scholarly journals The Influence of the Crown-Implant Ratio on the Crestal Bone Level and Implant Secondary Stability: 36-Month Clinical Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Jakub Hadzik ◽  
Maciej Krawiec ◽  
Konstanty Sławecki ◽  
Christiane Kunert-Keil ◽  
Marzena Dominiak ◽  
...  
Keyword(s):  
Bone Loss ◽  
Alveolar Bone ◽  
Clinical Performance ◽  
Implant Stability ◽  
Marginal Bone Loss ◽  
Sinus Augmentation ◽  
Clinical Trial Registration ◽  
Short Implants ◽  
Registration Number ◽  
Secondary Stability

Introduction. When the era of dental implantology began, the pioneers defined some gold standards used in dental prosthetics treatment for implant-supported restorations. Referring to traditional prosthetics, it was taken for granted that the length of an implant placed in the alveolar bone (the equivalent of the root) should exceed the length of the superstructure. Aim of the Study. The aim of the study was to determine whether implant length and the crown-to-implant (C/I) ratio influence implant stability and the loss of the surrounding marginal bone and whether short implants can be used instead of sinus augmentation procedures. Material and Methods. The patients participating in the study (n=30) had one single tooth implant, a short (OsseoSpeed™ L6 Ø4 mm, Implants) or a regular implant (OsseoSpeed L11 and L13 Ø4 mm, DENTSPLY Implants), placed in the maxilla. The evaluation was based on clinical and radiological examination. The crown-to-implant ratio was determined by dividing the length of the crown together with the abutment by the length of the implant placed crestally. Mean crown-to-implant ratios were calculated separately for each group and its correlation with the MBL (marginal bone loss) and stability was assessed. The authors compared the correlation between the C/I ratio values, MBL, and secondary implant stability. Results. Positive results in terms of primary and secondary stability were achieved with both (short and conventional) implants. The MBL was low for short and conventional implants being 0.34±0.24 mm and 0.22±0.46 mm, respectively. No significant correlation was found between the C/I ratio and secondary stability as well as the C/I ratio and the marginal bone loss. Conclusions. Short implants can be successfully used to support single crowns. The study has revealed no significant differences in the clinical performance of prosthetic restorations supported by short implants. Clinical trial registration number is NCT03471000.

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.

Stage Characterization and Marginal Bone Loss Evaluation Up to 96 Months of Crestal Sinus Augmentation With Sequential Drills

2015 ◽  
pp. 1
Author(s):  
Fabio Bernardello ◽  
Pietro Felice ◽  
Sergio Spinato ◽  
Alberto Rebaudi ◽  
Davide Righi ◽  
...  
Keyword(s):  
Bone Loss ◽  
Marginal Bone Loss ◽  
Sinus Augmentation

scholarly journals Short Dental Implants (≤7mm) Versus Longer Implants in Augmented Bone Area: A Meta-Analysis of Randomized Controlled Trials

2018 ◽  
Vol 12 (1) ◽  
pp. 354-365 ◽  
Author(s):  
Priscila N. Uehara ◽  
Victor Haruo Matsubara ◽  
Fernando Igai ◽  
Newton Sesma ◽  
Marcio K. Mukai ◽  
...  
Keyword(s):  
Survival Rate ◽  
Bone Loss ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
Statistical Significance ◽  
Controlled Trials ◽  
Bone Area ◽  
Marginal Bone Loss ◽  
Randomized Controlled ◽  
Short Implants

Aim: The aim of this systematic review was to compare the survival rate and the marginal bone loss between short implants (≤7 mm) placed in the atrophic area and longer implants placed in the augmented bone area of posterior regions of maxillaries. Methods: Electronic search using three databases was performed up to May 2017 to identify Randomized Controlled Trials (RCT) assessing short implants survival with a minimal follow-up of 12 months post-loading. For the meta-analysis, a Risk Difference (RD) with the 95% Confidence Interval (CI) was used to pool the results of implant failure rate for each treatment group. For the marginal bone changes, Mean Differences (MD) with 95% CI were calculated. Results: Seven randomized controlled trials met the inclusion criteria, being included in qualitative and quantitative analyses. The RD between the short implant group and the control group was -0.02 (95% CI: -0.04 to 0.00), I2=0 and Chi2=3.14, indicating a favorable survival rate for short implant, but with no statistical significance (p=0.09). Discussion: For marginal bone loss, the mean difference was -0,13 (95%CI: -0.22 to -0.05), favoring the test group with statistical significance (p=0.002). The studies showed more heterogeneity for bone loss compared to survival rate. Short and longer implants showed similar survival rates after one year of loading, however the marginal bone loss around short implants was lower than in longer implants sites. Conclusion: Placement of implants ≤7 mm of length was found to be a predictable alternative for the rehabilitation of atrophic posterior regions, avoiding all the disadvantages intrinsic to bone augmentation procedures.

