Association of Peri-Implant Mucosa Dimensions With Emergence Profile Angles of the Implant Prosthesis.


Journal

Clinical and experimental dental research
ISSN: 2057-4347
Titre abrégé: Clin Exp Dent Res
Pays: United States
ID NLM: 101692332

Informations de publication

Date de publication:
Aug 2024
Historique:
revised: 02 07 2024
received: 31 03 2024
accepted: 11 07 2024
medline: 23 7 2024
pubmed: 23 7 2024
entrez: 23 7 2024
Statut: ppublish

Résumé

The primary aim of this cross-sectional study was to investigate the association between prosthesis design and peri-implant mucosa dimensions and morphology. The secondary aim was to investigate associations between mucosal dimensions and the presence of mucositis. Forty-seven patients with 103 posterior bone level implants underwent clinical and radiographic examination, including cone beam computer tomography and intraoral optical scanning. Three-dimensional models for each implant and peri-implant mucosa were constructed. Vertical mucosa height (TH), horizontal mucosa width at implant platform (TW), and 1.5 mm coronal of the platform (TW1.5), as well as mucosal emergence angle (MEA), deep angle (DA), and total contour angle (TA) were measured at six sites for each implant. There was a consistent correlation between peri-implant mucosa width and height (β = 0.217, p < 0.001), with the width consistently surpassing height by a factor of 1.4-2.1. All three angles (MEA, DA, TA) were negatively associated with mucosa height (p < 0.001), while DA was negatively associated with mucosa width (TW1.5) (p < 0.001, β = -0.02, 95% CI: -0.03, -0.01). There was a significant negative association between bleeding on probing (BoP) and mucosa width at platform (OR 0.903, 95% CI: 0.818-0.997, p = 0.043) and 1.5 coronal (OR 0.877, 95% CI: 0.778-0.989, p = 0.033). Implants with less than half sites positive for BoP (0-2/6) had significantly higher mucosa height (OR 3.51, 95% CI: 1.72-7.14, p = 0.001). Prosthesis design can influence the dimensions of the peri-implant mucosa, with wider emergence profile angles associated with reduced peri-implant mucosa height. In particular, a wider deep angle is associated with reduced mucosa width in posterior sites. Reduced peri-implant mucosa height and width are associated with more signs of inflammation. Registered in Thai Clinical Trials Registry: http://www.thaiclinicaltrials.org/show/TCTR20220204002.

Identifiants

pubmed: 39039934
doi: 10.1002/cre2.939
doi:

Substances chimiques

Dental Implants 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e939

Subventions

Organisme : The authors received no specific funding for this work.

Informations de copyright

© 2024 The Author(s). Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.

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Auteurs

Piboon Rungtanakiat (P)

Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.

Natchaya Thitaphanich (N)

Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.

Martin Janda (M)

Department of Prosthodontics, Faculty of Odontology, Malmoe University, Malmö, Sweden.

Franz Josef Strauss (FJ)

Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
Faculty of Dentistry, Universidad Finis Terrae, Santiago, Chile.

Mansuang Arksornnukit (M)

Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.

Nikos Mattheos (N)

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Department of Dental Medicine, Karolinska Institute, Stockholm, Sweden.

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