title: A Report of Three Cases from an Ongoing Prospective Clinical Study on a Novel Pink Biomimetic Implant System.
abstract: While, overall, dental implants are highly efficacious, consistently achieving predictable esthetic results can pose color-driven challenges at the implant/soft-tissue interface, particularly in the esthetic zone. An ongoing, 5-year, multicenter (eight sites) prospective study is following a total of 168 implants placed in 120 patients using a novel biomimetic (osteoconductive) implant system with pink collars and abutments that afford better gingival color matching, enhanced design variability, and streamlined fabrication and customization of the abutment/implant-tissue interface. The full results of this study will be published at the 3-year and 5-year timepoints; however, clinical analyses of the 18-month interim survival rates, marginal bone and soft-tissue level changes, and esthetics have been completed, showing an overall success rate among all of the implanted sites of 95.8%. For the three representative cases described in this article (two anterior, one posterior), all of the implant site probing depths were ≤ 3 mm at the final crown placement as well as at 6, 12, and 18 months after implant placement. Facial soft-tissue heights were stable or increased by ≥ 0.86 mm; lingual soft-tissue heights were reduced by ≤ 1.11 mm. Facial and lingual attached-gingiva widths were reduced by ≤ 1.20 mm and ≤ 0.63 mm, respectively. Interproximal marginal alveolar bone levels were stable (gain/loss range: +0.40 to -1.1 mm) from the start of the study through 18 months. Gingival inflammation, bleeding on probing, and plaque were infrequently observed, and esthetic results were uniformly excellent at the 18-month follow-up visit.
authors.affiliation: Department of Periodontics, University of Maryland, Baltimore College of Dental Surgery, Baltimore, Maryland;Kevin G. Murphy and Associates, P.A., Baltimore, Maryland.
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Murphy
authors.affiliation: Dental Design Drs. Polack and Olano Gainesville, Virginia.
authors.forename: Mariano A
authors.initials: MA
authors.lastname: Polack
authors.affiliation: Northern Virginia Surgical Arts Arlington, Virginia.
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Arzadon
authors.affiliation: Hickerson and Associates DDS Houston, Texas.
authors.forename: Ronald D
authors.initials: RD
authors.lastname: Hickerson
authors.affiliation: University of Texas Dental Branch Houston, Texas; University of Texas Health Science Center at San Antonio, San Antonio, Texas.
authors.forename: E Todd
authors.initials: ET
authors.lastname: Scheyer
mesh_terms: D032701:Biomimetics / Q000295:instrumentation*; D003116:Color; D017076:Computer-Aided Design; D059605:Dental Implant-Abutment Design; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D005260:Female; D005881:Gingiva / Q000033:anatomy & histology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012984:Software; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants