Soft tissue integration of different abutment surfaces: An experimental study with histological analysis.
abutment
biologic width
peri-implant attachment
soft tissue adaptation
transmucosal collar
Journal
Clinical oral implants research
ISSN: 1600-0501
Titre abrégé: Clin Oral Implants Res
Pays: Denmark
ID NLM: 9105713
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
revised:
21
03
2021
received:
01
10
2020
accepted:
12
05
2021
pubmed:
27
5
2021
medline:
13
8
2021
entrez:
26
5
2021
Statut:
ppublish
Résumé
To evaluate whether abutment surface and surface bio-activation have an effect on soft tissue morphogenesis. 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. 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. 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.
Substances chimiques
Dental Implants
0
Argon
67XQY1V3KH
Titanium
D1JT611TNE
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Pagination
928-940Informations de copyright
© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Abrahamsson, I., Berglundh, T., Wennström, J., & Lindhe, J. (1996). The peri-implant hard and soft tissues at different implant systems. A comparative study in the dog. Clinical Oral Implants Research, 7, 212-219. https://doi.org/10.1034/j.1600-0501.1996.070303.x
Baffone, G. M., Botticelli, D., Canullo, L., Scala, A., Beolchini, M., & Lang, N. P. (2012). Effect of mismatching abutments on implants with wider platforms-an experimental study in dogs. Clinical Oral Implants Research, 23, 334-339. https://doi.org/10.1111/j.1600-0501.2011.02320.x
Berglundh, T., Jepsen, S., Stadlinger, B., & Terheyden, H. (2019). Peri-implantitis and its prevention. Clinical Oral Implants Research, 30, 150-155. https://doi.org/10.1111/clr.13401
Berglundh, T., & Lindhe, J. (1996). Dimension of the periimplant mucosa. Biological width revisited. Journal of Clinical Periodontology, 23, 971-973. https://doi.org/10.1111/j.1600-051X.1996.tb00520.x
Berglundh, T., Lindhe, J., Ericsson, I., Marinello, C. P., Liljenberg, B., & Thomsen, P. (1991). The soft tissue barrier at implants and teeth. Clinical Oral Implants Research, 2, 81-90. https://doi.org/10.1034/j.1600-0501.1991.020206.x
Canullo, L., Genova, T., Gross Trujillo, E., Pradies, G., Petrillo, S., Muzzi, M., Carossa, S., & Mussano, F. (2020). Fibroblast interaction with different abutment surfaces: In vitro study. International Journal of Molecular Sciences, 11, 1919. https://doi.org/10.3390/ijms21061919
Canullo, L., Menini, M., Santori, G., Rakic, M., Sculean, A., & Pesce, P. (2020). Titanium abutment surface modifications and peri-implant tissue behaviour. A systematic review and meta-analysis. Clinical Oral Investigations, 24, 1113-1124.
Canullo, L., Peñarrocha, D., Clementini, M., Iannello, G., & Micarelli, C. (2015). Impact of plasma of argon cleaning treatment on implant abutments in patients with a history of periodontal disease and thin biotype: Radiographic results at 24-month follow-up of a RCT. Clinical Oral Implants Research, 26, 8-14. https://doi.org/10.1111/clr.12290
Canullo, L., Pesce, P., Patini, R., Antonacci, D., & Tommasato, G. (2020). What are the effects of different abutment morphology on peri-implant hard and soft tissues behavior? A systematic review and meta-analysis. International Journal of Prosthodontics, 33, 297-306.
