In this study, we collected and analysed the review results of 100 patients over 18 years of age who received implant fixed restorations in the Department of Stomatology of the First Hospital of Nanjing, China. The aim was to investigate the incidence of loss of contact between implant restorations and adjacent teeth and its influencing factors. Our findings may provide better insights for treatment planning and prevention of PCL.
Food impaction is a common complication after implant-supported restorations. Several studies have reported that more than 40%-66.9% of patients feel food impaction between the implant restoration and adjacent natural teeth. The most common cause of food impaction after implant restoration is the proximal contact loss(PCL), which has been reported to occur in 34% to 65% of cases. The location of PCL creates discomfort and leads to gingival inflammation and even peri-implant bone resorption, which ultimately leads to loosening of the implant. In our long-term clinical observation, not all final restorations suffer from PCL. The occurrence of PCL may be related to a number of factors such as age, gender, functional time, and so on. However, the literature addressing this issue is still limited. In this study, we collected and analysed the review results of selected patients who underwent implant-supported restorations in the First Hospital of Nanjing, China, to investigate the incidence of PCL between the implant restorations and the adjacent teeth adjacent , and the factors influencing it. Our findings may provide better insights for treatment planning and prevention of PCL.
Study Type
OBSERVATIONAL
Enrollment
100
Nanjing First Hospital
Nanjing, Jiangsu, China
the proximal contact surface was adjusted by a dental floss (Reach waxed dental floss from Johnson & Johnson, standard thickness)
The degree of proximal contact loss(PCL) was evaluated with a dental floss passing through the contact areas and classified as: (a) tight: sufficient resistance to the passage of the floss; (b) loose: insufficient resistance to the passage of the floss; and (c) open: contact: no resistance to the passage of the floss. The presence of an open or loose contact was classified as PCL.
Time frame: Patients with implant-supported prostheses reviewed 3 months after delivery were eligible for inclusion in this study.
oral panoramic radiograph
Using the radiograph analysis software's measuring function, the amount of alveolar bone resorption of the implant as well as adjacent teeth was evaluated. (a)The original bone height was measured as the distance between the enamel-cemental junction and the root apex (or the implant neck edge and the implant base). (b)The existing bone height was measured as the distance between the top of the alveolar ridge to the root apex. (c) The height of alveolar bone resorption was calculated by subtracting the original bone height from the existing bone height.
Time frame: Patients with implant-supported prostheses reviewed 3 months after delivery were eligible for inclusion in this study.
Bausch Arti-Fol R metallic Shimstock-Film
(a) Initial occlusal contact: Bausch articulating paper was applied to the restoration's occlusal surface, the patient was told to close their mouth slowly, the teeth just gently touched, and they opened their mouth right away. The paper was then removed, and the restoration's occlusal surface was examined to see if it had left a red mark. (b) Final occlusal contact: If the patient's restoration and opposing jaw teeth do not make contact during the initial occlusion, place the Bausch articulating paper on the restoration's occlusal surface, ask them to clench their teeth, and then have them open their mouth, take the paper out, and check to see if the implant's occlusal surface has any marks on it.
Time frame: Patients with implant-supported prostheses reviewed 3 months after delivery were eligible for inclusion in this study.
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