Influence of abutment material on stability of peri-implant tissues: A systematic review

Vilnius Implantology Center, Kalvariju str. 121-2, LT-08221, Vilnius, Lithuania.
The International journal of oral & maxillofacial implants (Impact Factor: 1.45). 05/2008; 23(3):449-56.
Source: PubMed


The aim of this systematic review was to evaluate available evidence for a difference in the stability of peri-implant tissues between titanium abutments versus gold alloy, zirconium oxide, or aluminum oxide abutments.
Studies were identified by examining several electronic databases and major dental implant, prosthetic, and periodontal journals. To be selected for the preliminary article pool, the article must have been written in the English language and published from 1980 to March 2007. Articles were sorted based on the nature of the study. In vitro studies and literature reviews were excluded. The included articles were clinical, human histology, and animal studies. Case reports, case series, uncontrolled clinical trials, and clinical studies with teeth treated as a control were excluded from the final review.
The initial article pool included 40 articles of which 9 met the inclusion criteria: 3 animal studies, 2 human histological studies, and 4 randomized clinical trials. Soft tissue recession was not accurately measured in the included clinical studies. Assessment of peri-implant tissues around zirconium oxide and titanium abutments was described only in animal and human histologic studies. Due to differences in study types, timing of follow-ups, and outcome variables, meta-analysis could not be performed.
Included studies revealed that titanium abutments did not maintain a higher bone level in comparison to gold alloy, aluminum oxide, or zirconium oxide abutments. However, there is a lack of information about the clinical performance of zirconium oxide and gold alloy abutments as compared to titanium abutments.

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Available from: Tomas Linkevicius, Jan 12, 2014
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    • "In the same manner, the use of finite element analysis in dental biomechanics has been submitted to a significant increase during the last decades (Ça˘glar et al. 2011) (Linkevicius and Apse 2008). Some authors (Geng et al 2001) (Ozen et al 2007) often carry out very simplified finite element models, pretexting comparative analyses. "

    Full-text · Article · Jan 2015
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    • "Abrahamsson et al. (14) claim that the abutment material may play an important role in the prevention of crestal bone and soft tissue recession. Controversially, Linkevicius and Apse (16) reviewed the literature and concluded that there was no evidence that titanium abutments perform better in maintaining stable peri-implant tissues, compared to other materials. "
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    • "This murine model also can be used for studying how surface and shape modifications to the neck of the implant, or the connector, affect the adhesion of the connective tissue fibroblasts in vivo. Similar studies have been conducted in dogs [39], but mice offer a wide array of molecular and cellular tools with which to analyze the cellular and tissue-level responses that are unavailable for canine species. Other groups [19] [20] [21] have used rodents with similar maxillary models, where implant is placed in a ridge defect model where a tooth never existed. "
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