Canullo, L., Tallarico, M., Chu, S., Peñarrocha, D., Özcan, M., & Pesce, P. (2017). Cleaning, Disinfection, and Sterilization Protocols Employed for Customized Implant Abutments: An International Survey of 100 Universities Worldwide. International Journal of Oral and Maxillofacial Implants, 32, 774-778. https://doi.org/10.11607/jomi.5402
Duske, K., Koban, I., Kindel, E., Schröder, K., Nebe, B., Holtfreter, B., Jablonowski, L., Weltmann, K. D., & Kocher, T. (2012). Atmospheric plasma enhances wettability and cell spreading on dental implant metals. Journal of Clinical Periodontology, 39, 400-407. https://doi.org/10.1111/j.1600-051X.2012.01853.x
Fanali, S., Perrotti, V., Riccardi, L., Piattelli, A., Piccirilli, M., Ricci, L., & Artese, L. (2010). Inflammatory infiltrate, microvessel density, vascular endothelial growth factor, nitric oxide synthase, and proliferative activity in soft tissues below intraorally welded titanium bars. Journal of Periodontology, 81, 748-757. https://doi.org/10.1902/jop.2010.090541
Garcia, B., Camacho, F., Penarrocha, D., Tallarico, M., Perez, S., & Canullo, L. (2017). Influence of plasma cleaning procedure on the interaction between soft tissue and abutments: A randomized controlled histologic study. Clinical Oral Implants Research, 28, 1269-1277. https://doi.org/10.1111/clr.12953
Huang, H. M., Hsieh, S. C., Teng, N. C., Feng, S. W., Ou, K. L., & Chang, W. J. (2011). Biological surface modification of titanium surfaces using glow discharge plasma. Medical & Biological Engineering & Computing, 49, 701-706. https://doi.org/10.1007/s11517-011-0742-2
Iglhaut, G., Schwarz, F., Winter, R. R., Mihatovic, I., Stimmelmayr, M., & Schliephake, H. (2014). Epithelial attachment and downgrowth on dental implant abutments-a comprehensive review. Journal of Esthetic and Restorative Dentistry, 26, 324-331. https://doi.org/10.1111/jerd.12097
Mangano, C., Mangano, F., Shibli, J., Roth, L., d’ Addazio, G., Piattelli, A., & Iezzi, G. (2018). Immunohistochemical evaluation of peri-implant soft tissues around machined and direct metal laser sintered (DMLS) healing abutments in humans. International Journal of Environmental Research and Public Health, 30, 15. https://doi.org/10.3390/ijerph15081611
Mariotti, A., & Hefti, A. F. (2015). Defining periodontal health. BMC Oral Health, 15, S6. https://doi.org/10.1186/1472-6831-15-S1-S6
Nevins, M., Camelo, M., Nevins, M. L., Schupbach, P., & Kim, D. M. (2012). Connective tissue attachment to laser-microgrooved abutments: A human histologic case report. International Journal of Periodontics and Restorative Dentistry, 32, 385-392.
Nevins, M., Camelo, M., Nevins, M. L., Schupbach, P., & Kim, D. M. (2012). Reattachment of connective tissue fibers to a laser-microgrooved abutment surface. International Journal of Periodontics and Restorative Dentistry, 32, e131-e134.
Özcan, M., & Hämmerle, C. (2012). Titanium as a reconstruction and implant material in dentistry: Advantages and pitfalls. Materials (Basel), 5, 1528-1545. https://doi.org/10.3390/ma5091528
Palmquist, A., Lindberg, F., Emanuelsson, L., Brånemark, R., Engqvist, H., & Thomsen, P. (2009). Morphological studies on machined implants of commercially pure titanium and titanium alloy (Ti6Al4V) in the rabbit. Journal of Biomedical Materials Research, 91B, 309-319. https://doi.org/10.1002/jbm.b.31404
Pesce, P., Canullo, L., Grusovin, M. G., de Bruyn, H., Cosyn, J., & Pera, P. (2015). Systematic review of some prosthetic risk factors for periimplantitis. Journal of Prosthetic Dentistry, 114, 346-350. https://doi.org/10.1016/j.prosdent.2015.04.002
Pesce, P., Menini, M., Santori, G., De Giovanni, E., Bagnasco, F., & Canullo, L. (2020). Photo and plasma activation of dental implant titanium surfaces. A systematic review with meta-analysis of pre-clinical studies. Journal of Clinical Medicine, 9, 2817.
