The innovative double or triple dental abutment‐implant: Case study with a 3‐to‐12‐year follow‐up

Abstract

BackgroundThe aim of this case study is to present the rationality and scientific evidence of a new design for a double (DA) and triple (TA) dental abutment‐implant with their specific new concept of biodynamic optimized peri‐implant tissue (BOPiT).MethodsThe innovative design of these abutments with a paraboloid geometry was based on BOPiT, simultaneously involving the principles of mechanobiology, biotensegrity, and mechanotransduction. Thus, 37 consecutive individuals/43 cases rehabilitated with single dental implant using the innovative DA (n = 28) and TA (n = 15) on 43 implants were included in this case study. The DA and TA support 2 or 3 dental crowns on a single implant, respectively. Clinic and radiographic examinations were presented at T1 (loading after 4 months) and T2 [final examination with an average follow‐up time of 7.2 years (>3 to 12 years)].ResultsAt T2, mean scores for plaque index, peri‐implant bleeding on probing, and peri‐implant probing depth were low, depicting healthy peri‐implant conditions. All radiographic images showed insignificant annual marginal bone loss (0.022 ± 0.05 mm) when compared to T1, reflecting great bone stability.ConclusionDA and TA, based on the BOPiT concept, represent an advantageous, simple and non‐invasive mechanism for the longevity and healthy regulation of the peri‐implant tissues.