Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study

Background: Many efforts have been made recently to arrange a newer, more hydrophilic and more osteoconductive implant surface. One of the possible options in this matter is modification with hydroxyl ion. Materials and Methods: Forty implants with the diameters 3.5 and 4.0 mm were inserted as a sin...

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Autores principales: Maciej Krawiec, Jakub Hadzik, Cyprian Olchowy, Marzena Dominiak, Paweł Kubasiewicz-Ross
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:3c2a20ec96c14b38afa67ec4eddb6b992021-11-11T17:55:42ZAesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study10.3390/ma142163531996-1944https://doaj.org/article/3c2a20ec96c14b38afa67ec4eddb6b992021-10-01T00:00:00Zhttps://www.mdpi.com/1996-1944/14/21/6353https://doaj.org/toc/1996-1944Background: Many efforts have been made recently to arrange a newer, more hydrophilic and more osteoconductive implant surface. One of the possible options in this matter is modification with hydroxyl ion. Materials and Methods: Forty implants with the diameters 3.5 and 4.0 mm were inserted as a single missing tooth restoration protocol in the frontal aspect of the maxilla. All implants were loaded early in a 4 week period. Prior to and during the surgery, the following indices were considered: height of keratinized tissue, the thickness of soft tissue, and the initial level of bone tissue. After 12 months, the implant and the tissues in its direct vicinity were evaluated once more with the following indices: marginal bone loss (MBL), height of keratinized tissue (HKT), probing pocket depth (PPD), pink and white aesthetics scores (PES, WES), as well as pain sensations combined with the procedure (VAS). All results were related to the diameter of the implant and thickness of periodontal biotype. Results: High aesthetic outcomes were reported regardless of soft tissue thickness and implant diameter. The VAS score was higher for the 4.0 implant group, and the thickness of soft tissue had no influence on VAS. In case of implantation in thin or soft tissue, higher MBL levels were reported (0.26 mm), while in case of a thick phenotype, MBL was 0.06 mm. Conclusions: Hydrophilic surface implants can be used for a protocol of early functional occlusal loading. The initial thickness of soft tissue does not influence aesthetic outcomes and does not raise pain perception, although it may elevate crestal bone resorption.Maciej KrawiecJakub HadzikCyprian OlchowyMarzena DominiakPaweł Kubasiewicz-RossMDPI AGarticledental implantimplant surface modificationearly loadingmarginal bone lostperiodontal indexpink esthetic scoreTechnologyTElectrical engineering. Electronics. Nuclear engineeringTK1-9971Engineering (General). Civil engineering (General)TA1-2040MicroscopyQH201-278.5Descriptive and experimental mechanicsQC120-168.85ENMaterials, Vol 14, Iss 6353, p 6353 (2021)
institution DOAJ
collection DOAJ
language EN
topic dental implant
implant surface modification
early loading
marginal bone lost
periodontal index
pink esthetic score
Technology
T
Electrical engineering. Electronics. Nuclear engineering
TK1-9971
Engineering (General). Civil engineering (General)
TA1-2040
Microscopy
QH201-278.5
Descriptive and experimental mechanics
QC120-168.85
spellingShingle dental implant
implant surface modification
early loading
marginal bone lost
periodontal index
pink esthetic score
Technology
T
Electrical engineering. Electronics. Nuclear engineering
TK1-9971
Engineering (General). Civil engineering (General)
TA1-2040
Microscopy
QH201-278.5
Descriptive and experimental mechanics
QC120-168.85
Maciej Krawiec
Jakub Hadzik
Cyprian Olchowy
Marzena Dominiak
Paweł Kubasiewicz-Ross
Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study
description Background: Many efforts have been made recently to arrange a newer, more hydrophilic and more osteoconductive implant surface. One of the possible options in this matter is modification with hydroxyl ion. Materials and Methods: Forty implants with the diameters 3.5 and 4.0 mm were inserted as a single missing tooth restoration protocol in the frontal aspect of the maxilla. All implants were loaded early in a 4 week period. Prior to and during the surgery, the following indices were considered: height of keratinized tissue, the thickness of soft tissue, and the initial level of bone tissue. After 12 months, the implant and the tissues in its direct vicinity were evaluated once more with the following indices: marginal bone loss (MBL), height of keratinized tissue (HKT), probing pocket depth (PPD), pink and white aesthetics scores (PES, WES), as well as pain sensations combined with the procedure (VAS). All results were related to the diameter of the implant and thickness of periodontal biotype. Results: High aesthetic outcomes were reported regardless of soft tissue thickness and implant diameter. The VAS score was higher for the 4.0 implant group, and the thickness of soft tissue had no influence on VAS. In case of implantation in thin or soft tissue, higher MBL levels were reported (0.26 mm), while in case of a thick phenotype, MBL was 0.06 mm. Conclusions: Hydrophilic surface implants can be used for a protocol of early functional occlusal loading. The initial thickness of soft tissue does not influence aesthetic outcomes and does not raise pain perception, although it may elevate crestal bone resorption.
format article
author Maciej Krawiec
Jakub Hadzik
Cyprian Olchowy
Marzena Dominiak
Paweł Kubasiewicz-Ross
author_facet Maciej Krawiec
Jakub Hadzik
Cyprian Olchowy
Marzena Dominiak
Paweł Kubasiewicz-Ross
author_sort Maciej Krawiec
title Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study
title_short Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study
title_full Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study
title_fullStr Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study
title_full_unstemmed Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study
title_sort aesthetic outcomes of early occlusal loaded sla dental implants with hydroxyl ion modified surface—a 12 months prospective study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/3c2a20ec96c14b38afa67ec4eddb6b99
work_keys_str_mv AT maciejkrawiec aestheticoutcomesofearlyocclusalloadedsladentalimplantswithhydroxylionmodifiedsurfacea12monthsprospectivestudy
AT jakubhadzik aestheticoutcomesofearlyocclusalloadedsladentalimplantswithhydroxylionmodifiedsurfacea12monthsprospectivestudy
AT cyprianolchowy aestheticoutcomesofearlyocclusalloadedsladentalimplantswithhydroxylionmodifiedsurfacea12monthsprospectivestudy
AT marzenadominiak aestheticoutcomesofearlyocclusalloadedsladentalimplantswithhydroxylionmodifiedsurfacea12monthsprospectivestudy
AT pawełkubasiewiczross aestheticoutcomesofearlyocclusalloadedsladentalimplantswithhydroxylionmodifiedsurfacea12monthsprospectivestudy
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