Pesce, P., Menini, M., Tealdo, T., Bevilacqua, M., Pera, F., & Pera, P. (2014). Peri-implantitis: A systematic review of recently published papers. The International Journal of Prosthodontics, 27, 15-25. https://doi.org/10.11607/ijp.3785
Pesce, P., Menini, M., Tommasato, G., Patini, R., & Canullo, L. (2019). Influence of modified titanium abutment surface on peri-implant soft tissue behavior. A systematic review of histological findings. International Journal of Oral Implantology, 12, 419-429.
Quirynen, M., van der Mei, H. C., Bollen, C. M., Schotte, A., Marechal, M., Doornbusch, G. I., Naert, I., Busscher, H. J., & van Steenberghe, D. (1993). An in vivo study of the influence of the surface roughness of implants on the microbiology of supra- and subgingival plaque. Journal of Dental Research, 72, 1304-1309. https://doi.org/10.1177/00220345930720090801
Rodríguez, X., Vela, X., Calvo-Guirado, J. L., Nart, J., & Stappert, C. F. (2012). Effect of platform switching on collagen fiber orientation and bone resorption around dental implants: A preliminary histologic animal study. International Journal of Oral and Maxillofacial Implants, 27, 1116-1122.
Rompen, E., Domken, O., Degidi, M., Pontes, A. E., & Piattelli, A. (2006). The effect of material characteristics, of surface topography and of implant components and connections on soft tissue integration: A literature review. Clinical Oral Implants Research, 17, S55-S67. https://doi.org/10.1111/j.1600-0501.2006.01367.x
Ruggeri, A., Franchi, M., Marini, N., Trisi, P., & Piatelli, A. (1992). Supracrestal circular collagen ber network around osseointegrated nonsubmerged titanium implants. Clinical Oral Implants Research, 3, 169-175.
Salvi, G. E., Bosshardt, D. D., Lang, N. P., Abrahamsson, I., Berglundh, T., Lindhe, J., Ivanovski, S., & Donos, N. (2015). Temporal sequence of hard and soft tissue healing around titanium dental implants. Periodontology 2000, 68, 135-152. https://doi.org/10.1111/prd.12054
Sanz-Sánchez, I., Sanz-Martín, I., Carrillo de Albornoz, A., Figuero, E., & Sanz, M. (2018). Biological effect of the abutment material on the stability of peri-implant marginal bone levels: A systematic review and meta-analysis. Clinical Oral Implants Research, 18, 124-144. https://doi.org/10.1111/clr.13293
Schroeder, H. E., & Listgarten, M. A. (1997). The gingival tissues: The architecture of periodontal protection. Periodontology 2000, 13, 91-120. https://doi.org/10.1111/j.1600-0757.1997.tb00097.x
Shapoff, C. A., Babushkin, J. A., & Wohl, D. J. (2016). Clinical use of laser-microtextured abutments: A case series. Int Journal of Periodontics & Restorative Dentistry, 39, 655-662. https://doi.org/10.11607/prd.2854
Swart, K. M., Keller, J. C., Wightman, J. P., Draughn, R. A., Stanford, C. M., & Michaels, C. M. (1992). Short-term plasma-cleaning treatments enhance in vitro osteoblast attachment to titanium. Journal of Oral Implantology, 18, 130-137.
Tomasi, C., Tessarolo, F., Caola, I., Wennstrom, J., Nollo, G., & Berglundh, T. (2013). Morphogenesis of peri-implant mucosa revisited: An experimental study in humans. Clinical Oral Implants Research, 3, 1-7.
Wennerberg, A., Sennerby, L., Kultje, C., & Lekholm, U. (2003). Some soft tissue characteristics at implant abutment with different surface topography. A study in humans. Journal of Clinical Periodontology, 30, 88-94.
Zhao, G., Schwartz, Z., Wieland, M., Rupp, F., Geis-Gerstorfer, J., Cochran, D. L., & Boyan, B. D. (2005). High surface energy enhances cell response to titanium substrate microstructure. Journal of Biomedical Materials Research Part A, 74, 49-58. https://doi.org/10.1002/jbm.a.30320