Comparative Soft and Hard Tissue Responses to Titanium and Polymer Healing Abutments

2011 ◽  
Vol 37 (sp1) ◽  
pp. 174-182 ◽  
Author(s):  
Theofilos Koutouzis ◽  
Joseph Richardson ◽  
Tord Lundgren
Keyword(s):  
Soft Tissue ◽  
Prospective Trial ◽  
Material Composition ◽  
Limited Information ◽  
Hard Tissue ◽  
Tissue Responses ◽  
Bone Level ◽  
Marginal Bone Level

Limited information exists regarding soft tissue and hard tissue responses to abutments with different material composition. The aim of this study is to evaluate soft and hard tissue responses to titanium and polymer healing abutments over a 3-month period. Sixteen patients were included in this prospective trial. Implants were provisionalized with either titanium or polymer healing abutments. Changes of marginal bone level and soft tissue dimensions were recorded at implant installation and at 3 months.

scholarly journals Five Degree Internal Conical Connection and Marginal Bone Stability around Subcrestal Implants: A Retrospective Analysis

Materials ◽  
2020 ◽  
Vol 13 (14) ◽  
pp. 3123
Author(s):  
Diego Lops ◽  
Michele Stocchero ◽  
Jason Motta Jones ◽  
Alessandro Freni ◽  
Antonino Palazzolo ◽  
...  
Keyword(s):  
Clinical Evidence ◽  
Multiple Regression Model ◽  
Vertical Position ◽  
Limited Information ◽  
Conical Connection ◽  
Bone Level ◽  
Platform Switching ◽  
Marginal Bone Level

Background: There is limited information on the effect of the connection between subcrestally placed implants and abutments on marginal bone levels. The aim of the present retrospective study was to evaluate marginal bone levels after definitive prosthesis delivery around implants with an internal 5° conical connection placed in a subcrestal position. Materials and methods: Patients treated with fixed prostheses supported by implants placed at a subcrestal level between 2012 and 2018 were recalled for a follow-up examination. All implants had 5° internal conical connection with platform switching. Radiographic marginal bone level (MBL) was measured. MBL change between prosthetic delivery (t0) and follow-up examination (t1) was calculated. A multiple regression model was performed to identify the most significant predictors on MBL change. Results: Ninety-three patients and 410 implants, with a mean follow-up of 2.72 ± 1.31 years, were examined. Mean MBL was −1.09 ± 0.65 mm and −1.00 ± 0.37 mm at t0 and t1, respectively, with a mean bone remodeling of 0.09 ± 0.68 mm. An implant’s vertical position in relation to the bone crest, the year of follow up and the presence of type-2 controlled diabetes were demonstrated to be influencing factors for MBL modifications. Conclusions: Subcrestally placed implants with platform switching and internal conical connection maintained stable bone levels over a mean follow-up of more than 2 years. How a tight internal conical connection between abutment and implant may contribute to this clinical evidence should be more deeply investigated. MBL variations seem to be mostly influenced by an implant’s vertical position and presence of type-2 controlled diabetes.

A 3-Year Multicenter Study of Marginal Bone Level and Soft Tissue Health of a 1-Piece Implant

2013 ◽  
Vol 22 (4) ◽  
pp. 366-373 ◽  
Author(s):  
Russell A. Baer ◽  
Richard Shanaman ◽  
Paul K. Clark ◽  
Michael Medley
Keyword(s):  
Soft Tissue ◽  
Multicenter Study ◽  
Bone Level ◽  
Marginal Bone Level

scholarly journals Immediate Placement and Loading of Maxillary Single- Tooth Implants: A 3-Year Prospective Study of Marginal Bone Level

2014 ◽  
Vol 15 (2) ◽  
pp. 202-208 ◽  
Author(s):  
Antoine N Berberi ◽  
Ziad N Noujeim ◽  
Wasfi H Kanj ◽  
Rita J Mearawi ◽  
Ziad A Salameh
Keyword(s):  
Soft Tissue ◽  
Bone Loss ◽  
Prospective Study ◽  
Marginal Bone Loss ◽  
Anterior Maxilla ◽  
Time Period ◽  
Immediate Placement ◽  
Single Tooth ◽  
Bone Level ◽  
Marginal Bone Level

ABSTRACT Aim The purpose of this study was to evaluate marginal bone level around single-tooth implants placed in anterior maxilla and immediately restored. Materials and Methods Twenty implants were placed in 20 patients (8 men and 12 women) that were selected for this study. Following atraumatic non-surgical extraction of tooth, all patients immediately received implants and the definitive prefabricated abutment was placed. Implant position was transferred to the scanning unit of the CAD/CAM system using prefabricated surgical guide. Temporary crowns were immediately fabricated and cemented. Eight weeks later final crowns were luted. Outcome assessment as implant survival and level of marginal bone radiographic evaluations were performed at 8 weeks, 1 and 3 years time period after loading. Results All implants placed osseointegrated successfully after 3 years of functional loading. The mean marginal bone loss was 0.16 mm (SD, 0.167 mm), 0.275 mm (SD, 0.171 mm) and 0.265 mm (SD, 0.171 mm) at 8 weeks, 1 and 3 years time period respectively. Four out of the 20 implants showed no bone loss. Conclusion Immediate loading technique using the final abutment directly eliminated the need for a second stage surgery and prevented interruption of soft and hard tissue at implant neck, which resulted in better soft tissue response and reduced marginal bone loss. Clinical significance Immediately loaded implants, in fresh extraction sockets by insertion of a provisional restoration on the titanium abutment without any later manipulation, helped to protect the initially forming blood clot and presented a template for soft tissue contouring that resulted in significant reduction of marginal bone resorption and maintenance of soft tissue architecture. How to cite this article Berberi AN, Noujeim ZN, Kanj WH, Mearawi RJ, Salameh ZA. Immediate Placement and Loading of Maxillary Single-Tooth Implants: A 3-Year Prospective Study of Marginal Bone Level. J Contemp Dent Pract 2014;15(2): 202-208.

Soft Tissue Responses and Attachment to Porous Titanium with Different Surface Characteristics

2006 ◽  
Vol 9 (2) ◽  
pp. 127-134
Author(s):  
Yao Wu ◽  
Hu Li ◽  
Tun Yuan ◽  
Chunlin Deng ◽  
Bangcheng Yang ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Surface Characteristics ◽  
Porous Titanium ◽  
Tissue Responses

scholarly journals Effect of Point-Spread Function Reconstruction for Indeterminate PSMA-RADS-3A Lesions on PSMA-Targeted PET Imaging of Men with Prostate Cancer

Diagnostics ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 665
Author(s):  
Wajahat Khatri ◽  
Hyun Woo Chung ◽  
Rudolf A. Werner ◽  
Jeffrey P. Leal ◽  
Kenneth J. Pienta ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Soft Tissue ◽  
Point Spread Function ◽  
Prospective Trial ◽  
Blood Pool ◽  
True Positive ◽  
Point Spread ◽  
Standardized Uptake Values ◽  
Spread Function

Purpose: Prostate-specific membrane antigen (PSMA) positron emission tomography (PET) is emerging as an important modality for imaging patients with prostate cancer (PCa). As with any imaging modality, indeterminate findings will arise. The PSMA reporting and data system (PSMA-RADS) version 1.0 codifies indeterminate soft tissue findings with the PSMA-RADS-3A moniker. We investigated the role of point-spread function (PSF) reconstructions on categorization of PSMA-RADS-3A lesions. Methods: This was a post hoc analysis of an institutional review board approved prospective trial. Around 60 min after the administration of 333 MBq (9 mCi) of PSMA-targeted 18F-DCFPyL, patients underwent PET/computed tomography (CT) acquisitions from the mid-thighs to the skull vertex. The PET data were reconstructed with and without PSF. Scans were categorized according to PSMA-RADS version 1.0, and all PSMA-RADS-3A lesions on non-PSF images were re-evaluated to determine if any could be re-categorized as PSMA-RADS-4. The maximum standardized uptake values (SUVs) of the lesions, mean SUVs of blood pool, and the ratios of those values were determined. Results: A total of 171 PSMA-RADS-3A lesions were identified in 30 patients for whom both PSF reconstructions and cross-sectional imaging follow-up were available. A total of 13/171 (7.6%) were re-categorized as PSMA-RADS-4 lesions with PSF reconstructions. A total of 112/171 (65.5%) were found on follow-up to be true positive for PCa, with all 13 of the re-categorized lesions being true positive on follow-up. The lesions that were re-categorized trended towards having higher SUVmax-lesion and SUVmax-lesion/SUVmean-blood-pool metrics, although these relationships were not statistically significant. Conclusions: The use of PSF reconstructions for 18F-DCFPyL PET can allow the appropriate re-categorization of a small number of indeterminate PSMA-RADS-3A soft tissue lesions as more definitive PSMA-RADS-4 lesions. The routine use of PSF reconstructions for PSMA-targeted PET may be of value at those sites that utilize this technology.

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