Introduo
Manuteno Crista ssea marginal Tecido gengival
OBJETIVO
Maeda Y., Miura J., Taki I., Sogo M., Biomechanical analysis on platform switching: is there any biomechanical rationale?, Clin. Oral Impl., 2006
Perda ssea
Inicial
Tardia
http://www.clinicasergiolima.com.br/pross.htm
Ferraz C., Anchieta R., Almeida E., Jnior A., Ferraz F., Machado L., Rocha E., Influence of microthreads and platform switching on stress distribuition in bone using angled abutments, Journal of Prosthodontic Research, 2012
Esttica + Funo
Dinmica ssea
Espao Biolgico
Tavares R., Anlise comparativa das interfaces de implantes de conexo externa e interna em restauraes unitrias cimentadas e aparafusadas, antes e aps ensaios de fadiga. Bauru, 2003
Conexo externa
Conexo interna
http://www.nobelbiocare.com/pt/products-solutions/implant-systems/nobelspeedy/prostheticoptions/default.aspxhttp://www.nobelbiocare.com/pt/products-solutions/implant-systems/nobelspeedy/prostheticoptions/default.aspx
Tavares R., Anlise comparativa das interfaces de implantes de conexo externa e interna em restauraes unitrias cimentadas e aparafusadas, antes e aps ensaios de fadiga. Bauru, 2003
Externa
Nvel cervical e perifrico
Concentrao cargas
Interface
Pilar prottico/implante
Interna
Longo eixo do implante
http://www.nobelbiocare.com/pt/campaig ns/nobelreplace-conical-connection-andplatform-shift/default.aspx
Carga excessiva
Microfissurass sseos
TENSES DE CISALHAMENTO9
CARGAS VERTICAIS
Conexo interna
Conexo interna
Conexo externa
Conexo externa
Ricomini A., Fernandes F., Straioto F., Silva W., Cury A., Preload Loss and Bacterial Penetration on Different ImplantAbutment Connection Systems, Braz Dent J, 2010
IMPLICAES
Mecnicas
Micromovimentos
MICROGAP
Biolgicas
Microinfiltrao
Implicaes Biolgicas
Microgap
Microinfiltrao
Instabilidade do pilar prottico
Nenhum dos diferentes tipos de conexo totalmente eficaz no selamento bacteriano desta interface10
Ricomini A., Fernandes F., Straioto F., Silva W., Cury A., Preload Loss and Bacterial Penetration on Different ImplantAbutment Connection Systems, Braz Dent J, 2010
Microgap de 40.43.4m.
Scarano, A et al, A 10 year study microgap between 272 human titanium implants and their abutments, Journal of Oral Implantology,
Conexes Internas
Interface implantepilar localizada medialmente
Conexes Externas
Interface est localizada mais prxima da crista ssea
http://luzexcelenciaodontologia.blogspot.pt/
http://www.implantkontact.com/es/platformswitching-kontact.asp
Cone Morse
Platform Switching
Ausncia de microgap
maior resistncia mecnica melhor selamento biolgico
Platform Switching
http://www.misimplants.com/products/Implants/C1/Specific ations.aspx
Vantagens Biomecnicas
Maeda Y., Miura J., Taki I., Sogo M., Biomechanical analysis on platform switching: is there any biomechanical rationale?, Clin. Oral Impl., 2006
PLATFORM SWITCHING
NO PLATFORM SWITCHING
Plataforma Discrepante
Prassad K., Shetty M., Bansal N., Hegde C., Platform switching: An answer to crestal bone loss, Journal of Dental Implants, 2011
Concluses
Sucesso biolgico e mecnico do tratamento
Plataforma Discrepante
Referncias
Maeda Y., Miura J., Taki I., Sogo M., Biomechanical analysis on platform switching: is there any biomechanical rationale?, Clin. Oral Impl., 2006 Ferraz C., Anchieta R., Almeida E., Jnior A., Ferraz F., Machado L., Rocha E., Influence of microthreads and platform switching on stress distribuition in bone using angled abutments, Journal of Prosthodontic Research, 2012 Deigi M., Iezzi G., Scarano A., Piatelli A., Immediatly loaded titanium implant with a tissue-stabilizing/maintaining design (beyond platform switch) retrieved from man after 4 weeks: a histological and histomorphometrical evaluation. A case report, Clin. Oral Impl., 2007 Silva, C. et al; Crestal bone loss in prosthesis implant-suported: literature review; Revista Odontolgica de Araatuba, v.32, n.1, p. 32-36, Janeiro/Junho, 2011 Novaes Jr A., Barros R., Muglia V., Borges G., Influence of interimplant distances and placement depth on papilla formation and crestal resorption: A clinical and radiographic study in dogs, Journal of Oral Implatology, 2009 Haddad M., Pellizzer E., Mazaro J., Verri F., Falcn-Antenucci R., Conceitos bsicos para a reabilitao oral por meio de implantes osteointegrados Parte II: Influncia da inclinao e do tipo de conexo, Revista Odontolgica de Arazatuba, 2008 Tavares R., Anlise comparativa das interfaces de implantes de conexo externa e interna em restauraes unitrias cimentadas e aparafusadas, antes e aps ensaios de fadiga. Bauru, 2003 Pessoa R., Muraru L., Junior E., Vaz L., Sloten J., Duyck J., Jaecques S., Influence of Implant Connection Type on the Biomechanical Environment of Immediately Placed Implants CT-Based Nonlinear, Three-Dimensional Finite Element Analysis, Clinical Implant Dentistry and Related Research, 2010 Ricomini A., Fernandes F., Straioto F., Silva W., Cury A., Preload Loss and Bacterial Penetration on Different Implant-Abutment Connection Systems, Braz Dent J, 2010 Dias A., Biomecnica da Conexo Interna em Implantes Dentais:Reviso de Literatura, 2010 Piattelli A, Scarano A, Paolantonio M, Assenza B, Leghissa GC, Di Bonaventura G, et al. Fluids and microbial penetration in the internal part of cement-retained versus screw-retained Implant abutment connections. J Periodontol 2001 Prassad K., Shetty M., Bansal N., Hegde C., Platform switching: An answer to crestal bone loss, Journal of Dental Implants, 2011 Lazzara R., Porter S., Platform switching: A new concept in implant dentistry for controlling postrestorative crestal bone levels, Int J Periodont Restorat Dent, 2006 Luongo R., Traini T., Guidone P., Bianco G., Cocchetto R., Celleti R., Hard and soft tissue responses to the platform switching technique, Int J Periodont Restorat Dent, 2008 Hurzeler M., Fickl S., Zuhr O., Watchel H., PEri-implant bone level around implants with platform-switched abutments: Preliminary data from a prospective study, J Oral Maxillofac Surgery, 2007 Cappiello M., Luongo R., Di Lorio D., Bugea C., Coccetto R., Celletti R., Evaluation of peri-implant bone loss around platform-switches implants, Int J Periodont Restorat Dent 2008 Rodrigez X., Vela X., Segal M., Rodado C., Mndez V., Mata M., Biomechanical repercussions of bone resorption related to biological width: A finite element analyses of three implant-abutment configurations, Int J Periodont Restorat Dent, 2009 Scarano, A et al, A 10 year study microgap between 272 human titanium implants and their abutments, Journal of Oral Implantology,