Correlation of Papilla to Crestal Bone Levels Around Single Tooth Implants in Immediate or Delayed Crown Protocols

The purposes of this study are to determine if there is a difference in the papilla fill between implant and teeth comparing immediate provisionalized and delayed single tooth implant restorations, and to determine the relationships between the vertical and horizontal bone levels to papilla filling...

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Veröffentlicht in:Journal of oral and maxillofacial surgery 2005-08, Vol.63 (8), p.1184-1195
Hauptverfasser: Ryser, Mark R., Block, Michael S., Mercante, Donald E.
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container_title Journal of oral and maxillofacial surgery
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creator Ryser, Mark R.
Block, Michael S.
Mercante, Donald E.
description The purposes of this study are to determine if there is a difference in the papilla fill between implant and teeth comparing immediate provisionalized and delayed single tooth implant restorations, and to determine the relationships between the vertical and horizontal bone levels to papilla filling the inter-dental region with single implant restorations. Two groups of patients treated with single tooth implant restorations were prospectively followed. One group had immediate provisionalization of their implants, and the second group a delayed approach. Serial radiographs and photographs were used to collect bone level measurements for the vertical distance between contact point to bone level on the adjacent tooth, implant, and the midcrestal region. The horizontal distances were also recorded. Papilla morphology was scored 1 through 4. Univariate analysis was used to evaluate the relationships between bone levels and papilla morphology. There were no differences between papilla or bone levels comparing immediate provisionalization to delayed approaches. There were significant ( P < .05) relationships between the vertical distance from contact point to bone levels, with the distance from the contain point to the adjacent tooth the distance most critical to papilla maintenance. There were no significant relationships between horizontal distance and papilla maintenance. As the distance from the contact point to the implant increased, there was a significant chance of loss of papilla. There was no difference between delayed or immediate provisionalization and papilla scores. The horizontal distance from adjacent tooth bone level did not correlate to papilla score within the range of clinically relevant distances.
doi_str_mv 10.1016/j.joms.2005.04.025
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Two groups of patients treated with single tooth implant restorations were prospectively followed. One group had immediate provisionalization of their implants, and the second group a delayed approach. Serial radiographs and photographs were used to collect bone level measurements for the vertical distance between contact point to bone level on the adjacent tooth, implant, and the midcrestal region. The horizontal distances were also recorded. Papilla morphology was scored 1 through 4. Univariate analysis was used to evaluate the relationships between bone levels and papilla morphology. There were no differences between papilla or bone levels comparing immediate provisionalization to delayed approaches. There were significant ( P &lt; .05) relationships between the vertical distance from contact point to bone levels, with the distance from the contain point to the adjacent tooth the distance most critical to papilla maintenance. There were no significant relationships between horizontal distance and papilla maintenance. As the distance from the contact point to the implant increased, there was a significant chance of loss of papilla. There was no difference between delayed or immediate provisionalization and papilla scores. 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Two groups of patients treated with single tooth implant restorations were prospectively followed. One group had immediate provisionalization of their implants, and the second group a delayed approach. Serial radiographs and photographs were used to collect bone level measurements for the vertical distance between contact point to bone level on the adjacent tooth, implant, and the midcrestal region. The horizontal distances were also recorded. Papilla morphology was scored 1 through 4. Univariate analysis was used to evaluate the relationships between bone levels and papilla morphology. There were no differences between papilla or bone levels comparing immediate provisionalization to delayed approaches. There were significant ( P &lt; .05) relationships between the vertical distance from contact point to bone levels, with the distance from the contain point to the adjacent tooth the distance most critical to papilla maintenance. There were no significant relationships between horizontal distance and papilla maintenance. As the distance from the contact point to the implant increased, there was a significant chance of loss of papilla. There was no difference between delayed or immediate provisionalization and papilla scores. The horizontal distance from adjacent tooth bone level did not correlate to papilla score within the range of clinically relevant distances.</description><subject>Adult</subject><subject>Aged</subject><subject>Alveolar Bone Loss - diagnostic imaging</subject><subject>Alveolar Bone Loss - pathology</subject><subject>Alveolar Process - diagnostic imaging</subject><subject>Alveolar Process - pathology</subject><subject>Biological and medical sciences</subject><subject>Clinical Protocols</subject><subject>Crowns</subject><subject>Dental Abutments</subject><subject>Dental Implantation, Endosseous - methods</subject><subject>Dental Implants, Single-Tooth</subject><subject>Dental Prosthesis, Implant-Supported</subject><subject>Dentistry</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gingiva - diagnostic imaging</subject><subject>Gingiva - pathology</subject><subject>Gingival Recession - diagnostic imaging</subject><subject>Gingival Recession - pathology</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Otorhinolaryngology. 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Stomatology</topic><topic>Photography, Dental</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ryser, Mark R.</creatorcontrib><creatorcontrib>Block, Michael S.</creatorcontrib><creatorcontrib>Mercante, Donald E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ryser, Mark R.</au><au>Block, Michael S.</au><au>Mercante, Donald E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation of Papilla to Crestal Bone Levels Around Single Tooth Implants in Immediate or Delayed Crown Protocols</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>63</volume><issue>8</issue><spage>1184</spage><epage>1195</epage><pages>1184-1195</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><coden>JOMSDA</coden><abstract>The purposes of this study are to determine if there is a difference in the papilla fill between implant and teeth comparing immediate provisionalized and delayed single tooth implant restorations, and to determine the relationships between the vertical and horizontal bone levels to papilla filling the inter-dental region with single implant restorations. 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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adult
Aged
Alveolar Bone Loss - diagnostic imaging
Alveolar Bone Loss - pathology
Alveolar Process - diagnostic imaging
Alveolar Process - pathology
Biological and medical sciences
Clinical Protocols
Crowns
Dental Abutments
Dental Implantation, Endosseous - methods
Dental Implants, Single-Tooth
Dental Prosthesis, Implant-Supported
Dentistry
Female
Follow-Up Studies
Gingiva - diagnostic imaging
Gingiva - pathology
Gingival Recession - diagnostic imaging
Gingival Recession - pathology
Humans
Image Processing, Computer-Assisted - methods
Male
Medical sciences
Middle Aged
Otorhinolaryngology. Stomatology
Photography, Dental
Prospective Studies
Radiography
Time Factors
title Correlation of Papilla to Crestal Bone Levels Around Single Tooth Implants in Immediate or Delayed Crown Protocols
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