scholarly journals Multivariate analysis of the influence of peri-implant clinical parameters and local factors on radiographic bone loss in the posterior maxilla: a retrospective study on 277 dental implants

2020 ◽  
Author(s):  
Mariane B. Sordi ◽  
Vittoria Perrotti ◽  
Flavia Iaculli ◽  
Keila C. R. Pereira ◽  
Ricardo S. Magini ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Multivariate Analysis ◽  
Bone Loss ◽  
Dental Implants ◽  
Clinical Parameters ◽  
Partial Denture ◽  
Local Factors ◽  
Fixed Partial Denture ◽  
Single Crown ◽  
Posterior Maxilla

Abstract Objectives The aim of the present study was to investigate whether peri-implant clinical parameters (modified plaque index (mPI), bleeding and/or suppuration on probing (B/SOP)) and local factors (type of prostheses, screw emergence, platform diameter, and abutment angulation) might contribute to the development of additional bone loss and peri-implantitis around dental implants. Materials and methods Two hundred seventy-seven external hex connection implants placed in the posterior maxilla of 124 patients were retrospectively evaluated. They were divided into two groups: physiologic bone loss < 2 mm (PBL) or additional bone loss ≥ 2 mm (ABL). GEE logistic regression was applied to evaluate the influence of type of prostheses (implant-supported single crown (ISSC), fixed partial denture (ISFPD), and full denture (ISFD)) and clinical parameters (mPI and S/BOP) on bone loss. Results Among the 277 implants, 159 (57.4%) presented PBL and 118 (42.6%) presented ABL. Within the ABL group, 20.6% implants were diagnosed with peri-implantitis. mPI significantly correlated with the type of prosthesis and the highest value of mPI (index = 3) was observed in ISFD (23.8%). Moreover, peri-implantitis was more frequently associated with ISFD (32.79%) than ISSC and ISFDP (13.79% and 13.48, respectively) Conclusions ISFD in the posterior maxilla presented high rates of ABL and showed a higher prevalence of peri-implantitis. None of the local factors seemed to contribute to the development of these conditions. Further investigations are needed to prospectively support the results of the present study. Clinical relevance Patients rehabilitated with ISFD should be carefully monitored and have more frequent maintenance visits to prevent or control peri-implant bone loss.

scholarly journals Does Implant-Abutment Interface affect Marginal Bone Levels around Implants?

2019 ◽  
Vol 13 (01) ◽  
pp. 047-052 ◽  
Author(s):  
Eser Elemek ◽  
Artun Urgancioglu ◽  
Janberd Dincer ◽  
Altug Cilingir
Keyword(s):  
Bone Loss ◽  
Dental Implants ◽  
Marginal Bone Loss ◽  
Single Crown ◽  
Implant Abutment ◽  
Different Types ◽  
Group A ◽  
Group B ◽  
Switch Group

Abstract Objective The use of dental implants with different types of surface roughness and implant-abutment interface has brought about a situation of marginal bone loss. Therefore, the aim of this study was to analyze and compare marginal bone levels of different types of osseointegrated dental implants with platform switch (Group A: Ankylos, Mannheim, Germany) and platform match (Group B: Dentsply Xive, Mannheim, Germany, and Group C: MIS Implant Technologies, Karmiel, Israel). Materials and Methods One hundred and seven patients (52 men and 55 women) with a mean age of 54.79 (standard deviation ± 12.35) years and a total of 321 dental implants (Group A, n = 198; Group B, n = 58; and Group C, n = 65) placed in a private practice between April 2006 and May 2015 were retrospectively analyzed. In addition to demographic information and implant characteristics, marginal bone levels were evaluated by Image J (Wayne Rasband, National Institute of Health, Maryland) program. Results The mean age of all patients was 54.79 ± 12.35 years, and 51.5% of them were women. Implants supporting fixed bridge were most commonly used in all groups (65%), whereas only 20% were restored with a single crown and 15% with overdentures. In total, 47.5% of all implants showed no marginal bone loss. Mean bone loss in Group A was significantly lower (0.81 ± 1.60 mm) as compared to Group B (1.58 ± 1.59 mm) and Group C (1.18 ± 1.36) (p < 0.005). Conclusion Among different types of dental implants, platform switch seems to preserve marginal bone levels and increase the long-term success of dental implants.

