Evaluation of sinus bone resorption and marginal bone loss after sinus bone grafting and implant placement

Author(s):  
Young-Kyun Kim ◽  
Pil-Young Yun ◽  
Su-Gwan Kim ◽  
Bum-Soo Kim ◽  
Joo L. Ong
2010 ◽  
Vol 36 (5) ◽  
pp. 357-362 ◽  
Author(s):  
Young-Seok Park ◽  
Seung-Pyo Lee ◽  
Chong-Hyun Han ◽  
Joo Hyun Kwon ◽  
Young-Chul Jung

Abstract This study was undertaken to evaluate the effect of microthread geometry of scalloped design implant on marginal bone resorption. Four types of scalloped design titanium implant specimens were prepared. The type 1 implant had a machined scalloped collar, type 2 had a sandblasted and acid-etched scalloped collar, type 3 had horizontal microthreads, and type 4 had parabolic microthreads, which are parallel with the scalloped conical margin. Two implants of a type were randomly installed immediately after extraction in the mandible of a beagle dog. Definitive prostheses were delivered immediately after surgery. After 12 weeks of healing, the dog was sacrificed and microtomography was performed. Type 4 specimens showed a marginal bone loss pattern definitively analogous to the scalloped margin. In this preliminary study, microthread geometry affected the marginal bone resorption pattern of scalloped design implants. However, additional specimens and more controlled conditions should be applied in future studies to confirm these results.


Materials ◽  
2020 ◽  
Vol 13 (3) ◽  
pp. 802 ◽  
Author(s):  
Javier Montero ◽  
Alberto Fernández-Ruiz ◽  
Beatriz Pardal-Peláez ◽  
Alvaro Jiménez-Guerra ◽  
Eugenio Velasco-Ortega ◽  
...  

The preservation of peri-implant tissues is an important factor for implant success. This study aimed to assess the influence of the surface features of a butt-joint platform on soft-tissue attachment and bone resorption after immediate or delayed implant placement. All premolars and first molars of eight Beagle dogs were extracted on one mandible side. Twelve-weeks later, the same surgery was developed on the other side. Five implants with different platform surface configurations were randomly inserted into the post-extracted-sockets. On the healed side, the same five different implants were randomly placed. Implants were inserted 1 mm subcrestal to the buccal bony plate and were connected to abutments. The primary outcome variables were the supracrestal soft tissue (SST) adaptation and the bone resorption related to the implant shoulder. The SST height was significantly larger in immediate implants (IC95% 3.9–4.9 mm) compared to delayed implants (IC95% 3.1–3.5 mm). Marginal bone loss tended to be higher in immediate implants (IC95% 0.4–0.9 mm) than in delayed implants (IC95% 0.3–0.8 mm). Linear-regression analysis suggested that the SST height was significantly affected by the configuration of the platform (0.3–1.9 mm). Roughened surface platforms resulted in higher SST height when compared to machined surface platforms. Marginal bone loss was less pronounced in roughened designs.


2016 ◽  
Vol 27 (6) ◽  
pp. 712-716 ◽  
Author(s):  
Newton Sesma ◽  
Carlos Garaicoa-Pazmino ◽  
Piero R. Zanardi ◽  
Eliseo P. Chun ◽  
Dalva Cruz Laganá

Abstract The aim of the present study was to perform a software-assisted radiographic assessment of the effect of platform-switching on marginal bone loss (MBL) around dental implants. Forty patients requiring a dental implant in non-grafted partially edentulous mandibles were enrolled and categorized into implants receiving a platform-matched abutment (control group) or implants with a platform-switched abutment (test group). Standardized digital periapical radiographs were taken at the time of implant placement (T0), at implant loading (T1) and 1-year after functional loading (T2). Software-assisted radiographic assessment of the MBL horizontal, vertical and area changes was performed and compared between time intervals (T1-T0, T2-T1 and T2-T0). Mean radiographic horizontal MBL (hMBL) and vertical MBL (vMBL) from implant placement to 1-year after implant loading (T2-T0) were significantly increased around platform-matched when compared to platform-switched abutments (1.04 mm vs 0.84 mm, p<0.05) and (0.99 mm vs 0.82 mm, p<0.05), respectively. Additionally, bone loss area (BLa) was greater (0.77 mm2 vs 0.63 mm2; p<0.05) for platform-matched compared to platform-switched abutments. Platform-switching has a positive impact upon the amount of bone modeling after loading implants with internal hexagon connection.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 358-362
Author(s):  
Rinieshah Nair R Baskran ◽  
Rajendra Prabhu Abhinav ◽  
Murugaiyan Arun ◽  
Balaji Ganesh S

Dental implants provide a strong foundation for fixed or removable prosthetic teeth that are made to match natural dentition. It has become an ideal method of oral rehabilitation after missing natural dentition has been recognised as a reliable tool for dental reconstruction and aesthetics. Marginal bone loss is characterized by a reduction in bone loss is characterized by a reduction in bone level both vertically and horizontally. The levels at which dental implants are placed include sub-crystal, equi-crestal, and supra-crestal. The crestal levels affect bone height significantly. Failure to do so will lead to peri-implant bone loss which will affect the implant function and ultimately implant failure. A retrospective study was conducted based on a university setting. 615 patients with 1141 implant sites were reviewed from June 2019 to March 2020. Excel tabulation and SPSS analysis were done for data analysis. There was a statistically significant difference between the variables that included tooth region, crestal relation and site (jaw)—[p-value<0.05] The most common crestal relation of implant placement is equi-crestal implant placement. The assessment of trends of implant placement in relation to crestal bone level shows that equi-crestal implant is the most preferred crestal relation of implant placement in Saveetha Dental College.


