Clinical Performance of a Novel Two-Piece Abutment Concept: Results from a Prospective Study with a 1-Year Follow-Up
Development of a stable and healthy soft-tissue barrier around dental implants is key to long-term success of implant-supported prostheses. The novel two-piece abutment concept shifts the prosthetic interface to the soft-tissue level to protect bone interface/connective tissue during the healing pha...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/8/1594 |
| _version_ | 1797538167561125888 |
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| author | Giacomo Fabbri Tristan Staas Tomas Linkevicius Valda Valantiejiene Oscar González-Martin Eric Rompen |
| author_facet | Giacomo Fabbri Tristan Staas Tomas Linkevicius Valda Valantiejiene Oscar González-Martin Eric Rompen |
| author_sort | Giacomo Fabbri |
| collection | DOAJ |
| description | Development of a stable and healthy soft-tissue barrier around dental implants is key to long-term success of implant-supported prostheses. The novel two-piece abutment concept shifts the prosthetic interface to the soft-tissue level to protect bone interface/connective tissue during the healing phase and restorative procedures. This prospective study included 72 patients treated with 106 implants to support a single-tooth or a three-unit bridge restored with two-piece abutments. The evaluation included marginal bone level change (MBLC), implant and prosthetic survival, soft-tissue health including keratinized mucosa height and mucosal margin position, patient quality of life (QoL) and satisfaction, and clinician satisfaction and ease-of-use rating of the concept. Mean MBLC from implant placement to 1 year was −0.36 ± 1.26 mm (<i>n</i> = 89), the 1-year implant and prosthetic survival rates were 97.1 and 96.7%, respectively, while keratinized mucosa height increased from 2.9 ± 1.2 mm at prosthetic delivery to 3.2 ± 1.3 mm, and mucosal margin migrated coronally by 0.49 ± 0.61 mm by 1 year. Patient satisfaction and QoL were high. Clinicians were satisfied with the esthetic and functional results and rated the concept as easy to use. In conclusion, the novel two-piece abutment concept promotes good peri-implant tissue health, while providing an easy-to-use workflow and high treatment satisfaction to both patients and clinicians. |
| first_indexed | 2024-03-10T12:27:40Z |
| format | Article |
| id | doaj.art-1012b9b075074d6da4ea8866f7a4fa8c |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T12:27:40Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-1012b9b075074d6da4ea8866f7a4fa8c2023-11-21T14:54:59ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01108159410.3390/jcm10081594Clinical Performance of a Novel Two-Piece Abutment Concept: Results from a Prospective Study with a 1-Year Follow-UpGiacomo Fabbri0Tristan Staas1Tomas Linkevicius2Valda Valantiejiene3Oscar González-Martin4Eric Rompen5Ban Mancini Fabbri Dental Clinic, 47841 Cattolica RN, ItalyTandartspraktijk Staas & Bergmans, 5216 XA’s-Hertogenbosch, The NetherlandsImplantology Center, 03162 Vilnius, LithuaniaDental Clinic Auksteja, 44275 Kaunas, LithuaniaGonzalez+Solano Atelier Dental, Blanca de Navarra 10, 28010 Madrid, SpainService de Médecine Dentaire, 4000 Liège, BelgiumDevelopment of a stable and healthy soft-tissue barrier around dental implants is key to long-term success of implant-supported prostheses. The novel two-piece abutment concept shifts the prosthetic interface to the soft-tissue level to protect bone interface/connective tissue during the healing phase and restorative procedures. This prospective study included 72 patients treated with 106 implants to support a single-tooth or a three-unit bridge restored with two-piece abutments. The evaluation included marginal bone level change (MBLC), implant and prosthetic survival, soft-tissue health including keratinized mucosa height and mucosal margin position, patient quality of life (QoL) and satisfaction, and clinician satisfaction and ease-of-use rating of the concept. Mean MBLC from implant placement to 1 year was −0.36 ± 1.26 mm (<i>n</i> = 89), the 1-year implant and prosthetic survival rates were 97.1 and 96.7%, respectively, while keratinized mucosa height increased from 2.9 ± 1.2 mm at prosthetic delivery to 3.2 ± 1.3 mm, and mucosal margin migrated coronally by 0.49 ± 0.61 mm by 1 year. Patient satisfaction and QoL were high. Clinicians were satisfied with the esthetic and functional results and rated the concept as easy to use. In conclusion, the novel two-piece abutment concept promotes good peri-implant tissue health, while providing an easy-to-use workflow and high treatment satisfaction to both patients and clinicians.https://www.mdpi.com/2077-0383/10/8/1594two-piece abutmentsoft tissue healthprospective |
| spellingShingle | Giacomo Fabbri Tristan Staas Tomas Linkevicius Valda Valantiejiene Oscar González-Martin Eric Rompen Clinical Performance of a Novel Two-Piece Abutment Concept: Results from a Prospective Study with a 1-Year Follow-Up Journal of Clinical Medicine two-piece abutment soft tissue health prospective |
| title | Clinical Performance of a Novel Two-Piece Abutment Concept: Results from a Prospective Study with a 1-Year Follow-Up |
| title_full | Clinical Performance of a Novel Two-Piece Abutment Concept: Results from a Prospective Study with a 1-Year Follow-Up |
| title_fullStr | Clinical Performance of a Novel Two-Piece Abutment Concept: Results from a Prospective Study with a 1-Year Follow-Up |
| title_full_unstemmed | Clinical Performance of a Novel Two-Piece Abutment Concept: Results from a Prospective Study with a 1-Year Follow-Up |
| title_short | Clinical Performance of a Novel Two-Piece Abutment Concept: Results from a Prospective Study with a 1-Year Follow-Up |
| title_sort | clinical performance of a novel two piece abutment concept results from a prospective study with a 1 year follow up |
| topic | two-piece abutment soft tissue health prospective |
| url | https://www.mdpi.com/2077-0383/10/8/1594 |
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