scholarly journals Oral Hygiene and Gingival Health in Patients with Fixed Prosthodontic Appliances - A Six Month Follow-up

2017 ◽  
Vol 13 (4) ◽  
pp. 328-332 ◽  
Author(s):  
Basnyat S KC ◽  
B. Sapkota ◽  
S. Shrestha
Keyword(s):  
Oral Hygiene ◽  
Dental Prosthesis ◽  
Plaque Index ◽  
Diagnostic Tools ◽  
Gingival Index ◽  
Partial Denture ◽  
Fixed Partial Denture ◽  
Fixed Dental Prosthesis ◽  
Single Crown ◽  
Significant Difference

Background Gingival inflammation and periodontal disease are the common complications of fixed dental prosthesis. They can be overcome by good oral hygiene maintenance.Objective The objective of this study was to assess the oral hygiene and gingival condition in patients after placement of fixed dental prosthesis for a period of six months. It was also analyzed how factors like type of fixed dental prosthesis (Single crown, fixed partial denture) and material (Metal, Porcelain fused to metal) are statistically associated with oral hygiene and gingival health.Method The sample consisted of 50 patients visiting the Dental Outpatient Department of Dhulikhel Hospital. The oral examinations were conducted using basic diagnostic tools (Mouth mirror, periodontal probe and explorer). Teeth and gingiva were examined using the Plaque and Gingiva Index by Silness and Löe. The examinations were conducted after 14 days and six months after placement of fixed dental prosthesis along with the oral hygiene instructions. Paired sample t-test were done to find statistical association using SPSS 16.0.Result Our results revealed no significant difference in plaque index among patients with single crown whereas fixed partial denture showed statistical significance. No significant differences were found for type of material. The statistical analysis showed similar results for gingival index.Conclusion Our research showed that single crown had no significant difference on Plaque index and Gingival index of the patient after 14 days and six months, whereas, Fixed partial denture showed significant difference. Both metal and porcelain fused to metal crown revealed no statistically significant difference on Plaque index and Gingival index.

scholarly journals Overdenture Abutments under a Fixed Partial Denture: Case Report of a Preventive Prosthodontic Approach

2011 ◽  
Vol 1 (1) ◽  
pp. 51-54
Author(s):  
Saumyendra Singh ◽  
Naina Talwar ◽  
Niraj Mishra ◽  
Pooran Chand
Keyword(s):  
Case Report ◽  
Bone Loss ◽  
Treatment Modality ◽  
Alveolar Bone ◽  
Partial Denture ◽  
Fixed Partial Denture ◽  
Vertical Support ◽  
Fixed Prosthesis ◽  
Technical Considerations

ABSTRACT The use of overdenture abutments under removable partial dentures to preserve alveolar bone and provide support is well established, but there is little evidence of their use under fixed partial dentures. There exist a variety of clinical situations in which teeth or roots with questionable prognosis cannot be utilized as abutments for fixed partial dentures. In such situations these teeth/roots can be preserved under fixed prosthesis to provide vertical support and delay bone loss. The following report describes technical considerations, advantages and limitations of this treatment modality.

