Dimensional profile of oral mucosa around combined tooth-implant-supported bridgework in macaque mandible
Siar, C.H.; Toh, C.G.; Ali, T.B.T.; Seiz, D.; Ong, S.T. (2012) Dimensional profile of oral mucosa around combined tooth-implant-supported bridgework in macaque mandible. Clinical Oral Implants Research, 23 (4). pp. 438-446. ISSN 0905-7161
Purpose: A stable oral mucosa is crucial for long-term survival and biofunctionality of implants. Most of this evidence is derived from clinical and animal studies based solely on implant-supported prosthesis. Much less is known about the dimensions and relationships of this soft tissue complex investing tooth-implant-supported bridgework (TISB). The aim here was to obtain experimental evidence on the dimensional characteristics of oral mucosa around TISB with two different abutment designs. Methods: Sixteen 3-unit TISB were constructed bilaterally in the mandible of eight adult Macaca fascicularis. An implant system with a standard progressive thread design was the bone-anchoring implant in the second mandibular molar region while the second mandibular premolar served as the natural tooth abutment. Eight implants were connected with the tapered abutment, the remaining with butt-joint abutment, in a split-mouth design. These were allowed to functional load for 6 months before sacrification for histomorphometry. Six soft tissue indices were scored: coronal gingival mucosato-implant top distance (DIM); sulcus depth (SD); junctional epithelium (JE); connective tissue contact (CTC); implant top to first bone-to-implant contact distance (DIB); and biologic width (BW SD+JE+CTC); corresponding parameters in the natural tooth abutment were also measured. Results: Mucosal dimensions in tapered implants (*BW 3.33 +/- 0.43; SD 1.03 +/- 0.24; JE 1.08 +/- 0.13; CTC 1.22 +/- 0.23mm) were comparable with those of natural tooth abutments (BW 3.04 +/- 0.18; SD 0.93 +/- 0.1; JE 0.78 +/- 0.1; Attachment 1.33 +/- 0.09mm), but differed from butt-joint implants (*BW 4.88 +/- 1.24; SD 1.47 +/- 0.38; JE 1.49 +/- 0.4; CTC 1.92 +/- 0.93 mm) (*P<0.05). Conclusions: Results suggested that soft tissue dimensions around TISB are influenced by the implant-abutment interface and abutment material used. Mucosa investing tapered abutment tends to recapitulate soft tissue physiologic dimensions of natural tooth.
|Item Type: ||Article|
- Siar, C.H.
- Toh, C.G.
- Ali, T.B.T.
- Seiz, D.
- Ong, S.T.
|Journal or Publication Title: ||Clinical Oral Implants Research|
|Additional Information: ||ISI Document Delivery No.: 904DV Times Cited: 0 Cited Reference Count: 47 Cited References: Abrahamsson I, 1997, J CLIN PERIODONTOL, V24, P568, DOI 10.1111/j.1600-051X.1997.tb00230.x Abrahamsson I, 1999, J CLIN PERIODONTOL, V26, P600, DOI 10.1034/j.1600-051X.1999.260907.x Abrahamsson I, 2002, J CLIN PERIODONTOL, V29, P448, DOI 10.1034/j.1600-051X.2002.290510.x Abrahamsson I, 1998, CLIN ORAL IMPLAN RES, V9, P73 Abrahamsson I, 1998, J CLIN PERIODONTOL, V25, P721, DOI 10.1111/j.1600-051X.1998.tb02513.x Abrahamsson I, 1996, CLIN ORAL IMPLAN RES, V7, P212, DOI 10.1034/j.1600-0501.1996.070303.x Akca K, 2006, CLIN ORAL IMPLAN RES, V17, P331, DOI 10.1111/j.1600-0501.2005.01169.x ALBREKTSSON T, 1994, PROCEEDINGS OF THE 1ST EUROPEAN WORKSHOP ON PERIODONTOLOGY, P365 Arvidson K, 1996, CLIN ORAL IMPLAN RES, V7, P1, DOI 10.1034/j.1600-0501.1996.070101.x Bakaeen L, 2009, INT J PERIODONT REST, V29, P297 Berglundh T, 1992, Clin Oral Implants Res, V3, P1, DOI 10.1034/j.1600-0501.1992.030101.x Berglundh T, 1996, J CLIN PERIODONTOL, V23, P971, DOI 10.1111/j.1600-051X.1996.tb00520.x Berglundh T, 2007, CLIN ORAL IMPLAN