Clinical and radiological of the effects of two different implant surfaces on marginal tissues

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.

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Trends of Implant Placement in Relation to Crestal Bone Level in a Private Dental Institute

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.2944 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 358-362

Author(s):

Rinieshah Nair R Baskran ◽

Rajendra Prabhu Abhinav ◽

Murugaiyan Arun ◽

Balaji Ganesh S

Keyword(s):

Bone Loss ◽

Dental Implants ◽

P Value ◽

Marginal Bone Loss ◽

Oral Rehabilitation ◽

Implant Placement ◽

Significant Difference ◽

Bone Level ◽

Natural Dentition ◽

Bone Height

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.

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

Journal of Craniomaxillofacial Research ◽

10.18502/jcr.v6i4.3291 ◽

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.

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Assessment of Myeloperoxidase and Nitric Levels around Dental Implants and Natural Teeth as a Marker of Inflammation: A Comparative Study

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1957 ◽

2016 ◽

Vol 17 (11) ◽

pp. 934-938 ◽

Cited By ~ 1

Author(s):

Manish Kumar ◽

Gayithri H Kulkarni ◽

Prashant Jadhav ◽

Kiran Kulkarni ◽

Sachin V Shinde ◽

...

Keyword(s):

Comparative Study ◽

Dental Implants ◽

Dental Implant ◽

Plaque Index ◽

Gingival Bleeding ◽

Significant Difference ◽

Inflammatory Processes ◽

Natural Teeth ◽

The Mean ◽

Natural Tooth

ABSTRACT Introduction Dental implants form the mainstay of dental treatment involving rehabilitation of missing teeth. One of the major concerns for the clinicians doing dental implants is the postsurgical failure of dental implants. Success of dental implants is dependent upon the skills of the surgeon and the amount and quality of the bone remaining at the edentulous area where dental implant has to be placed. Myeloperoxidase (MPO) and nitrites are few of the enzymes and molecules which are said to be altered in inflammation. However, their exact role in the inflammatory processes around natural tooth and dental implant is still unclear. Hence we comparatively evaluated the levels of MPO and nitrites in the areas around the dental implants and natural teeth. Materials and methods The present study comprises 42 patients who underwent prosthetic rehabilitation by dental implants from 2011 to 2014. Depth of probing value (DP), score of plaque index (SPI), gingival index (GI), and index of gingival bleeding time (GBT) were evaluated for the assessment of the periimplant soft tissue changes. Assessment of inflammation around the dental implant surface and around natural tooth was done based on the readings of these parameters. For the measurement of the MPO levels, spectrophotometric MPO assay was used. All the results were analyzed by Statistical Package for the Social Sciences (SPSS) software. Results The mean plaque index values were 1.56 and 0.97 in periodontitis cases of natural teeth and inflamed cases of dental implants respectively. While comparing mean plaque index, mean probing depth, and mean gingival bleeding index in between the two groups, significant difference was obtained. Mean MPO concentration in periodontitis and gingivitis cases in natural teeth were 0.683 and 0.875 U/μL, while in inflamed dental implant cases, the mean value was 0.622 U/μL. While comparing the total MPO levels, total nitrite levels, and total nitrite concentration in between two study groups, significant difference was obtained. On comparing the healthy and periodontitis cases in natural teeth, significant difference was obtained. Conclusion In the inflammatory processes occurring around dental implant and natural teeth, MPO and NO make some amount of significant contribution. Clinical significance The present study enforces on the role of MPO and nitrite as diagnostic and prognostic marker. How to cite this article Kulkarni GH, Jadhav P, Kulkarni K, Shinde SV, Patil YB, Kumar M. Assessment of Myeloperoxidase and Nitric Levels around Dental Implants and Natural Teeth as a Marker of Inflammation: A Comparative Study. J Contemp Dent Pract 2016;17(11):934-938.

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

Applied Sciences ◽

10.3390/app10238709 ◽

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.

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The Difference of Marginal Bone Preservation between Dental Implants with Non-Threaded or Micro-Threaded Collar Designs

Coatings ◽

10.3390/coatings11101232 ◽

2021 ◽

Vol 11 (10) ◽

pp. 1232

Author(s):

Mazen Almasri

Keyword(s):

Bone Loss ◽

Dental Implants ◽

P Value ◽

Marginal Bone Loss ◽

Significant Difference ◽

Bone Preservation ◽

The Mean ◽

The Difference ◽

Implant System ◽

Metal Show

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.

