REHABILITACIÓN ESTÉTICA Y FUNCIONAL MEDIANTE LA ASOCIACIÓN DE IMPLANTES DE ZIRCONIO DE DOS PIEZAS MOLDEADOS POR INYECCIÓN, DE CARGA INMEDIATA Y CARILLAS CERÁMICAS
DOI:
https://doi.org/10.47820/recima21.v5i2.4448Palabras clave:
Implantes de zirconia, Carillas, Prótesis implantosoportada, Flujo de trabajo digital, Satisfacción del pacienteResumen
Objetivo: En el presente caso se describen los resultados clínicos y radiográficos de 24 meses de implantes de zirconio moldeados por inyección de dos piezas con carga inmediata, así como la planificación estética y funcional realizada en el maxilar anterior. Presentación del caso: Paciente femenina de 36 años de edad que fue remitida a una facultad de odontología por insatisfacción con la estética de su sonrisa y ausencia de elementos odontológicos 22 y 24. Se realizó rehabilitación protésica del maxilar anterior, incluyendo prótesis implantosoportada con implantes de zirconio y carillas cerámicas, mediante un flujo de trabajo digital. El paciente fue seguido durante 24 meses, con buenos resultados clínicos y radiográficos. Conclusiones: La rehabilitación estética y funcional realizada en el maxilar del paciente, con carillas y coronas cerámicas, fue exitosa y contribuyó al bienestar psicológico y emocional del paciente, además de restaurar la estabilidad oclusal, a través de la orientación del canino y la adecuada protrusión de los dientes anteriores.
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Sennerby L, Dasmah A, Larsson B, Iverhed M. Bone tissue responses to surface‐modified zirconia implants: a histomorphometric and removal torque study in the rabbit. Clin Implant Dent Relat Res 2005;7:s13–20. DOI: https://doi.org/10.1111/j.1708-8208.2005.tb00070.x
Depprich R, Naujoks C, Ommerborn M, Schwarz F, Kübler NR, Handschel J. Current findings regarding zirconia implants. Clin Implant Dent Relat Res 2014;16:124–37. DOI: https://doi.org/10.1111/j.1708-8208.2012.00454.x
Hashim D, Cionca N, Courvoisier DS, Mombelli A. A systematic review of the clinical survival of zirconia implants. Clin Oral Investig 2016;20:1403–17. DOI: https://doi.org/10.1007/s00784-016-1853-9
Gottlow J, Dard M, Kjellson F, Obrecht M, Sennerby L. Evaluation of a new titanium‐zirconium dental implant: a biomechanical and histological comparative study in the mini pig. Clin Implant Dent Relat Res 2012;14:538–45. DOI: https://doi.org/10.1111/j.1708-8208.2010.00289.x
Altuna P, Lucas-Taulé E, Gargallo-Albiol J, Figueras-Álvarez O, Hernández-Alfaro F, Nart J. Clinical evidence on titanium–zirconium dental implants: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 2016;45:842–50. DOI: https://doi.org/10.1016/j.ijom.2016.01.004
Manzano G, Herrero R, Montero J. Comparison of clinical performance of zirconia implants and titanium implants in animal models: a systematic review. International Journal of Oral & Maxillofacial Implants 2014;29. DOI: https://doi.org/10.11607/jomi.2817
Hanawa T. Zirconia versus titanium in dentistry: A review. Dent Mater J 2020;39:24–36. DOI: https://doi.org/10.4012/dmj.2019-172
Scott HG. Phase relationships in the zirconia-yttria system. J Mater Sci 1975;10:1527–35. DOI: https://doi.org/10.1007/BF01031853
Turp V, Tuncelli B, Sen D, Goller G. Evaluation of hardness and fracture toughness, coupled with microstructural analysis, of zirconia ceramics stored in environments with different pH values. Dent Mater J 2012;31:891–902. DOI: https://doi.org/10.4012/dmj.2012-005
Lange FF. Transformation toughening: Part 1 Size effects associated with the thermodynamics of constrained transformations. J Mater Sci 1982;17:225–34. DOI: https://doi.org/10.1007/BF00809057
Hoffmann O, Angelov N, Zafiropoulos G-G, Andreana S. Osseointegration of zirconia implants with different surface characteristics: an evaluation in rabbits. International Journal of Oral & Maxillofacial Implants 2012;27.
