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1.
Compend Contin Educ Dent ; 37(2): S1-12, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26905092

RESUMEN

While, overall, dental implants are highly efficacious, consistently achieving predictable esthetic results can pose color-driven challenges at the implant/soft-tissue interface, particularly in the esthetic zone. An ongoing, 5-year, multicenter (eight sites) prospective study is following a total of 168 implants placed in 120 patients using a novel biomimetic (osteoconductive) implant system with pink collars and abutments that afford better gingival color matching, enhanced design variability, and streamlined fabrication and customization of the abutment/implant-tissue interface. The full results of this study will be published at the 3-year and 5-year timepoints; however, clinical analyses of the 18-month interim survival rates, marginal bone and soft-tissue level changes, and esthetics have been completed, showing an overall success rate among all of the implanted sites of 95.8%. For the three representative cases described in this article (two anterior, one posterior), all of the implant site probing depths were ≤ 3 mm at the final crown placement as well as at 6, 12, and 18 months after implant placement. Facial soft-tissue heights were stable or increased by ≥ 0.86 mm; lingual soft-tissue heights were reduced by ≤ 1.11 mm. Facial and lingual attached-gingiva widths were reduced by ≤ 1.20 mm and ≤ 0.63 mm, respectively. Interproximal marginal alveolar bone levels were stable (gain/loss range: +0.40 to -1.1 mm) from the start of the study through 18 months. Gingival inflammation, bleeding on probing, and plaque were infrequently observed, and esthetic results were uniformly excellent at the 18-month follow-up visit.


Asunto(s)
Biomimética/instrumentación , Color , Diseño Asistido por Computadora , Implantes Dentales , Encía/anatomía & histología , Diseño de Implante Dental-Pilar , Implantación Dental Endoósea , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Programas Informáticos , Resultado del Tratamiento
2.
Dent Today ; 31(12): 64, 66, 68-9, 2012 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23350269

RESUMEN

This article presented the immediate provisional and definitive restoration at 6 weeks of a novel small-diameter titanium-zirconium implant, with a 6-month follow up. The manufacturer purports that the implant described herein has superior mechanical and biological properties that could expand treatment options for small-diameter implants, thus benefiting accelerated protocols by further shortening the total treatment time. Human studies are needed to validate these claims.


Asunto(s)
Coronas , Aleaciones Dentales/química , Implantes Dentales de Diente Único , Restauración Dental Provisional , Carga Inmediata del Implante Dental/métodos , Titanio/química , Circonio/química , Adulto , Diseño Asistido por Computadora , Diente Canino , Diseño de Implante Dental-Pilar , Materiales Dentales/química , Porcelana Dental/química , Diseño de Prótesis Dental , Femenino , Estudios de Seguimiento , Humanos , Maxilar , Planificación de Atención al Paciente , Diente Primario
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