Evaluation of proximal bone loss around 2 commercial brands of SLA-surfaced implants and investigating possible effective factors

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.


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.



2020 ◽  
Vol 10 (23) ◽  
pp. 8709
Author(s):  
Diego Lops ◽  
Riccardo Guazzo ◽  
Alessandro Rossi ◽  
Antonino Palazzolo ◽  
Vittorio Favero ◽  
...  

The aim of the present investigation is to evaluate the implant therapy outcomes over a period of 5 years and to analyze several patient risk factors influencing the stability of the peri-implant tissues. Seventy-eight patients were consecutively treated between 2009 and 2017 and restored with implant-supported fixed prostheses. The following inclusion criteria were considered: partial or complete edentulism; residual bone volume of at least 3.3 mm in diameter and 8 mm in length; a favorable relationship between maxilla and mandible; at least a minimum 5 year follow-up for each implant included in the statistical analysis. Intraoral radiographs were taken at implant loading and every 12 months during the follow-up visits. They were subsequently stored on a personal computer and analyzed to determine the changes in bone level. Seventy-eight patients receiving 209 implants completed a minimum follow-up period of 5 years. One-hundred dental implants were inserted in the maxilla while 109 were placed in the mandible. Eleven (14.1%) out of 78 treated patients who received 29 (13.9%) dental implants were considered as drop-outs. On the whole, peri-implantitis was diagnosed in three implants. The average final pocket probing depth at implant level was 2.5 ± 1.2 mm. The average final bone loss after 5 years was 0.3 ± 0.4 mm, both at the mesial and distal aspect of the implant. The effects of the prosthesis type, sex and implant site did not statistically influence the marginal bone loss; on the contrary, a statistically significant difference regarding marginal bone loss was detected between smoker and non-smoker patients (p = 0.021). Implants with internal-conical abutment connection showed stable peri-implant bone levels at the medium-term follow-up. Nevertheless, further prospective long-term clinical studies are necessary to confirm these data.



Coatings ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1232
Author(s):  
Mazen Almasri

This study analyzes the marginal bone loss (MBL) among dental implants characterized with non-threaded collar design (NT) when compared to the more classic micro-threaded collar design (MC) as such might reflect the future dentogengival esthetics, implant metal show, and mucositis. A total of 112 patients who received 311 implants have been included in the study and analyzed for their postoperative MBL using sequential periapical radiographs. The prevalence of postoperative peri-implant mucositis was recorded as well. The periapical radiographic comparison was performed between the immediate postoperative record and at the 24-month recall visit. Among the 311 implants, 124 (39.9%) had NT implants, and 187 (60.1%) had MC implants. Out of the 112 patients, 37 (44.6%) were females, and 10 (34.5%) were males included in the NT group. In contrast, 46 (55.4%) females and 19 (65.5%) males were in the MC group. The mean age among the two groups was 41.43 ± 15.900 and 46.68 ± 16.070, respectively. In contrast, the mean MBL among the groups were 0.544 ± 0.7129 and 0.061 ± 0.2648, respectively. The change in MBL was not positively correlated with gender (p-value = 0.154) or age (p-value = 0.115) in both groups. However, there was a significant difference (p-value = 0.001, X2 = 62.796, Df = 4) of MBL between the two implant systems themselves. The MBL was higher in people implanted with the NT system when compared to MC. Therefore, the MC implant system can be a better choice for marginal bone preservation, especially in restoring esthetically demanding areas in the mouth.



2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Andrea Enrico Borgonovo ◽  
Susanna Ferrario ◽  
Carlo Maiorana ◽  
Virna Vavassori ◽  
Rachele Censi ◽  
...  

Purpose. The aim is to evaluate the survival and success rates, as well as the marginal bone loss (MBL) and periodontal indexes, of zirconia implants with 10-year follow-up. Materials and Methods. 10 patients were selected and 26 one-piece zirconia implants were used for the rehabilitation of single tooth or partially edentulous ridge. After 10 years, a clinical-radiographic evaluation was performed in order to estimate peri-implant tissue health and marginal bone loss. Results. The survival and success rates were 100%. The average marginal bone loss from baseline to 120 months after surgery was 0.92 ± 0.97 mm. Conclusion. One-piece zirconia dental implants are characterised by high biocompatibility, low plaque adhesion, and absence of microgap that can be related to the clinical success of these implants.



2018 ◽  
Vol 44 (2) ◽  
pp. 87-93 ◽  
Author(s):  
Paolo Toti ◽  
Simone Marconcini ◽  
Giammarinaro Enrica ◽  
Giorgio Pedretti ◽  
Antonio Barone ◽  
...  

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.



