Immediately loaded titanium implant with a tissue-stabilizing/maintaining design ('beyond platform switch') retrieved from man after 4 weeks: a histological and histomorphometrical evaluation. A case report.

Abstract:

BACKGROUND:After implant insertion and loading, crestal bone usually undergoes remodeling and resorption. If the horizontal relationship between the outer edge of the implant and a smaller-diameter component ('platform switching') is altered, there seems to be reduced crestal bone loss. Immediate loading allows immediate restoration of esthetics and function, reduces morbidity, and facilitates functional rehabilitation. MATERIALS AND METHODS:Three Morse cone connection implants were inserted in the right posterior mandible in a 29-year-old partially edentulous patient. The platform of the implant was inserted 2 mm below the level of the alveolar crest. After a 1-month loading period, the most distal mandibular implant was retrieved with a trephine bur for psychological reasons. RESULTS:At low-power magnification, it was possible to see that bone was present 2 mm above the level of the implant shoulder. No resorption of the coronal bone was present. No infrabony pockets were present. At the level of the shoulder of the implant, it was possible to observe the presence of dense connective tissue with only a few scattered inflammatory cells. Newly formed bone was found in direct contact with the implant surface. The bone-implant contact percentage was 65.3+/-4.8%. CONCLUSIONS:Abutments smaller than the diameter of the implant body (platform switching) in combination with an absence of micromovement and microgap may protect the peri-implant soft and mineralized tissues, explaining the observed absence of bone resorption. Immediate loading did not interfere with bone formation and did not have adverse effects on osseointegration.

journal_name

Clin Oral Implants Res

authors

Degidi M,Iezzi G,Scarano A,Piattelli A

doi

10.1111/j.1600-0501.2007.01449.x

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

276-82

issue

3

eissn

0905-7161

issn

1600-0501

pii

CLR1449

journal_volume

19

pub_type

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