Radiographic comparison of the crestal bone loss in the bone-level and tissue-level implants in implant-supported mandibular overdentures
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Abstract
Introduction: To preserve the peri-implant bone level during implant restorations, multiple variations have been made in the implant-abutment connections and bone level, and tissue level implants have been placed at the bone or tissue levels to restore the function of the lost teeth. This study compared the radiographic amount of crestal bone loss in bone-level and tissue-level implants in the implants supported mandibular overdentures. Materials and Methods: This study included 40 patients receiving bone-level and tissue-level implants with mandibular overdentures. A total number of 120 implants were placed by an experienced surgeon in a one-stage surgery. Panoramic images of patients immediately after surgery and at least one year after prosthetic loading were assessed. Bone loss values (distance between implant shoulder to proximal bone) were assessed in the bone-level and tissue-level implants on the radiographs using digital caliper on the surrounding areas of implants, including mesial and distal aspects. The data were subjected to a Student t-test. Results: The mean of Mesial Bone Loss (MBL) of the right canine was reported 0.74mm. The mean amount of Distal Bone Loss (DBL) of the right canine was 0.78mm, the mean of DBL of the first incisal was 0.75mm. The mean of MBL of the first incisal was 0.77mm, the mean of DBL of the left canine was 0.76mm. The mean of MBL of the left canine was 0.78mm. Distal and mesial bone loss in the canine and first incisor bone-level implants were slightly higher than respective tissue-level implants, but no statistically significant differences were noted in this regard. Conclusion: According to the results of this study, both bone-level and tissue-level implants can be successfully used for supporting mandibular overdentures. Since the amount of cervical bone loss was clinically acceptable in both groups (in a period of one to four years with an average of 2.1 years). This study recommends that clinicians choose the type of implant according to clinical need and judgement. Keywords: Crestal bone loss; Bone-level implant; Tissue-level implant; Implant-supported overdentures.
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2. Thomason JM: The McGill Consensus Statement on Overdentures. Mandibular 2-implant overdentures as first choice standard of care for edentulous patients. Eur. J. Prosthodont. Rest. Dent.. 2002;10:95-6.
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4. Astrand E, Anzen BO, Bergendal B, et al: A three-year follow-up report of a comparative study of ITI dental implants® and Branemark system® implants in the treatment of the partially edentulous maxilla. Clin Implant Dent & Related Res 2004;6(3).
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6. Ercoli C, Jammal G, Buyers M: Influence of apico-coronal implant placement on post-surgical crestal bone loss in humans. J Periodontol 2017;88:762-770.
7. Buser D, Martin W, Belser UC: Optimizing esthetics for implant restorations in the anterior maxilla: Anatomic and surgical considerations. Int J Oral Maxillofac Implants 2004;19(suppl):43-61.
8. Broggini N, McManus LM, Hermann JS: Peri-implant inflammation defined by the implant-abutment interface. J Dent Res 2006;85:473-478.
9. Negri B, Lopez Mari M, Mater Sanchez de Val JE, et al: Biological width formation to immediate implants places at different level in relation to the crestal bone: an experimental study in dogs. Clin Oral Implants Res 2015;26:788-798.
10. Belser U, Buser D, Higginbottom F: Consensus statements and recommender clinical procedures regarding esthetics in implant dentistry. Int J Oral Maxillofac Implants 2004;19(suppl):s73-s74.
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12. Vigolo P, Givani A: Platform-switched restorations on wide-diameter implants: a 5-year clinical prospective study. Int J Oral Maxillofac Implants 2009;24:103-109.
13. Fickl S, Zuhr O, Stein JM, et al: Peri-implant bone level around implants with platform-switched abutments. Int J Oral Maxillofac Implants 2010;25:577-581.
14. Annibali S, Bignozzi I, Cristalli MP, et al: Peri-implant marginal bone level: a systematic review and meta-analysis of studies comparing platform switching versus conventionally restored implants. J Clin Periodontol 2012;39:1097-1113.
