Case Report after Introducing a New Abutment Surface for Bone Anchored Hearing Implants: Hydroxiapatite Abutment Surfaces and Skin Reaction
Received Date: Apr 13, 2018 / Accepted Date: May 08, 2017 / Published Date: May 14, 2017
In order to evaluate a new surface of an abutment and its skin reactions when introducing the bone anchored hearing system a clinical investigation was performed. Ten intended subjects were scheduled to receive a hydroxyapatitecoated abutment, using the tissue preserving surgery as a 1 step performance. Only 7 implants were installed due to peri-implant infections. The length of the abutments varied among the patients from 10-12 mm. Appointments were planned 1 week after surgery, at 7 weeks - 3 months, 6 and 12 months after surgery. Skin reactions were graded according to the Holgers´ scale. Unusual severe skin reactions were noted after implantation with the hydroxyapatite abutments, from 1 week to 7 months post-implantation, many of them classified as Holgers´. Some of the implanted persons suffered from pain. Positive bacterial cultures were found in 3 patients all showing Staphylococcus aureus. Good stability of all fixtures was achieved. Only 2 patients used after 1 year the primary implant and abutment.
Keywords: Bone anchored hearing implants; Peri-implant reactions; Hydroxyapatite
Citation: Hultcrantz M (2017) Case Report after Introducing a New Abutment Surface for Bone Anchored Hearing Implants: Hydroxiapatite Abutment Surfaces and Skin Reaction. J Med Imp Surg 2: 115.
Copyright: © 2017 Hultcrantz M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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