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International Journal of Periodontics & Restorative Dentistry



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Int J Periodontics Restorative Dent 40 (2020), No. 1     3. Jan. 2020
Int J Periodontics Restorative Dent 40 (2020), No. 1  (03.01.2020)

Page 31-37, doi:10.11607/prd.3913, PubMed:31815970

Clinical Recommendations for Implant Abutment Selection for Single-Implant Reconstructions: Customized vs Standardized Ceramic and Metallic Solutions
Zarauz, Cristina / Pitta, Joao / Pradies, Guillermo / Sailer, Irena
The present paper presents clinical guidelines for the selection of the abutment material and level of customization for single-implant reconstructions. A systematic literature search was conducted previous to a Consensus Conference, resulting in two systematic reviews. One review focused on esthetic clinical outcomes, including esthetic indices and linear measurements, and the second focused on peri-implant soft tissue color outcomes, evaluated with spectrophotometry. The outcomes of esthetic indexes and linear measurement were highly heterogenic, hence, a meta-analysis was not feasible. All-ceramic and customized solutions showed a trend for improved results of the esthetic outcomes. Regarding soft tissue color outcomes, all-ceramic abutments induced significantly less soft tissue color changes. Both metallic and all-ceramic abutments/standard and customized components may result in clinically and esthetically acceptable reconstructions.