scholarly journals Factors Influencing Early Marginal Bone Loss around Dental Implants Positioned Subcrestally: A Multicenter Prospective Clinical Study

2019 ◽  
Vol 8 (8) ◽  
pp. 1168 ◽  
Author(s):  
Teresa Lombardi ◽  
Federico Berton ◽  
Stefano Salgarello ◽  
Erika Barbalonga ◽  
Antonio Rapani ◽  
...  
Keyword(s):  
Clinical Study ◽  
Bone Loss ◽  
Final Analysis ◽  
Prospective Clinical Study ◽  
Marginal Bone Loss ◽  
Insertion Depth ◽  
Mucosal Thickness ◽  
Implant Loading ◽  
Ceramic Restorations ◽  
Time Point

Early marginal bone loss (MBL) is a non-infective remodeling process of variable entity occurring within the first year after implant placement. It has a multifactorial etiology, being influenced by both surgical and prosthetic factors. Their impact remains a matter of debate, and controversial information is available, particularly regarding implants placed subcrestally. The present multicenter prospective clinical study aimed to correlate marginal bone loss around platform-switched implants with conical connection inserted subcrestally to general and local factors. Fifty-five patients were enrolled according to strict inclusion/exclusion criteria by four clinical centers. Single or multiple implants (AnyRidge, MegaGen, South Korea) were inserted in the posterior mandible with a one-stage protocol. Impressions were taken after two months of healing (T1), screwed metal-ceramic restorations were delivered three months after implant insertion (T2), and patients were recalled after six months (T3) and twelve months (T4) of prosthetic loading. Periapical radiographs were acquired at each time point. Bone levels were measured at each time point on both mesial and distal aspects of implants. Linear mixed models were fitted to the data to identify predictors associated with MBL. Fifty patients (25 male, 25 female; mean age 58.0 ± 12.8) with a total of 83 implants were included in the final analysis. The mean subcrestal position of the implant shoulder at baseline was 1.24 ± 0.57 mm, while at T4, it was 0.46 ± 0.59 mm under the bone level. Early marginal bone remodeling was significantly influenced by implant insertion depth and factors related to biological width establishment (vertical mucosal thickness, healing, and prosthetic abutment height). Deep implant insertion, thin peri-implant mucosa, and short abutments were associated with greater marginal bone loss up to six months after prosthetic loading. Peri-implant bone levels tended to stabilize after this time, and no further marginal bone resorption was recorded at twelve months after implant loading.

scholarly journals Radiographic Evaluation of Crestal Bone Loss Around Dental Implants in Maxilla and Mandible: One Year Prospective Clinical Study

2015 ◽  
Vol 49 (2) ◽  
pp. 128-136 ◽  
Author(s):  
Muhamed Ajanović ◽  
Adis Hamzić ◽  
Sead Redžepagić ◽  
Alma Kamber-Ćesir ◽  
Lejla Kazazić ◽  
...  
Keyword(s):  
Clinical Study ◽  
Bone Loss ◽  
Dental Implants ◽  
Radiographic Evaluation ◽  
Prospective Clinical Study ◽  
Crestal Bone Loss ◽  
One Year ◽  
Maxilla And Mandible

scholarly journals Assessment of Marginal Bone Loss around Platform-Matched and Platform-Switched Implants - A Prospective Study

2016 ◽  
Vol 27 (6) ◽  
pp. 712-716 ◽  
Author(s):  
Newton Sesma ◽  
Carlos Garaicoa-Pazmino ◽  
Piero R. Zanardi ◽  
Eliseo P. Chun ◽  
Dalva Cruz Laganá
Keyword(s):  
Bone Loss ◽  
Positive Impact ◽  
Test Group ◽  
Control Group ◽  
Bone Modeling ◽  
Radiographic Assessment ◽  
Marginal Bone Loss ◽  
Implant Placement ◽  
Platform Switching ◽  
Implant Loading

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.

scholarly journals Clinical outcomes of minimally invasive ceramic restorations executed by dentists with different levels of experience. Blind and prospective clinical study

