Recommendations for Implant-Supported Full-Arch Rehabilitations in Edentulous Patients: The Oral Reconstruction Foundation Consensus Report.

The tasks of Working Groups 1 to 6 at the 4th Consensus Meeting of the Oral Reconstruction Foundation were to elucidate clinical recommendations for implant-supported full-arch rehabilitations in edentulous patients. Six systematic/narrative reviews were prepared to address the following subtopics: (1) the influence of medical and geriatric factors on implant survival; (2) the prevalence of peri-implant diseases; (3) the influence of material selection, attachment type, interarch space, and opposing dentition; (4) different interventions for rehabilitation of the edentulous maxilla; (5) different interventions for rehabilitation of the edentulous mandible; and (6) treatment choice and decision-making in elderly patients. Consensus statements, clinical recommendations, and implications for future research were determined based on structured group discussions and plenary session approval.

Influence of implant neck and abutment characteristics on peri-implant tissue health and stability. Oral reconstruction foundation consensus report.

OBJECTIVE: The aim of this consensus meeting was to assess the influence of implant neck and abutment characteristics on peri-implant tissue health and stability. MATERIAL AND METHODS: Group and plenary discussions were based on two systematic reviews focusing on the effect of titanium implants with different collar designs/surface modifications and the abutment material on the stability of marginal bone levels (MBLs), peri-implant health, and survival rates. RESULTS: The changes in MBLs were not influenced by the abutment material and were also similar at one- and two-piece implants after one year of loading. Rough collar implants improved MBLs in comparison to machined collar implants. Additional modifications of the collar had no beneficial clinical effect on MBLs. Titanium abutments were associated with significantly higher increases in bleeding on probing when compared with zirconia abutments. CONCLUSION: MBLs are mainly influenced by the microstructure (i.e., rough surfaced) of the implant neck. Consensus statements and specific recommendations for future research were elaborated during the consensus meeting.

Accuracy of Three-Dimensional Printed Templates for Guided Implant Placement Based on Matching a Surface Scan with CBCT.

BACKGROUND: Reference elements are necessary to transfer a virtual planning into reality for guided implant placement. New systems allow matching optical scans with three-dimensional radiographic images. PURPOSE: To test whether digitally designed three-dimensional printed templates (D-temp) fabricated by matching surface scans and cone beam computed tomography (CBCT) images differ from the templates fabricated in-lab (L-temp) by using a physical transfer device for the positioning of the guiding sleeves. MATERIALS AND METHODS: L-temp were fabricated for eight human lower cadaver-jaws applying a digital planning software program (smop, Swissmeda AG, Zürich, Switzerland) using a Lego® (Lego Group, KIRKBI A/S, Billund, Denmark) brick as reference element and the respective transfer device (X1-table). Additionally, digital templates (D-temp) using the identical planning data sets and software were virtually designed and three-dimensional printed, after matching a surface scan with CBCT data. The accuracy of both templates for each planning was evaluated determining the estimated coronal, apical, and angular deviation if templates were used for implant placement. RESULTS: Mean coronal deviations for L-temp were 0.31 mm (mesial/distal), 0.32 mm (lingual/buccal), and 0.16 mm and 0.23 mm for D-temp, respectively. The mean apical deviations for L-temp were 0.50 mm (mesial/distal), 0.50 mm (lingual/buccal). and 0.25 mm and 0.34 mm for the D-temp, respectively. Differences between both devices were statistically significant (p < .05). CONCLUSIONS: A higher accuracy of implant placement can be achieved by using three-dimensional printed templates produced by matching a surface scan and CBCT as compared with templates which use physical elements transferring the virtual planning into reality.

Impact of abutment microstructure and insertion depth on crestal bone changes at nonsubmerged titanium implants with platform switch.

OBJECTIVES: To assess the impact of microgrooved abutments and the insertion depth on crestal bone changes at titanium implants with platform switch. MATERIALS AND METHODS: A total of n = 3 titanium implants (conical abutment connection) were inserted in each hemimandible of n = 6 foxhounds with the implant shoulder (IS) located at either epicrestal, supracrestal (+1 mm), or subcrestal (-1 mm) positions and randomly (split-mouth design) connected with machined or partially microgrooved healing abutments. At 20 weeks, tissue biopsies were processed for histological (primary outcome: net bone loss - NET) analyses. RESULTS: Subcrestal positioning of IS tended to be associated with higher mean NET values (mm) at both machined (subcrestal [-0.72 ± 0.32] > epicrestal [-0.34 ± 0.21] > supracrestal [+0.20 ± 0.64]) and microgrooved (subcrestal [-0.48 ± 0.25] > epicrestal [-0.13 ± 0.54] > supracrestal [+0.33 ± 0.58]) abutments. However, these differences failed to reach statistical significance. CONCLUSIONS: The insertion depth may have a direct influence on crestal bone-level changes at both types of abutments investigated.