Gahlert M, Röhling S, Wieland M, Sprecher CM, Kniha H, Milz S. Osseointegration of zirconia and titanium dental implants: a histological and histomorphometrical study in the maxilla of pigs. Clin Oral Implants Res 2009;20:1247–53. DOI: https://doi.org/10.1111/j.1600-0501.2009.01734.x
Gahlert M, Burtscher D, Grunert I, Kniha H, Steinhauser E. Failure analysis of fractured dental zirconia implants. Clin Oral Implants Res 2012;23:287–93. DOI: https://doi.org/10.1111/j.1600-0501.2011.02206.x
Schliephake H, Hefti T, Schlottig F, Gédet P, Staedt H. Mechanical anchorage and peri‐implant bone formation of surface‐modified zirconia in minipigs. J Clin Periodontol 2010;37:818–28. DOI: https://doi.org/10.1111/j.1600-051X.2010.01549.x
Rocchietta I, Fontana F, Addis A, Schupbach P, Simion M. Surface‐modified zirconia implants: tissue response in rabbits. Clin Oral Implants Res 2009;20:844–50. DOI: https://doi.org/10.1111/j.1600-0501.2009.01727.x
Bosshardt DD, Chappuis V, Buser D. Osseointegration of titanium, titanium alloy and zirconia dental implants: current knowledge and open questions. Periodontol 2000 2017;73:22–40. DOI: https://doi.org/10.1111/prd.12179
de Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the Oral Health Impact Profile–short form. Community Dent Oral Epidemiol 2005;33:307–14. DOI: https://doi.org/10.1111/j.1600-0528.2005.00225.x
Slade GD. Derivation and validation of a short‐form oral health impact profile. Community Dent Oral Epidemiol 1997;25:284–90. DOI: https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
Angkaew C, Serichetaphongse P, Krisdapong S, Dart MM, Pimkhaokham A. Oral health‐related quality of life and esthetic outcome in single anterior maxillary implants. Clin Oral Implants Res 2017;28:1089–96. DOI: https://doi.org/10.1111/clr.12922
Comparin L, de Mattias Sartori IA, Fiamoncini ES, Tatim T, de Souza G, de Freitas RM. Guias empilháveis (stackable guides) para reabilitação de arcos totais em um fluxo digital: relato de caso clínico. RECIMA21-Revista Científica Multidisciplinar 2023;4:e442997–e442997. DOI: https://doi.org/10.47820/recima21.v4i4.2997
Tettamanti S, Millen C, Gavric J, Buser D, Belser UC, Brägger U, et al. Esthetic evaluation of implant crowns and peri‐implant soft tissue in the anterior maxilla: comparison and reproducibility of three different indices. Clin Implant Dent Relat Res 2016;18:517–26. DOI: https://doi.org/10.1111/cid.12306
Villalobos-Tinoco J, Fischer NG, Jurado CA, Sayed ME, Feregrino-Mendez M, de la Mata y Garcia O, et al. Combining a single implant and a veneer restoration in the esthetic zone. International Journal of Esthetic Dentistry 2020;15.
Thomé G, Sandgren R, Bernardes S, Trojan L, Warfving N, Bellón B, et al. Osseointegration of a novel injection molded 2-piece ceramic dental implant: a study in minipigs. Clin Oral Investig 2021;25:603–15. DOI: https://doi.org/10.1007/s00784-020-03513-z
Osman RB, Swain M V. A critical review of dental implant materials with an emphasis on titanium versus zirconia. Materials 2015;8:932–58. DOI: https://doi.org/10.3390/ma8030932
Borgonovo AE, Censi R, Vavassori V, Arnaboldi O, Maiorana C, Re D. Zirconia implants in esthetic areas: 4-year follow-up evaluation study. Int J Dent 2015;2015. DOI: https://doi.org/10.1155/2015/415029
Brüll F, van Winkelhoff AJ, Cune MS. Zirconia dental implants: a clinical, radiographic, and microbiologic evaluation up to 3 years. International Journal of Oral & Maxillofacial Implants 2014;29. DOI: https://doi.org/10.11607/jomi.3293
Thomé G, Uhlendorf J, Vianna CP, Caldas W, Bernardes SR, Trojan LC. Clinical and radiographic success of injection‐molded 2‐piece zirconia implants submitted to immediate loading: A 12‐month report of two cases. Clin Case Rep 2021;9:e05118. DOI: https://doi.org/10.1002/ccr3.5118
Lorenz J, Parvini P, Obreja K, Trimpou G, Linder S, Hölscher W, et al. Clinical performance of a newly developed two-piece zirconia implant system in the maxilla: A prospective multicentre study. International Journal of Oral Implantology 2022;15.
Cionca N, Hashim D, Mombelli A. Two‐piece zirconia implants supporting all‐ceramic crowns: Six‐year results of a prospective cohort study. Clin Oral Implants Res 2021;32:695–701. DOI: https://doi.org/10.1111/clr.13734
De Angelis P, Gasparini G, Rella E, De Angelis S, Grippaudo C, D’Addona A, et al. Patient satisfaction with implant-supported monolithic and partially veneered zirconia restorations. Biomed Res Int 2021;2021. DOI: https://doi.org/10.1155/2021/6692939
Zhang C-N, Zhu Y, Zhang Y-J, Jiang Y-H. Clinical esthetic comparison between monolithic high-translucency multilayer zirconia and traditional veneered zirconia for single implant restoration in maxillary esthetic areas: Prosthetic and patient-centered outcomes. J Dent Sci 2022;17:1151–9. DOI: https://doi.org/10.1016/j.jds.2022.01.012
Kaushik P, Singh R, Soujanya E, Prasad LK. Lithium disilicate ceramic veneers for esthetic restoration of anterior teeth: Two case reports. Journal of Dental Research and Review 2020;7:142–6.
Yu S-J, Chen P, Zhu G-X. Relationship between implantation of missing anterior teeth and oral health-related quality of life. Quality of Life Research 2013;22:1613–20. DOI: https://doi.org/10.1007/s11136-012-0314-4
Allen PF. Assessment of oral health related quality of life. Health Qual Life Outcomes 2003;1:1–8. DOI: https://doi.org/10.1186/1477-7525-1-40
Rutkowski R, Smeets R, Neuhöffer L, Stolzer C, Strick K, Gosau M, et al. Success and patient satisfaction of immediately loaded zirconia implants with fixed restorations one year after loading. BMC Oral Health 2022;22:198. DOI: https://doi.org/10.1186/s12903-022-02231-0
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