The Influence of Prosthesis Design on the Outcomes of Tooth Implants Immediately Placed and Loaded by Means of One-Piece Titanium Machined Restoration

2018 ◽  
Vol 44 (2) ◽  
pp. 87-93 ◽  
Author(s):  
Paolo Toti ◽  
Simone Marconcini ◽  
Giammarinaro Enrica ◽  
Giorgio Pedretti ◽  
Antonio Barone ◽  
...  
Keyword(s):  
Bone Loss ◽  
Dental Implants ◽  
Survival Rates ◽  
Autogenous Bone ◽  
Marginal Bone Loss ◽  
Dental Prostheses ◽  
Posterior Maxilla ◽  
Significant Difference ◽  
Sinus Lifting ◽  
Fixed Dental Prostheses

Our purpose was to evaluate the occurrence of complications and the degree of bone loss in a cohort of patients treated with fixed prostheses supported by immediately loaded dental implants. The primary aim was to compare partial versus full-arch fixed dental prostheses. We then tested the effect of sinus lifting. In the present retrospective cohort study, the patients had their implants restored with fixed dental prostheses supported by dental implants positioned in the posterior maxilla and mandible. When necessary, the maxillary sinuses were grafted with particulate autogenous bone. Patients were then ranked according to the following predictors: length of prosthesis, crown-to-implant ratio, number of crowns to number of implants ratio, and presence of sinus lifting. Outcomes were evaluated for up to 2 years regarding the peri-implant marginal bone loss and implant/prosthesis survival rates. Fifty-eight subjects (209 implants) were rehabilitated with 25 fixed full-arch prostheses and 33 partial fixed dental implant bridges (16 supported by implants placed in grafted sinus). The mean marginal bone loss for implants supporting partial fixed dental prostheses amounted to 0.81 mm, whereas that for implants within the group of full-arch fixed dental prostheses was 1.21 mm; the comparison of the levels in the 2 groups showed a significant difference (P = .0055). A statistically significant difference (P = .0006) was found between the bone loss around maxillary implants (1.53 mm) and the bone loss around mandibular implants (1.10 mm). Two implants and 4 prostheses failed; 2-year survival rates of partial and of full-arch fixed dental prostheses, respectively, were 94.1% and 96%. Bone loss in full-arch prostheses appeared to be higher than in that of partial prosthesis. Implant-supported prostheses in the maxillae exhibited a bone loss higher than that registered in mandibles.

scholarly journals Stress in the Mandible with Splinted Dental Implants caused by Limited Flexure on Mouth Opening: An in vitro Study

2012 ◽  
Vol 1 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Balázs Erdohelyi ◽  
Péter István Szabó ◽  
Endre Varga
Keyword(s):  
Dental Implants ◽  
High Stress ◽  
Mouth Opening ◽  
Great Distance ◽  
Three Dimensional Model ◽  
Partial Denture ◽  
Second Molar ◽  
Fixed Partial Denture ◽  
Edentulous Mandible

ABSTRACT Aim The aim of this study was to evaluate the stress developed in the bar connecting implants and in the mandible as a result of the elastic deformation of the mandible during mouth opening when using a finite element method (FEM). Materials and methods A three-dimensional model of an edentulous mandible was generated based on the computer tomography (CT) data of a patient. Two cylindrical implants (diameter 4.3 mm, length 13 mm) were inserted in the area of the mandibular canine, premolar and molar in the mandibular model. Implants were connected with a rigid bar (width 2 mm, height 3 mm), and mouth opening was simulated on the threedimensional (3D) model. The location and magnitude of maximum von Misess stress that occurred in the mandible and in the bar were estimated. Results The highest stress level in the mandible (4.5 GPa) and in the splint (32 GPa) was measured in the longest fixed partial denture with the implants in the mandibular left canine and left second molar position. The maximum stress in the bone was measured distal to the splinted implants. Conclusion Since, great distance between splinted implants caused high stress during mouth opening, due to mandibular deformation, the use of a short span fixed partial denture supported by implants in the molar region of the edentulous mandible is probably more advantageous. How to cite this article Radnai M, Erdohelyi B, Szabó PI, Varga E. Stress in the Mandible with Splinted Dental Implants caused by Limited Flexure on Mouth Opening: An in vitro Study. Int J Exper Dent Sci, 2012;1(1):8-13.

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