SISTEMA DE IMPLANTES CORTOS. PARTE II: ESTABILIDAD DE TEJIDOS BLANDOS 1 SHORT IMPLANT SYSTEMS. PART II: SOFT TISSUE STABILITY 1
2013
® (30 implantes), al momento de instalar la restauracion y a los 6 meses poscarga. Las mediciones clinicas hechas fueron: distancia margen gingival-borde incisal (MG-BI), distancia vertice de papila-punto de contacto mesial (VP-PCM), distancia vertice de papila-punto de contacto distal (VP-PCD), distancia vertice de papila-angulo incisomesial (VP-AIM), distancia vertice de papila-angulo incisodistal (VP-AID), distancia margen gingival-linea mucogingival (MG-LMG), y las mediciones radiograficas hechas fueron: distancia cresta osea-punto de contacto mesial (CO-PCM), distancia cresta osea-punto de contacto distal (CO-PCD). Resultados: no se encontraron cambios estadisticamente significativos en las variables enunciadas, a excepcion de la distancia VP-PCD que registro la medida de 2,55 mm al momento de la carga y de 1,49 mm a los 6 meses poscarga, y se reporto como una diferencia estadisticamente significativa (p = 0,003). Conclusion: los resultados muestran un comportamiento estable del tejido blando y del soporte oseo alrededor de los implantes, con un cambio favorable en la posicion de las papilas y leve modificacion hacia apical en la posicion del margen gingival. Palabras clave: estabilidad de tejidos blandos, implante corto, restauracion de diente unico, cementacion extraoral. ABSTRACT. Introduction: the purpose of this study was to evaluate position change of the soft tissues surrounding double-stage surgery short implants six months after restoration with individual crowns extra-orally cemented. Methods: clinical and radiographic measurements were made on metal-ceramic single restorations in 22 patients, supported by Bicon ® short implants (30 implants in total), at the time of installing the restoration and 6 months after load. The clinical distances measured were: gingival margin-incisal border (GM-IB), papillary vertex-mesial contact point (PV-MCP), papillary vertex-distal contact point (PV-DCP), papillary vertex-incisomesial angle (PV-IMA), papillary vertex-incisodistal angle (PV-IDA), gingival margin-mucogingival line (GM-MGL) , and the radiographic distances measured were : bone ridge-mesial contact point (BR-MCP), and bone ridge-distal contact point (BR-DCP). Results: no statistically significant differences were found in the aforementioned variables, except for the PV-DCP distance which measured 2.55 mm at the time of installation and 1.49 mm six months afterwards, considered as a statistically significant difference (p = 0.003). Conclusion: the results show a stable behavior of soft tissue and bone support around the implants, with a favorable change in the position of the papillae and a slight apically modification in the position of gingival margin.
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