Stable soft tissue integration around the implant abutment attenuates pathogen penetration,protects underlying bone tissue,prevents peri-implantitis and is essential in maintaining long-term implant stability.The desi...Stable soft tissue integration around the implant abutment attenuates pathogen penetration,protects underlying bone tissue,prevents peri-implantitis and is essential in maintaining long-term implant stability.The desire for“metal free”and“aesthetic restoration”has favored zirconia over titanium abutments,especially for implant restorations in the anterior region and for patients with thin gingival biotype.Soft tissue attachment to the zirconia abutment surface remains a challenge.A comprehensive review of advances in zirconia surface treatment(micro-design)and structural design(macro-design)affecting soft tissue attachment is presented and strategies and research directions are discussed.Soft tissue models for abutment research are described.Guidelines for development of zirconia abutment surfaces that promote soft tissue integration and evidence-based references to inform clinical choice of abutment structure and postoperative maintenance are presented.展开更多
[Objectives]To explore the difference between the CAD/CAM customized zirconia abutment and the finished titanium abutment in the maxillary anterior region.[Methods]A total of 60 implants were selected from 60 patients...[Objectives]To explore the difference between the CAD/CAM customized zirconia abutment and the finished titanium abutment in the maxillary anterior region.[Methods]A total of 60 implants were selected from 60 patients who had undergone maxillary single anterior implant implantation in the Department of Oral and Maxillofacial Surgery,Affiliated Hospital of Qingdao University from July 2017 to July 2018.They were randomly divided into an observation group and a control group(30 patients/group).The observation group used CAD/CAM customized zirconia abutment and all-ceramic crown,while the control group used finished titanium abutment and all-ceramic crown.Twelve months after the crown restoration,mechanical complications,pink esthetic(another spelling of aesthetic)score(PES)and white esthetic score(WES),and patient satisfaction were used as clinical observation indicators to evaluate the restoration effect.[Results]For 12 months after crown restoration,the implant survival rate of the two groups of patients was 100%,and there was no abutment breakage,loosening,falling off,or screw loosening and breakage.The PES and WES of the observation group were significantly higher than those of the control group(P<0.05).The patient satisfaction of the observation group was significantly higher than those of the control group(P<0.05).[Conclusions]CAD/CAM customized zirconia abutment implant restoration in the maxillary anterior region can obtain good esthetic restoration effect in a short term,and has good clinical application effect.展开更多
Initial bacterial adhesion on dental implant abutment is related to its surface chemical composition and physical characteristics.Selection of appropriate abutment materials resistant to bacterial adhesion is importan...Initial bacterial adhesion on dental implant abutment is related to its surface chemical composition and physical characteristics.Selection of appropriate abutment materials resistant to bacterial adhesion is important for dental implant maintenance.The aim of present study was to evaluate the effect of different properties of abutment materials on initial bacterial adhesion in vitro.Polished zirconia(PZ group), polished titanium(PT group) and ground titanium(GT group) samples were prepared to simulate clinical dental implant abutments.Chemical compositions, morphology, roughness, hydrophilicity and surface free energy of materials were analyzed.Oral commensal bacterium Streptococcus mitis was used to evaluate initial bacterial adhesion via turbidity test and colony-forming unit counting.The results showed that GT group presented the highest roughness, hydrophilicity and surface free energy.After 6-h incubation, GT group showed the significantly highest adhered bacteria counts;while non-significant difference existed between PT and PZ groups.Within the clinically applicable range used in present study, the surface physical characteristics, instead of surface chemical composition, of dental abutment material have the pronounced influence on initial 6-h bacterial adhesion.展开更多
基金supported by the National Nature Science Foundation of China(grants 81720108011,82071169,82100971).
文摘Stable soft tissue integration around the implant abutment attenuates pathogen penetration,protects underlying bone tissue,prevents peri-implantitis and is essential in maintaining long-term implant stability.The desire for“metal free”and“aesthetic restoration”has favored zirconia over titanium abutments,especially for implant restorations in the anterior region and for patients with thin gingival biotype.Soft tissue attachment to the zirconia abutment surface remains a challenge.A comprehensive review of advances in zirconia surface treatment(micro-design)and structural design(macro-design)affecting soft tissue attachment is presented and strategies and research directions are discussed.Soft tissue models for abutment research are described.Guidelines for development of zirconia abutment surfaces that promote soft tissue integration and evidence-based references to inform clinical choice of abutment structure and postoperative maintenance are presented.
文摘[Objectives]To explore the difference between the CAD/CAM customized zirconia abutment and the finished titanium abutment in the maxillary anterior region.[Methods]A total of 60 implants were selected from 60 patients who had undergone maxillary single anterior implant implantation in the Department of Oral and Maxillofacial Surgery,Affiliated Hospital of Qingdao University from July 2017 to July 2018.They were randomly divided into an observation group and a control group(30 patients/group).The observation group used CAD/CAM customized zirconia abutment and all-ceramic crown,while the control group used finished titanium abutment and all-ceramic crown.Twelve months after the crown restoration,mechanical complications,pink esthetic(another spelling of aesthetic)score(PES)and white esthetic score(WES),and patient satisfaction were used as clinical observation indicators to evaluate the restoration effect.[Results]For 12 months after crown restoration,the implant survival rate of the two groups of patients was 100%,and there was no abutment breakage,loosening,falling off,or screw loosening and breakage.The PES and WES of the observation group were significantly higher than those of the control group(P<0.05).The patient satisfaction of the observation group was significantly higher than those of the control group(P<0.05).[Conclusions]CAD/CAM customized zirconia abutment implant restoration in the maxillary anterior region can obtain good esthetic restoration effect in a short term,and has good clinical application effect.
基金financially supported by the National Yang-Ming University Hospital (Nos.RD 2011-009, RD 2012-021 and RD 2013-013), Taiwan
文摘Initial bacterial adhesion on dental implant abutment is related to its surface chemical composition and physical characteristics.Selection of appropriate abutment materials resistant to bacterial adhesion is important for dental implant maintenance.The aim of present study was to evaluate the effect of different properties of abutment materials on initial bacterial adhesion in vitro.Polished zirconia(PZ group), polished titanium(PT group) and ground titanium(GT group) samples were prepared to simulate clinical dental implant abutments.Chemical compositions, morphology, roughness, hydrophilicity and surface free energy of materials were analyzed.Oral commensal bacterium Streptococcus mitis was used to evaluate initial bacterial adhesion via turbidity test and colony-forming unit counting.The results showed that GT group presented the highest roughness, hydrophilicity and surface free energy.After 6-h incubation, GT group showed the significantly highest adhered bacteria counts;while non-significant difference existed between PT and PZ groups.Within the clinically applicable range used in present study, the surface physical characteristics, instead of surface chemical composition, of dental abutment material have the pronounced influence on initial 6-h bacterial adhesion.