15. Cochran DL, Mau LP, Higginbottom FL: Soft and hard tissue histologic dimensions around dental implants in the canine restored with smaller-diameter abutments: a paradigm shift in peri-implant biology. Int J oral Maxillofac Implants 2013;28:494-502.
16. Kumar VV, Sagheb K, Kammerer PW, et al: Retrospective clinical study of marginal bone level changes with two different screw-implant types: Comparison between tissue level (TE) and bone level (BL) implant. J Maxillofac Oral Surg 2014;13(3):259–266.
17. Valderrama P, Bornstein MM, Jones AA, et al: Effects of implant design on marginal bone changes around early loaded, chemically modified, sandblasted acid-etched-surfaced implants: a histologic analysis in dogs. J Periodontol 2011; 82(07):1025–1034.
18. Lago L, da Silva L, Martinez-Silva I, et al: Radiographic assessment Of crestal bone loss In tissue-level implants restored By platform matching compared with bone-level implants restored by platform switching: A randomized, controlled, split-mouth trial with 3-year follow-up. Int J Oral Maxillofac Implants January/February 2019;34(1):179–186.
19. Caetano GM, Pauletto P, Mezzomo LA, et al: Crestal bone changes in different implants designs: a prospective clinical trial. Eur J Dent 2019 Oct;13(4):497-502.
20. van Eekeren P, Tahmaseb A, Wismeijer D: Crestal bone changes in macrogeometrically similar implants with the implant-abutment connection at the crestal bone level or 2.5 mm above: a prospective randomized clinical trial. Clin Oral Implants Res 2016 Dec;27(12):1479-1484.
21. Kumar VV, Sagheb K, Kammerer PW, et al: Retrospective clinical study of marginal bone level changes with two different screw-implant types: Comparison between tissue level (TE) and bone level (BL) implant. J Maxillofac Oral Surg 2014;13(3):259–266.
22. Vouros ID, Kalpidis CDR, Horvath A, et al: Systematic assessment of clinical outcomes in bone-level and tissue-level Endosseous dental implants. Int J Oral Maxillofac Implants 2012;27:1359–1374.
23. Esposito M, Hirsch JM, Lekholm U, et al: Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci 1998;106(3):721-764.
24. Cochran DL, Hermann JS, Schenk RK, et al: Biologic width around titanium implants. A histometric analysis of the implant-gingival junction around unloaded and loaded nonsubmerged implants in the canine mandible. J Periodontol 1997;68(2):186-198.
25. Ericsson I, Persson LH, Berglundh T, et al: Different types of inflammatory reactions in peri-implant soft tissues. J Clin Periodontol 1995;22(3):255-261.
26. Liu Y, Wang J: Influence of microgap and micromotion of implant-abutment interface on marginal bone loss around implant neck. Arch Oral Biol 2017;83:153-160.
27. Klinge B, Meyle J: Peri-implant issue destruction. The Third EAO Consensus Conference 2012. Clin Oral Implants Res 2012;23 suppl 6: 108-110.
28. Trisi P, Berardini M, Falco A, et al: Insufficient irrigation induces peri-implant bone resorption: an in vivo histologic analysis in sheep. Clin Oral Implants Res 2014;25(6):696-701.
29. Marconcini S, Giammarzero E, et al: Longitudinal analysis on the effect of insertion torque on delayed single implants: A 3-year randomized clinical study. Clin Implant Dent Relat Res 2018.
30. Weber HP, Buser D, Fiorellini JP: Radiographic evaluation of crestal bone levels adjacent to non-submerged titanium implants. Clin Oral Implants Res 1992;3:181.
31. Buser D, Mericske-Stern R, Bernard JP, et al: Long-term evaluation of non-submerged ITI implants. Part 1:8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997; Jun 8(3):161-172.
32. Astrand P, Engquist B, Anzen B, et al: Non-submerged and submerged implants in the treatment of the partially edentulous maxilla. Clin Implant Dent Relat Res 2002;4(3):115-127.
