Lanis Alejandro, Akhondi Samuel, Pedrinaci Ignacio, Tavelli Lorenzo, Puisys Algirdas
Private Practice, Santiago, Chile.
Section of Oral & Maxillofacial Implantology, University of Chile School of Dentistry, Santiago, Chile.
J Esthet Restor Dent. 2025 Apr;37(4):860-871. doi: 10.1111/jerd.13378. Epub 2024 Dec 2.
To explore the influence of abutment selection on 3D implant positioning, emphasizing the synergy between surgical and prosthetic considerations for achieving predictable long-term outcomes in implant-supported restorations.
Implant dentistry has transitioned from a purely surgical approach to a prosthetically driven methodology that prioritizes implant-supported restoration (ISR). This shift has been bolstered by advancements in digital technologies and abutment designs, which allow for more precise implant positioning and better management of biological, mechanical, and esthetic outcomes. The selection of appropriate abutments plays a pivotal role in optimizing the 3D implant position, influencing peri-implant tissue stability and the overall success of the restoration. This manuscript explores into the biorestorative concept, highlighting how virtual planning can preemptively assess abutment configurations and their interactions with surrounding tissues, guiding implant placement to achieve desired results.
The integration of digital planning and strategic abutment selection prior to implant placement ensures optimal 3D implant positioning respecting fundamental biological and prosthetic parameters. This approach minimizes complications, improves long-term tissue stability, and enhances patient outcomes by aligning surgical procedures with the specific prosthetic needs.
探讨基台选择对种植体三维定位的影响，强调手术和修复考量之间的协同作用，以在种植体支持的修复中实现可预测的长期效果。
种植义齿已从单纯的手术方法转变为以修复为导向的方法，该方法优先考虑种植体支持的修复（ISR）。数字技术和基台设计的进步推动了这一转变，这些进步使得种植体定位更加精确，生物、机械和美学效果的管理也更好。选择合适的基台在优化种植体三维位置方面起着关键作用，影响种植体周围组织的稳定性和修复的整体成功率。本文探讨生物修复概念，强调虚拟规划如何能够预先评估基台配置及其与周围组织的相互作用，指导种植体植入以获得理想结果。
在种植体植入前整合数字规划和战略性基台选择，可确保种植体在三维空间中的最佳定位，同时尊重基本的生物学和修复参数。这种方法通过使手术程序与特定的修复需求相匹配，将并发症降至最低，提高长期组织稳定性，并改善患者预后。
