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Case Report of a Dental Implant with Conometric Abutment-Prosthetic Cap Connection: Advanced High-Resolution Imaging and Peri-Implant Connective Tissue Performance.
Riberti, Nicole; D'Amico, Emira; Pierfelice, Tania Vanessa; Furlani, Michele; Giuliani, Alessandra; Piattelli, Adriano; Iezzi, Giovanna; Comuzzi, Luca.
Afiliación
  • Riberti N; Neuroscience, Imaging and Clinical Sciences Department, University of Chieti-Pescara, 66100 Chieti, Italy.
  • D'Amico E; Medical, Oral and Biotechnological Sciences Department, University of Chieti-Pescara, 66100 Chieti, Italy.
  • Pierfelice TV; Medical, Oral and Biotechnological Sciences Department, University of Chieti-Pescara, 66100 Chieti, Italy.
  • Furlani M; Odontostomatologic and Specialized Clinical Sciences Department, Polytechnic University of Marche, Via Brecce Bianche, 60131 Ancona, Italy.
  • Giuliani A; Odontostomatologic and Specialized Clinical Sciences Department, Polytechnic University of Marche, Via Brecce Bianche, 60131 Ancona, Italy.
  • Piattelli A; School of Dentistry, Saint Camillus International University for Health Sciences (Unicamillus), 00131 Rome, Italy.
  • Iezzi G; Medical, Oral and Biotechnological Sciences Department, University of Chieti-Pescara, 66100 Chieti, Italy.
  • Comuzzi L; Independent Researcher, Via Raffaello 36/a, 31020 San Vendemiano (TV), Italy.
Clin Pract ; 14(2): 556-569, 2024 Mar 27.
Article en En | MEDLINE | ID: mdl-38666801
ABSTRACT

Background:

In recent years, the use of conometric systems to connect dental implant abutments and prosthetic caps has been advocated because they seem to eliminate the side effects reported when using screw- and cement-connected prosthetic restorations.

Objectives:

The present case study is focused on conometric connection characterization and its performance in terms of the microarchitecture of peri-implant soft tissues by using a cross-linked approach based on optical microscopy and three-dimensional imaging.

Methods:

Two dental implants were characterized using micro-CT and another identical one was implanted into a patient; the latter was retrieved 45 days later due to changes in prosthetic needs. Afterward, the peri-implant soft tissues were investigated using synchrotron-based phase contrast imaging, histology, and polarized light microscopy.

Results:

Micro-CT analysis showed perfect adhesion between the abutment and prosthetic cap; histology and polarized light microscopy showed that connective tissue was richly present around the abutment retrieved from the patient. Moreover, the quantitative evaluation of connective tissues using synchrotron imaging, supported by artificial intelligence, revealed that this tissue was rich in mature collagen, with longitudinal and transverse collagen bundles intertwined. The number and connectivity of transverse bundles were consistently greater than those of the longitudinal bundles.

Conclusion:

It was found that the peri-implant soft tissue was already mature and well organized after only 45 days of implantation, supporting the hypothesis that conometric connections contribute to the significant stabilization of peri-implant soft tissues.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Pract Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Pract Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza