Influence of Healing Abutment Height on Secondary Implant Stability Using Resonance Frequency Analysis: A Prospective Clinical Study

doi:10.3390/jcm14145140

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AutoresAlicia Martín-Martín, Esteban Pérez-Pevida, Saray Férnandez-Hernández, Jaime Lubillo-Valdeón, Aritza Brizuela‐Velasco

Por qué importa

Esta investigación evalúa cómo la altura de laрованera de cicatrización influye en la estabilidad secundaria de los implantes dentales, medida mediante análisis de frecuencia de resonancia. El estudio comparó dos grupos de implantes, diferenciados por la distancia entre laрованera y el antagonista (<4 mm vs. ≥4 mm). Se observaron diferencias significativas en la estabilidad, siendo mayor cuando la distancia era menor. Esto sugiere que una mayor altura de laрованera, acercándola al plano oclusal antagonista, podría incrementar y acelerar la estabilidad secundaria del implante durante la oseointegración. Estos hallazgos tienen implicaciones clínicas al orientar la selección y colocación de lasрованeras de cicatrización para optimizar la integración del implante y su estabilidad a largo plazo.

Abstract original

Background/Objectives: The aim of the present study is to evaluate the influence of the healing abutment height on secondary implant stability measured by resonance frequency analysis. In this prospective observational clinical study of 30 implants, the secondary stability of the implant was measured via resonance frequency analysis of the abutment during the osseointegration process. Methods: Two groups were compared: a <4 group (n = 15), with a space between the healing abutment and the antagonist of <4 mm, and a ≥4 group (n = 15), with a space of ≥4 mm. Results: Statistically significant differences (p < 0.05) in the implant stability values obtained at surgery (T0) and at the eighth week of osseointegration (T8) were observed between the two groups, with higher values for the <4 group. Pearson’s correlation analysis revealed a trend towards a significant relationship with the mean force (−0.6546) and a linear inverse relationship, so that by decreasing the distance between the abutment and the contact with the antagonist, the secondary implant stability values increased. A comparison of the mesial and distal peri-implant marginal bone levels at T0 and T8 did not reveal statistically significant differences (p > 0.05). A greater healing abutment height, placing it closer to the antagonist, increases and accelerates secondary stability, as measured by resonance frequency analysis. Conclusions: The results of the study support the recommendation of using high healing abutments, placing the abutment close to the opposing occlusal plane, according to biomechanical criteria.

Leer texto completo ↗DOI · 10.3390/jcm14145140

Autor Doctor&Cols

Esteban Pérez Pevida
Cirugía Oral e Implantología

Cómo citar

Martín-Martín A, Pérez-Pevida E, Férnandez-Hernández S, Lubillo-Valdeón J, Brizuela‐Velasco A. Influence of Healing Abutment Height on Secondary Implant Stability Using Resonance Frequency Analysis: A Prospective Clinical Study. Journal of Clinical Medicine. 2025. doi:10.3390/jcm14145140