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    Does Platform Switching Really Prevent Crestal Bone Loss Around Implants?

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    manujohns
    Bone loss of up to approximately 2 mm during the first year of implant function is acceptable. Most likely causes of early crestal bone loss around implants: 1. The micro-gap, 2. The implant crest module 3. Occlusal overload 4. The biologic width around the dental implant. Platform switching (PLS) technique technique in which an abutment that is one-size smaller than the implant platform is placed, prevents bone loss around the implant.

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    Does Platform Switching Really Prevent Crestal Bone Loss Around Implants?

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    manujohns
    167 views46 pages
    Bone loss of up to approximately 2 mm during the first year of implant function is acceptable. Most likely causes of early crestal bone loss around implants: 1. The micro-gap, 2. The implant crest module 3. Occlusal overload 4. The biologic width around the dental implant. Platform switching (PLS) technique technique in which an abutment that is one-size smaller than the implant platform is placed, prevents bone loss around the implant.

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    Platform Swtching

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    Bone loss of up to approximately 2 mm during the first year of implant function is acceptable. Most likely causes of early crestal bone loss around implants: 1. The micro-gap, 2. The implant crest module 3. Occlusal overload 4. The biologic width around the dental implant. Platform switching (PLS) technique technique in which an abutment that is one-size smaller than the implant platform is placed, prevents bone loss around the implant.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    167 views46 pages

    Does Platform Switching Really Prevent Crestal Bone Loss Around Implants?

    Uploaded by

    manujohns
    Bone loss of up to approximately 2 mm during the first year of implant function is acceptable. Most likely causes of early crestal bone loss around implants: 1. The micro-gap, 2. The implant crest module 3. Occlusal overload 4. The biologic width around the dental implant. Platform switching (PLS) technique technique in which an abutment that is one-size smaller than the implant platform is placed, prevents bone loss around the implant.

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    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    Some of the key takeaways are that crestal bone loss around implants can be caused by factors like the micro-gap, implant crest, occlusal overload, and biologic width. Platform switching is a technique where a smaller diameter abutment is placed on a larger diameter implant collar, shifting the implant-abutment junction inward. The theory behind platform switching is that it shifts inflammatory cell infiltrate away from the crestal bone, helping to preserve bone levels.

    Some factors that can cause crestal bone loss around implants include the micro-gap between the implant and abutment, the implant crest module, occlusal overload, and the biologic width around the implant.

    The theory behind platform switching is that by shifting the implant-abutment junction inward, it also shifts the inflammatory cell infiltrate inward and away from the crestal bone, helping to preserve bone levels.

    Does platform switching really prevent crestal bone loss around implants?

    Introduction 2. Factors effecting crestal bone loss around implants


    2.1. Micro-gap 2.2. Implant crest 2.3. Occlusal 2.4. Biologic

    3. The theory of PLS .

    restoration of masticatory function esthetically pleasing easy to clean permanent

    Implant is regarded as successful if

    bone loss around the implant was that bone loss


    of up to approximately 2 mm during the first

    year of implant function is acceptable.

    Platform switching (PLS) technique


    Technique in which an abutment that is one-size smaller than the implant platform is placed, prevents bone loss around the implant.

    Lazzara RJ, Porter SS. Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels. Int J Periodontics Restorative Dent 2006;26:9 17.

    Factors effecting crestal bone loss around implants


    Most likely causes of early crestal bone loss around implants : 1. the micro-gap, 2. the implant crest module 3. occlusal overload 4. the biologic width around the dental implant.

    Oh TJ, Yoon J, Misch CE, Wang HL. The causes of early implant bone loss: myth or science? J Periodontol 2002;7:32233.

    Micro-gap sequence of events:


    1. 2. 3. 4. 5. 6. 7. 8. Exposure bacterial contamination of the gap affects the stability of the periimplant tissue. axial forces pumping effect flow of bacteria from the micro-gap formation of inflammatory connective tissue bone loss

    Implant crest module


    The crest module of the implant, which is the trans-osteal region of the implant, receives crestal stress during loading. Once the implant undergoes loading, bone resorption is observed down to the first thread in many submerged implant systems, irrespective of the distance from the implant platform to the first thread

    Crestal bone loss around an implant may be induced by occlusal overload or other types of excessive stress on an immature bone/implant interface in the early stage of osseointegration.

    Biologic width

    Biologic width refers to the area of periodontal and periimplant soft-tissue structures such as the gingival sulcus, the junctional epithelium, and the supra-crestal connective tissues.

    Biologic width

    Bone remodeling around an implant neck


    progresses until the biologic width has been

    created and has stabilized.

    The theory of PLS


    Gardner DM. Platform switching as a means to achieving implant esthetics. N Y State Dent J 2005;71:347. Baumgarten H, Cocchetto R, Testori T, Meltzer A, Porter S. A new implant design for crestal bone preservation: initial observations and case report. Pract Proced Aesthet Dent 2005;17:73540. Lazzara RJ, Porter SS. Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels. Int J Periodontics Restorative Dent 2006;26:917 Hermann F, Lerner H, Palti A. Factors influencing the preservation of the periimplant marginal bone. Implant Dent 2007; 16:16575. Degidi M, Iezzi G, Scarano A, Piattelli A. Immediately loaded titanium implant with a tissue-stabilizing/maintaining design (beyond platform switch) retrieved from man after 4 weeks: a histological and histomorphometrical evaluation. A case report.Clin Oral Implants Res 2008;19:27682. Landolt M, Blatz M. The concept of platform switching. Pract Proced Aesthet Dent 2008;20:55.

    The theory of PLS


    Clinical findings suggest preservation of the periimplant crestal bone and superior soft tissue conditions around PLS implants. However, there is a lack of scientific evidence regarding the biological mechanism by which this is achieved.

    The theory of PLS


    A certain level of stable bone around the implant neck is a prerequisite for achieving support and long-lasting, optimal and stable gingival contours.

    Bone is always encircled by approximately 1 mm of healthy connective tissue, so it can be assumed that crestal bone remodeling takes place to create space between the bone and inflammatory cell tissue (ICT) to establish a biological seal. Ericsson et al.

    The theory of PLS


    PLS refers to the use of a smaller diameter abutment on a larger diameter implant collar. This type of connection shifts the perimeter of the implantabutment junction (IAJ) inward toward the central axis of the implant.

    The theory of PLS


    Lazzara et al. have hypothesized that shifting the IAJ inward also shifts the inflammatory cell infiltrate inward and away from the crestal bone.

    Results
    1. Inward movement of the IAJ is believed to shift the inflammatory cell infiltrate toward the central axis of the implant and away from the adjacent crestal bone. 2. connective tissue thickens laterally, which increases blood flow around that area. 3. ICT is confined above the level of the implant platform

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