The integration of peri-implant soft tissues around zirconia abutments: Challenges and strategies

被引：22
|
作者：
Tang, Kai [1 ,2 ,3 ]
Luo, Meng-Lin [4 ,5 ,6 ]
Zhou, Wei [1 ,2 ,3 ]
Niu, Li-Na [1 ,2 ,3 ]
Chen, Ji-Hua [1 ,2 ,3 ]
Wang, Fu [1 ,2 ,3 ]
机构：
[1] Fourth Mil Med Univ, Sch Stomatol, Natl Clin Res Ctr Oral Dis, Xian 710032, Shaanxi, Peoples R China
[2] Fourth Mil Med Univ, Sch Stomatol, State Key Lab Mil Stomatol, Xian 710032, Shaanxi, Peoples R China
[3] Fourth Mil Med Univ, Sch Stomatol, Dept Prosthodont, Shaanxi Key Lab Stomatol, Xian 710032, Shaanxi, Peoples R China
[4] Chinese Peoples Liberat Army Gen Hosp, Inst Stomatol, Med Ctr 1, Beijing, Peoples R China
[5] Chinese Peoples Liberat Army Gen Hosp, Med Ctr 1, Oral Maxilla Facial Key Lab, Beijing, Peoples R China
[6] Chinese Peoples Liberat Army Gen Hosp, Med Ctr 1, Dept Stomatol, Beijing, Peoples R China
来源：
BIOACTIVE MATERIALS | 2023年 / 27卷
关键词：
Zirconia; Implant abutment; Surface modification; Soft tissue adhesion; HUMAN GINGIVAL FIBROBLASTS; TITANIUM IMPLANTS; DENTAL IMPLANTS; IN-VITRO; SURFACE CHARACTERISTICS; BACTERIAL ADHESION; CONNECTIVE-TISSUE; CELL-ADHESION; BIOFILM FORMATION; GENE-EXPRESSION;
D O I：
10.1016/j.bioactmat.2023.04.009
中图分类号：
R318 [生物医学工程];
学科分类号：
0831 ;
摘要：
Stable soft tissue integration around the implant abutment attenuates pathogen penetration, protects underlying bone tissue, prevents peri-implantitis and is essential in maintaining long-term implant stability. The desire for "metal free" and "aesthetic restoration" has favored zirconia over titanium abutments, especially for implant restorations in the anterior region and for patients with thin gingival biotype. Soft tissue attachment to the zirconia abutment surface remains a challenge. A comprehensive review of advances in zirconia surface treat-ment (micro-design) and structural design (macro-design) affecting soft tissue attachment is presented and strategies and research directions are discussed. Soft tissue models for abutment research are described. Guidelines for development of zirconia abutment surfaces that promote soft tissue integration and evidence-based references to inform clinical choice of abutment structure and postoperative maintenance are presented.
引用
收藏
页码：348 / 361
页数：14
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