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Clinical and histological comparison of the soft tissue morphology between zirconia and titanium dental implants under healthy and experimental mucositis conditions-A randomized controlled clinical trial

Authors
 Stefan P Bienz  ;  Monika Hilbe  ;  Jürg Hüsler  ;  Daniel S Thoma  ;  Christoph H F Hämmerle  ;  Ronald E Jung 
Citation
 JOURNAL OF CLINICAL PERIODONTOLOGY, Vol.48(5) : 721-733, 2021-05 
Journal Title
JOURNAL OF CLINICAL PERIODONTOLOGY
ISSN
 0303-6979 
Issue Date
2021-05
MeSH
Dental Implants* / adverse effects ; Humans ; Mucositis* ; Titanium ; Zirconium
Keywords
histology ; histomorphometry ; mucositis ; peri-implant soft tissue ; zirconia implant
Abstract
Objectives: To analyse the soft tissue morphology under healthy and experimental mucositis conditions comparing zirconia and titanium implants.

Methods: Forty-two patients with two adjacent missing teeth received one zirconia (Zr) and one titanium (Ti) implant, with the mesial and distal position randomized. At 3 months, half of the patients were instructed to continue (healthy; h) and the other half to omit (experimental mucositis; m) oral hygiene around the implants for 3 weeks. Clinical parameters were evaluated before and after the experimental phase, and a soft tissue biopsy was harvested. Mixed model analyses were performed to analyse the data.

Results: The plaque control record increased significantly for the two mucositis groups, reaching 68.3 ± 31.9% (mean ± SD) for Zr-m and 75.0 ± 29.4% for Ti-m (p < .0001), being also significantly lower for Zr-m than for Ti-m. Bleeding on probing remained stable in group Zr-m and amounted to 21.7 ± 23.6%, but increased significantly in group Ti-m (p = .040), measuring 32.5 ± 27.8%. The number of inflammatory cells and the length of the junctional epithelium did not significantly differ between the groups.

Conclusion: Both implants rendered similar outcomes under healthy conditions. Lower plaque and bleeding scores were detected for zirconia implants under experimental mucositis conditions. Histologically, only minimal differences were observed.
Full Text
https://onlinelibrary.wiley.com/doi/10.1111/jcpe.13411
DOI
10.1111/jcpe.13411
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Periodontics (치주과학교실) > 1. Journal Papers
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190961
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