Effect of implant abutment material on peri-implant tissues: Narrative review

Introduction: The material of implant abutments plays a critical role in influencing the health and stability of peri-implant tissues. This structured review aims to evaluate the effect of commonly used abutment materials, including titanium, zirconia, and polymer-based composites, on peri-implant s...

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Main Authors: G. Sanjana, G. Priyanka, Ponsekar Abraham Anandapandian
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:SRM Journal of Research in Dental Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/srmjrds.srmjrds_136_24
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author G. Sanjana
G. Priyanka
Ponsekar Abraham Anandapandian
author_facet G. Sanjana
G. Priyanka
Ponsekar Abraham Anandapandian
author_sort G. Sanjana
collection DOAJ
description Introduction: The material of implant abutments plays a critical role in influencing the health and stability of peri-implant tissues. This structured review aims to evaluate the effect of commonly used abutment materials, including titanium, zirconia, and polymer-based composites, on peri-implant soft and hard tissues. Methods: A comprehensive review of existing clinical and in vitro studies was conducted to assess the biocompatibility, esthetic outcomes, bacterial adhesion, and influence on peri-implant mucosa and bone levels of various abutment materials. Results: Titanium has strong soft-tissue attachment and bacterial resistance, making it a reliable choice. Zirconia abutments exhibit superior esthetics and favorable soft-tissue integration, with the added advantage of lower bacterial adhesion. Meanwhile, polymer-based abutments provide good esthetics but may pose challenges in long-term stability and bone maintenance. Conclusion: Abutment material selection significantly influences peri-implant tissue health. Titanium and zirconia remain the preferred materials due to their balance of biocompatibility, strength, and soft tissue integration. Zirconia is particularly advantageous for esthetic zones, while titanium is suited for areas requiring high mechanical strength. Further research into advanced materials and surface modifications is needed to optimize outcomes for diverse clinical scenarios.
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spelling doaj-art-907fa8f0c0144e44914e7cc4a1ff18c12025-08-21T06:16:16ZengWolters Kluwer Medknow PublicationsSRM Journal of Research in Dental Sciences2772-52432772-52512025-04-01162929710.4103/srmjrds.srmjrds_136_24Effect of implant abutment material on peri-implant tissues: Narrative reviewG. SanjanaG. PriyankaPonsekar Abraham AnandapandianIntroduction: The material of implant abutments plays a critical role in influencing the health and stability of peri-implant tissues. This structured review aims to evaluate the effect of commonly used abutment materials, including titanium, zirconia, and polymer-based composites, on peri-implant soft and hard tissues. Methods: A comprehensive review of existing clinical and in vitro studies was conducted to assess the biocompatibility, esthetic outcomes, bacterial adhesion, and influence on peri-implant mucosa and bone levels of various abutment materials. Results: Titanium has strong soft-tissue attachment and bacterial resistance, making it a reliable choice. Zirconia abutments exhibit superior esthetics and favorable soft-tissue integration, with the added advantage of lower bacterial adhesion. Meanwhile, polymer-based abutments provide good esthetics but may pose challenges in long-term stability and bone maintenance. Conclusion: Abutment material selection significantly influences peri-implant tissue health. Titanium and zirconia remain the preferred materials due to their balance of biocompatibility, strength, and soft tissue integration. Zirconia is particularly advantageous for esthetic zones, while titanium is suited for areas requiring high mechanical strength. Further research into advanced materials and surface modifications is needed to optimize outcomes for diverse clinical scenarios.https://journals.lww.com/10.4103/srmjrds.srmjrds_136_24abutment materialsdental implantsperi-implant tissuesperi-implantitistitaniumzirconia
spellingShingle G. Sanjana
G. Priyanka
Ponsekar Abraham Anandapandian
Effect of implant abutment material on peri-implant tissues: Narrative review
SRM Journal of Research in Dental Sciences
abutment materials
dental implants
peri-implant tissues
peri-implantitis
titanium
zirconia
title Effect of implant abutment material on peri-implant tissues: Narrative review
title_full Effect of implant abutment material on peri-implant tissues: Narrative review
title_fullStr Effect of implant abutment material on peri-implant tissues: Narrative review
title_full_unstemmed Effect of implant abutment material on peri-implant tissues: Narrative review
title_short Effect of implant abutment material on peri-implant tissues: Narrative review
title_sort effect of implant abutment material on peri implant tissues narrative review
topic abutment materials
dental implants
peri-implant tissues
peri-implantitis
titanium
zirconia
url https://journals.lww.com/10.4103/srmjrds.srmjrds_136_24
work_keys_str_mv AT gsanjana effectofimplantabutmentmaterialonperiimplanttissuesnarrativereview
AT gpriyanka effectofimplantabutmentmaterialonperiimplanttissuesnarrativereview
AT ponsekarabrahamanandapandian effectofimplantabutmentmaterialonperiimplanttissuesnarrativereview