Associated lesions of peri-implant mucosa in immediate versus delayed loading of dental implants

作者:Iliescu Alexandru Andrei; Zurac Sabina Andrada; Nicolae Vasile*; Iliescu Mihaela Georgiana; Perlea Paula
来源:Romanian Journal of Morphology and Embryology, 2017, 58(2): 487-492.

摘要

Currently, immediate loading of dental implants is very attractive as a standard protocol for prosthetic restorations in edentulous patients. The aim of this study is to find out the intimate pen-implant mucosa response depending on timing of implant loading, immediate or delayed. Fifty-one screw implants Alpha Bio (Alpha-Bio Tec, Israel) were inserted in 42 partially edentulous patients according to standardized surgical techniques. At six months of loading, samples of pen-implant mucosa were harvested from 27 immediate loaded, respectively 24 delayed loaded implants, and subjected to microscopic examination. Pen-implant mucosa in both loadings revealed a continuous and stable stratified squamous epithelium with moderate acanthosis and slight hyperkeratosis. Severe fibrosis and tendency to scar-like lesions were present mainly in immediate loading. Slight to moderate density of inflammatory chronic cell populations of non-uniform feature was common to both loading protocols. As compared to lymphocytes, higher scores of plasma cells were encountered in immediate loading. In immediate and delayed loading, the pen-implant mucosa as a new generated structure does not reveal different tissue responses. After six month of prosthetic loading, the healthy pen-implant mucosa is compatible with fibrosis and minor chronic inflammatory reactions.

  • 出版日期2017