki Miho ◽  
Yuta Suzuki ◽  
...  
Keyword(s):  
Dental Implants ◽  
Long Term Observation

scholarly journals SAT0137 Long-term observation of fibromyalgia patients

2001 ◽  
Author(s):  
L Szczepanski ◽  
C Stepniak ◽  
B Targonska-Stepniak
Keyword(s):  
Long Term Observation

scholarly journals Titanium Wear of Dental Implants from Placement, under Loading and Maintenance Protocols

2021 ◽  
Vol 22 (3) ◽  
pp. 1067
Author(s):  
Georgios Romanos ◽  
Gerard Fischer ◽  
Rafael Delgado-Ruiz
Keyword(s):  
Adverse Effects ◽  
Inflammatory Response ◽  
Dental Implants ◽  
Soft Tissues ◽  
Loading Conditions ◽  
Material Change ◽  
Implant Placement ◽  
Implant Abutment ◽  
Hard Tissues ◽  
Titanium Nanoparticles

The objective of this review was to analyze the process of wear of implants leading to the shedding of titanium particles into the peri-implant hard and soft tissues. Titanium is considered highly biocompatible with low corrosion and toxicity, but recent studies indicate that this understanding may be misleading as the properties of the material change drastically when titanium nanoparticles (NPs) are shed from implant surfaces. These NPs are immunogenic and are associated with a macrophage-mediated inflammatory response by the host. The literature discussed in this review indicates that titanium NPs may be shed from implant surfaces at the time of implant placement, under loading conditions, and during implant maintenance procedures. We also discuss the significance of the micro-gap at the implant-abutment interface and the effect of size of the titanium particles on their toxicology. These findings are significant as the titanium particles can have adverse effects on local soft and hard tissues surrounding implants, implant health and prognosis, and even the health of systemic tissues and organs.

scholarly journals Clinical long-term and patient-reported outcomes of dental implants in oral cancer patients

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Eik Schiegnitz ◽  
Lena Katharina Müller ◽  
Keyvan Sagheb ◽  
Lisa Theis ◽  
Vahide Cagiran ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Oral Cancer ◽  
Cancer Patients ◽  
Dental Implants ◽  
Survival Rates ◽  
Implant Survival ◽  
Implant Placement ◽  
Patient Reported ◽  
Oral Cancer Patients

Abstract Background and purpose The aim of this clinical study was to investigate the clinical long-term and patient-reported outcome of dental implants in patients with oral cancer. In addition, analysis of the influence of radiation therapy, timing of implant insertion, and augmentation procedures on implant survival was performed. Material and methods This retrospective study investigated the clinical outcome of 711 dental implants in 164 oral cancer patients, inserted by experienced surgeons of the Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Germany. Oral health-related quality of life (OHRQoL) was evaluated. Results Cumulative 5-year and 10-year implant survival rates for all included implants were 87.3% and 80.0%. Implants placed straight after ablative surgery (primary implant placement) and implants placed after completing the oncologic treatment (secondary implant placement) showed a comparable implant survival (92.5% vs. 89.5%; p = 0.635). Irradiation therapy had no significant influence on implant survival of secondary placed implants (p = 0.929). However, regarding implant site (native bone vs. augmented bone) and radiation therapy (non-irradiated bone vs. irradiated bone), implants inserted in irradiated bone that received augmentation procedures showed a statistically significant lower implant survival (p < 0.001). Patients reported a distinct improvement in OHRQoL. Conclusions Promising long-term survival rates of dental implants in patients after treatment of oral cancer were seen. In addition, patients benefit in form of an improved OHRQoL. However, bone augmentation procedures in irradiated bone may result in an impaired implants’ prognosis.

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