Clinical and radiographic evaluation of peri-implant tissue changes associated with use of standard versus customized healing abutments

Document Type : Original Article

Authors

1 Periodontology, Oral medicine, Diagnosis and Oral Radiology, Faculty of Dental Medicine, (Boys Cairo) Al-Azhar university.

2 Department of Oral Medicine, Periodontology, Diagnosis & Oral Radiology. al-azhar University

Abstract

Background: Risks of esthetic complications has been reported following dental implant insertion; hence it was hypothesis that a customized healing abutment could improve the peri-implant tissue healing.
Aim: To evaluate healing around implants received a customized compared to a standard healing abutment.
Patients & Methods: Twelve patients (eight females and four males aged 33-43) had two nearly comparable partial edentulous spaces on both sides of one jaw, split mouth technique were applied to divide theme into two groups: Group 1 sites received delayed implant with standard healing abutment; Group 2 sites received delayed implant with a customized healing abutment that fabricated in resin.
Results: Twenty four implants were inserted successfully in the two groups. The Papilla Index was significantly higher in the customized than in the standard group at 2 and 3 months. The bone loss at mesial and distal sites was significantly higher in the customized than in the standard group at 6 and 9 months.
Conclusion: Customized healing abutment group showed most favorable outcomes compared with that of standard healing abutment assessed with the criteria of PI and MBL.

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Al-Azhar Journal of Dental Science
Volume 26, Issue 2 - Serial Number 2
April - Oral Medicine & Surgical Sciences Issue (Oral Medicine, Oral & Maxillofacial Surgery, Oral Pathology, Oral Biology)
April 2023
Pages 229-239

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