The coronally positioned flap associated with a subepithelial connective tissue graft or an acellular dermal matrix graft was effective in root coverage. However, the coronally positioned flap associated with a connective tissue graft provided a more favorable clinical outcome. More expanded studies are needed to confirm the present findings.
In the past, aesthetics had a secondary role in implant rehabilitation. Nowadays, the search for a perfect and harmonious aesthetic has stimulated the development of new materials and techniques. Due to this aesthetic requirement, the hybrid abutment (titanium link + zirconia) emerged as an alternative to metallic pillars. The hybrid abutment made a more favorable aesthetic possible, provided reliable mechanical properties, and increased biocompatibility to the surrounding tissues. Additionally, the individual zirconia abutment improves the emergency profile and the final white aesthetics. The objective of this paper is to report a clinical case with a manufactured individualized hybrid abutment for a metal-free indirect restoration, showing the applicability, mechanical properties, and biocompatibility of the hybrid abutment.
Objective: To compare the clinical outcomes of the tunnel technique (TUN) combined with either thin connective tissue graft (C.T.G.) (TUN + thin C.T.G.) (1 mm) or thick C.T.G. (TUN + thick C.T.G.) (2 mm) for the treatment of localized gingival recession (G.R.).Material and methods: Twelve patients, with 24 maxillary localized type RT1 GR were randomly assigned into two groups. Clinical, esthetic, and patient-reported outcomes were evaluated at baseline and at 6month follow-up.Results: The TUN+thin C.T.G. group showed a higher mean G.R. reduction (1.53± 0.66) (primary outcome variable) than the TUN+thick C.T.G. group (1.44± 0.89), but no statistically signi cant difference was detected at the 6-month follow-up (p=0.77). No statistically signi cant differences were found between TUN+thin C.T.G. and TUN+thick C.T.G. concerning complete root coverage (C.R.C.) (58.3% versus 41.7%, respectively), gingival ticknness (G.T.) or Root-coverage Esthetic Score (R.E.S.) at 6 months. Regarding patient-reported outcomes, both groups reported having experienced similar pain at 7 days (p>0.05). No statistically signi cant differences were found between the groups in the analysis of the aesthetic score.Conclusion: Both treatments showed a similar reduction in G.R. In addition, similar C.R.C., G.T., R.E.S., pain and self-reported esthetics were achieved in both groups.Clinical relevance: Application of thin CTG provided a similar result than thick CTG for the treatment of RT1 localized GR.
Análise, por meio da extensometria elétrica, das deformações da estrutura e dos análogos de implantes, na região anterior da maxila, após carga progressiva PIRACICABA 2016 DANILO LAZZARI CIOTTI Análise, por meio da extensometria elétrica, das deformações da estrutura e dos análogos de implantes, na região anterior da maxila, após carga progressiva Tese apresentada à Faculdade de O d o n t o l o g i a d e P i r a c i c a b a d a Universidade Estadual de Campinas como parte dos requisitos para obtenção d o t í t u l o d e D o u t o r e m C l í n i c a Odontológica, na Área de Prótese Dental.
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