2021 ◽  
Author(s):  
Eduardo Passos Rocha ◽  
Rodolfo Bruniera Anchieta ◽  
Regis Alexandre da Cunha Melo ◽  
Paulo Henrique dos Santos ◽  
Wirley Gonçalves Assunção ◽  
...  
Keyword(s):  
Clinical Study ◽  
Minimally Invasive ◽  
Clinical Outcomes ◽  
Prospective Clinical Study ◽  
Ceramic Restorations ◽  
Different Levels

scholarly journals Marginal bone loss in relation to platform switching implant insertion depth: An update

2012 ◽  
pp. e173-e179 ◽  
Author(s):  
R. Alonso-Gonzalez ◽  
A. Aloy-Prosper ◽  
D. Penarrocha-Oltra ◽  
MA. Penarrocha-Diago ◽  
M. Penarrocha-Diago
Keyword(s):  
Bone Loss ◽  
Marginal Bone Loss ◽  
Insertion Depth ◽  
Platform Switching

scholarly journals Treatment of Full and Partial Arches with Internal-Conical-Connection Dental Implants: Clinical Results after 5 Years of Follow-Up

2020 ◽  
Vol 10 (23) ◽  
pp. 8709
Author(s):  
Diego Lops ◽  
Riccardo Guazzo ◽  
Alessandro Rossi ◽  
Antonino Palazzolo ◽  
Vittorio Favero ◽  
...  
Keyword(s):  
Bone Loss ◽  
Dental Implants ◽  
Clinical Results ◽  
Marginal Bone Loss ◽  
Significant Difference ◽  
Distal Aspect ◽  
The Stability ◽  
Maxilla And Mandible ◽  
Implant Loading

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.

scholarly journals Clinical outcomes of single implant supported crowns versus 3-unit implant-supported fixed dental prostheses in Dubai Health Authority: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sara Hussain Alhammadi ◽  
Girvan Burnside ◽  
Alexander Milosevic
Keyword(s):  
Bone Loss ◽  
Clinical Outcomes ◽  
Health Authority ◽  
Marginal Bone Loss ◽  
Dental Prostheses ◽  
Technical Complications ◽  
Fixed Dental Prostheses ◽  
One Year ◽  
Implant Loading ◽  
Single Implant

Abstract Background This study assessed retrospectively the clinical outcomes of single implant-supported crowns and implant-supported fixed dental prostheses (FDPs). Methods This case series compared biological and technical complications in single implant-supported crowns and implant-supported bridges in a time framed sample of all patients who received dental implants between 2009 and 2016 in Dubai Health Authority. Only 3-unit implant-supported prostheses (FDPs) with one intervening pontic and an implant each end were included for comparison to single crown supported implants. Cantilevered implants, implant-supported dentures and cases involving bone grafts or sinus lifts were excluded. The primary outcome measure was marginal bone loss, measured on digital radiographs taken after prosthesis placement at baseline and one year after implant loading, whilst peri-implantitis and technical complications were secondary outcomes. Mixed regression models adjusted for clustering of implants within patients was used for patient and implant factor associations. Results A total of 454 patients (152 males; 302 females) had 1673 implants. The mean age of males (53.7 years, SD 14.6) was significantly greater than females (49.3 years, SD 12.9, p < 0.001). Mean mesial bone loss on the FDPs was significantly greater at 1 year (1.14 mm, SD 0.63) compared with the mesial surface of single implant-supported crowns (0.30 mm, SD 0.43, p < 0.001). Mean distal bone loss was also significantly greater at 1 year on the distal surfaces of implants supporting bridgework (1.29 mm, SD 0.71) compared with distal surfaces on single implant-supported crowns (0.36 mm, SD 0.54, p < 0.001). Mean marginal bone loss mesially and distally around implants placed in the lower anterior sextant was significantly greater compared to all other sites (p < 0.001). Bone loss by gender, patient’s age and medical condition was not different between the 2 implant groups. Screw loosening was the main technical complication (11.5%) whilst peri-implantitis occurred rarely (0.5%). The 66 cement retained implants had significantly more complications compared to the 1607 screw retained implants (p < 0.001). Conclusions Mean marginal bone loss around the supporting implants of FDPs (3-unit fixed bridgework) was greater than on single implant-supported crowns at one year after implant loading. Position in the mouth was associated with bone loss. Biological and technical complications occurred rarely.

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