{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:09:23Z","timestamp":1791576563120,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T00:00:00Z","timestamp":1721088000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100022105","name":"Oral Reconstruction Foundation","doi-asserted-by":"publisher","award":["ORF41701"],"award-info":[{"award-number":["ORF41701"]}],"id":[{"id":"10.13039\/501100022105","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this investigation was to evaluate the effect on clinical and radiological outcomes of the one\u2010abutment, one\u2010time protocol (test) versus placing the definitive abutment on the day of functional loading after having disconnected and connected three times the healing abutment during the prosthetic phase (control).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Forty patients with 80 implants were randomly allocated to either the test or the control group. Changes in the radiographic marginal bone levels (MBLs), clinical outcomes, prosthetic\u2010related outcomes, and patient\u2010reported outcomes measures (PROMs) were assessed and compared 6 and 12\u2009months after functional loading.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010seven patients with 74 implants were followed at 12\u2009months. A statistically significant bone remodeling was observed in both groups following implant placement. MBLs were significantly greater in the control group at the 6\u2010 (\u22120.13\u2009mm vs. \u22120.61\u2009mm) and 12\u2010month visits (\u22120.01\u2009mm vs. \u22120.53\u2009mm). Bone loss was significantly greater in the control group from surgery to 6 and 12\u2009months and from loading to 6 and 12\u2009months. The abutment height was significantly greater in the test group, however, there were no significant differences in the restorative angle. Similarly, there were no statistically significant differences between groups for the measured clinical variables (probing depth, plaque, and bleeding index) and PROMs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Disconnecting and reconnecting the healing abutment was associated with significantly higher bone loss after 12\u2009months, as compared to the placement of the definitive abutment at implant installation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.13361","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T09:52:39Z","timestamp":1721123559000},"page":"998-1011","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Effect of one\u2010time placement of the definitive abutment versus multiple healing abutment disconnections and reconnections during the prosthetic phase on radiographic and clinical outcomes: A 12\u2010month randomized clinical trial"],"prefix":"10.1111","volume":"26","author":[{"given":"Javier","family":"Calatrava","sequence":"first","affiliation":[{"name":"Section of Graduate Periodontology University Complutense  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3698-4772","authenticated-orcid":false,"given":"Ignacio","family":"Sanz\u2010S\u00e1nchez","sequence":"additional","affiliation":[{"name":"ETEP (Etiology and Therapy of Periodontal and Peri\u2010implant Diseases) Research Group, Faculty of Dentistry University Complutense of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Molina","sequence":"additional","affiliation":[{"name":"ETEP (Etiology and Therapy of Periodontal and Peri\u2010implant Diseases) Research Group, Faculty of Dentistry University Complutense of Madrid  Madrid 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