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. 2023 Sep 19;13(9):1402.
doi: 10.3390/jpm13091402.

Clinical Efficacy Analysis of the Personalization of Prosthetic Abutments in Implant Supported Restorations in Comparison to Available Standard Titanium Abutments

Magdalena Eugenia Obădan  1 , Ioana Mitruț  1 , Mihaela Ionescu  2 , Florian Obădan  1 , Daniel Adrian Târtea  3 , Marcel Adrian Popescu  3 , Sanda Mihaela Popescu  3 , Andreea Maria Smarandache  4 , Horia Octavian Manolea  1
Affiliations

Clinical Efficacy Analysis of the Personalization of Prosthetic Abutments in Implant Supported Restorations in Comparison to Available Standard Titanium Abutments

Magdalena Eugenia Obădan et al. J Pers Med. .

Abstract

Personalized medicine has become an important direction to offer better solutions for health problems. In implantology, this trend was materialized through customizing dental abutments to each clinical situation. The demands for better esthetics and function of implant-supported restorations have imposed a more personalized variety of prosthetic abutments. This retrospective study compared clinical efficiency of personalized implant abutments with standard implant abutments in multiple implant restorations. Clinical data of patients who were admitted in a private clinic between 2011 and 2022 and received dental implant treatments were collected. All complications and undesired events from the patients' medical record charts were statistically analyzed. The implants were loaded using either standard or customized abutments. For complete arch rehabilitations with the SKY Fast & Fixed protocol, standard titanium prosthetic abutments were used. Our results suggest that the abutments choice for patients has moved throughout the years more towards the use of customized abutments. The number of customized abutments (414) was higher compared with the number of standard abutments (293). In our database, the most used abutments for the anterior area implants were made of titanium and zirconia, whereas for the posterior area, the preferred abutments were mostly titanium. The standard abutments were used almost entirely for immediate loading and implantation in both anterior and posterior areas (Fast & Fixed protocol). Complications were encountered mainly in restorations with standard abutments (9.22%) compared to customized abutments (2.7%), with titanium abutments being the most reliable, having only 1.79% complications.

Keywords: customized abutment; dental implant; prosthetic restoration.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Patients’ distribution by gender and year of treatment.
Figure 2
Figure 2
Abutments’ distribution by year of treatment.
Figure 3
Figure 3
Standard vs. customized abutments throughout the years.
Figure 4
Figure 4
Distribution of standard vs. customized abutments used.
Figure 5
Figure 5
Distribution of customized implant abutments in A, P and A + P areas.
Figure 6
Figure 6
Patients’ distribution by gender, implant area and abutment type.
Figure 7
Figure 7
Distribution of patients with immediate loading, by gender and year of treatment.
Figure 8
Figure 8
Distribution of patients with immediate loading, by gender, implant area and abutment type.
See this image and copyright information in PMC

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