Implant Abutment Materials

Shafie, Hamid R.; White, Bryan A.

doi:10.1002/9781118928547.ch1

Cited by 7 publications

(12 citation statements)

References 33 publications

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“…With the transcutaneous abutments interfacing with adjacent soft tissue, the choice of abutment material is critical for peri-implant soft tissue sealing. Among the various abutment materials, Ti (machined, polished, and laser-treated) is superior to surgical grade stainless steel, gold, polyether ether ketone (PEEK), and zirconia in terms of soft tissue response . Therefore, Ti and zirconia are the common choices for dental implant abutments.…”

Section: Hard and Soft Tissue Integration Around Percutaneous Bone-an...mentioning

confidence: 99%

“…Among the various abutment materials, Ti (machined, polished, and laser-treated) is superior to surgical grade stainless steel, gold, polyether ether ketone (PEEK), and zirconia in terms of soft tissue response. 103 Therefore, Ti and zirconia are the common choices for dental implant abutments. Abutment that serves as the percutaneous component in the OPRA system has a polished smooth surface designed to reduce the contact friction at the percutaneous junction.…”

Section: Soft Tissuementioning

confidence: 99%

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Soft and Hard Tissue Integration around Percutaneous Bone-Anchored Titanium Prostheses: Toward Achieving Holistic Biointegration

Shrivas,

Samaur,

Yadav

et al. 2024

ACS Biomater. Sci. Eng.

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A holistic biointegration of percutaneous boneanchored metallic prostheses with both hard and soft tissues dictates their longevity in the human body. While titanium (Ti) has nearly solved osseointegration, soft tissue integration of percutaneous metallic prostheses is a perennial problem. Unlike the firm soft tissue sealing in biological percutaneous structures (fingernails and teeth), foreign body response of the skin to titanium (Ti) leads to inflammation, epidermal downgrowth and inferior peri-implant soft tissue sealing. This review discusses various implant surface treatments/texturing and coatings for osseointegration, soft tissue integration, and against bacterial attachment. While surface microroughness by SLA (sandblasting with large grit and acid etched) and porous calcium phosphate (CaP) coatings improve Ti osseointegration, smooth and textured titania nanopores, nanotubes, microgrooves, and biomolecular coatings encourage soft tissue attachment. However, the inferior peri-implant soft tissue sealing compared to natural teeth can lead to peri-implantitis. Toward this end, the application of smart multifunctional bioadhesives with strong adhesion to soft tissues, mechanical resilience, durability, antibacterial, and immunomodulatory properties for soft tissue attachment to metallic prostheses is proposed.

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Section: Hard and Soft Tissue Integration Around Percutaneous Bone-an...mentioning

confidence: 99%

Section: Soft Tissuementioning

confidence: 99%

Soft and Hard Tissue Integration around Percutaneous Bone-Anchored Titanium Prostheses: Toward Achieving Holistic Biointegration

Shrivas,

Samaur,

Yadav

et al. 2024

ACS Biomater. Sci. Eng.

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“…Титан дуже стійкий до корозії, легкий, біосумісний і стійкий. Ці властивості забезпечують предбачувану остеоінтеграцію і стійкість до жувальних сил [8]. Епітеліальне прикріплення навколо титанового імплантата довше на гладких, ніж на шорстких поверхнях [9].…”

Section: титанunclassified

Factors of Margin Bone Stability Around Implants: Literature Review

Marchenko¹

2022

Ukr. Dent. Alm.