RES, V18, P1, DOI 10.1111/j.1600-0501.2006.01380.x Berglundh T, 1991, CLIN ORAL IMPLAN RES, V2, P81, DOI 10.1034/j.1600-0501.1991.020206.x Bragger U, 2001, CLIN ORAL IMPLAN RES, V12, P26, DOI 10.1034/j.1600-0501.2001.012001026.x Broggini N, 2003, J DENT RES, V82, P232 Chee WW, 2010, CLIN IMPLANT DENT R, V12, P122, DOI 10.1111/j.1708-8208.2008.00144.x Cochran DL, 1997, J PERIODONTOL, V68, P186, DOI 10.1902/jop.1922.214.171.124 ERICSSON I, 1995, J CLIN PERIODONTOL, V22, P255 Fugazzotto PA, 1999, INT J ORAL MAX IMPL, V14, P819 GARGIULO AW, 1961, J PERIODONTOL, V32, P261, DOI 10.1902/jop.19126.96.36.1991 Gotfredsen K, 1991, CLIN ORAL IMPLAN RES, V2, P30, DOI 10.1034/j.1600-0501.1991.020104.x Gottlieb B., 1921, DTSCH MONATSSCHR ZAH, V5, P142 Gross M, 1997, J ORAL REHABIL, V24, P863, DOI 10.1046/j.1365-2842.1997.00582.x Hermann JS, 2001, CLIN ORAL IMPLAN RES, V12, P559, DOI 10.1034/j.1600-0501.2001.120603.x Hermann JS, 2000, CLIN ORAL IMPLAN RES, V11, P1, DOI 10.1034/j.1600-0501.2000.011001001.x Kawahara H, 1998, INT J ORAL MAX IMPL, V13, P465 Lang NP, 2004, CLIN ORAL IMPLAN RES, V15, P643, DOI 10.1111/j.1600-0501.2004.01118.x Nyman S R, 1994, Periodontol 2000, V4, P15, DOI 10.1111/j.1600-0757.1994.tb00002.x Laufer BZ, 1998, J ORAL REHABIL, V25, P69, DOI 10.1046/j.1365-2842.1998.00583.x Lin CL, 2008, CLIN ORAL IMPLAN RES, V19, P107, DOI 10.1111/j.1600-0501.2007.01363.x Lin CL, 2006, J DENT, V34, P682, DOI 10.1016/j.jdent.2005.12.011 Lindh T, 2001, INT J PROSTHODONT, V14, P321 Moon IS, 1999, J CLIN PERIODONTOL, V26, P658, DOI 10.1034/j.1600-051X.1999.261005.x Naert IE, 2001, CLIN ORAL IMPLAN RES, V12, P237, DOI 10.1034/j.1600-0501.2001.012003237.x Nentwig Georg H, 2004, J Oral Implantol, V30, P171, DOI 10.1563/1548-1336(2004)30<171:TAISCA>2.0.CO;2 Ochiai KT, 2003, J PROSTHET DENT, V89, P495, DOI 10.1016/S0022-3913(03)00167-7 Oelgiesser D, 2004, J PROSTHET DENT, V91, P310, DOI 10.1016/j.prosdent.2003.12.003 OLSSON M, 1995, CLIN ORAL IMPLAN RES, V6, P114, DOI 10.1034/j.1600-0501.1995.060207.x Palmer RM, 2005, CLIN ORAL IMPLAN RES, V16, P302, DOI 10.1111/j.1600-0501.2005.01110.x Romanos GE, 2003, J PERIODONTOL, V74, P1483, DOI 10.1902/jop.2003.74.10.1483 Sekine H., 1986, TISSUE INTEGRATION O, P326 Siar CH, 2003, J PERIODONTOL, V74, P571, DOI 10.1902/jop.2003.74.5.571 SICHER H, 1959, Oral Surg Oral Med Oral Pathol, V12, P31, DOI 10.1016/0030-4220(59)90078-7 Steiner D.R., 2002, J ENDODONT, V29, P77 Welander M., 2009, CLIN ORAL IMPLAN RES, V19, P635 Welander M, 2008, CLIN ORAL IMPLAN RES, V19, P635, DOI 10.1111/j.1600-0501.2008.01543.x Siar, Chong Huat Toh, Chooi Gait Ali, Tara Bai Taiyeb Seiz, Doris Ong, Siew Tin Dentsply Friadent GmbH Germany40-02-03-2002 The kind assistance of the Veterinary team, Laboratory Animal Center, Faculty of Medicine, University of Malaya; Mrs Norma Yusof, Mrs Rusnani Kamal, Mrs Khor Goot Heah and Mr Hassan Mat Nor, Faculty of Dentistry, University of Malaya; and implant material contributions by Dentsply Friadent GmbH, are gratefully acknowledged. This research is supported by Dentsply Friadent GmbH Germany Vote No. 40-02-03-2002. Wiley-blackwell Malden|
|Uncontrolled Keywords: ||Abutments dental implants histomorphometry oral mucosa soft tissues partially edentulous patients fixed partial dentures splinting osseointegrated implants titanium implants biologic width natural teeth connected prostheses histometric analysis plaque-formation loaded implants|
|Subjects: ||R Medicine > RK Dentistry|
|Depositing User: ||Ms Nursyafiqah Abd Malek|
|Date Deposited: ||10 Jan 2013 08:36|
|Last Modified: ||10 Jan 2013 08:36|
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