Soft tissue integration of different abutment surfaces: An experimental study with histological analysis
| Autor: | Miguel Peñarrocha Diago, David Peñarrocha Oltra, Luigi Canullo, Giovanna Iezzi, Cristina Zarauz, Rossano Lattanzio, Paolo Pesce |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
abutment
0206 medical engineering Abutment Connective tissue Dentistry Plasma treatment Dental Abutments 02 engineering and technology peri-implant attachment soft tissue adaptation 03 medical and health sciences 0302 clinical medicine biologic width medicine Humans Argon Dental Implants Titanium business.industry Chemistry Dental Implantation Endosseous Soft tissue 030206 dentistry 020601 biomedical engineering Epithelium ddc:617.6 Dental Implantation medicine.anatomical_structure Connective Tissue transmucosal collar Oral Surgery business Endosseous Tooth |
| Zdroj: | Clinical Oral Implants Research, Vol. 32, No 8 (2021) pp. 928-940 |
| ISSN: | 0905-7161 |
| Popis: | OBJECTIVE To evaluate whether abutment surface and surface bio-activation have an effect on soft tissue morphogenesis. MATERIALS AND METHODS 36 patients (36 implants) were included. Abutments were randomly divided into 4 groups (n = 9): Smooth Surface-MAChined (MAC), Ultrathin Threaded Microsurface (UTM), MAC Plasma of Argon activated (Plasma-MAC), and UTM Plasma of Argon activated (Plasma-UTM). After 2 months of healing, soft tissue samples were collected and prepared for histological analysis. The margin of the peri-implant mucosa (PM), the apical extension of the barrier epithelium (aJE), and the apical location of the abutment (AM) were identified. Significances of differences among groups were tested by means of the Kruskal-Wallis test and between pairs of results by means of the Mann-Whitney test. RESULTS The mean (SD) vertical dimension of the mucosa was 2.5mm (1.0), including a connective tissue portion (CTP) of 0.8mm (0.8) in the MAC group; 3.6mm (0.2) with a CTP of 1.6mm (0.4) in the Plasma-MAC group; 3.2mm (1.0), with a CPT of 0.5mm (0.6) in the UTM; and 3.3mm (0.8), with a CPT of 0.9mm (0.7) in the Plasma-UTM group. Statistically significant differences were observed in the aJE-AM height and PM-aJE profile among the four experimental groups (p = .042 and p = .039, respectively). The Mann-Whitney test indicated differences between the Plasma-abutments and the untreated abutments both for PM-AM (p = .025) and AjE-AM (p = .021). The differences appeared more evident when the preoperative soft tissue thickness was ≤2mm. CONCLUSIONS Within its limits, the study demonstrated a favorable effect of the plasma treatment on the connective tissue portion tissues. Plasma-MAC group highlighted the best performance. This behavior appeared strictly correlated with the soft tissue thickness. |
| Databáze: | OpenAIRE |
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