Emergence Profile of the Implant Abutment and Its Effects on the Peri-implant Tissues

Schoenbaum, Todd R.; Alawie, Sam

doi:10.1007/978-3-319-72601-4_11

Cited by 8 publications

(11 citation statements)

References 16 publications

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“…6,7 Among these, the prosthesis contour design appears to significantly affect the shape of peri-implant soft tissue. 8,9 In the ninth edition of the Glossary of Prosthodontic Terms, the emergence profile was defined as "the contour of a tooth or restoration, such as the crown on a natural tooth, dental implant, or dental implant abutment, as it relates to the emergence from circumscribed soft tissues". 10 In the esthetic zone, it has been confirmed that proper emergence profile design might affect the esthetic outcome and longterm stability of soft and hard tissue.…”

Section: Introductionmentioning

confidence: 99%

Influence of buccal emergence profile designs on peri‐implant tissues: A randomized controlled trial

Wang

Tang

Qiu

et al. 2022

Clin Implant Dent Rel Res

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Background: The prosthetic emergence profile design might be an important factor in postsurgical mucosal recession etiology. Therefore, a restorative buccal emergence profile designed correctly might reduce gingival margin recession.Purpose: To compare the marginal gingival level and the width/height (W/H) ratio between two profile configurations of single implant-supported restorations at molar sites.Materials and Methods: Twenty-one patients requiring a single mandibular molar tooth replacement with supracrestal mucosal thickness ≥2 mm were recruited and randomly assigned to a prosthesis buccal emergence profile design based on the buccal mucosal W/H ratio (Test Group) or maintained the original emergence profile of the healing abutment (Control Group). Assessments were made before delivery of the definitive restoration (T0), at prosthesis placement (T1), one (T2), and 12 (T3) months after loading. The gingival margin level change (4GM), initial emergence angle, buccal mucosal W/H ratio, marginal bone loss (MBL), implant failure, and complications were assessed. Results:The gingival recession in the test group (0.13 ± 0.32 mm) was significantly lower than in the control group (0.63 ± 0.38 mm) at T3 (p = 0.006). The initial emergence angle in the test group (31.4 ± 7.22 degrees) was significantly lower than the control group (40.0 ± 7.60 degrees) (p = 0.025). The W/H ratio in the test group at T2 was significantly higher than at T0 but remained stable thereafter. The W/H ratio presented a continued rising trend in the control group.Conclusions: When the initial supracrestal soft tissue thickness was ≥2 mm, a restorative emergence profile based on the W/H ratio significantly reduced gingival margin recession. An emergence angle of 32.4 degrees showed better behavior in maintaining the gingival margin than 40 degrees.

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Section: Introductionmentioning

confidence: 99%

Influence of buccal emergence profile designs on peri‐implant tissues: A randomized controlled trial

Wang

Tang

Qiu

et al. 2022

Clin Implant Dent Rel Res

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“…20,21 Należy również zaznaczyć, że wielu autorów uważa, że kształtowanie profilu wyłaniania za pomocą prawidłowo dobranej, standardowej śruby gojącej jest postępowaniem prawidłowym i wystarczającym w wielu sytuacjach klinicznych. [20][21][22][23][24]…”

Section: Dyskusjaunclassified

Selected possibilities of restoring missing teeth in the anterior region with the use of implant – supported hybrid prostheses – comparative cases review

Rachwalska¹,

Górecka²,

Pihut³

et al. 2021

Prosthodontics

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StreszczenieW artykule opisano trzy przypadki kliniczne leczenia implantoprotetycznego pacjentów, którzy zgłosili się celem uzupełnienia braków zębowych w odcinku przednim szczęki. W związku z lokalizacją braków w tak zwanej "strefie estetycznej", metodą z wyboru było leczenie z wykorzystaniem wszczepów zębowych i protez stałych, a uzyskane efekty zostały porównane na podstawie rozwiązań zastosowanych w trakcie leczenia. W każdym z przedstawionych przypadków, osiągnięto powodzenie w leczeniu oraz funkcjonalny i estetyczny rezultat, zadowalający zarówno lekarza, jak i pacjenta. Adaptacja do uzupełnień protetycznych przebiegała bez powikłań. Zastosowanie hybrydowych łączników cyrkonowych, szczególnie w przednim odcinku łuku zębowego, pozwala osiągnąć zadowalający efekt estetyczny. Niezbędnym czynnikiem decydującym o powodzeniu w leczeniu z zastosowaniem implantoprotetycznych elementów wykonanych z dwutlenku cyrkonu jest opracowanie prawidłowego planu lecze-Wybrane możliwości uzupełnienia braków zębowych w odcinku przednim z zastosowaniem implantoprotez -w oparciu o łączniki hybrydowe -opis przypadków Selected possibilities of restoring missing teeth in the anterior region with the use of implant -supported hybrid prostheses -comparative cases review

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“…Subsequently, the custom-made impression coping was taken along into the mouth and it was connected into the implant without making any modifications as the profile was established with the use of the temporary prosthesis (Figure 12). A final impression was taken of recession, in most cases, the phenotype and factors that affect crestal bone such as traumatism, played an important role [12,13].…”

Section: Flowable Composite Was Injected Into the Space Between The Imentioning

confidence: 99%

Immediate Implant Placement in the Aesthetic Zone: A Multidisciplinary Management - Case Report

María¹,

Zárate-Solano²,

Rodriguez³

et al. 2020

Int J Oral Dent Health

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Immediate implant placement in the esthetic zone, represents one of the biggest challenges in dentistry. It implies a multidisciplinary approach involving prosthetic and periodontal aspects to obtain long term stability, esthetic and functional results. A clinical case report is presented, taking into consideration periodontal and prosthetic management of an implant in the anterior zone, starting from the diagnosis, treatment plan, periodontal surgical procedures, provisionalization, and its definitive prosthetic rehabilitation.

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Emergence Profile of the Implant Abutment and Its Effects on the Peri-implant Tissues

Cited by 8 publications

References 16 publications

Influence of buccal emergence profile designs on peri‐implant tissues: A randomized controlled trial

Influence of buccal emergence profile designs on peri‐implant tissues: A randomized controlled trial

Selected possibilities of restoring missing teeth in the anterior region with the use of implant – supported hybrid prostheses – comparative cases review

Immediate Implant Placement in the Aesthetic Zone: A Multidisciplinary Management - Case Report

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