33. Chappuis V, Bornstein MM, Belser U, et al: Influence of implant neck design on facial bone crest dimensions in the esthetic zone analyzed by cone beam CT: a comparative study with a 5-to-9-year follow-up. Clin Oral Impl Res 2016;27:1055–1064.
2. Thomason JM: The McGill Consensus Statement on Overdentures. Mandibular 2-implant overdentures as first choice standard of care for edentulous patients. Eur. J. Prosthodont. Rest. Dent.. 2002;10:95-6.
3. Albrektsson T, Hansson HA: An ultra-structural characterization of the interface between bone and sputtered titanium or stainless steel surface. Biomaterials 1986;7:201-205.
4. Astrand E, Anzen BO, Bergendal B, et al: A three-year follow-up report of a comparative study of ITI dental implants® and Branemark system® implants in the treatment of the partially edentulous maxilla. Clin Implant Dent & Related Res 2004;6(3).
5. Valles C, Rodriguez-Ciurana X, Clementini M, et al: Influence of sub-crestal implant placement compared with equi-crestal position on the peri-implant hard and soft tissues around platform-switched implants. A systematic review and meta-analysis. Clin Oral Investig 2018;22:555-570.
6. Ercoli C, Jammal G, Buyers M: Influence of apico-coronal implant placement on post-surgical crestal bone loss in humans. J Periodontol 2017;88:762-770.
7. Buser D, Martin W, Belser UC: Optimizing esthetics for implant restorations in the anterior maxilla: Anatomic and surgical considerations. Int J Oral Maxillofac Implants 2004;19(suppl):43-61.
8. Broggini N, McManus LM, Hermann JS: Peri-implant inflammation defined by the implant-abutment interface. J Dent Res 2006;85:473-478.
9. Negri B, Lopez Mari M, Mater Sanchez de Val JE, et al: Biological width formation to immediate implants places at different level in relation to the crestal bone: an experimental study in dogs. Clin Oral Implants Res 2015;26:788-798.
10. Belser U, Buser D, Higginbottom F: Consensus statements and recommender clinical procedures regarding esthetics in implant dentistry. Int J Oral Maxillofac Implants 2004;19(suppl):s73-s74.
11. Lazzara RJ, Porter SS: Platform switching: a new concept in implant dentistry for controlling post-restorative crestal bone levels. Int J Periodontics Restorative Dent 2006;26:9-17.
12. Vigolo P, Givani A: Platform-switched restorations on wide-diameter implants: a 5-year clinical prospective study. Int J Oral Maxillofac Implants 2009;24:103-109.
13. Fickl S, Zuhr O, Stein JM, et al: Peri-implant bone level around implants with platform-switched abutments. Int J Oral Maxillofac Implants 2010;25:577-581.
14. Annibali S, Bignozzi I, Cristalli MP, et al: Peri-implant marginal bone level: a systematic review and meta-analysis of studies comparing platform switching versus conventionally restored implants. J Clin Periodontol 2012;39:1097-1113.
15. Cochran DL, Mau LP, Higginbottom FL: Soft and hard tissue histologic dimensions around dental implants in the canine restored with smaller-diameter abutments: a paradigm shift in peri-implant biology. Int J oral Maxillofac Implants 2013;28:494-502.
16. Kumar VV, Sagheb K, Kammerer PW, et al: Retrospective clinical study of marginal bone level changes with two different screw-implant types: Comparison between tissue level (TE) and bone level (BL) implant. J Maxillofac Oral Surg 2014;13(3):259–266.
17. Valderrama P, Bornstein MM, Jones AA, et al: Effects of implant design on marginal bone changes around early loaded, chemically modified, sandblasted acid-etched-surfaced implants: a histologic analysis in dogs. J Periodontol 2011; 82(07):1025–1034.
18. Lago L, da Silva L, Martinez-Silva I, et al: Radiographic assessment Of crestal bone loss In tissue-level implants restored By platform matching compared with bone-level implants restored by platform switching: A randomized, controlled, split-mouth trial with 3-year follow-up. Int J Oral Maxillofac Implants January/February 2019;34(1):179–186.
19. Caetano GM, Pauletto P, Mezzomo LA, et al: Crestal bone changes in different implants designs: a prospective clinical trial. Eur J Dent 2019 Oct;13(4):497-502.
20. van Eekeren P, Tahmaseb A, Wismeijer D: Crestal bone changes in macrogeometrically similar implants with the implant-abutment connection at the crestal bone level or 2.5 mm above: a prospective randomized clinical trial. Clin Oral Implants Res 2016 Dec;27(12):1479-1484.
21. Kumar VV, Sagheb K, Kammerer PW, et al: Retrospective clinical study of marginal bone level changes with two different screw-implant types: Comparison between tissue level (TE) and bone level (BL) implant. J Maxillofac Oral Surg 2014;13(3):259–266.
22. Vouros ID, Kalpidis CDR, Horvath A, et al: Systematic assessment of clinical outcomes in bone-level and tissue-level Endosseous dental implants. Int J Oral Maxillofac Implants 2012;27:1359–1374.
23. Esposito M, Hirsch JM, Lekholm U, et al: Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci 1998;106(3):721-764.
24. Cochran DL, Hermann JS, Schenk RK, et al: Biologic width around titanium implants. A histometric analysis of the implant-gingival junction around unloaded and loaded nonsubmerged implants in the canine mandible. J Periodontol 1997;68(2):186-198.
25. Ericsson I, Persson LH, Berglundh T, et al: Different types of inflammatory reactions in peri-implant soft tissues. J Clin Periodontol 1995;22(3):255-261.
26. Liu Y, Wang J: Influence of microgap and micromotion of implant-abutment interface on marginal bone loss around implant neck. Arch Oral Biol 2017;83:153-160.
27. Klinge B, Meyle J: Peri-implant issue destruction. The Third EAO Consensus Conference 2012. Clin Oral Implants Res 2012;23 suppl 6: 108-110.
28. Trisi P, Berardini M, Falco A, et al: Insufficient irrigation induces peri-implant bone resorption: an in vivo histologic analysis in sheep. Clin Oral Implants Res 2014;25(6):696-701.
29. Marconcini S, Giammarzero E, et al: Longitudinal analysis on the effect of insertion torque on delayed single implants: A 3-year randomized clinical study. Clin Implant Dent Relat Res 2018.
30. Weber HP, Buser D, Fiorellini JP: Radiographic evaluation of crestal bone levels adjacent to non-submerged titanium implants. Clin Oral Implants Res 1992;3:181.
31. Buser D, Mericske-Stern R, Bernard JP, et al: Long-term evaluation of non-submerged ITI implants. Part 1:8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997; Jun 8(3):161-172.
32. Astrand P, Engquist B, Anzen B, et al: Non-submerged and submerged implants in the treatment of the partially edentulous maxilla. Clin Implant Dent Relat Res 2002;4(3):115-127.
33. Chappuis V, Bornstein MM, Belser U, et al: Influence of implant neck design on facial bone crest dimensions in the esthetic zone analyzed by cone beam CT: a comparative study with a 5-to-9-year follow-up. Clin Oral Impl Res 2016;27:1055–1064.
| Files | ||
| Issue | Vol 9, No 3 (Summer 2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v9i3.12697 | |
| Keywords | ||
| Crestal bone loss; Bone-level implant; Tissue-level implant; Implant-supported overdentures. | ||
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How to Cite
1.
Bazzazi S, Sharifi R, Hasheminasab M, Ghazanfari R. Radiographic comparison of the crestal bone loss in the bone-level and tissue-level implants in implant-supported mandibular overdentures. J Craniomaxillofac Res. 2023;9(3):135-143.
