Biological sealing aspects surrounding anterior crowns on dental implants: clinical and photographic cases report

Auteurs

  • Sergio Henrique Gonçalves Motta Clivo-CIODONTO, Rio de Janeiro, Brazil
  • Cristiane Ferreira Pinto Paterline Vivacqua Instituto Militar de Engenharia (IME), Rio de Janeiro, Brazil
  • Leonardo Emiliano dos Santos Instituto Militar de Engenharia (IME), Rio de Janeiro, Brazil
  • Marco Aurélio Chaves da Silva São Leopoldo Mandic, Rio de Janeiro, Brazil
  • Gustavo Boehmer Leite Instituto Militar de Engenharia (IME), Rio de Janeiro, Brazil
  • Juliana Campos Hasse Fernandes Private Practice – MI, U.S.A.
  • Gustavo Vicentis Oliveira Fernandes Periodontics and Oral Medicine Department, University of Michigan School of Dentistry MI, North University Ave, Ann Arbor, MI, U.S.A., 48109

##plugins.pubIds.doi.readerDisplayName##:

https://doi.org/10.22409/ijosd.v2i61.57026

Résumé

The biological sealing (BS) around implants is a dominant factor to determine the long-term success of peri-implant health. There are several features of the BS around implants in common with the soft tissue attached to teeth, such as the presence of crevicular fluid, acquired pellicle, epithelium; otherwise, the quality of the BS around implants is weaker compared with the junctional epithelium of natural teeth. Then, this article aimed to describe three cases report showing the presence of a BS (cuticle-crevice fluid-acquired pellicle) around the fixed crowns on dental implants in the anterior zone, through photographic analysis. It was used a Nikon 8100 camera with a 105 mm macro lens and a Macro Ring circular flash. A photographic profile examination was made always showing the clinical case and, specifically, the focal point in the crown-gingival tissue (prosthesis boundary and peri-implant tissue), highlighting the anatomical gingiva on the ceramic prosthetic crown at an angle between 140 to 160 degrees. Although cases 1 and 2 had 1-year follow-up and case 3 around 4 years, the common findings for all treatments done were: (i) oral rehabilitation with crowns on dental implants; (ii) patients satisfied with the esthetic and functional result; (iii) stability of the soft tissue around the crowns; (iv) all the patients had a good oral hygiene; (v) presence of a thin membrane associated with the acquire pellicle, similar to an annular cuticle, which we named cuticle-acquired pellicle complex or tertiary cuticle or prosthetic-implant cuticle. This complex (cuticle-crevicular fluid-acquired pellicle) is suggested to be the responsible by the BS on dental implants. Moreover, the cuticle (epithelial part in the peri-implant sulcus), although similar to teeth, may be considered a tertiary pellicle due to be found on ceramic crowns on dental implants, differently of the primary and secondary pellicle. Whitin the limitation of these three cases reports, the BS was reported and can be introduced the new concept of the “cuticle-crevicular fluid-acquired pellicle complex” or “prosthetic-implant cuticle”.   Keywords: Dental implants; single crown; biological sealing; biofilms; pellicle; acquired pellicle; saliva; gingival crevicular fluid.

##plugins.generic.usageStats.downloads##

##plugins.generic.usageStats.noStats##

Biographie de l'auteur

Gustavo Vicentis Oliveira Fernandes, Periodontics and Oral Medicine Department, University of Michigan School of Dentistry MI, North University Ave, Ann Arbor, MI, U.S.A., 48109

Doutorando em Odontologia (PPGO) - UFF (2012); Mestre em Ciências Médicas - UFF (2011); Especialização em Implantodontia - UFF (2011); Graduação - Faculdade de Odontologia da Universidade Federal Fluminense (2008).

2005 - Pesquisador do Laboratório de Bioengenharia, Materiais e Mineralização Biológica e da Unidade de Pesquisas Clínicas da Universidade Federal Fluminense (http://dgp.cnpq.br/buscaoperacional/detalhegrupo.jsp?grupo=0005402JSZ93DK), que foca os seguintes temas: enxerto autógeno, alógeno, aloplástico e xenogênico, reparo ósseo, biologia óssea, defeito de tamanho crítico, subcutâneo, osteogênese ectópica em animais de pequeno e médio porte e análise morfométrica (histomorfometria), esteriológica (esteriologia), pesquisas com células tronco e laser de baixa potência.

2012 - Docente: Universidade Salgado de Oliveira (Periodontia I e II, Anatomia da Cabeça e Pescoço e OTC II - Graduação); Atualização em Periodontia e Iniciação em Implantodontia (Universo); Especialização em Implantodontia - Áreas conexas (Universo); Especialização em Implantodontia (Odontoclínica Central do Exército - OCEx / RJ) - até Jan./2013.

 

Desde 2012 - Professor colaborador do Grupo Periodontia Implantes (http://www.perioimplante.com/).

##submission.downloads##

Publiée

2023-03-07

Numéro

Rubrique

Artigos