Contour angle and peri‐implant tissue height: Two interrelated features of the implant supracrestal complex
Abstract Objectives Recent research has suggested the contour of the prosthesis and the vertical height of the peri‐implant mucosa as important parameters that can influence the long term health and stability of the peri‐implant tissue. In particular, overcontouring of the prosthesis has been correl...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-06-01
|
| Series: | Clinical and Experimental Dental Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cre2.731 |
| _version_ | 1797799485258072064 |
|---|---|
| author | Algirdas Puisys Martin Janda Viktorija Auzbikaviciute German O. Gallucci Nikos Mattheos |
| author_facet | Algirdas Puisys Martin Janda Viktorija Auzbikaviciute German O. Gallucci Nikos Mattheos |
| author_sort | Algirdas Puisys |
| collection | DOAJ |
| description | Abstract Objectives Recent research has suggested the contour of the prosthesis and the vertical height of the peri‐implant mucosa as important parameters that can influence the long term health and stability of the peri‐implant tissue. In particular, overcontouring of the prosthesis has been correlated with an increased risk for peri‐implantitis, while reduced soft tissue height has been associated with marginal bone loss, recession, and other soft tissue complications. Although these two parameters have been investigated as independent in the current literature, clinical experience points toward a close interrelation between transmucosal tissue height and prosthesis contour angle. It is often found that a reduced vertical height of the implant supracrestal complex is the main reason for overcontouring of the prosthesis. At the same time, achieving a favorable contour of 30o or less is not possible unless the clinician has ensured an adequate vertical height of the soft tissue. The purpose of this short communication is to establish the relation between tissue vertical height and prosthesis contour by utilizing a theoretical geometry equation based on the Pythagorean theorem. In doing so, one can use the dimensions of the implant as well as those of the prosthesis at the mucosal margin to calculate the essential vertical height for achieving a favorable prosthesis contour. Conclusions As the treatment plan of the implant supracrestal complex is “top‐down,” in case of deficient vertical height, subcrestal placement of the implant should be considered to achieve a proper prosthesis contour. |
| first_indexed | 2024-03-13T04:20:37Z |
| format | Article |
| id | doaj.art-4c140f2e0f69494697cce1b02e85b451 |
| institution | Directory Open Access Journal |
| issn | 2057-4347 |
| language | English |
| last_indexed | 2024-03-13T04:20:37Z |
| publishDate | 2023-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical and Experimental Dental Research |
| spelling | doaj.art-4c140f2e0f69494697cce1b02e85b4512023-06-20T10:18:25ZengWileyClinical and Experimental Dental Research2057-43472023-06-019341842410.1002/cre2.731Contour angle and peri‐implant tissue height: Two interrelated features of the implant supracrestal complexAlgirdas Puisys0Martin Janda1Viktorija Auzbikaviciute2German O. Gallucci3Nikos Mattheos4VIC Clinic, Private Practice Vilnius LithuaniaDepartment of Prosthodontics, Faculty of Odontology Malmoe University Malmö SwedenVIC Clinic, Private Practice Vilnius LithuaniaDepartment of Restorative Dentistry and Biomaterials Sciences School of Dental Medicine Harvard University Boston Massachusetts USADepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry Chulalongkorn University Bangkok ThailandAbstract Objectives Recent research has suggested the contour of the prosthesis and the vertical height of the peri‐implant mucosa as important parameters that can influence the long term health and stability of the peri‐implant tissue. In particular, overcontouring of the prosthesis has been correlated with an increased risk for peri‐implantitis, while reduced soft tissue height has been associated with marginal bone loss, recession, and other soft tissue complications. Although these two parameters have been investigated as independent in the current literature, clinical experience points toward a close interrelation between transmucosal tissue height and prosthesis contour angle. It is often found that a reduced vertical height of the implant supracrestal complex is the main reason for overcontouring of the prosthesis. At the same time, achieving a favorable contour of 30o or less is not possible unless the clinician has ensured an adequate vertical height of the soft tissue. The purpose of this short communication is to establish the relation between tissue vertical height and prosthesis contour by utilizing a theoretical geometry equation based on the Pythagorean theorem. In doing so, one can use the dimensions of the implant as well as those of the prosthesis at the mucosal margin to calculate the essential vertical height for achieving a favorable prosthesis contour. Conclusions As the treatment plan of the implant supracrestal complex is “top‐down,” in case of deficient vertical height, subcrestal placement of the implant should be considered to achieve a proper prosthesis contour.https://doi.org/10.1002/cre2.731emergence angleimplant prosthesis contourimplant supracrestal complexperi‐implant tissue height |
| spellingShingle | Algirdas Puisys Martin Janda Viktorija Auzbikaviciute German O. Gallucci Nikos Mattheos Contour angle and peri‐implant tissue height: Two interrelated features of the implant supracrestal complex Clinical and Experimental Dental Research emergence angle implant prosthesis contour implant supracrestal complex peri‐implant tissue height |
| title | Contour angle and peri‐implant tissue height: Two interrelated features of the implant supracrestal complex |
| title_full | Contour angle and peri‐implant tissue height: Two interrelated features of the implant supracrestal complex |
| title_fullStr | Contour angle and peri‐implant tissue height: Two interrelated features of the implant supracrestal complex |
| title_full_unstemmed | Contour angle and peri‐implant tissue height: Two interrelated features of the implant supracrestal complex |
| title_short | Contour angle and peri‐implant tissue height: Two interrelated features of the implant supracrestal complex |
| title_sort | contour angle and peri implant tissue height two interrelated features of the implant supracrestal complex |
| topic | emergence angle implant prosthesis contour implant supracrestal complex peri‐implant tissue height |
| url | https://doi.org/10.1002/cre2.731 |
| work_keys_str_mv | AT algirdaspuisys contourangleandperiimplanttissueheighttwointerrelatedfeaturesoftheimplantsupracrestalcomplex AT martinjanda contourangleandperiimplanttissueheighttwointerrelatedfeaturesoftheimplantsupracrestalcomplex AT viktorijaauzbikaviciute contourangleandperiimplanttissueheighttwointerrelatedfeaturesoftheimplantsupracrestalcomplex AT germanogallucci contourangleandperiimplanttissueheighttwointerrelatedfeaturesoftheimplantsupracrestalcomplex AT nikosmattheos contourangleandperiimplanttissueheighttwointerrelatedfeaturesoftheimplantsupracrestalcomplex |