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Esthetic Outcome of Implant Supported Crowns With and Without Peri-Implant Conditioning Using Provisional Fixed Prosthesis: A Randomized Controlled Clinical Trial.
Furze, David; Byrne, Ashley; Alam, Sonia; Wittneben, Julia-Gabriela.
Afiliação
  • Furze D; Private practice, Dorset, United Kingdom.
  • Byrne A; dental technician, Byrnes Dental Laboratory, Oxford, United Kingdom.
  • Alam S; private practice, Dorset, United Kingdom.
  • Wittneben JG; Senior lecturer, Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
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 AND

METHODS:

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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Condicionamento de Tecido Mole Oral / Implantes Dentários / Prótese Dentária / Coroas / Estética Dentária Tipo de estudo: Clinical_trials Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Condicionamento de Tecido Mole Oral / Implantes Dentários / Prótese Dentária / Coroas / Estética Dentária Tipo de estudo: Clinical_trials Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2016 Tipo de documento: Article