Avaliação da manutenção óssea em implantes instalados a partir da abordagem trimodal : acompanhamento de 1-4 anos

• Ano de defesa: 2015
• Autor(a) principal: Sczepanik, Fábio Sá Carneiro
• Orientador(a): Grossi, Márcio Lima
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica do Rio Grande do Sul
• Programa de Pós-Graduação: Programa de Pós-Graduação em Odontologia
• Departamento: Faculdade de Odontologia
• País: Brasil
• Palavras-chave em Português: ODONTOLOGIA; IMPLANTODONTIA; IMPLANTES DENTÁRIOS OSSEO; INTEGRADOS
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::ODONTOLOGIA
• Link de acesso: http://tede2.pucrs.br/tede2/handle/tede/6069

Purpose: The purpose of this retrospective investigation was to evaluate, radiographically and clinically, a group of patients treated with immediate single-tooth placement, immediate restoration implants with a customized definitive abutment with a flapless approach in the area between both maxillary canines. Marginal bone level (MBL) and marginal bone level of neighboring teeth (MBLN) were assessed. Methods: A sample of 20 subjects received 20 tapered platform-switching implants using a minimally invasive surgery (trimodal approach). The mean age was 55.2 years (range 25 - 71 years), and the mean follow-up period was 2.2 years (range 12 - 48 months). Results: The overall treatment survival was 100%. There was no statistically significant difference between MBLN in both mesial and distal aspects, comparing baseline to final follow-up and between the four radiographs independently (i.e., at baseline, at 06 months, at 12 months, and at final follow-up). There was a statistically significant difference between MBL in both mesial and distal aspects at baseline and at final follow-up (p<0.05). Conclusion: Within the limitations of this study, it has demonstrated that the trimodal approach might offer an advantage in terms of marginal bone levels, especially in MBLN, in a mean follow-up time of 26 months. Additionally, reduced overall treatment time, one surgical intervention, and immediate esthetics can be obtained with 100% survival and success rates using a minimally invasive approach.