Effect of Ti-Base Abutment Gingival Height on Maintenance of Crestal Bone in Thick Biotype Patients: A Randomized Clinical Trial with 1-Year Follow-up.

Purpose: To determine the effect of 0.7- and 2.4-mm transmucosal abutment height titanium bases on the crestal bone stability and peri-implant soft tissue condition of bone-level implants with platform switching in patients with vertically thick soft tissues. Materials and Methods: Sixty bone-level...

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Published in:International Journal of Oral & Maxillofacial Implants Vol. 37; no. 2; pp. 320 - 328
Main Authors: Linkevicius, Tomas, Alkimavicius, Jonas, Linkevicius, Rokas, Gineviciute, Evelina, Linkeviciene, Laura
Format: diagnostic images pictorial research tables/charts randomized controlled trial Journal Article
Published: Quintessence Publishing Company Inc. Mar/Apr2022
Online Access:View this record in EBSCOhost
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      dt: Mar/Apr2022
      vid: 37
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      pub: Quintessence Publishing Company Inc.
      place: Batavia, Illinois
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        10.11607/jomi.9406
        156568712
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        atl: Effect of Ti-Base Abutment Gingival Height on Maintenance of Crestal Bone in Thick Biotype Patients: A Randomized Clinical Trial with 1-Year Follow-up.
      aug:
        au:
          Linkevicius, Tomas
          Alkimavicius, Jonas
          Linkevicius, Rokas
          Gineviciute, Evelina
          Linkeviciene, Laura
        affil: Institute of Odontology, Vilnius University, Vilnius, Lithuania
      sug:
        subj:
          Titanium
          Dental Abutments Methods
          Gingiva
          Dental Implants
          Dental Prosthesis, Implant-Supported
          Human
          Randomized Controlled Trials
          Random Assignment
          Molar
          Bicuspid
          Dental Arch
          Dental Restoration, Permanent
          Radiography, Dental
          Prosthodontics
          Descriptive Statistics
      ab: Purpose: To determine the effect of 0.7- and 2.4-mm transmucosal abutment height titanium bases on the crestal bone stability and peri-implant soft tissue condition of bone-level implants with platform switching in patients with vertically thick soft tissues. Materials and Methods: Sixty bone-level platform-switched implants were placed in the molar and premolar regions of both arches in 60 patients. All epicrestally inserted nonsubmerged implants had a 4.1-mm diameter and, after osteointegration, were randomly allocated into two groups: (1) the short group, with a titanium base of 0.7-mm transmucosal abutment height, and (2) the high group with a 2.4-mm height. Monolithic zirconia restorations were fabricated for all implants. Parallel intraoral radiographs were obtained after the delivery of restorations (T1) and after 1 year (T2). Crestal bone levels and peri-implant soft tissue conditions were calculated for each implant. The significance level was set at α = .05. Results: After 1 year, 55 patients were evaluated, with a mean bone loss of 0.6 ± 0.51 mm (median: 0.71, range: 0 to 2.09 mm) in the short group (23 patients) and 0.45 ± 0.59 mm (median: 0.65, range: 0 to 2.12 mm) in the high group (22 patients), showing no significant difference between groups (P = .168). A significant increase in marginal bone height was noted between the T1 and T2 time points in the short and high (P = .029 and .001, respectively) groups. The peri-implant soft tissue health parameters did not show statistically significant differences. Conclusion: Crestal bone stability after 1 year of follow-up around epicrestally placed platform-switched implants is not influenced by transmucosal abutment height, if the vertical soft tissue thickness is ≥ 3 mm.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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