The effect of one‐time abutment placement on clinical and radiographic outcomes: A 5‐year randomized clinical trial
Objective The aim of this study was to evaluate the long‐term (5 years) clinical efficacy of the one‐abutment one‐time protocol (test) versus the standard of care by placing the definitive abutment on the day of the prosthetic delivery (control). Materials and Methods In this study, 39 subjects with...
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| Veröffentlicht in: | Clinical oral implants research 2024-06, Vol.35 (6), p.609-620 |
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| creator | Sanz‐Sánchez, Ignacio Molina, Ana Martin, Conchita Bollain, Juan Calatrava, Javier Sanz, Mariano |
| description | Objective
The aim of this study was to evaluate the long‐term (5 years) clinical efficacy of the one‐abutment one‐time protocol (test) versus the standard of care by placing the definitive abutment on the day of the prosthetic delivery (control).
Materials and Methods
In this study, 39 subjects with 60 implants were randomly allocated to either the test or the control group. Changes in the radiographic interproximal bone levels (DIB), modified sulcus bleeding index, probing depth, modified plaque index, papilla fill (Jemt score), incidence of peri‐implantitis and peri‐implant mucositis as well as patient‐reported outcomes measures (PROMs) were collected and compared at 1, 3 and 5 years.
Results
At 5 years, the control group showed a greater, although not statistically significant, change in mean DIB values (0.97 mm vs. 0.53 mm). Regarding the other clinical parameters evaluated, no statistically significant differences were observed between groups at any time point. At 5 years, 51% of the implants presented peri‐implant mucositis (25.5% in the control and 23.5% in the test), and only one implant in the test group developed peri‐implantitis.
Conclusions
The connection and disconnection of healing abutments during the healing period was not associated with higher long‐term bone loss. Clinical outcomes and PROMs were similar between groups. |
| doi_str_mv | 10.1111/clr.14256 |
| format | Article |
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The aim of this study was to evaluate the long‐term (5 years) clinical efficacy of the one‐abutment one‐time protocol (test) versus the standard of care by placing the definitive abutment on the day of the prosthetic delivery (control).
Materials and Methods
In this study, 39 subjects with 60 implants were randomly allocated to either the test or the control group. Changes in the radiographic interproximal bone levels (DIB), modified sulcus bleeding index, probing depth, modified plaque index, papilla fill (Jemt score), incidence of peri‐implantitis and peri‐implant mucositis as well as patient‐reported outcomes measures (PROMs) were collected and compared at 1, 3 and 5 years.
Results
At 5 years, the control group showed a greater, although not statistically significant, change in mean DIB values (0.97 mm vs. 0.53 mm). Regarding the other clinical parameters evaluated, no statistically significant differences were observed between groups at any time point. At 5 years, 51% of the implants presented peri‐implant mucositis (25.5% in the control and 23.5% in the test), and only one implant in the test group developed peri‐implantitis.
Conclusions
The connection and disconnection of healing abutments during the healing period was not associated with higher long‐term bone loss. Clinical outcomes and PROMs were similar between groups.</description><identifier>ISSN: 0905-7161</identifier><identifier>ISSN: 1600-0501</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/clr.14256</identifier><identifier>PMID: 38506392</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Alveolar Bone Loss - diagnostic imaging ; Bone healing ; Bone loss ; Dental Abutments - adverse effects ; Dental Implantation, Endosseous - adverse effects ; Dental Implantation, Endosseous - methods ; dental implants ; Dental Implants - adverse effects ; dental implant–abutment design ; Dental Plaque Index ; Female ; Healing ; Humans ; Long bone ; Male ; Middle Aged ; Mucositis ; one‐abutment one time ; Patient Reported Outcome Measures ; Peri-Implantitis - diagnostic imaging ; Periodontal Index ; peri‐implant mucositis ; peri‐implantitis ; Plaque index ; platform switching ; Prostheses ; Statistical analysis ; Transplants & implants ; Treatment Outcome</subject><ispartof>Clinical oral implants research, 2024-06, Vol.35 (6), p.609-620</ispartof><rights>2024 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2024 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3486-a771faaf9f8dc44f66a0acb0b0508979e9bf22d646e9831f222195c3b3f7d51d3</cites><orcidid>0000-0003-1443-1189 ; 0000-0003-3997-6900 ; 0000-0002-6293-5755 ; 0009-0007-1080-6285 ; 0000-0002-3698-4772 ; 0000-0002-8765-6525</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fclr.14256$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fclr.14256$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38506392$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sanz‐Sánchez, Ignacio</creatorcontrib><creatorcontrib>Molina, Ana</creatorcontrib><creatorcontrib>Martin, Conchita</creatorcontrib><creatorcontrib>Bollain, Juan</creatorcontrib><creatorcontrib>Calatrava, Javier</creatorcontrib><creatorcontrib>Sanz, Mariano</creatorcontrib><title>The effect of one‐time abutment placement on clinical and radiographic outcomes: A 5‐year randomized clinical trial</title><title>Clinical oral implants research</title><addtitle>Clin Oral Implants Res</addtitle><description>Objective
The aim of this study was to evaluate the long‐term (5 years) clinical efficacy of the one‐abutment one‐time protocol (test) versus the standard of care by placing the definitive abutment on the day of the prosthetic delivery (control).
