Comparison of Peri-Implant Soft Tissue Around Zirconia and Titanium Abutments in the Aesthetic Zone: A Narrative Review

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2024 Aug 30

PMID 39211689

Authors

Turki M Abu Al-Faraj

Bashaer M Alsubhi

Abeer N Almarhoon

Abdulaziz A Almarshoud

Mohammed S Alqattan

Shahad H Alqahtani

Ahmed A Al Osaimi

Latifah Saad Alshammari

Abdullah I Almakrami

Yazeed S Alwadai

Affiliations

Soon will be listed here.

Abstract

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.

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