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Inflammatory Impact on Tissues Surrounding

the Dental Implant of Singular Abutments


Bonded onto Titanium Base – A Randomized
Controlled Trial

PICO Submitted to the Faculty of Dentistry, Western Cape University


for

Partial Fulfillment of The MCHD Requirements


of Oral and Maxillofacial Surgery

By:
Mohamed Yasir Abdelaziz
B.D.S 2020, Faculty of Dentistry, University of Sciences & Technology
in Sudan

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Statement of the Problem:
The biochemical relationship between titanium (Ti) and bone tissue in
dental implants is well-established.

Multiple research projects have revealed


the relationship between titanium abutments and the health of the peri-
implant tissue.

Studies on the boundary created between Ti and the periosteum, muscul


oskeletal system, or layers of dura mater are less common.
Although the surgical departments are more frequently willing to accept
a thorough examination of the relationship.
The department of maxillofacial surgery uses titanium in a sophisticated
way.
Ti alloys are used for bone grafts during face contouring, prosthetic surg
ery, and subperiosteal oral reconstruction in addition to endosteal implan
ts for replacing missing teeth.

Benefits of the study:


Inspecting the impact of inflammation on the state of health of the peri-
implant tissue when an abutment is bonded to a titanium foundation.

Research Question:
Does the Usage of Singular Abutments for Dental Implants Bonding to a
titanium base may help to lessen the severity of peri-implantitis?

Aim of the study:

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1. Assess the inflammatory impact of singular abutments bonded onto
titanium bases on tissues surrounding the dental implant.
2. The need for our study is to prevent peri-implantitis on tissues
surrounding the dental implant.

PICO:
P/Population: patient receiving dental implant on titanium base

I/Intervention: CAD/CAM Ti abutments bonded onto Ti abutments.

C/Control: customized and only one-piece CAD/CAM Ti abutments

O/Outcome: Analyze the inflammatory effects on the surrounding

tissues of the dental implant and take steps to prevent peri-implantitis.

The study's inclusion criteria were the need for patients to have missing
teeth in order to receive prosthetic rehabilitation, whereas its exclusion
criteria were patients who were pregnant, nursing, or otherwise ill.

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References:
1. Wennerberg A, Albrektsson T. On implant surfaces: A review of current knowledge and
opinions. Int J Oral Maxillofac Implants 2009;25:63-74.
2. Linkevicius T, Vaitelis J. The effect of zirconia or titanium as abutment material on soft
peri-implant tissues: A systematic review and meta-analysis. Clin Oral Implants Res
2015;26:139-47.
3. Vrana NE, Dupret-Bories A, Bach C, Chaubaroux C, Coraux C, Vautier D, et al.
Modification of macroporous titanium tracheal implants with biodegradable structures:
Tracking in vivo integration for determination of optimal in situ epithelialization
conditions. Biotechnol Bioeng 2012;109:2134-46.
4. Parthasarathy J. 3D modeling, custom implants and its future perspectives in craniofacial
surgery. Ann Maxillofac Surg 2014;4:9. doi: 10.4103/2231- 0746.133065.
5. Gotfredsen K. A 10-year prospective study of single tooth implants placed in the anterior
maxilla. Clin Implant Dent Relat Res 2012;14:80-7.
6. Albrektsson T, Buser D, Sennerby L. Crestal bone loss and oral implants. Clin Implant
Dent Relat Res 2012;14:783-91.
7. Gomez-Florit M, Ramis JM, Xing R, Taxt-Lamolle S, Haugen HJ, Lyngstadaas SP, et al.
Differential response of human gingival fibroblasts to titanium- and
titanium-zirconium-modified surfaces. J Periodontal Res 2014;49:425-36

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