Background: Gingival esthetics around dental implants have become a main focus for clinicians. This study analyzed the surgical, prosthetic, and anatomic factors involved in the management of peri-implant tissues. Methods: Forty-eight subjects with one tooth scheduled for tooth extraction and immediate implant placement were in- cluded in the study. After healing, the implants were restored with single-crown fixed prostheses. The following parameters were assessed after 12 months: presence/absence of the inter-proximal papilla, interimplant–tooth distance (ITD), distance from the base of the contact point to the interdental bone (CPB), and soft tissue biotype. ITD and CPB values were de- rived from computer analysis of periapical radiographs. A statistical analysis determined the effect of ITD and CPB on the presence of the interproximal papilla. Results: Papilla was significantly present (P <0.05) for ITD of 2.5 to 4 mm in anterior and posterior areas and for CPB £7 mm in posterior areas. Thick biotype was significantly associated (P <0.05) with the presence of the papilla. Conclusions: The combination of surgical and prosthetic plans represents the key factor to optimize predictability in single-implant esthetics. The recommended interproximal distance between the implant and the adjacent tooth is 2.5 to 4 mm. The distance from the contact point to the interdental bone is recommended to be <7 mm. Papilla presence is also correlated with a thick gingival biotype.

Surgical and prosthetic management of interproximal region with single-implant restorations : 1-year prospective study / E. Romeo, D. Lops, A. Rossi, S. Storelli, R. Rozza, M. Chiapasco. - In: JOURNAL OF PERIODONTOLOGY. - ISSN 0022-3492. - 79:6(2008 Jun), pp. 1048-1055.

Surgical and prosthetic management of interproximal region with single-implant restorations : 1-year prospective study

E. Romeo
Primo
;
D. Lops
Secondo
;
A. Rossi;S. Storelli;M. Chiapasco
Ultimo
2008

Abstract

Background: Gingival esthetics around dental implants have become a main focus for clinicians. This study analyzed the surgical, prosthetic, and anatomic factors involved in the management of peri-implant tissues. Methods: Forty-eight subjects with one tooth scheduled for tooth extraction and immediate implant placement were in- cluded in the study. After healing, the implants were restored with single-crown fixed prostheses. The following parameters were assessed after 12 months: presence/absence of the inter-proximal papilla, interimplant–tooth distance (ITD), distance from the base of the contact point to the interdental bone (CPB), and soft tissue biotype. ITD and CPB values were de- rived from computer analysis of periapical radiographs. A statistical analysis determined the effect of ITD and CPB on the presence of the interproximal papilla. Results: Papilla was significantly present (P <0.05) for ITD of 2.5 to 4 mm in anterior and posterior areas and for CPB £7 mm in posterior areas. Thick biotype was significantly associated (P <0.05) with the presence of the papilla. Conclusions: The combination of surgical and prosthetic plans represents the key factor to optimize predictability in single-implant esthetics. The recommended interproximal distance between the implant and the adjacent tooth is 2.5 to 4 mm. The distance from the contact point to the interdental bone is recommended to be <7 mm. Papilla presence is also correlated with a thick gingival biotype.
Dental implants; Papilla; Prosthesis
Settore MED/28 - Malattie Odontostomatologiche
Article (author)
File in questo prodotto:
Non ci sono file associati a questo prodotto.
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/44309
Citazioni
  • ???jsp.display-item.citation.pmc??? 8
  • Scopus 85
  • ???jsp.display-item.citation.isi??? 87
social impact