Conometric Connection for Implant-Supported Crowns: A Prospective Clinical Cohort Study
Background: Traditional screw or cemented connections in dental implants present limitations, prompting the exploration of alternative methods. This study assesses the clinical outcomes of single crowns and fixed partial prostheses supported by conometric connections after one year of follow-up. Met...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/24/7647 |
| _version_ | 1797380554710056960 |
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| author | Saturnino Marco Lupi Dario De Martis Claudia Todaro Gaetano Isola Mario Beretta Ruggero Rodriguez y Baena |
| author_facet | Saturnino Marco Lupi Dario De Martis Claudia Todaro Gaetano Isola Mario Beretta Ruggero Rodriguez y Baena |
| author_sort | Saturnino Marco Lupi |
| collection | DOAJ |
| description | Background: Traditional screw or cemented connections in dental implants present limitations, prompting the exploration of alternative methods. This study assesses the clinical outcomes of single crowns and fixed partial prostheses supported by conometric connections after one year of follow-up. Methods: Twenty-two patients received 70 implants, supporting 33 rehabilitations. Biological responses and prosthodontic complications were evaluated at baseline, 6 months, and 12 months. Results: All implants exhibited successful osseointegration, with no losses or peri-implant inflammation. Marginal bone levels showed minimal changes, well below pathological thresholds. The difference in marginal bone loss (MBL) was −0.27 ± 0.79 mm between T0 and T1, and −0.51 ± 0.93 mm between T0 and T2. No abutment screw loosening or crown chipping occurred. However, coupling stability loss was observed in nine cases. Conclusions: The conometric connection demonstrated successful integration and minimal complications after one year. This alternative shows promise, particularly in simplifying handling and improving marginal adaptation. Further research with larger sample sizes and longer follow-up is warranted for comprehensive validation. |
| first_indexed | 2024-03-08T20:38:58Z |
| format | Article |
| id | doaj.art-83b9ba2c82a344859c85c69428ba1ba3 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T20:38:58Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-83b9ba2c82a344859c85c69428ba1ba32023-12-22T14:17:19ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224764710.3390/jcm12247647Conometric Connection for Implant-Supported Crowns: A Prospective Clinical Cohort StudySaturnino Marco Lupi0Dario De Martis1Claudia Todaro2Gaetano Isola3Mario Beretta4Ruggero Rodriguez y Baena5Department of Clinical Surgical, Diagnostic and Pediatric Sciences, School of Dentistry, University of Pavia, 27100 Pavia, ItalyDepartment of Clinical Surgical, Diagnostic and Pediatric Sciences, School of Dentistry, University of Pavia, 27100 Pavia, ItalyDepartment of Clinical Surgical, Diagnostic and Pediatric Sciences, School of Dentistry, University of Pavia, 27100 Pavia, ItalyDepartment of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, ItalyDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, ItalyDepartment of Clinical Surgical, Diagnostic and Pediatric Sciences, School of Dentistry, University of Pavia, 27100 Pavia, ItalyBackground: Traditional screw or cemented connections in dental implants present limitations, prompting the exploration of alternative methods. This study assesses the clinical outcomes of single crowns and fixed partial prostheses supported by conometric connections after one year of follow-up. Methods: Twenty-two patients received 70 implants, supporting 33 rehabilitations. Biological responses and prosthodontic complications were evaluated at baseline, 6 months, and 12 months. Results: All implants exhibited successful osseointegration, with no losses or peri-implant inflammation. Marginal bone levels showed minimal changes, well below pathological thresholds. The difference in marginal bone loss (MBL) was −0.27 ± 0.79 mm between T0 and T1, and −0.51 ± 0.93 mm between T0 and T2. No abutment screw loosening or crown chipping occurred. However, coupling stability loss was observed in nine cases. Conclusions: The conometric connection demonstrated successful integration and minimal complications after one year. This alternative shows promise, particularly in simplifying handling and improving marginal adaptation. Further research with larger sample sizes and longer follow-up is warranted for comprehensive validation.https://www.mdpi.com/2077-0383/12/24/7647conometric connectiondental implantsfixed dental prosthesisclinical outcome |
| spellingShingle | Saturnino Marco Lupi Dario De Martis Claudia Todaro Gaetano Isola Mario Beretta Ruggero Rodriguez y Baena Conometric Connection for Implant-Supported Crowns: A Prospective Clinical Cohort Study Journal of Clinical Medicine conometric connection dental implants fixed dental prosthesis clinical outcome |
| title | Conometric Connection for Implant-Supported Crowns: A Prospective Clinical Cohort Study |
| title_full | Conometric Connection for Implant-Supported Crowns: A Prospective Clinical Cohort Study |
| title_fullStr | Conometric Connection for Implant-Supported Crowns: A Prospective Clinical Cohort Study |
| title_full_unstemmed | Conometric Connection for Implant-Supported Crowns: A Prospective Clinical Cohort Study |
| title_short | Conometric Connection for Implant-Supported Crowns: A Prospective Clinical Cohort Study |
| title_sort | conometric connection for implant supported crowns a prospective clinical cohort study |
| topic | conometric connection dental implants fixed dental prosthesis clinical outcome |
| url | https://www.mdpi.com/2077-0383/12/24/7647 |
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