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ZWR - Das Deutsche Zahnärzteblatt 2008; 117(9): 432-441
DOI: 10.1055/s-0028-1093318
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Prothetik
© Georg Thieme Verlag Stuttgart · New York

Ästhetische Weichgewebsoptimierung durch individuelle provisorische Implantat–Abutments

Management of the Transition Zone with Customised Provisional AbutmentsA. F. Boeckler, S. Mansour, W. C. Martin, J. M. Setz
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Publication History

Publication Date:
01 October 2008 (online)

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Das dargestellte Konzept der provisorischen Versorgung von Implantaten zeigt eine Methode, Frontzahnrestaurationen mittels individualisierter Abutments trotz ungünstiger Lage der Implantatachse in Bezug auf die Inzisalkante ästhetisch zu versorgen. Diese individuell hergestellten Sekundärteile sind in gleicher Weise geeignet, die notwendige Weichgewebskonturierung der Übergangszone sicherzustellen. Die Indikationen und das klinische Vorgehen für diese Form der provisorischen Versorgung werden dargelegt und anhand von klinischen Beispielen erläutert.

This article presents a concept for the aesthetic interim restoration of implants using individual abutments in case of inappropriate position of the implant axis concerning incisal edge. These customised provisional abutments with adequate emergence profile are recommended to initiate the soft tissue support in the anterior maxilla. Indications and procedure of individual provisional abutments are demonstrated.

Schlüsselwörter

Provisorische Implantatversorgung - individualisierte Abutments - Weichgewebsoptimierung - Komfortzone - Implantatachse

Keywords

Provisional Implant Restoration - Individual Abutments - Soft Tissue Support - Comfort Zone - Implant Axis