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

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-17-00152 ◽

2018 ◽

Vol 44 (2) ◽

pp. 87-93 ◽

Cited By ~ 3

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.

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Dental Implant Failure Rate and Marginal Bone Loss in Transplanted Patients: A Systematic Review and Meta-Analysis

10.20944/preprints202008.0557.v1 ◽

2020 ◽

Author(s):

Marcela Paraizo ◽

João Botelho ◽

Vanessa Machado ◽

José João Mendes ◽

Ricardo Alves ◽

...

Keyword(s):

Systematic Review ◽

Bone Loss ◽

Dental Implants ◽

Dental Implant ◽

Failure Rate ◽

Case Control ◽

Risk Of Bias ◽

Implant Failure ◽

Cochrane Library ◽

Marginal Bone Loss

This systematic review investigates the failure rate and marginal bone loss (MBL) of dental implants placed in Solid-organ transplant (SOT) patients compared to healthy controls. Three databases (PubMed, Web of Sciences and the Cochrane Library) were searched up to June 2020 (PROSPERO CRD42019124896). Case-control and cohort studies reporting data failure rate and marginal bone loss (MBL) of dental implants placed in SOT patients were included. The risk of bias of observational studies was assessed through the Newcastle-Ottawa Scale (NOS). Four case-control studies fulfilled the inclusion criteria, all of low risk of bias. Meta-analyses revealed consistently lower implant failure rate than control populations at patient and implant levels. SOT patients had a significant difference of -18% (p-value <0.001) of MLB towards healthy patients. SOT status poses no serious threat to implant survival. Overall, this group of patients presented lower levels of dental implant failure rate and marginal bone loss compared to otherwise healthy patients. Further intervention trials with wider sample size and longer follow-ups are necessary to confirm these summary results.

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COMPARISON BETWEEN STRONTIUM RANELATE AND METAL SUBSTITUTED HYDROXYAPATITE AS GRAFTING MATERIALS IN TREATMENT OF PERI-IMPLANT BONY DEFECTS WITH IMMEDIATE IMPLANTS (CLINICAL AND EXPERIMENTAL STUDY)

International Journal of Advanced Research ◽

10.21474/ijar01/12808 ◽

2021 ◽

Vol 9 (5) ◽

pp. 46-59

Author(s):

Islam Kandil ◽

◽

Enas Elgendy ◽

Mohamed Anees ◽

Omar Khashaba ◽

...

Keyword(s):

