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.
In 1998 and 1999, the ITI DENTAL IMPLANT SYSTEM underwent its greatest modification since it came into existence. Prosthetic possibilities with regard to implant position transfer and master-cast manufacturing have been considerably enlarged by synOcta, surgical instruments have been improved in a multitude of ways and, by introducing SLA, the sand-blasted, large grit, acid-etched surface for oral implants which shortens time to loading by 50%, the ITI and Straumann have achieved a major breakthrough in surface technology.
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.
K E Y W O R D S
bone-implant interactions, clinical trials, soft tissue-implant interactions
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