en
Scientific article
English

Standard vs customized healing abutments with simultaneous bone grafting for tissue changes around immediate implants. 1-year outcomes from a randomized clinical trial

Published inClinical implant dentistry and related research, vol. 22, no. 1, p. 42-53
Publication date2020-02
First online date2019-12-03
Abstract

Background: Immediate implants have shown risks of esthetic complications. The hypothesis was that a customized healing abutment could improve the peri-implant tissue healing.

Purpose: To evaluate and compare the soft and hard tissue healing around immediate implants that received bone grafting and a customized vs a standard healing abutment.

Materials and methods: Patients, who required tooth extraction and who received an immediate implant (with an alloplastic graft material) were randomly assigned to a customized or a standard healing abutment group. Clinical and radiographic examinations were taken at baseline, at 4 and 12 months.

Results: Twenty-five patients out of 61 were excluded from the study because unsuitable for immediate implantation. In total, 36 patients were randomized in the two groups. There were 17 females and 19 males (age range 23-77). No prosthetic or implant failure was registered during the study period. The Papilla Index was significantly higher in the customized than in the standard group at 4 and 12 months (P = .0002). The bone loss at mesial sites was significantly higher in the control than in the test group (P = .0014).

Conclusion: The customized healing abutment group showed the most favorable outcomes (in terms of PI and MBL) in case of immediate implant that received a peri-implant bone grafting procedure.

eng
Keywords
  • Adult
  • Aged
  • Bone Transplantation
  • Dental Abutments
  • Dental Implantation, Endosseous
  • Dental Implants
  • Dental Implants, Single-Tooth
  • Esthetics, Dental
  • Female
  • Humans
  • Immediate Dental Implant Loading
  • Male
  • Middle Aged
  • Young Adult
Citation (ISO format)
PEREZ, Alexandre et al. Standard vs customized healing abutments with simultaneous bone grafting for tissue changes around immediate implants. 1-year outcomes from a randomized clinical trial. In: Clinical implant dentistry and related research, 2020, vol. 22, n° 1, p. 42–53. doi: 10.1111/cid.12871
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal1523-0899
15views
0downloads

Technical informations

Creation02/27/2024 12:26:57 PM
First validation02/27/2024 3:44:17 PM
Update time02/27/2024 3:56:52 PM
Status update02/27/2024 3:56:52 PM
Last indexation05/06/2024 6:02:05 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack