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BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Research

Soft tissue dimensional change using customized titanium healing abutment in immediate implant placement in posterior teeth

Authors: Tanporn Lertwongpaisan, Parinya Amornsettachai, Woraphong Panyayong, Suphachai Suphangul

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background

The morphologic and dimensional alveolar bone is significant for resorption in the first 3 months after tooth removal because they restrict treatment outcomes with respect to function and esthetic. Following teeth extraction, the width and height of the alveolar ridge contour are reduced in both the horizontal and vertical dimensions. Following implant placement, the gingival morphology should be changed minimally compared to pre-extraction. Surrounding natural-like tissue is also an ultimate goal of the dental implant treatment, which is correlated with the cervical third contour on the anatomical tooth, for comfortable cleansing, food impaction avoidance, and esthetics.

Purpose

To evaluate the peri-implant soft tissue changes after immediate implant placement (IIP) with the use of a customized titanium healing abutment in the posterior teeth.

Method

Digital impressions using the intraoral scanner (MEDIT i500) were taken from 30 patients. Customized titanium healing abutments were designed and milled before extraction. Flapless extractions were done using surgical guides, 32 immediate implants placement were done in posterior areas, and healing abutments were placed. Soft tissues were scanned during pre-operation, and post-surgery during the 1st, 3rd, and 6th months. A 3D analysis program (Final Surface) evaluated the gingival margin distance, height, contour width, and volume in each period. SPSS was used to analyze the data with a p-value = 0.05. The between-time interval comparisons were done and the analysis was done using a Multivariate test.

Results

Customized titanium healing abutments used in immediate implantation maintained optimal peri-implant mucosa. In intermittent periods, there was no significant reduction in all aspects of the margin distances and heights. During the entire period, the margin height reduction on the buccal, lingual, mesial, and distal was 0.63 mm, 0.93 mm, 0.08 mm, and 0.24 mm, respectively, and contour width reduction on the buccal, lingual, and buccolingual was 0.59 mm, 0.43 mm, and 1.03 mm, respectively. There was a significant reduction in the total buccolingual contour width in the 1st month and total volume in the 3rd to 6th months.

Conclusions

Immediate implant placement with customized titanium healing abutment can achieve the optimal peri-implant mucosa and this protocol is an alternative for soft tissue management.
Literature
1.
Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003;23(4):313–23.PubMed
2.
Baltriukiene D, Sabaliauskas V, Balciunas E, Melninkaitis A, Liutkevicius E, Bukelskiene V, Rutkunas V. The effect of laser-treated titanium surface on human gingival fibroblast behavior. J Biomed Mater Res A. 2014;102(3):713–20.CrossRefPubMed
3.
Van der Weijden F, Dell’Acqua F, Slot DE. Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review. J Clin Periodontol. 2009;36(12):1048–58.CrossRefPubMed
4.
Covani U, Bortolaia C, Barone A, Sbordone L. Bucco-lingual crestal bone changes after immediate and delayed implant placement. J Periodontol. 2004;75(12):1605–12.CrossRefPubMed
5.
Lang NP, Pun L, Lau KY, Li KY, Wong MC. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Implants Res. 2012;23(Suppl 5):39–66.CrossRefPubMed
6.
Mazzocco F, Jimenez D, Barallat L, Paniz G, Del Fabbro M, Nart J. Bone volume changes after immediate implant placement with or without flap elevation. Clin Oral Implants Res. 2017;28(4):495–501.CrossRefPubMed
7.
Urban IA, Monje A, Lozada JL, Wang HL. Long-term evaluation of Peri-implant Bone Level after Reconstruction of severely atrophic Edentulous Maxilla via Vertical and Horizontal guided bone regeneration in combination with sinus augmentation: a Case Series with 1 to 15 years of Loading. Clin Implant Dent Relat Res. 2017;19(1):46–55.CrossRefPubMed
8.
Geurs NC, Vassilopoulos PJ, Reddy MS. Soft tissue considerations in implant site development. Oral Maxillofac Surg Clin North Am. 2010;22(3):387–405.CrossRefPubMed
9.
Schoenbaum TR. Abutment Emergence Profile and its Effect on Peri-Implant tissues. Compend Contin Educ Dent. 2015;36(7):474–9.PubMed
10.
Alshhrani WM, Al Amri MD. Customized CAD-CAM healing abutment for delayed loaded implants. J Prosthet Dent. 2016;116(2):176–9.CrossRefPubMed
11.
Teślak M, Ziemlewski A, Foltyn I, Ordyniec-Kwaśnica I, Drogoszewska B. Development of Custom Anatomic Healing Abutment Based on Cone-Beam Computer Tomography Measurement on Human Teeth Cross-Section. Materials. 2021;14(16):4570.CrossRefPubMedPubMedCentral
12.
Bakopoulou A, Papadopoulos T, Garefis P. Molecular toxicology of substances released from resin-based dental restorative materials. Int J Mol Sci. 2009;10(9):3861–99.CrossRefPubMedPubMedCentral
13.
14.
Rokaya D, Bohara S, Srimaneepong V, Kongkiatkamon S, Khurshid Z, Heboyan A, Zafar MS, Sapkota J. Metallic biomaterials for Medical and Dental Prosthetic Applications. In: Jana S, S., editor. Functional biomaterials: drug delivery and Biomedical Applications. Jana: Springer Singapore: Singapore,; 2022. pp. 503–22.CrossRef
15.
Pandey C, Rokaya D, Bhattarai BP. Contemporary Concepts in Osseointegration of Dental Implants: a review. Biomed Res Int. 2022;2022. 6170452.
16.
Botticelli D, Berglundh T, Lindhe J. Hard-tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol. 2004;31(10):820–8.CrossRefPubMed
17.
Chen Z, Li J, Wang HL, Yu H. Initial bone volume changes after Immediate Implant Placement Associated with filling the gap using bovine bone in Molar Sites. Int J Oral Maxillofac Implants. 2019;34(2):521–8.CrossRefPubMed
18.
Spray JR, Black CG, Morris HF, Ochi S. The influence of bone thickness on facial marginal bone response: stage 1 placement through stage 2 uncovering. Ann Periodontol. 2000;5(1):119–28.CrossRefPubMed
19.
Araujo MG, Wennstrom JL, Lindhe J. Modeling of the buccal and lingual bone walls of fresh extraction sites following implant installation. Clin Oral Implants Res. 2006;17(6):606–14.CrossRefPubMed
20.
Piattelli A, Scarano A, Piattelli M, Bertolai R, Panzoni E. Histologic aspects of the bone and soft tissues surrounding three titanium non-submerged plasma-sprayed implants retrieved at autopsy: a case report. J Periodontol. 1997;68(7):694–700.CrossRefPubMed
21.
Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005;32(2):212–8.CrossRefPubMed
22.
Iasella JM, Greenwell H, Miller RL, Hill M, Drisko C, Bohra AA, Scheetz JP. Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans. J Periodontol. 2003;74(7):990–9.CrossRefPubMed
23.
Cardaropoli D, Gaveglio L, Gherlone E, Cardaropoli G. Soft tissue contour changes at immediate implants: a randomized controlled clinical study. Int J Periodontics Restorative Dent. 2014;34(5):631–7.CrossRefPubMed
24.
Atsuta I, Ayukawa Y, Kondo R, Oshiro W, Matsuura Y, Furuhashi A, Tsukiyama Y, Koyano K. Soft tissue sealing around dental implants based on histological interpretation. J prosthodontic Res. 2016;60(1):3–11.CrossRef
25.
Nozawa T, Enomoto H, Tsurumaki S, Ito K. Biologic height-width ratio of the buccal supra-implant mucosa. Eur J Esthet Dent. 2006;1(3):208–14.PubMed
26.
Farronato D, Manfredini M, Mangano F, Goffredo G, Colombo M, Pasini P, Orsina A, Farronato M. Ratio between height and thickness of the buccal tissues: a pilot study on 32 single implants. Dent J. 2019;7(2):40.CrossRef
27.
Malik J, Rodriguez J, Weisbloom M, Petridis H. Comparison of Accuracy between a conventional and two Digital Intraoral Impression techniques. Int J Prosthodont. 2018;31(2):107–13.CrossRefPubMed
28.
Suphangul S, Rokaya D, Kanchanasobhana C, Rungsiyakull P, Chaijareenont P. PEEK Biomaterial in Long-Term Provisional Implant Restorations: a review. J Funct biomaterials 2022, 13 (2).
29.
Araujo MG, Linder E, Lindhe J. Bio-Oss collagen in the buccal gap at immediate implants: a 6-month study in the dog. Clin Oral Implants Res. 2011;22(1):1–8.CrossRefPubMed
30.
Koutouzis T, Koutouzis G, Gadalla H, Neiva R. The effect of healing abutment reconnection and disconnection on soft and hard peri-implant tissues: a short-term randomized controlled clinical trial. Int J Oral Maxillofac Implants. 2013;28(3):807–14.CrossRefPubMed
31.
Praca LFG, Teixeira RC, Rego RO. Influence of abutment disconnection on peri-implant marginal bone loss: a randomized clinical trial. Clin Oral Implants Res. 2020;31(4):341–51.CrossRefPubMed
32.
Varga E Jr, Antal M, Major L, Kiscsatari R, Braunitzer G, Piffko J. Guidance means accuracy: a randomized clinical trial on freehand versus guided dental implantation. Clin Oral Implants Res. 2020;31(5):417–30.CrossRefPubMed
Metadata
Title
Soft tissue dimensional change using customized titanium healing abutment in immediate implant placement in posterior teeth
Authors
Tanporn Lertwongpaisan
Parinya Amornsettachai
Woraphong Panyayong
Suphachai Suphangul
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03060-5

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