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Implant and Abutment Surfaces

Video highlights

  • Factors controlling osseointegration
  • Influences of implant surfaces
  • Influences of abutment surfaces
  • New surfaces on implants and abutments

References

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[12] López-Marí L, Calvo-Guirado JL, Martín-Castellote B, Gomez-Moreno G, López-Marí M. Implant platform switching concept: an updated review. Med Oral Patol Oral Cir Bucal. 2009 Sep 1;14(9):e450-4. PMID: 19718008.

[13] Linkevicius T, Puisys A, Steigmann M, Vindasiute E, Linkeviciene L. Influence of Vertical Soft Tissue Thickness on Crestal Bone Changes Around Implants with Platform Switching: A Comparative Clinical Study. Clin Implant Dent Relat Res. 2015 Dec;17(6):1228-36. doi: 10.1111/cid.12222. Epub 2014 Mar 28. PMID: 24673875.

[14] Gamborena I, Sasaki Y, Blatz MB. Transmucosal abutments in the esthetic zone: Surgical and prosthetic considerations. J Esthet Restor Dent. 2023 Jan;35(1):148-157. doi: 10.1111/jerd.13006. Epub 2023 Jan 11. PMID: 36628558.

[15] Souza AB, Tormena M, Matarazzo F, Araújo MG. The influence of peri-implant keratinized mucosa on brushing discomfort and peri-implant tissue health. Clin Oral Implants Res. 2016 Jun;27(6):650-5. doi: 10.1111/clr.12703. Epub 2015 Oct 16. PMID: 26474541.

[16] Lin GH, Chan HL, Wang HL. The significance of keratinized mucosa on implant health: a systematic review. J Periodontol. 2013 Dec;84(12):1755-67. doi: 10.1902/jop.2013.120688. Epub 2013 Mar 1. PMID: 23451989.

[17] Baqain ZH, Moqbel WY, Sawair FA. Early dental implant failure: risk factors. Br J Oral Maxillofac Surg. 2012 Apr;50(3):239-43. doi: 10.1016/j.bjoms.2011.04.074. Epub 2011 May 25. PMID: 21612850.

[18] Thoma DS, Naenni N, Benic GI, Hämmerle CH, Jung RE. Soft tissue volume augmentation at dental implant sites using a volume stable three-dimensional collagen matrix - histological outcomes of a preclinical study. J Clin Periodontol. 2017 Feb;44(2):185-194. doi: 10.1111/jcpe.12635. Epub 2017 Jan 3. PMID: 27716970.

[19] Thoma DS, Mühlemann S, Jung RE. Critical soft-tissue dimensions with dental implants and treatment concepts. Periodontol 2000. 2014 Oct;66(1):106-18. doi: 10.1111/prd.12045. PMID: 25123764.

[20] Thoma DS, Buranawat B, Hämmerle CH, Held U, Jung RE. Efficacy of soft tissue augmentation around dental implants and in partially edentulous areas: a systematic review. J Clin Periodontol. 2014 Apr;41 Suppl 15:S77-91. doi: 10.1111/jcpe.12220. PMID: 24641003.

[21] Kan JYK, Yin S, Rungcharassaeng K, Zucchelli G, Urban I, Lozada J. Facial implant gingival level and thickness changes following maxillary anterior immediate tooth replacement with scarf-connective tissue graft: A 4-13-year retrospective study. J Esthet Restor Dent. 2023 Jan;35(1):138-147. doi: 10.1111/jerd.12996. Epub 2022 Dec 13. PMID: 36511151.

[22] Milleret V, Lienemann PS, Bauer S, Ehrbar M. Quantitative in vitro comparison of the thrombogenicity of commercial dental implants. Clin Implant Dent Relat Res. 2019 Mar;21 Suppl 1:8-14. doi: 10.1111/cid.12737. Epub 2019 Feb 28. PMID: 30816636.

[23] Roffel S, Wu G, Nedeljkovic I, Meyer M, Razafiarison T, Gibbs S. Evaluation of a novel oral mucosa in vitro implantation model for analysis of molecular interactions with dental abutment surfaces. Clin Implant Dent Relat Res. 2019 Mar;21 Suppl 1(Suppl Suppl 1):25-33. doi: 10.1111/cid.12750. Epub 2019 Mar 12. PMID: 30859688; PMCID: PMC6594065.

[24] Susin C, Finger Stadler A, Musskopf ML, de Sousa Rabelo M, Ramos UD, Fiorini T. Safety and efficacy of a novel, gradually anodized dental implant surface: A study in Yucatan mini pigs. Clin Implant Dent Relat Res. 2019 Mar;21 Suppl 1:44-54. doi: 10.1111/cid.12754. Epub 2019 Mar 12. PMID: 30860675.

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[26] Touati B. Ethics in treatment planning. Pract Proced Aesthet Dent. 2005 Mar;17(2):90. PMID: 15918299.

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[33] Karl M, Albrektsson T. Clinical Performance of Dental Implants with a Moderately Rough (TiUnite) Surface: A Meta-Analysis of Prospective Clinical Studies. Int J Oral Maxillofac Implants. 2017 Jul/Aug;32(4):717-734. doi: 10.11607/jomi.5699. PMID: 28708905.

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Clinical topics

Implant surfaces

Questions

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Anonymous
25.02.2024 | 22:57

Do you have an opinion concerning the use of water pick around implants, especially older non-Zeal surface implants.

I have seen patients of mine that have had stable implants close to 15 years starting to show sudden marginal bone loss months after the use of a waterpik.  I have always been nervous having the roughened implant surface carried up to the implant collar.

Show Answers

I have seen patients of mine that have had stable implants close to 15 years starting to show sudden marginal bone loss months after the use of a waterpik.  I have always been nervous having the roughened implant surface carried up to the implant collar.

Profile picture for user glenliddelow

I haven't seen any sudden bone loss with the use of a waterpik in fact, we actively recommend the use of a waterjet device especially for full arch rehabilitations and have noted greatly improved plaque control. If the periimplant mucosa was especially thin and the patient was quite aggressive with the jet then maybe? We have seen bone loss with floss pieces wrapped around the abutment.

I agree that having a rough surface at the collar is not ideal particularly  for patients with a higher risk profile for peri-implantitis so have tended to favour the PMC collar with TiUnite and now the TiUltra surface.