scholarly journals Biological Oriented Immediate Loading: A New Mathematical Implant Vertical Insertion Protocol, Five-Year Follow-Up Study

Materials ◽  
2021 ◽  
Vol 14 (2) ◽  
pp. 387
Author(s):  
Fabrizio Bambini ◽  
Giulia Orilisi ◽  
Alessandro Quaranta ◽  
Lucia Memè
Keyword(s):  
Bone Resorption ◽  
Bone Loss ◽  
Soft Tissues ◽  
Bacterial Colonization ◽  
Radiographic Examination ◽  
Bacterial Invasion ◽  
Immediate Loading ◽  
Vertical Position ◽  
Marginal Bone Loss ◽  
Mathematical Rule

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.

The Microtomographic Evaluation of Marginal Bone Resorption of Immediately Loaded Scalloped Design Implant With Various Microthread Configurations in Canine Mandible: Pilot Study

2010 ◽  
Vol 36 (5) ◽  
pp. 357-362 ◽  
Author(s):  
Young-Seok Park ◽  
Seung-Pyo Lee ◽  
Chong-Hyun Han ◽  
Joo Hyun Kwon ◽  
Young-Chul Jung
Keyword(s):  
Pilot Study ◽  
Bone Resorption ◽  
Bone Loss ◽  
Titanium Implant ◽  
Marginal Bone Loss ◽  
Future Studies ◽  
Preliminary Study ◽  
Type 3

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.

scholarly journals A split-mouth clinico-radiographic comparative study for evaluation of crestal bone and peri-implant soft tissues in immediately loaded implants with and without platelet-rich plasma bioactivation

2019 ◽  
Vol 13 (2) ◽  
pp. 117-122
Author(s):  
Vande Aaditee Vishnu ◽  
Pronob Kumar Sanyal ◽  
Shivsagar Tewary ◽  
Kumar Nilesh ◽  
Roy Malvika Suresh Prasad ◽  
...  
Keyword(s):  
Bone Loss ◽  
Soft Tissues ◽  
Platelet Rich Plasma ◽  
Control Site ◽  
Marginal Bone Loss ◽  
Probing Depth ◽  
Tissue Healing ◽  
Single Piece ◽  
Edentulous Patients ◽  
The Right

Background. This study evaluated the viability of platelet-rich plasma for enhancement of osseous and associated soft tissue healing around single-piece implants, subjected to immediate loading and to compare it with a control site not treated with PRP. Methods. Twenty completely edentulous patients were selected and 2 one-piece implants with O-ball head were placed for mandibular overdenture. The implant on the right side was treated with PRP whereas the left side implant served as a control. All the cases were immediately loaded and marginal bone loss, probing depth, percussion, implant mobility and peri-implantitis were assessed and compared at 3, 6, 9 and 12 months. Results. Overall analysis of the results showed less marginal bone loss, probing depth, percussion, implant mobility and periimplantitis around implants treated with PRP; however, the results were insignificant statistically. Conclusion. PRP can be used as a viable treatment adjunct in immediately loaded one-piece implants.

scholarly journals Effect of Rough Surface Platforms on the Mucosal Attachment and the Marginal Bone Loss of Implants: A Dog Study

Materials ◽  
2020 ◽  
Vol 13 (3) ◽  
pp. 802 ◽  
Author(s):  
Javier Montero ◽  
Alberto Fernández-Ruiz ◽  
Beatriz Pardal-Peláez ◽  
Alvaro Jiménez-Guerra ◽  
Eugenio Velasco-Ortega ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Resorption ◽  
Bone Loss ◽  
Linear Regression Analysis ◽  
Butt Joint ◽  
Marginal Bone Loss ◽  
Machined Surface ◽  
Bony Plate ◽  
Immediate Implants ◽  
Tissue Attachment

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.

scholarly journals Assessment of Peri-Implant Soft Tissues Conditions around Short and Ultra-Short Implant-Supported Single Crowns: A 3-Year Retrospective Study on Periodontally Healthy Patients and Patients with a History of Periodontal Disease

