Prospective clinical study on the effect of implant abutment materials on the soft and hard tissues around the implant

Hu Shuohong, Zheng Xuebin, Li Fujie, Wang Hong

Chinese Journal of Clinical Anatomy ›› 2024, Vol. 42 ›› Issue (1) : 94-98.

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Chinese Journal of Clinical Anatomy ›› 2024, Vol. 42 ›› Issue (1) : 94-98. DOI: 10.13418/j.issn.1001-165x.2024.1.17

Prospective clinical study on the effect of implant abutment materials on the soft and hard tissues around the implant

  • Hu Shuohong 1, Zheng Xuebin 1, Li Fujie 1, Wang Hong2
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Abstract

Objective    To investigate the influence of different abutment materials on soft and hard tissues around implants.    Methods     A prospective study was conducted on 75 patients with a single anterior tooth defect requiring implant repair who were admitted to our hospital from January 2019 to December 2020. The patients were randomly divided into three groups by using a random number table method, with 25 patients in each group. Different materials were used to implant and complete single crown repair, and they were divided into a pure titanium group, a zirconia group, and an alumina group. The implant retention rate, clinical periodontal indicators, implant marginal bone resorption, pink aesthetic index (PES), white aesthetic index (WES), oral health related quality of life, satisfaction, and incidence of complications among the three groups at 12 months after restoration were observed and compared.    Results    After 12 months of repair, the retention rates of implants in both the pure titanium group and the zirconia group were 100%, with no mechanical complications such as implant loosening or detachment. In the alumina group, there was one abutment fracture, with a retention rate of 96.0%. There was no significant difference in PD, SBI, and PFI among the three groups (P>0.05), while the PLI of the zirconia group was significantly lower than that of the pure titanium and alumina groups (P<0.05). The bone resorption at the implant edge in the zirconia and alumina groups was lower than that in the pure titanium group (P<0.05). There was significant differences in the pink aesthetic index among the three groups (P<0.05), with zirconia group>alumina group>pure titanium group. There was no significant difference in the white aesthetic index and the quality of life related to oral health among the three groups of patients (P>0.05). Among the three groups of patients, the satisfaction of the zirconia group was higher than that of the other two groups. There was no significant difference in the total incidence of biological complications among the three patients (P>0.05).   Conclusions   For anterior dental implant restoration, the short-term retention rate, clinical biological effects, and overall patient satisfaction of using three types of material abutments are comparable. Compared with pure titanium abutments, using zirconia and alumina abutments for implant restoration reduces bone resorption at the edges. The use of zirconia abutments has the best aesthetic effect, and patients are more satisfied with the aesthetic effect. 

Key words

 Implants;  /   / Oral materials;  /   / Base platform;  /   / Zirconia;  /   / Anterior tooth defect

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Hu Shuohong, Zheng Xuebin, Li Fujie, Wang Hong. Prospective clinical study on the effect of implant abutment materials on the soft and hard tissues around the implant[J]. Chinese Journal of Clinical Anatomy. 2024, 42(1): 94-98 https://doi.org/10.13418/j.issn.1001-165x.2024.1.17

References

[1]   Papaspyridakos P, Chen CJ, Singh M, et al. Success criteria in implant dentistry: a systematic review[J]. J Dent Res, 2012, 91(3): 242-248. DOI: 10.1177/0022034511431252.
[2]  于海洋, 孙蔓琳, 王中熠. 前牙种植基台的临床决策-Lights决策树[J]. 华西口腔医学杂志,2022, 40(5): 504-512. DOI: 10.7518/hxkq. 2022.05.002.
[3] Molina A, Sanz-Sánchez I, Martín C, et al. The effect of one-time abutment placement on interproximal bone levels and peri-implant soft tissues: a prospective randomized clinical trial[J]. Clin Oral Implants Res, 2017, 28(4): 443-452. DOI: 10.1111/clr.12818.
[4]  王俊祥, 孙江伟, 叶力思, 等. 动态加载下3种基台材料对上颌角度植入种植修复体周围骨应力的影响[J]. 中国组织工程研究, 2023, 27(3): 398-405. DOI: 10.12307/2023.012.
[5]  余念, 俞青, 胡勤刚, 等. 口腔微笑美学的常用评估指标和方法[J]. 中国实用口腔科杂志,2017, 10(1): 15-19. DOI: 10.19538/j.kq. 2017. 01.004.
[6]  Slade GD. Derivation and validation of a short-form oral health impact profile[J]. Community Dent Oral Epidemiol, 1997, 25(4): 284-290. DOI: 10.1111/j.1600-0528.1997.tb00941.x.
[7]  刘洪臣. 口腔种植修复的医学属性与发展导向[J]. 中华口腔医学杂志, 2021, 56(12): 1155-1158. DOI: 10.3760/cma.j.cn112144-20211116-00507.
[8]  严玲玲, 郑丽梅, 高杰, 等. 选择性激光熔融打印钛种植体的制备和表面优化处理及其成骨性能的研究[J]. 中国临床解剖学杂志, 2018, 36(3): 313-318. DOI: 10.13418/j.issn.1001-165x.2018.03.016. 
[9]  张继武, 荣起国. 医用钛合金材料对种植体生物力学行为的影响[J]. 系统仿真学报, 2020, 32(11): 2100-2104. DOI: 10.16182/j.issn1004731x.joss.19-fz0521.
[10] Zhou Z, Shi Q, Wang J, et al. The unfavorable role of titanium particles released from dental implants[J]. Nanotheranostics, 2021, 5(3): 321-332. DOI: 7150.56401/NTNO.33732603.
[11] 魏晨旭, 何怡文, 王聃, 等. 组织工程学中骨修复材料的研究热点与进展[J]. 中国组织工程研究, 2020, 24(10): 1615-1621. DOI: 10.3969/j.issn.2095-4344.1884.
[12] 郭亚娟, 郭晓宇. 牙种植体全瓷基台研究现状[J]. 口腔颌面修复学杂志, 2017, 18(5): 310-314. DOI: 10.3969/j.issn.1009-3761.2017.05.014.
[13] 万乾炳. 氧化锆基台的研究现状和临床应用效果[J]. 国际口腔医学杂志, 2018, 45(1): 1-8. DOI: 10.7518/gjkq.2018.01.001.
[14] 刘振东, 秦泗河. 骨折固定的四维空间事件[J]. 中国组织工程研究, 2020, 24(6): 903-910. DOI: 10.3969/j.issn.2095-4344.2452.
[15]Vazouras K, Gholami H, Margvelashvili-Malament M, et al. An esthetic evaluation of different abutment materials in the anterior maxilla: a randomized controlled clinical trial using a crossover design[J]. J Prosthodont, 2022, 31(8): 673-680. DOI: 10.1111/jopr.13520.
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