CAD/CAM Implant Abutments: Peri-implant Hard and Soft Tissue Response with Up to 4 Years of Follow-up- A Retrospective Cohort Study Evaluation

Int J Periodontics Restorative Dent. 2020 Mar/Apr;40(2):193-201. doi: 10.11607/prd.3597.


This retrospective study evaluated hard and soft tissue response and reported mechanical and technical complications around computer-aided design/computer-assisted manufactured (CAD/CAM) abutments. A total of 123 patients restored with titanium, gold-hue titanium, and zirconia CAD/CAM abutments were included (N = 291). Each patient was followed up for at least 2 years. Clinical and radiographic parameters were assessed annually and complications were recorded. No implant or reconstruction failures were reported. One fracture of a zirconia abutment occurred. The prosthetic survival rate after 4 years of function for restorations and abutments was 100% and 99.66%, respectively. No significant differences in biologic and radiographic indices were found. The bleeding on probing index was positive at 42% of implant sites, and it had no significant correlation with the overall change in marginal bone level (0.02 mm) of bone gain. The short-term survival of CAD/CAM abutments was reliable, no matter of the material used for manufacturing.

MeSH terms

  • Computer-Aided Design
  • Dental Abutments
  • Dental Implant-Abutment Design*
  • Dental Implants*
  • Follow-Up Studies
  • Humans
  • Retrospective Studies
  • Titanium
  • Zirconium


  • Dental Implants
  • Zirconium
  • Titanium