Clinical analysis of the tooth-implant papilla for two narrow-diameter titanium-zirconium implants in the anterior area: prospective controlled clinical study

Herrera Pérez, Paola Soledad; García de la Fuente, Ana María; Andia Larrea, Eztizen; Marichalar Mendia, Xabier; Aguirre Urizar, José Manuel; Aguirre Zorzano, Luis Antonio

dc.contributor.author	Herrera Pérez, Paola Soledad
dc.contributor.author	García de la Fuente, Ana María
dc.contributor.author	Andia Larrea, Eztizen
dc.contributor.author	Marichalar Mendia, Xabier
dc.contributor.author	Aguirre Urizar, José Manuel
dc.contributor.author	Aguirre Zorzano, Luis Antonio
dc.date.accessioned	2024-04-30T17:01:07Z
dc.date.available	2024-04-30T17:01:07Z
dc.date.issued	2024
dc.identifier.citation	BMC Oral Health 24 : (2024) // Article ID 310	es_ES
dc.identifier.issn	1472-6831
dc.identifier.uri	http://hdl.handle.net/10810/66963
dc.description.abstract	Background Rehabilitation of the anterior area when the mesio-distal space is reduced is a challenge for the clinician, due to the patient’s anatomical limitations and aesthetic requirements. Narrow Diameter Implants (NDI) are an option of treatment when the standard diameter implant is not possible, but the evidence is scarce. This prospective clinical study aims to analyze the formation of the tooth-implant papilla between the implant and the adjacent natural tooth in the maxillary lateral incisors and mandibular incisors. Methods A total of 40 patients treated with NDI, of titanium-zirconium (Ti-Zr) alloy i.e., 2.9 mm Test Group (TG) and 3.3 mm Control Group (CG), were included. The mesiodistal distance between the adjacent natural teeth was used for implant selection, maintaining 1.5 mm between the fixation and the adjacent tooth. Clinical assessment was performed by a clinical examiner at 6 and 12 months after the final prosthesis. The primary variable was the Jemt Papillary Index. Also, implant survival rate (SR), complications, Implant Stability Quotient (ISQ), and patient-reported outcomes measures (PROMs) such as aesthetics, chewing, phonation, comfort, and self-esteem were analyzed. Results A significant amount of papilla filling was observed concerning the baseline, with a trend towards more formation of the papilla in the TG, with a JPI score of 3. No significant differences were observed between the two groups regarding implant SR, clinical parameters, and complications. In terms of PROMs, a higher satisfaction in the TG was observed, with significant intergroup differences for aesthetics, comfort, self-esteem, and primary stability ISQ (TG: 59.05 (SD: 5.4) vs. CG: 51.55 (SD: 5.7)). Conclusions The 2.9 mm diameter Ti-Zr implants achieved a formation of papilla similar to 3.3 mm implants in the anterior region at 12 months of follow-up after the final prosthetic restoration. The use of Ti-Zr implants with a diameter of 2.9 mm to rehabilitate single teeth in areas of the anterior region, where the mesiodistal distance is limited, showed favorable clinical results and a high degree of satisfaction during 1 year of observation similar to 3.3 mm dental implants. Trial registration This study was retrospectively registered in ClinicalTrials.gov with the number NCT05642520, dated 18/11/2022.	es_ES
dc.description.sponsorship	We declare that JMAU and XMM have previously received grants from the University of the Basque Country (PPG17/01).	es_ES
dc.language.iso	eng	es_ES
dc.publisher	BMC	es_ES
dc.rights	info:eu-repo/semantics/openAccess	es_ES
dc.rights.uri	http://creativecommons.org/licenses/by/3.0/es/	*
dc.subject	dental implants
dc.subject	Ti‑Zr alloy
dc.subject	single‑tooth
dc.subject	aesthetic area
dc.subject	incisor
dc.subject	patient‑reported outcomes measures
dc.subject	prospective study
dc.subject	prosthodontics
dc.title	Clinical analysis of the tooth-implant papilla for two narrow-diameter titanium-zirconium implants in the anterior area: prospective controlled clinical study	es_ES
dc.type	info:eu-repo/semantics/article	es_ES
dc.rights.holder	© The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.	es_ES
dc.rights.holder	Atribución 3.0 España	*
dc.relation.publisherversion	https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-024-04075-2	es_ES
dc.identifier.doi	10.1186/s12903-024-04075-2
dc.departamentoes	Enfermería	es_ES
dc.departamentoes	Estomatología I	es_ES
dc.departamentoeu	Erizaintza	es_ES
dc.departamentoeu	Estomatologia	es_ES

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© The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Except where otherwise noted, this item's license is described as © The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.