2019 ◽  
Vol 31 (4) ◽  
Author(s):  
Mustafa A Al Najjar ◽  
Sahar Sh Al Adili

Background: The long term survival of dental implants is evaluated by the amount of crestal bone loss around the implants. Some initial loss of bone around dental implants is generally expected. There is reason to believe that reflecting a mucoperiosteal flap promotes crestal bone loss in the initial phase after an implant has been inserted. The surgical placement of a dental implant fixture is constantly changing and in recent years, there has been some interest in developing techniques that minimize the invasive nature of the procedure, with flapless implant surgery being advocated. The purpose of this study was to compare the radiographic level of the peri- implant bone after implant placement between traditional flapped surgery and flapless approach depending on CBCT during 24 weeks healing period. Materials and Methods: A total of 25 Iraqi patients with an age ranged of 20-60 years who received 46 implants. Were randomized into two groups: control group which involved 27 implants inserted by conventional flapped surgical approach and study group which involved 19 implants inserted by flapless surgical approach. The bone level was measured by CBCT for each implant at buccal and palata/lingual sides at two times, immediately after implant placement (base line data), and after 24 weeks healing period. Results: There was no significant difference between study (flapless) and control (flapped) groups in the mean of total crestal bone resorption for buccal and palatal side after 24 weeks from implant placement (P= 0.393 for buccal side and P= 0.214 for palatal side). There was highly significant difference between buccal and palatal side regarding crestal bone loss around implants (P = 0.001) Conclusions: Bone resoption around dental implants placed with conventional flap surgery compared to flapless surgery does not seem to be influenced during the healing period before implant loading.



2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 152-159
Author(s):  
Muhammet Bahattin Bingül ◽  
Belgin Gülsün

Aim: In this study, our aim is to compare the effects of dental implants with nano laser excimer technology surface (NLE) and dental implant surfaces (MTX) with micro-roughened surface on marginal tissues with clinical and radiological data. Methodology: A total of 117 dental implants were followed clinically and radiologically. Clinically; Plaque index (silness-leöe), bleeding index in boring, pocket depth were evaluated and recorded 1 week after the insertion of the healing cap, 3 months, 6 months and 12 months after the end of the prosthesis. In the same periods, periapical x-rays were taken with the Rinn Holder method and the amount of marginal bone loss was measured. The data were analyzed with IBM SPSS Statistics Version 22 package program. Results: There was no loss in the implants included in the study. There was no statistically significant difference between the groups in terms of plaque index, bleeding index values (p>0,05). However, the pocket depth of the dental implant group with nano laser excimer technology surface is significantly lower than the micro-roughened surface group. There are statistically significant differences between the groups in terms of radiological marginal bone loss at 0, 3, 6, and 12 months (p<0,05). Radiological marginal bone loss values ​​of the micro-roughened surface group at 0, 3, 6, and 12 months were significantly lower compared to the same periods of the nano laser excimer technology group. Conclusion: It has been determined that the surface properties of dental implants can be effective on marginal tissues. In addition, we believe that routine checks by dentists who perform dental implant applications will increase the success of dental implants.   How to cite this article: Bingül MB, Gülsün B. Clinical and radiological of the effects of two different implant surfaces on marginal tissues. Int Dent Res 2021;11(Suppl.1):152-9. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.23     Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.



2021 ◽  
Vol 3 (2) ◽  
pp. 73-77
Author(s):  
Sandeep Mithapara ◽  
Setu P. Shah ◽  
Deval Mehta ◽  
Sonal Madan ◽  
Ekta Mistry

Evolution in the field of dental implantology made the replacement of missing tooth easy and quick. During initial phase of evolution, there was a need of 3 to 6 months of healing period to get teeth on implants but with advancement of technology and research, immediate replacement of missing teeth without waiting period could become a possibility. To access the efficacy of immediate loading in dental implantology using Hexacone® (IHDE DENTAL - Switzerland) dental implant. The objectives were to evaluate pain, infection, recession, loosening of abutment, fracture of implant/crown, de-cementation, peri-implant radiolucency, and marginal bone loss. Five patients (3 male and 2 female) who needed teeth replacement were included in the study. Among 5 patients, 3 patients needed single tooth replacement and the remaining 2 needed segmental replacement. Out of 7 implants 6 implants were placed in the healed bone and 1 was placed in the extraction socket. In case of healed bone, permanent prosthesis were given on 3 day. In case of extraction site, temporary acrylic crown was given on 2 day, which was replaced by permanent prosthesis after 3 month. These patients were evaluated at 7 day, 1 month, 3 months, 6 months and 12 months clinically and radiographically. Infection, prosthetic problems, peri-apical radiolucency, and implant mobility were not observed and marginal bone loss was observed during follow-up periods. On 6 months follow up, 0.5mm and 0.45mm marginal mean bone loss was observed on mesial and distal aspect respectively whereas the same was 1.24mm and 1.14 mm on 12 months follow-up respectively.The immediate loading for dental implants is a successful procedure that decreases the time for the patients to obtain a final restoration satisfying both esthetical and functional problems. Immediately loaded implants survive equally well in extraction socket. No significant difference was seen in survival when implants were placed in healed bone and extraction socket.



2010 ◽  
Vol 36 (5) ◽  
pp. 363-376 ◽  
Author(s):  
Hakan Bilhan ◽  
Emre Mumcu ◽  
Selda Arat

Abstract The aim of this study was to assess the relation between marginal bone loss (MBL) around dental implants after a loading period of 36 months and the timing of loading. A total of 87 patients with 252 implants were included in the study group. The time span from implant placement to beginning of loading of the implants was evaluated. Delay of loading of implants seems to increase MBL around dental implants as the result of disuse atrophy. Implants next to a tooth on 1 or 2 sides suffered less from MBL. No statistically significant difference in MBL rate was noted between single and splinted implants or between smooth collar and microgeometry neck implants. Results of this study encourage early loading, especially for the mandibular overdenture supporting implants.



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.



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