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

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Advances in Periodontics Pub Date : 2024-07-22 DOI:10.1002/cap.10300

Luciana Silva Colepícolo, Maria Auxiliadora Mourão Martinez, Andrea Augusto Rodrigues, Leonardo Silveira Baeta, Fernando Oliveira Costa

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Abstract

Background

The 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).

Methods

The 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)].

Results

At 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.

Conclusion

DA 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.

Abstract Image

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创新的双基台或三基台种植体：为期 3-12 年的病例研究。

背景：本病例研究旨在介绍双（DA）和三（TA）牙基台-种植体新设计的合理性和科学依据，以及其特定的生物动力优化种植体周围组织（BOPiT）新概念：这些具有抛物面几何形状的基台的创新设计以 BOPiT 为基础，同时涉及机械生物学、生物张力和机械传导原理。因此，在本病例研究中，连续有 37 人/43 个病例在 43 个种植体上使用创新的 DA（28 个）和 TA（15 个）进行了单颗种植体修复。DA 和 TA 可分别在单个种植体上支持 2 个或 3 个牙冠。在 T1（4 个月后加载）和 T2（最终检查，平均随访时间为 7.2 年（>3 至 12 年））进行了临床和放射学检查：T2检查时，牙菌斑指数、种植体周围探诊出血量和种植体周围探诊深度的平均得分较低，说明种植体周围状况良好。与 T1 相比，所有放射影像都显示每年的边缘骨质流失（0.022 ± 0.05 mm）不明显，反映出骨质非常稳定：结论：基于 BOPiT 概念的 DA 和 TA 是一种有利、简单和非侵入性的机制，可以延长种植体周围组织的寿命，并对其进行健康调节。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Advances in Periodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.60

自引率

0.00%

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