Materials and Methods
In this study, 39 subjects with 60 implants were randomly allocated to either the test or the control group. Changes in the radiographic interproximal bone levels (DIB), modified sulcus bleeding index, probing depth, modified plaque index, papilla fill (Jemt score), incidence of peri‐implantitis and peri‐implant mucositis as well as patient‐reported outcomes measures (PROMs) were collected and compared at 1, 3 and 5 years.
Results
At 5 years, the control group showed a greater, although not statistically significant, change in mean DIB values (0.97 mm vs. 0.53 mm). Regarding the other clinical parameters evaluated, no statistically significant differences were observed between groups at any time point. At 5 years, 51% of the implants presented peri‐implant mucositis (25.5% in the control and 23.5% in the test), and only one implant in the test group developed peri‐implantitis.
Conclusions
The connection and disconnection of healing abutments during the healing period was not associated with higher long‐term bone loss. Clinical outcomes and PROMs were similar between groups.</description><subject>Adult</subject><subject>Aged</subject><subject>Alveolar Bone Loss - diagnostic imaging</subject><subject>Bone healing</subject><subject>Bone loss</subject><subject>Dental Abutments - adverse effects</subject><subject>Dental Implantation, Endosseous - adverse effects</subject><subject>Dental Implantation, Endosseous - methods</subject><subject>dental implants</subject><subject>Dental Implants - adverse effects</subject><subject>dental implant–abutment design</subject><subject>Dental Plaque Index</subject><subject>Female</subject><subject>Healing</subject><subject>Humans</subject><subject>Long bone</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mucositis</subject><subject>one‐abutment one time</subject><subject>Patient Reported Outcome Measures</subject><subject>Peri-Implantitis - diagnostic imaging</subject><subject>Periodontal Index</subject><subject>peri‐implant mucositis</subject><subject>peri‐implantitis</subject><subject>Plaque index</subject><subject>platform switching</subject><subject>Prostheses</subject><subject>Statistical analysis</subject><subject>Transplants & implants</subject><subject>Treatment Outcome</subject><issn>0905-7161</issn><issn>1600-0501</issn><issn>1600-0501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kc1qFTEYhoMo9th24Q1IwE1dTJufSWbSXTn4BwcEqeuQSb60KZnJaTJDOV15CV6jV2LsaRUEs8m7ePKQ73sRek3JKa3nzMZ8Slsm5DO0opKQhghCn6MVUUQ0HZX0AL0q5YYQIlWvXqID3gsiuWIrdHd5DRi8Bzvj5HGa4Of3H3MYAZthmUeYZryNxsJDShO2MUzBmojN5HA2LqSrbLbXweK0zDaNUM7xBRZVsgOTKzG5NIZ7cH9fzjmYeIReeBMLHD_eh-jbh_eX60_N5svHz-uLTWN528vGdB31xnjle2fb1ktpiLEDGeqEveoUqMEz5mQrQfWc1syoEpYP3HdOUMcP0cneu83pdoEy6zEUCzGaCdJSNFMd6whnglX07T_oTVryVH-nOZGib5XqZKXe7SmbUykZvN7mMJq805To323o2oZ-aKOybx6NyzCC-0M-rb8CZ3vgLkTY_d-k15uve-UvLLuVyw</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Sanz‐Sánchez, Ignacio</creator><creator>Molina, Ana</creator><creator>Martin, Conchita</creator><creator>Bollain, Juan</creator><creator>Calatrava, Javier</creator><creator>Sanz, Mariano</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1443-1189</orcidid><orcidid>https://orcid.org/0000-0003-3997-6900</orcidid><orcidid>https://orcid.org/0000-0002-6293-5755</orcidid><orcidid>https://orcid.org/0009-0007-1080-6285</orcidid><orcidid>https://orcid.org/0000-0002-3698-4772</orcidid><orcidid>https://orcid.org/0000-0002-8765-6525</orcidid></search><sort><creationdate>202406</creationdate><title>The effect of one‐time abutment placement on clinical and radiographic outcomes: A 5‐year randomized clinical trial</title><author>Sanz‐Sánchez, Ignacio ; Molina, Ana ; Martin, Conchita ; Bollain, Juan ; Calatrava, Javier ; Sanz, Mariano</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3486-a771faaf9f8dc44f66a0acb0b0508979e9bf22d646e9831f222195c3b3f7d51d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alveolar Bone Loss - diagnostic imaging</topic><topic>Bone healing</topic><topic>Bone loss</topic><topic>Dental Abutments - adverse effects</topic><topic>Dental Implantation, Endosseous - adverse effects</topic><topic>Dental Implantation, Endosseous - methods</topic><topic>dental implants</topic><topic>Dental Implants - adverse effects</topic><topic>dental implant–abutment design</topic><topic>Dental Plaque