2020 ◽  
Vol 17 (24) ◽  
pp. 9354
Author(s):  
Giorgio Lombardo ◽  
Annarita Signoriello ◽  
Mauro Marincola ◽  
Pier Francesco Nocini
Keyword(s):  
Retrospective Study ◽  
Bone Loss ◽  
Periodontal Disease ◽  
Soft Tissues ◽  
Implant Survival ◽  
Marginal Bone Loss ◽  
Implant Complications ◽  
Short Implants ◽  
History Of ◽  
Single Crowns

The aim of this retrospective study was to evaluate implant survival, marginal bone loss and peri-implant complications in 326 short and ultra-short implants. Implants were placed in the maxillary and mandibular posterior regions of 140 patients with (PP) and without (NPP) a history of periodontal disease. Clinical and radiographic examinations were performed at 3-year recall appointments. The 8.0, 6.0 and 5.0 mm-length implants placed in PP and NPP were respectively 43.75% and 38.46%, 35.10% and 34.19%, 21.15% and 27.35%; 325 implants (one early failure) were rehabilitated with single crowns in 139 patients. Overall implant survival after 3 years of follow-up was 97.55%, 98.08% and 96.61% for PP and NPP (p = 0.46). Crestal bone level variations were not statistically different among PP and NPP; 15.41% of implants presented signs of mucositis, 14.71% and 16.67% in PP and NPP (p = 0.64). Setting the threshold for bone loss at 2 mm after 36 months, peri-implantitis prevalence was 2.2%, 1.96% and 2.63% in PP and NPP (p = 0.7). Overall implant success was 82.39%, 83.33% and 80.7% for PP and NPP (p = 0.55). Short-term outcomes suggest that short and ultra-short locking-taper implants can successfully be restored with single crowns in the posterior jaws both in PP and NPP.

scholarly journals Effects of Immediate and Delayed Loading Protocols on Marginal Bone Loss Around Implants in Unsplinted Mandibular Implant-Retained Overdentures: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Wei Liu ◽  
He Cai ◽  
Junjiang Zhang ◽  
Jian Wang ◽  
Lei Sui
Keyword(s):  
Bone Loss ◽  
Cohort Studies ◽  
Subgroup Analysis ◽  
Meta Analysis ◽  
Grey Literature ◽  
Risk Of Bias ◽  
Immediate Loading ◽  
Marginal Bone Loss ◽  
Promising Alternative ◽  
Significant Difference

Abstract Background: Immediate loading has recently been introduced into unsplinted mandibular implant-retained overdentures for the management of edentulous patients due to their increasing demand on immediate aesthetics and function. However, there is still a scarcity of meta-analytical evidence on the efficacy of immediate loading compared to delayed loading in unsplinted mandibular implant-retained overdentures. The purpose of this study was to compare the marginal bone loss (MBL) around implants between immediate and delayed loading of unsplinted mandibular implant-retained overdentures.Methods: Randomized controlled trials (RCTs), controlled clinical trials (CCTs), and cohort studies quantitatively comparing the MBL around implants between immediate loading protocol (ILP) and delayed loading protocol (DLP) of unsplinted mandibular overdentures were included. A systematic search was carried out in PubMed, EMBASE, and CENTRAL databases on April 28, 2020. “Grey” literature was also searched. A meta-analysis was conducted to compare the pooled MBL of two different loading protocols of unsplinted mandibular overdentures through weighted mean differences (WMDs) with 95% confidence intervals (95% CIs). The subgroup analysis was performed between different attachment types (i.e. Locator attachment vs. ball anchor). The risk of bias within and across studies were assessed using the Cochrane Collaboration’s tool, the Newcastle-Ottawa scale, and Egger’s test. Results: Of 305 records, five RCTs and two cohort studies were included and evaluated, which totally contained 191 participants with a follow-up of no less than 12 months. The MBL of ILP group showed no significant difference with that of DLP group (WMD 0.04, CI -0.13 to 0.21, P > .05). The subgroup analysis revealed similar results between the two different loading groups restored with Locator attachments or ball anchors (P > .05). Apart from one RCT (20%) with a high risk of bias, four RCTs (80%) showed a moderate risk of bias. Two prospective cohort studies were proved with acceptable quality. Furthermore, the Egger’s test indicated no significant bias among seven included studies (P > .05). Conclusions: For unsplinted mandibular implant-retained overdentures, the MBL around implants after ILP seems comparable to that of implants after DLP. Immediate loading may be a promising alternative to delayed loading for the management of unsplinted mandibular implant-retained overdentures. PROSPERO registration number: CRD42020159124

