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Effect of Repeated Removal and Re-placement of Abutments Around Dental Implants

Effect of Repeated Removal and Re-placement of Laser Microgrooved and Machined Abutments on Proinflammatory Cytokine Levels Around Dental Implants

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04415801
Enrollment
20
Registered
2020-06-04
Start date
2020-05-01
Completion date
2020-05-31
Last updated
2020-06-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Peri-implant Mucositis

Keywords

Peri-implant Mucositis

Brief summary

Repeated removal and re-placement of healing and prosthetic abutments result in frequent injuries to the soft tissues. The purpose was to evaluate the effect of repeated removal and re-placement of laser microgrooved and smooth/machined healing and prosthetic abutments during restorative stages, and 1 year after functional loading, on proinflammatory cytokine levels around dental implants.

Detailed description

Twenty-four patients each received 2 one-stage implants in a split mouth design on the same jaw. In each patient one healing and prosthetic abutments with a laser microgrooved surface (LMS group) and one healing and prosthetic abutments with smooth/machined surface (S/MS group) were used. Four months following implant placement \[Baseline (BSL)\], the healing abutments were disconnnected and reconnected three times to carry out the impression procedures and metal framework try-in. Four weeks later (T0), definitive prosthetic abutments were installated with screw retained crowns. Samples for immunological analyses were taken from the sulcus around each implant at BSL, T0, and 1 year after functional loading (T1). Peri-implant crevicular fluid samples were analyzed for interleukin-1beta (IL-1β), interleukin-6 (IL-6) and tumor necrosis factor (TNF)-α levels using the ELISA kit.

Interventions

DIAGNOSTIC_TESTRepeated removal and re-placement of healing and prosthetic abutments

Repeated removal and re-placement of healing and prosthetic abutments

Sponsors

University of Roma La Sapienza
Lead SponsorOTHER

Study design

Intervention model
SEQUENTIAL
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
Yes

Inclusion criteria

* 18 years or older, in good general health, and with sufficient amount of bone available to place a standard implant

Exclusion criteria

* natural teeth adjacent to surgical area affected by untreated periodontal or endodontic infections, peri-implant bone defects requiring bone augmentation, absence of opposing occlusion,

Design outcomes

Primary

MeasureTime frameDescription
change from baseline to 8 weeks of gingival fluid production8 weeksThe gingival fluid production was measured electronically in Periotron units, (Periotron 8000®, Ora Flow, Inc., Plainview, NY, USA) which were converted to microliters (μl) by MCCONVRT software (Ora Flow).

Countries

Italy

Contacts

Primary ContactRenzo Guarnieri, MD DDS
renzoguarnieri@gmail.com+39 3425224458
Backup ContactRenzo Guarnieri
renzoguarnieri@gmail.com

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 15, 2026