Author(s):  
Abbas Karimi ◽  
Nahid Azizimoghadam ◽  
Elahe Soltanmohamadi Borujeni

Introduction: The long term clinical success of dental implants depends on the stability of crestal bone level. Different dental implantation systems focus on micro-and macro-design to reduce late bone resorption. The purpose of this study was to evaluate bone loss at the proximal (mesial and distal) surfaces of SLA implants from 2 different companies. Materials and Methods: This retrospective cross-sectional study was done on 48 patients receiving 161 SLA-surfaced (Straumann and Dentium) dental implants. The marginal bone loss was measured at mesial & distal sides of the implants on peri-apical X-ray images. The effective factors considered in this study were patients age, implant brand, time passed from fixture placement, preprosthetic surgery and type of prosthetic treatment that were obtained from patient records & interviews. Results: Average mesial and distal bone loss was 1.50±1.359 and 1.517±1.3465 respectively. Pearson correlation coefficient indicates that 1) time passed from fixture placement, 2) commercial brand, 3) history of pre-prosthetic surgery and 4) age affected the amount of bone loss. Conclusion: SLA-surfaced dental implants showed an acceptable amount of bone resorption and no statistically significant difference was observed between commercial brands.


2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
B. Alper Gultekin ◽  
Ali Sirali ◽  
Pinar Gultekin ◽  
Serdar Yalcin ◽  
Eitan Mijiritsky

Purpose. To compare marginal bone loss between subgingivally placed short-collar implants with machined collars and those with machined and laser-microtextured collars.Materials and Methods. The investigators used a retrospective study design and included patients who needed missing posterior teeth replaced with implants. Short-collar implants with identical geometries were divided into two groups: an M group, machined collar; and an L group, machined and laser-microtextured collar. Implants were evaluated according to marginal bone loss, implant success, and probing depth (PD) at 3 years of follow-up.Results. Sixty-two patients received 103 implants (56 in the M group and 47 in the L group). The cumulative survival rate was 100%. All implants showed clinically acceptable marginal bone loss, although bone resorption was lower in the L group (0.49 mm) than in the M group (1.38 mm) at 3 years (p<0.01). A significantly shallower PD was found for the implants in the L group during follow-up (p<0.01).Conclusions. Our results suggest predictable outcomes with regard to bone loss for both groups; however, bone resorption was less in the L group than in the M group before and after loading. The laser-microtextured collar implant may provide a shallower PD than the machined collar implant.


Materials ◽  
2021 ◽  
Vol 14 (2) ◽  
pp. 387
Author(s):  
Fabrizio Bambini ◽  
Giulia Orilisi ◽  
Alessandro Quaranta ◽  
Lucia Memè

One of the current major challenges in implant therapy is to minimize marginal bone loss around implants, since it can trigger bacterial colonization of the implant’s neck, leading to its failure. The present study aimed (1) to scientifically validate a new mathematical rule based on soft tissues thickness, for choosing the correct implant position with respect to the bone level, in order to provide a better tissue adaptation to the abutment/implant surface to avoid bacterial invasion, and (2) to apply this mathematical rule to the Biological Oriented Immediate Loading (B.O.I.L.) surgical protocol, avoiding peri-implant bone resorption. N. 127 implants were inserted following B.O.I.L. protocol: implants were placed according to the mathematical rule Y = X − 3, which correlates the position of the implant from the bone crest level (Y) with the thickness of the soft tissues (X). All the implants were inserted in fresh extraction sockets, and immediately loaded with temporary abutments and prostheses. Bone levels were evaluated through radiographic examination just after surgical procedure (T0), and after 10 days (10D), 6 months (6M), 1 year (1Y), and 5 years (5Y). After 5 years, the implant survival rate was 100%, with a medium marginal bone loss around implants of 0.0704 mm (SD = 0.169 mm). One-way ANOVA, followed by Tukey’s multiple comparison test was performed for statistical evaluations (p < 0.05). This protocol provided a safe and successful procedure, with a good soft tissue seal against bacterial challenge. The application of the mathematical rule allows the implant placement in a correct vertical position from the bone crest, avoiding bone resorption and bacterial infiltrations. Moreover, the use of Multi Unit Abutment (MUA) determined a stable biological seal, favouring the implant healing and preserving the adhesion of hemidesmosomes to the titanium of MUA.


2021 ◽  
Vol 12 (1) ◽  
pp. 10
Author(s):  
Aurea Immacolata Lumbau ◽  
Silvio Mario Meloni ◽  
Marco Tallarico ◽  
Luca Melis ◽  
Giovanni Spano ◽  
...  

The aim of this retrospective study was to clinically evaluate the five-year outcomes of implants placed following a combined approach to the sinus, consisting of sequential drills and osteotomes. Medical records of patients with implants placed in combination with crestal sinus lift using sequential drills and osteotomes, with a residual alveolar bone crest between 4 to 8 mm, and a follow-up of at least five years after final loading, were evaluated. Outcomes were implant and prosthetic survival and success rates, any complication, and marginal bone loss. Data from 96 patients (53 women and 43 men; mean age 54.7 years; range 23–79 years) were collected. A total of 105 single implants were analyzed. After five years of function, two implants were lost and two prostheses failed. No major biological or prosthetic complications occurred. At the five-year examination, the marginal bone loss was 1.24 ± 0.28 mm. Within the limitations of this retrospective study it can be concluded that implants placed following a combined approach to the sinus consisting of sequential drills and osteotomes seem to be a viable option for the treatment of posterior atrophic edentulous maxilla.


Sign in / Sign up

Export Citation Format

Share Document