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Related Experiment Videos

["Esthetic plus"-ITI-implants (TPS): a prospective clinical study].

Christoph Gerber1, Nicolas Hardt, Thomas von Arx

  • 1Klinik für Mund-, Kiefer- und Gesichtschirurgie Kantonsspital Luzern CH-6000 Luzern 16. christoph.gerber@gmx.net

Schweizer Monatsschrift Fur Zahnmedizin = Revue Mensuelle Suisse D'Odonto-Stomatologie = Rivista Mensile Svizzera Di Odontologia E Stomatologia
|February 27, 2003
PubMed
Summary

Lengthening the rough surface of "esthetic plus"-ITI-implants impacts bone and soft tissue. Adjacent structures significantly influence implant outcomes, suggesting standard implants may be better in some cases.

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Area of Science:

  • Dental Implantology
  • Periodontology
  • Biomaterials Science

Background:

  • The
  • esthetic plus
  • -ITI-implant features a modified rough surface designed for enhanced osseointegration.
  • Understanding the influence of implant surface modifications and adjacent anatomical structures on peri-implant tissues is crucial for successful long-term outcomes.

Purpose of the Study:

  • To evaluate the effect of a 1 mm surface lengthening on
  • esthetic plus
  • -ITI-implants on surrounding soft and hard tissues.
  • To compare bone-to-implant contact in relation to adjacent teeth, implants, or distal extensions.

Main Methods:

  • Prospective clinical study involving 21

Related Experiment Videos

  • esthetic plus
  • -ITI-implants in 12 patients.
  • Clinical and radiographic assessments at 10 and 32 months post-insertion.
  • Measurement of the distance between implant shoulder and first bone contact (DIB-score).

    • Main Results:

    • The mean DIB-score after 32 months was 2.19 mm.
    • Lower DIB-scores (1.90 mm) were observed adjacent to natural teeth, with minimal un-boned rough surface (0.1 mm).
    • Higher DIB-scores (2.63 mm to 2.79 mm) were found adjacent to other implants or in distal extension situations, indicating significant portions of the rough surface lacked bone contact (0.83 mm to 0.99 mm).

    Conclusions:

    • The lengthening of the rough surface on
    • esthetic plus
    • -ITI-implants, combined with adjacent anatomical factors, influences peri-implant bone and soft tissue healing.
    • In situations adjacent to other implants or distal extensions, a standard ITI-implant with a smooth neck (2.8 mm) may be more appropriate than the modified implant with a shortened smooth neck (1.8 mm).
    • Careful consideration of implant positioning relative to adjacent structures is essential when selecting this implant type.