Experimental custom-made zirconia abutments for narrow implants in esthetically demanding regions: a 5-year follow-up.
OBJECTIVE
This prospective clinical study evaluated an experimental custom-made zirconia abutment with respect to peri-implant hard and soft tissue reaction in narrow implants.


METHODS
Patients were treated with prefabricated titanium implants and custom-made zirconia abutments. All-ceramic crowns were fabricated and cemented with resin cement. Clinical parameters such as Plaque Index, Sulcus Bleeding Index, peri-implant probing depth, and radiographic marginal bone loss levels were recorded, along with any biologic and mechanical complications, at baseline and up to 5 years.


RESULTS
Twelve patients with missing maxillary lateral incisors treated with a total of 23 implants were evaluated. Thirteen Straumann Narrow Neck Solid Screw implants with a diameter of 3.3 mm and 10 Astra MicroThread implants with a diameter of 3.5 mm were used. Six patients with 11 implants were treated with custom-made zirconia abutments and prefabricated metal abutments were used in the control group. Implant and abutment success at 5 years was 100%. No abutment fractures occurred. Abutment screw loosening was reported for one restoration at the 1-year recall. Mean marginal bone loss measured 0.21 mm after 5 years of functional loading.


CONCLUSIONS
Custom-made zirconia abutments offered sufficient stability to support all-ceramic restorations over narrow implants in anterior regions over a 5-year period. The soft and hard tissue reactions to zirconia were favorable.
Department of Prosthetic Dentistry, University of Marmara, Nısantası, Istanbul, Turkey.
Burçin Akoglu
BA
Vanlıoglu
Yasar
Y
Özkan
Buket
B
Evren
Yasemin Kulak
YK
Özkan
D000328:Adult; D003442:Crowns; D000044:Dental Abutments / Q000009:adverse effects; D019250:Dental Implants, Single-Tooth; D003776:Dental Porcelain; D004955:Esthetics, Dental; D005260:Female; D005549:Foreign-Body Reaction / Q000473:pathology; D006801:Humans; D007180:Incisor; D008137:Longitudinal Studies; D008297:Male; D008437:Maxilla; D011446:Prospective Studies; D055815:Young Adult; D015040:Zirconium
D003776:Dental Porcelain; D015040:Zirconium; C028541:zirconium oxide