Abu Al-Faraj Turki M, Alsubhi Bashaer M, Almarhoon Abeer N, Almarshoud Abdulaziz A, Alqattan Mohammed S, Alqahtani Shahad H, Al Osaimi Ahmed A, Saad Alshammari Latifah, Almakrami Abdullah I, Alwadai Yazeed S
Dentistry, National Guard Hospital, Madinah, SAU.
Dentistry, Ibn Sina National College, Jeddah, SAU.
Cureus. 2024 Jul 30;16(7):e65782. doi: 10.7759/cureus.65782. eCollection 2024 Jul.
This narrative review compares the peri-implant soft tissue responses around zirconia and titanium abutments in the aesthetic zone, emphasizing their mechanical, biological, and aesthetic properties. Titanium abutments, known for their excellent mechanical strength and fatigue resistance, have traditionally been the standard in dental restorations but face challenges in aesthetic integration due to their metallic appearance and potential for higher inflammatory responses. Zirconia abutments, emerging as a promising alternative, offer superior aesthetic outcomes, reduced plaque accumulation, and lower inflammatory responses, making them ideal for use in visible areas with thin soft tissue biotypes. However, zirconia's mechanical properties, such as lower fracture resistance, necessitate careful clinical application. The review also highlights rare instances of titanium allergies, underscoring the importance of individualized treatment planning and regular monitoring to ensure the longevity and success of implant restorations.
这篇叙述性综述比较了美学区域中氧化锆基台和钛基台周围的种植体周围软组织反应，重点强调了它们的机械、生物学和美学特性。钛基台以其出色的机械强度和抗疲劳性而闻名，传统上一直是牙齿修复的标准，但由于其金属外观以及可能引发更高炎症反应，在美学整合方面面临挑战。氧化锆基台作为一种有前景的替代方案出现，具有卓越的美学效果、减少菌斑积聚以及较低的炎症反应，使其成为软组织生物型较薄的可见区域的理想选择。然而，氧化锆的机械性能，如较低的抗断裂性，需要谨慎的临床应用。该综述还强调了罕见的钛过敏案例，强调了个性化治疗计划和定期监测对于确保种植体修复的长期效果和成功的重要性。
