Clinical Recommendations for Implant Abutment Selection for Single-Implant Reconstructions: Customized vs Standardized Ceramic and Metallic Solutions

Autor: Irena Sailer, João Pitta, Cristina Zarauz, Guillermo Pradíes
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Periodontics & Restorative Dentistry, Vol. 40, No 1 (2020) pp. 31-37
ISSN: 0198-7569
Popis: The present paper presents clinical guidelines for the selection of the abutment material and level of customization for single-implant reconstructions. A systematic literature search was conducted previous to a Consensus Conference, resulting in two systematic reviews. One review focused on esthetic clinical outcomes, including esthetic indices and linear measurements, and the second focused on peri-implant soft tissue color outcomes, evaluated with spectrophotometry. The outcomes of esthetic indexes and linear measurement were highly heterogenic, hence, a meta-analysis was not feasible. All-ceramic and customized solutions showed a trend for improved results of the esthetic outcomes. Regarding soft tissue color outcomes, all-ceramic abutments induced significantly less soft tissue color changes. Both metallic and all-ceramic abutments/standard and customized components may result in clinically and esthetically acceptable reconstructions.
Databáze: OpenAIRE