Bone Density ◽

Bone Loss ◽

Dental Implant ◽

Strontium Ranelate ◽

Sample Population ◽

Implant Stability ◽

Marginal Bone Loss ◽

Significant Difference ◽

Hydroxyl Apatite

Objective:The aim of this study is to compare between both of strontium ranelate and metallic substitute of hydroxyapatite as grafting materials in the treatment of peri-implant bony defects with immediate placement of dental implant in type I extraction sites within maxillary esthetic zone among clinical and experimental levels. This assessment was based on clinical, radiographic and histological studies. Subjects and Methods: The present study was carried on two types of population among both experimental levels on experimental white albinus rabbits and on clinical level among human patients for replacement of non-restorable maxillaryanterior and/or premolar teeth within esthetic zone by immediate implant. A written informed consent was obtained from all patients before their participation in this study.Patients were classified into two groups: the first one was with five patients with non-restorable maxillary anterior or premolar tooth that was treated by an immediately placed implant in conjunction with metallic substituted hydroxyapatite while the second one was treated by an immediately placed implant in conjunction with strontium ranelate as grafting material.The second sample population of study was carried out among ten male white (newzland) experimental rabbits with average body weight between 2.5 and 3 KG and within suitable environmental conditions in Medical Experimental Research Center (MERC) in faculty of medicine, Mansoura University. All rabbits sample was also divided equally and randomly in two groups with five rabbits within each one by the same criteria as mentioned where the first group was composed of five rabbits that received dental implant within intentionally made defect in tibia by trephine bur in conjunction with metallic substituted hydroxyl apatite as grafting material within gap between implant and defect and the second group was with the same criteria and procedures with strontium ranelategafting material within the defect. Pre-oparative photographs and cone beam computed topography (CBCT) were taken for study sample population. Within clinical patients, immediately paced dental implant have been placed in anterior esthetic zone with bone grafting around dental implant according to each group, Immediate CBCT and implant stability measurements has been taken after surgery followed by six months follow-up period to evaluate marginal bone loss, bone density, papillary esthetic score, implant stability and probing depth around dental implants. While within experimental animals trephine bur was used to intentionally create the bony defect that will simulate defect around immediate dental implant with grafting material around according to each group with six months follow-up to evaluate marginal bone loss, implant stability,bone density and for histological examination around implant within grafted area. All data were collected and statistically analyzed. Results:Generally among both clinical and experimental levels within both of clinical patients and experimental rabbits, metal substituted hydroxyl apatite (MSHAP) showed better results with significant difference than that presented in other group that has received Strontium ranelate (Sr) as a grafting material to fill the bony marginal gap around immediate dental implant during six months follow-up study period. Results presented high difference of significance between two groups in experimental and clinical levels in concern with both implant stability, marginal bone loss and even in bone quality and denisty when measured after six months follow-up. On the other hand there was no significant difference in concern with soft tissue response after six months in relation with peri-implant probing depth and MSHAP showed slight better results than that of Sr in records of papillary esthetic scores among clinical patients. Histological results showed better response of surrounding bony tissues towards MSHAP than that of Sr with more affinity of osteoblasts and osteocytes to the site of the grafted area. Conclusions:Metallic substituted hydroxyl-apatite (MSHAP) with its additive magnetic molecules within hydroxyapatite structure has better bony response from surrounding bony tissues than that provided by Strontium Ranelate (Sr) according to bone filling and preservation with less marginal loss, more affinity of new osteoblasts and mature osteocytes, long term implant stability after grafting and better bone density and quality at the grafted area around immediate dental implants in anterior maxillary area.

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Dental Implant Failure Rate and Marginal Bone Loss in Transplanted Patients: A Systematic Review and Meta-Analysis

Transplantology ◽

10.3390/transplantology1020008 ◽

2020 ◽

Vol 1 (2) ◽

pp. 85-96

Author(s):

Marcela Paraizo ◽

João Botelho ◽

Vanessa Machado ◽

José João Mendes ◽

Ricardo Alves ◽

...

Keyword(s):

Systematic Review ◽

Bone Loss ◽

Dental Implants ◽

Dental Implant ◽

Failure Rate ◽

Case Control ◽

Risk Of Bias ◽

Implant Failure ◽

Cochrane Library ◽

Marginal Bone Loss

This systematic review investigates the failure rate and marginal bone loss (MBL) of dental implants placed in patients undergoing solid-organ transplant (SOT) compared to healthy controls. Three databases (PubMed, Web of Sciences, and the Cochrane Library) were searched up to June 2020 (PROSPERO CRD42019124896). Case-control and cohort studies reporting data failure rate and marginal bone loss (MBL) of dental implants placed in SOT patients were included. The risk of bias of observational studies was assessed through the Newcastle-Ottawa Scale (NOS). Four case-control studies fulfilled the inclusion criteria; all had low risk of bias. Meta-analyses revealed consistently lower implant failure rate than control populations at patient and implant levels. SOT patients had a significant difference of −18% (p-value < 0.001) MBL compared to healthy patients. SOT status poses no serious threat to implant survival. Overall, this group of patients presented lower levels of dental implant failure rate and marginal bone loss compared to otherwise healthy patients. Further intervention trials with larger sample size and longer follow-ups are necessary to confirm these summarized results.

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A pilot study on immediate loading dental implants

Journal of Dental Panacea ◽

10.18231/j.jdp.2021.016 ◽

2021 ◽

Vol 3 (2) ◽

pp. 73-77

Author(s):

Sandeep Mithapara ◽

Setu P. Shah ◽

Deval Mehta ◽

Sonal Madan ◽

Ekta Mistry

Keyword(s):

Bone Loss ◽

Dental Implants ◽

Immediate Loading ◽

Marginal Bone Loss ◽

Extraction Socket ◽

Extraction Site ◽

Significant Difference ◽

Implant Crown ◽

Distal Aspect

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.

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