Literatur

  • 1 Adolfi D, de Freitas AJ, Groisman M.. Achieving aesthetic success with an immediate function implant and customized abutment and coping.  Pract Proced Aesthet Dent. 2005;  17 649-654
    PubMedGoogle Scholar
  • 2 Agar JR, Cameron SM, Hughbanks JC. et al. . Cement removal from restorations luted to titanium abutments with simulated subgingival margins.  J Prosthet Dent. 1997;  78 43-47
    CrossrefPubMedGoogle Scholar
  • 3 Akashi AE, Francischone CE, Tokutsune E. et al. . Effects of different types of temporary cements on the tensile strength and marginal adaptation of crowns on implants.  J Adhes Dent. 2002;  4 309-315
    PubMedGoogle Scholar
  • 4 Belser U, Buser D, Higginbottom F.. Consensus statements and recommended clinical procedures regarding esthetics in implant dentistry.  Int J Oral Maxillofac Implants. 2004;  19 73-74
    PubMedGoogle Scholar
  • 5 Bernal G, Okamura M, Munoz CA.. The effects of abutment taper, length and cement type on resistance to dislodgement of cement–retained, implant–supported restorations.  J Prosthodont. 2003;  12 111-115
    CrossrefPubMedGoogle Scholar
  • 6 Brägger U, Karoussis I, Persson R. et al. . Technical and biological complications/failures with single crowns and fixed partial dentures on implants: a 10–year prospective cohort study.  Clin Oral Implants Res. 2005;  16 326-334
    CrossrefPubMedGoogle Scholar
  • 7 Buser D, Martin W, Belser UC.. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations.  Int J Oral Maxillofac Implants. 2004;  19 43-61
    PubMedGoogle Scholar
  • 8 Canullo L.. Clinical outcome study of customized zirconia abutments for single–implant restorations.  Int J Prosthodont. 2007;  20 489-493
    PubMedGoogle Scholar
  • 9 Ekfeldt A, Eriksson A, Johansson LA.. Peri–implant mucosal level in patients treated with implant–supported fixed prostheses: a 1–year follow–up study.  Int J Prosthodont. 2003;  16 529-532
    PubMedGoogle Scholar
  • 10 Elian N, Tabourian G, Jalbout ZN. et al. . Accurate transfer of peri–implant soft tissue emergence profile from the provisional crown to the final prosthesis using an emergence profile cast.  J Esthet Restor Dent. 2007;  19 306-314
    CrossrefPubMedGoogle Scholar
  • 11 Grunder U.. Stability of the mucosal topography around single–tooth implants and adjacent teeth: 1–year results.  Int J Periodontics Restorative Dent. 2000;  20 11-17
    PubMedGoogle Scholar
  • 12 Hebel KS, Gajjar RC.. Cement–retained versus screw–retained implant restorations: achieving optimal occlusion and esthetics in implant dentistry.  J Prosthet Dent. 1997;  77 28-35
    PubMedGoogle Scholar
  • 13 Heckmann SM, Karl M, Wichmann MG. et al. . Loading of bone surrounding implants through three–unit fixed partial denture fixation: a finite–element analysis based on in vitro and in vivo strain measurements.  Clin Oral Implants Res. 2006;  17 345-350
    CrossrefPubMedGoogle Scholar
  • 14 Heinemann F, Mundt T, Biffar R.. Retrospective evaluation of temporary cemented, tooth and implant supported fixed partial dentures.  J Craniomaxillofac Surg. 2006;  34 86-90
    PubMedGoogle Scholar
  • 15 Henriksson K, Jemt T.. Evaluation of custom–made procera ceramic abutments for single–implant tooth replacement: a prospective 1–year follow–up study.  Int J Prosthodont. 2003;  16 626-630
    PubMedGoogle Scholar
  • 16 Higginbottom F, Belser U, Jones JD. et al. . Prosthetic management of implants in the esthetic zone.  Int J Oral Maxillofac Implants. 2004;  19 62-72
    PubMedGoogle Scholar
  • 17 Hill E. E. Dental cements for definitive luting: a review and practical clinical considerations.  Dent Clin North Am. 2007;  51 643-658
    CrossrefPubMedGoogle Scholar
  • 18 Hinds F. K. Custom impression coping for an exact registration of the healed tissue in the esthetic implant restoration.  Int J Periodontics Restorative Dent. 1997;  17 584-591
    PubMedGoogle Scholar
  • 19 Jemt T.. Customized titanium single–implant abutments: 2–year follow–up pilot study.  Int J Prosthodont. 1998;  11 312-316
    PubMedGoogle Scholar
  • 20 Jivraj S, Chee W, Corrado P.. Treatment planning of the edentulous maxilla.  Br Dent J. 2006;  201 261-279
    PubMedGoogle Scholar
  • 21 Karl M, Graef F, Wichmann MG. et al. . The effect of load cycling on metal ceramic screw–retained implant restorations with unrestored and restored screw access holes.  J Prosthet Dent. 2008;  99 19-24
    PubMedGoogle Scholar
  • 22 Karl M, Wichmann MG, Winter W. et al. . Influence of fixation mode and superstructure span upon strain development of implant fixed partial dentures.  J Prosthodont. 2008;  17 3-8
    PubMedGoogle Scholar
  • 23 Karl M, Winter W, Taylor TD. et al. . Fixation of 5–unit implant1–supported fixed partial dentures and resulting bone loading: a finite element assessment based on in vivo strain measurements.  Int J Oral Maxillofac Implants. 2006;  21 756-762
    PubMedGoogle Scholar
  • 24 Keith SE, Miller BH, Woody RD. et al. . Marginal discrepancy of screw–retained and cemented metal–ceramic crowns on implants abutments.  Int J Oral Maxillofac Implants. 1999;  14
    PubMedGoogle Scholar
  • 25 Lemongello GJ.. Customized provisional abutment and provisional restoration for an immediately–placed implant.  Pract Proced Aesthet Dent. 2007;  19 419-424
    PubMedGoogle Scholar
  • 26 Lemongello Jr. GJ. Immediate custom implant provisionalization: a prosthetic technique.  Pract Proced Aesthet Dent. 2007;  19 273-279
    PubMedGoogle Scholar
  • 27 Michalakis K, Pissiotis AL, Kang K. et al. . The effect of thermal cycling and air abrasion on cement failure loads of 4 provisional luting agents used for the cementation of implant–supported fixed partial dentures.  Int J Oral Maxillofac Implants. 2007;  22 569-574
    PubMedGoogle Scholar
  • 28 Michalakis KX, Hirayama H, Garefis PD.. Cement–retained versus screw–retained implant restorations: a critical review.  Int J Oral Maxillofac Implants. 2003;  18 719-728
    PubMedGoogle Scholar
  • 29 Oates TW, West J, Jones J. et al. . Long–term changes in soft tissue height on the facial surface of dental implants.  Implant Dent. 2002;  11 272-279
    CrossrefPubMedGoogle Scholar
  • 30 Pan YH, Ramp LC, Lin CK. et al. . Comparison of 7 luting protocols and their effect on the retention and marginal leakage of a cement–retained dental implant restoration.  Int J Oral Maxillofac Implants. 2006;  21 587-592
    PubMedGoogle Scholar
  • 31 Pan YH, Ramp LC, Lin CK. et al. . Retention and leakage of implant–supported restorations luted with provisional cement: a pilot study.  J Oral Rehabil. 2007;  34 206-212
    CrossrefPubMedGoogle Scholar
  • 32 Rieder CE.. Customized implant abutment copings to achieve biologic, mechanical, and esthetic objectives.  Int J Periodontics Restorative Dent. 1996;  16 20-29
    PubMedGoogle Scholar
  • 33 Sadoun M, Perelmuter S.. Alumina–zirconia machinable abutments for implant–supported single–tooth anterior crowns.  Pract Periodontics Aesthet Dent. 1997;  9 1047-1053
    PubMedGoogle Scholar
  • 34 Small PN, Tarnow DP.. Gingival recession around implants: a 1–year longitudinal prospective study.  Int J Oral Maxillofac Implants. 2000;  15 527-532
    PubMedGoogle Scholar
  • 35 Taylor PA.. Incorporating retrievability in fixed implant–supported prostheses by transverse fixation in the ITI abutment system.  J Can Dent Assoc. 2004;  70 459-463
    PubMedGoogle Scholar
  • 36 Wolfart M, Wolfart S, Kern M.. Retention forces and seating discrepancies of implant–retained castings after cementation.  Int J Oral Maxillofac Implants. 2006;  21 519-525
    PubMedGoogle Scholar

Korrespondenzadresse

Dr. Arne F. Boeckler

Poliklinik für Zahnärztliche Prothetik(Direktor: Prof. J. Setz) Martin–Luther–Universität Halle–Wittenberg

Große Steinstr. 19

06108 Halle (Saale)

Email: arne.boeckler@medizin.uni-halle.de

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