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

2020 ◽  
Author(s):  
Abbas Karimi ◽  
Nahid Azizimoghadam ◽  
Elahe Soltanmohamadi Borujeni
Keyword(s):  
Bone Resorption ◽  
Bone Loss ◽  
Dental Implants ◽  
Clinical Success ◽  
Pearson Correlation ◽  
Marginal Bone Loss ◽  
Effective Factors ◽  
Preprosthetic Surgery ◽  
Dental Implantation ◽  
Significant Difference

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.

Influence of Surgical and Prosthetic Techniques on Marginal Bone Loss around Titanium Implants. Part I: Immediate Loading in Fresh Extraction Sockets

2014 ◽  
Vol 23 (7) ◽  
pp. 521-527 ◽  
Author(s):  
Antoine N. Berberi ◽  
Georges E. Tehini ◽  
Ziad F. Noujeim ◽  
Alexandre A. Khairallah ◽  
Moustafa N. Abousehlib ◽  
...  
Keyword(s):  
Bone Loss ◽  
Titanium Implants ◽  
Immediate Loading ◽  
Marginal Bone Loss

scholarly journals Does the Laser-Microtextured Short Implant Collar Design Reduce Marginal Bone Loss in Comparison with a Machined Collar?

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
B. Alper Gultekin ◽  
Ali Sirali ◽  
Pinar Gultekin ◽  
Serdar Yalcin ◽  
Eitan Mijiritsky
Keyword(s):  
Bone Resorption ◽  
Bone Loss ◽  
Marginal Bone Loss ◽  
Posterior Teeth ◽  
Cumulative Survival ◽  
Probing Depth ◽  
Before And After ◽  
Retrospective Study Design ◽  
Short Implant

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.

Bacterial Profile and Radiographic Analysis Around Osseointegrated Implants with Morse Taper and External Hexagon Connections: Split-Mouth Model

2019 ◽  
Vol 45 (6) ◽  
pp. 469-473
Author(s):  
Mayla Kezy Silva Teixeira ◽  
Mariana Ribeiro de Moraes Rego ◽  
Marcelo Ferreira Torres da Silva ◽  
Eduardo José Veras Lourenço ◽  
Carlos Marcelo Figueredo ◽  
...  
Keyword(s):  
Bone Loss ◽  
Dna Hybridization ◽  
Alveolar Bone ◽  
Bacterial Colonization ◽  
Line Graph ◽  
Microbiological Analysis ◽  
Marginal Bone Loss ◽  
Actinomyces Naeslundii ◽  
Osseointegrated Implants ◽  
Bone Changes

The aim of this clinical study was to evaluate bacterial colonization, marginal bone loss, and optical alveolar density in implants with Morse taper (MT) and external hexagon (EH) connections. Thirty-five implants were installed in 7 patients (mean age: 65.8 ± 6.7 years). Implants were divided into 2 groups, according to platform design: G1 - MT, installed 2mm infra-osseous and G2 - EH, positioned according to Branemark protocol. Patients were evaluated at baseline (T0), 21 days (T1), 3 months (T2), 6 months (T3), and 12 months (T4) after installations. Bone loss and alveolar density were evaluated by standardized periapical radiographs and bacterial profile with checkerboard DNA–DNA hybridization. Statistical analyses were performed using SPSS 23.0. To present the results, boxplots and a line graph of mean were used. P-values ≤ .05 were statistically significant. After 3 months, alveolar bone loss was significantly higher in the G2 (T2-T0: P = .006; T3-T0: P = .003; and T4-T0: P = .005). No significant differences between G1 and G2 groups were observed for optical alveolar density. Microbiological analysis showed similar profiles between studied groups; however, there were significantly higher counts of Tannerella forsythia (P = .048), Campylobacter showae (P = .038), and Actinomyces naeslundii (P = .027) in G1 after 12 months. Based on the results of this study, it can be concluded that there was less peri-implant bone loss in MT compared to EH connections, but microbiological profile did not seem to influence bone changes.

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