Esthetic Outcome of Implant Supported Crowns With and Without Peri-Implant Conditioning Using Provisional Fixed Prosthesis: A Randomized Controlled Clinical Trial.
Clin Implant Dent Relat Res
; 18(6): 1153-1162, 2016 Dec.
Article
em En
| MEDLINE
| ID: mdl-26992007
ABSTRACT
BACKGROUND:
Achieving an optimal esthetic result using dental implants is challenging. Fixed implant-supported provisional crowns are often used to customize the emergence profile and to individualize the surrounding peri-implant soft tissue.PURPOSE:
The objective of this study is to evaluate whether the use of a provisional implant-supported crown leads to an esthetic benefit on implants that are placed in the esthetic zone. The null hypothesis is that there is no-difference between the two study groups. MATERIAL ANDMETHODS:
Twenty single implants (Bone Level, Straumann AG, Basel, Switzerland) were inserted in consecutive patients. After reopening, a randomization process assigned them to either cohort group 1 a provisional phase with soft tissue conditioning using the "dynamic compression technique" or cohort group 2 without a provisional. Implants were finally restored with an all-ceramic crown. Follow-up examinations were performed at 3 and 12 months including implant success and survival, clinical, and radiographic parameters.RESULTS:
After 1 year all implants successfully integrated, mean values of combined modPES and WES were 16.7 for group 1 and 10.5 for Group 2. This was statistically significant. Mean bone loss after 1 year was -0.09 and -0.08 for groups 1 and 2, respectively, without being statistically significant.CONCLUSION:
A provisional phase with soft tissue conditioning does improve the final esthetic result.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Condicionamento de Tecido Mole Oral
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Implantes Dentários
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Prótese Dentária
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Coroas
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Estética Dentária
Tipo de estudo:
Clinical_trials
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article