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Implant-supported dentures are increasingly used in dental practice since last century. The purpose of this review is to assess the effect of the transmucosal surface of restorations and implants on peri-implant tissues. Factors that affect bone loss around implants can be divided into local, systemic and social. Local factors include implant geometry, occlusal loading, and biological aspects. Biological factors include peri-implantitis, poor bone quality, surgical implant placement procedure, early implant loading, and poor osseointegration. Among other factors that can lead to bone loss, systemic factors (patient age, general condition, genetic predisposition) as well as social factors (socioeconomic status of the patient, oral hygiene, drug use) play an important role. The article compares and discusses the properties of different materials. The advantages, disadvantages and biomechanical concept of different implant-abutment connections are presented. The location of the connections relative to the bone level and the effect of the micro-gap between the abutment and the implant are described. The article focuses on the following issues: exposure to the material from which the implants and abutment are made, with an emphasis on titanium alloys and zirconium dioxide; implant systems, which are classified according to their location in relation to the level of the bone; type of connection between implants and abutments: external (external hexagon), internal (internal hexagon and octagon) and their modifications, such as conical (Morse taper); the influence of the precision of abutments to the implants` connection; type of fixation; features of transmucosal surfaces; biological factors around the implant-abutment joint. Scientists and manufacturers offer advanced solutions that reduce the number of complications and ensure a longer service life of implants-supported restorations. With proper procedures and the right selection of systems and tools, you can reduce bone loss and preserve soft tissue. Finding a balance between function and aesthetics in implant rehabilitation is a crucial issue. The use of solutions aimed at achieving the expected result in each individual patient, which allow individual consideration of the above risk factors for marginal bone loss, will probably become a standard part of the examination at the preoperative stage of treatment.

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“…Los avances en la ciencia de los biomateriales y la tecnología de fabricación de cerámica han permitido la producción de zirconio biocompatible y de alta resistencia que se puede utilizar en dispositivos biomédicos y pilares intermediarios de implantes. Debido a sus propiedades y resistencia, se utiliza siempre que las consideraciones estéticas sean exigentes ( [23][24][25] ).…”

Section: Intermediarios De Zirconiounclassified

“…El sello de mucosa que rodea al pilar intermediario de un implante dental es un factor esencial e importante para prevenir la colonización por parte de bacterias del hueso crestal y alrededor del cuello del implante. Por lo tanto, es importante conocer la anatomía del sello de mucosa para comprender la respuesta de los tejidos blandos 23 .…”

Section: Clasificación De Intermediariosunclassified

Intermediarios protésicos en implantología oral. Revisión de la literatura

Padilla-Avalos

Marroquín-Soto

2021

Rev Cient Odontol (Lima)

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Los intermediarios protésicos en implantología oral son los aditamentos que permiten la conexión entre el implante y la prótesis propiamente dicha. Aunque dicha rehabilitación posee una alta tasa de éxito, la selección del pilar protésico representa una fase importante en el tratamiento implantológico. Actualmente, existe una gran variedad de pilares intermediarios, que corresponden a las diversas técnicas y materiales. Los intermediarios protésicos se podrían clasificar según el tipo de conexión, su retención a la prótesis, su relación axial con el cuerpo del implante, su material de fabricación, su tipo de fabricación o si son para rehabilitación unitaria o múltiple. Esta situación puede generarle dudas al rehabilitador al momento de elegir los aditamentos implantológicos idóneos para cada caso en particular, lo que genera un escenario de dilema al seleccionar el aditamento protésico que permita lograr una rehabilitación satisfactoria: funcional, estética y que preserve los principios biológicos. En efecto, la implantología oral ha revolucionado la odontología y seguirá ampliando el abanico de posibilidades; por ello, es importante clasificar las opciones protésicas disponibles. La presente revisión de la literatura tiene como objetivo evidenciar las diferentes alternativas y opciones de pilares intermediarios más utilizados en prótesis sobre implantes.

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Implant Abutment Materials

Cited by 7 publications

References 33 publications

Soft and Hard Tissue Integration around Percutaneous Bone-Anchored Titanium Prostheses: Toward Achieving Holistic Biointegration

Soft and Hard Tissue Integration around Percutaneous Bone-Anchored Titanium Prostheses: Toward Achieving Holistic Biointegration

Factors of Margin Bone Stability Around Implants: Literature Review

Intermediarios protésicos en implantología oral. Revisión de la literatura

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