Index</topic><topic>Female</topic><topic>Healing</topic><topic>Humans</topic><topic>Long bone</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mucositis</topic><topic>one‐abutment one time</topic><topic>Patient Reported Outcome Measures</topic><topic>Peri-Implantitis - diagnostic imaging</topic><topic>Periodontal Index</topic><topic>peri‐implant mucositis</topic><topic>peri‐implantitis</topic><topic>Plaque index</topic><topic>platform switching</topic><topic>Prostheses</topic><topic>Statistical analysis</topic><topic>Transplants & implants</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sanz‐Sánchez, Ignacio</creatorcontrib><creatorcontrib>Molina, Ana</creatorcontrib><creatorcontrib>Martin, Conchita</creatorcontrib><creatorcontrib>Bollain, Juan</creatorcontrib><creatorcontrib>Calatrava, Javier</creatorcontrib><creatorcontrib>Sanz, Mariano</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral implants research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sanz‐Sánchez, Ignacio</au><au>Molina, Ana</au><au>Martin, Conchita</au><au>Bollain, Juan</au><au>Calatrava, Javier</au><au>Sanz, Mariano</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of one‐time abutment placement on clinical and radiographic outcomes: A 5‐year randomized clinical trial</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin Oral Implants Res</addtitle><date>2024-06</date><risdate>2024</risdate><volume>35</volume><issue>6</issue><spage>609</spage><epage>620</epage><pages>609-620</pages><issn>0905-7161</issn><issn>1600-0501</issn><eissn>1600-0501</eissn><abstract>Objective
The aim of this study was to evaluate the long‐term (5 years) clinical efficacy of the one‐abutment one‐time protocol (test) versus the standard of care by placing the definitive abutment on the day of the prosthetic delivery (control).
Materials and Methods
In this study, 39 subjects with 60 implants were randomly allocated to either the test or the control group. Changes in the radiographic interproximal bone levels (DIB), modified sulcus bleeding index, probing depth, modified plaque index, papilla fill (Jemt score), incidence of peri‐implantitis and peri‐implant mucositis as well as patient‐reported outcomes measures (PROMs) were collected and compared at 1, 3 and 5 years.
Results
At 5 years, the control group showed a greater, although not statistically significant, change in mean DIB values (0.97 mm vs. 0.53 mm). Regarding the other clinical parameters evaluated, no statistically significant differences were observed between groups at any time point. At 5 years, 51% of the implants presented peri‐implant mucositis (25.5% in the control and 23.5% in the test), and only one implant in the test group developed peri‐implantitis.
Conclusions
The connection and disconnection of healing abutments during the healing period was not associated with higher long‐term bone loss. Clinical outcomes and PROMs were similar between groups.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38506392</pmid><doi>10.1111/clr.14256</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-1443-1189</orcidid><orcidid>https://orcid.org/0000-0003-3997-6900</orcidid><orcidid>https://orcid.org/0000-0002-6293-5755</orcidid><orcidid>https://orcid.org/0009-0007-1080-6285</orcidid><orcidid>https://orcid.org/0000-0002-3698-4772</orcidid><orcidid>https://orcid.org/0000-0002-8765-6525</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical oral implants research, 2024-06, Vol.35 (6), p.609-620 |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adult Aged Alveolar Bone Loss - diagnostic imaging Bone healing Bone loss Dental Abutments - adverse effects Dental Implantation, Endosseous - adverse effects Dental Implantation, Endosseous - methods dental implants Dental Implants - adverse effects dental implant–abutment design Dental Plaque Index Female Healing Humans Long bone Male Middle Aged Mucositis one‐abutment one time Patient Reported Outcome Measures Peri-Implantitis - diagnostic imaging Periodontal Index peri‐implant mucositis peri‐implantitis Plaque index platform switching Prostheses Statistical analysis Transplants & implants Treatment Outcome |
| title | The effect of one‐time abutment placement on clinical and radiographic outcomes: A 5‐year randomized clinical trial |
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