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Protocolo "one abutment at one time" e estabilidade periodontal : o estado da arte
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Abstract(s)
A Implantologia Dentária tem tido avanços significativos nas últimas décadas, impulsionados pela ambição de fornecer soluções protéticas mais eficazes e de melhor qualidade para a reabilitação oral. Todas as sugestões de melhoria tiveram como objetivo aperfeiçoar os resultados e facilitar o processo de osteointegração. Consequentemente, favorecer-se-á a preservação do osso marginal e dos tecidos moles.
Dentro das diversas novas abordagens desenvolvidas nessa área, destaca-se a técnica "one abutment one time", que tem despertado interesse e sido amplamente discutido na comunidade dentária.
Esta dissertação teve como objetivo dar a conhecer uma técnica inovadora, a técnica "one abutment one time", abordando diferentes perspetivas dos seus pontos positivos e negativos e esclarecer de que forma os mesmos poderão ter impacto na estabilidade periodontal. Clarificar o impacto e a utilidade da sua aplicação permitirá amplificar os conhecimentos na área da implantologia e uma melhor decisão na escolha
do método a realizar.
Uma das grandes vantagens da técnica consiste na simplificação do procedimento protético, eliminando a necessidade de desconectar e reconectar repetidamente o pilar do implante, sendo muito bem aceite por parte dos pacientes. Deste modo reduz-se consideravelmente o risco de trauma dos tecidos moles peri-implantares, bem como a manipulação excessiva durante os tratamentos.
Contudo, a técnica enfrenta diversos desafios, e um dos principais obstáculos é no momento cirúrgico da técnica "one abutment one time" que reside na seleção do abutment definitivo apropriado. Esta complexidade resulta da notável variação nos tecidos moles e na estrutura óssea circundante ao implante, o que pode dificultar a determinação imediata do abutment mais adequado para a adaptação final e ideal ao paciente após a inserção do implante.
Dental implantology has made significant advances in recent decades driven by the ambition to provide more effective and better quality prosthetic solutions for oral rehabilitation. All suggestions for improvement aimed to improve the results and the osseointegration process, specifically the preservation of the marginal bone and soft tissues. Among the various new approaches developed in this area the “one abutment one time” technique stands out, which has aroused interest and has been widely discussed within the dental community. This dissertation aimed to make this innovative technique known, addressing different perspectives of its positive and negative points and clarifying how they may have an impact on periodontal stability. Clarifying the impact and usefulness of its application will allow an amplification of knowledge in the field of implantology and lead to a better decision when choosing the method to be performed. The main advantage of this technique is the simplification of the prosthetic procedure. By eliminating the necessity of repeatedly disconnect and reconnecting the implant abutment the risk of trauma of peri-implant soft tissues is considerably reduced, as well as excessive manipulation during treatments, which is very well accepted by patients. Nevertheless, this technique faces some challenges and one of the main obstacles is during the surgical moment of the “one abutment one time” technique, which concerns the selection of the appropriate definitive abutment. This complexity results from the notable variation in the soft tissues and bone structure surrounding the implant, which can make it difficult to immediately determine the most appropriate abutment for the final adaptation as well as ideal adaptation to the patient after the implant insertion.
Dental implantology has made significant advances in recent decades driven by the ambition to provide more effective and better quality prosthetic solutions for oral rehabilitation. All suggestions for improvement aimed to improve the results and the osseointegration process, specifically the preservation of the marginal bone and soft tissues. Among the various new approaches developed in this area the “one abutment one time” technique stands out, which has aroused interest and has been widely discussed within the dental community. This dissertation aimed to make this innovative technique known, addressing different perspectives of its positive and negative points and clarifying how they may have an impact on periodontal stability. Clarifying the impact and usefulness of its application will allow an amplification of knowledge in the field of implantology and lead to a better decision when choosing the method to be performed. The main advantage of this technique is the simplification of the prosthetic procedure. By eliminating the necessity of repeatedly disconnect and reconnecting the implant abutment the risk of trauma of peri-implant soft tissues is considerably reduced, as well as excessive manipulation during treatments, which is very well accepted by patients. Nevertheless, this technique faces some challenges and one of the main obstacles is during the surgical moment of the “one abutment one time” technique, which concerns the selection of the appropriate definitive abutment. This complexity results from the notable variation in the soft tissues and bone structure surrounding the implant, which can make it difficult to immediately determine the most appropriate abutment for the final adaptation as well as ideal adaptation to the patient after the implant insertion.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
One abutment one time Estabilidade periodontal Perda óssea Conexão e desconexão do pilar