PAPILLA INDEX & PINK ESTHETIC SCORE AROUND CUSTOMIZED VS STANDARD HEALING ABUTMENT IN IMMEDIATE IMPLANT CASES ( A RANDOMIZED CONTROLLED TRIAL ) | ||||
| Advanced Dental Journal | ||||
| Volume 6, Issue 3, July 2024, Page 471-481 PDF (200.23 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjc.2024.256417.1452 | ||||
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| Authors | ||||
Ali Mohamed Hafez   1; Amal Kaddah 2; Marwa Abdelaal Elsadek 2
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| 1Department of Implantology, Faculty of Dentistry, Cairo University | ||||
| 2Department of Prosthodontics, Faculty of Dentistry, Cairo University | ||||
| Abstract | ||||
| Aim: The aim of study was the comparison between customized and standard healing abutments in immediate implants with regarding the healing of the soft tissue (gingiva). Methodology: Sixty-four immediate implant placement with patients who require tooth or remaining root extraction, patients were randomly assigned to standard healing abutment (group 1) or customized healing abutment group (group 2). Clinical examinations were taken at baseline record preoperative, two weeks postoperative, one month postoperative, three months postoperative, one week after crown delivery) using Papilla index score and Pink esthetic score systems. Group 1: Standard Healing Abutment: the adequate height was selected after measuring the soft tissue depth using a plastic periodontal probe. Group 2: Customized Healing Abutment: First, a standard healing abutment was roughned using a carbide dental stone, a layer of flowable composite was applied and cured circumferentially on the base of the abutment forming a finish line-like composite ring, to prevent composite leakage during intraoral application. Results: Revealed lack of statistical significance between the two groups regarding the mesial papilla, but a significant difference was noticed regarding the distal score Regarding the total PES index it has also been found that there was no significant difference through the 5 phases (no difference in the results between the two groups in the 5 phases). Conclusions: 1- Both standard and customized healing abutments have improved the peri-implant soft tissue of immediate implants. 2- Customized healing abutments had offered slightly better esthetic results than standard ones. | ||||
| Keywords | ||||
| Standard healing abutment; customized healing abutment; immediate implant; soft tissue healing; pink esthestic score | ||||
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