Influence of Crown-to-Implant Ratio on Long-Term Marginal Bone Loss Around Short Implants

2019 ◽  
Vol 34 (4) ◽  
pp. 992-998 ◽  
Author(s):  
Adolfo Di Fiore ◽  
Paolo Vigolo ◽  
Stefano Sivolella ◽  
Francesco Cavallin ◽  
Joannis Katsoulis ◽  
...  
Keyword(s):  
Bone Loss ◽  
Marginal Bone Loss ◽  
Short Implants

Implant Survival Rate and Marginal Bone Loss of 6-mm Short Implants: A 2-Year Clinical Report

2014 ◽  
Vol 29 (6) ◽  
pp. 1425-1428 ◽  
Author(s):  
Emanuel Bratu ◽  
Hsun-Liang Chan ◽  
Sorin Mihali ◽  
Olimpiu Karancsi ◽  
Dana Bratu ◽  
...  
Keyword(s):  
Survival Rate ◽  
Bone Loss ◽  
Clinical Report ◽  
Implant Survival ◽  
Marginal Bone Loss ◽  
Implant Survival Rate ◽  
Short Implants

scholarly journals Complications During Maxillary Sinus Augmentation Associated with Interfering Septa: A New Classification of Septa

2017 ◽  
Vol 11 (1) ◽  
pp. 140-150 ◽  
Author(s):  
Tassos Irinakis ◽  
Valentin Dabuleanu ◽  
Salwa Aldahlawi
Keyword(s):  
Bone Loss ◽  
Maxillary Sinus ◽  
Retrospective Chart Review ◽  
Marginal Bone Loss ◽  
New Classification ◽  
Sinus Augmentation ◽  
Membrane Perforation ◽  
The Impact ◽  
Sinus Membrane

Purpose: A new classification of maxillary sinus interfering septa based on its orientation is presented along with its relationship to the prevalence and severity of sinus membrane perforations. Additionally, the impact of membrane perforation on post-operative complications and marginal bone loss during the first year of loading is evaluated. Materials & Methods: Retrospective chart review of 79 consecutive sinus lift procedures with lateral window technique and 107 implants. Preoperative Cone Beam Computed Tomography (CBCT) images were evaluated for the incidence and the direction of maxillary septa. Chart notes were examined for the incidence of membrane perforation and postoperative complications. Measurements of mesial and distal marginal bone levels and average bone resorption adjacent to each implant were calculated in intraoral radiographs taken at implant placement and during follow up appointments. Results: Interfering septa were identified in 48.1 percent of sinuses. 71.1 percent of them had the septum oriented in a buccal-lingual direction (Class I). The overall incidence of membrane perforation was 22.8 percent, and the presence of an interfering septum on CBCT scan was found to be significantly associated with the occurrence of a sinus membrane perforation (P<0.001). The mean implant marginal bone loss for sinuses, which did not experience a membrane perforation, was 0.6±0.8mm, compared with 0.9 ± 0.9 mm for the sinuses that did experience a perforation (P = 0.325). Conclusion: Septa should be identified, classified and managed with a meticulous attention to technical details. A classification based on the septal orientation is proposed since the orientation of the septa can complicate the surgical procedure and requires modification of the surgical technique.

scholarly journals One-Year Results of a Randomized Controlled Clinical Trial of Immediately Loaded Short Implants Placed in the Lower Posterior Single Molar Using a Complete Digital Workflow

2019 ◽  
Vol 9 (7) ◽  
pp. 1282 ◽  
Author(s):  
Yeon-Wha Baek ◽  
Young-Jun Lim ◽  
Jungwon Lee ◽  
Ki-Tae Koo ◽  
Myung-Joo Kim ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Soft Tissue ◽  
Bone Loss ◽  
Controlled Clinical Trial ◽  
Insertion Torque ◽  
Marginal Bone Loss ◽  
Model Free ◽  
Short Implants ◽  
Significant Difference ◽  
Computer Aided

The purpose of this randomized clinical trial is to evaluate immediately loaded single implants with varying lengths in the posterior mandible using a fully digital, model-free prosthetic-driven implant planning pathway, and to compare clinical and radiological outcomes of short and long implants. The 52 patients with the single tooth missing in the posterior molar regions of the mandible were randomly assigned to the control (CMI IS-III active® long implant; 5.0 × 10 mm) and experimental (CMI IS-III active® short implant; 5.5 × 6.6, 7.3, 8.5 mm) groups. For each patient, a single implant was placed using the computer aided surgical template and all prostheses were fabricated by means of computer-aided design/computer-aided manufacturing (CAD/CAM) system on the virtual model. The patients received provisional and definitive monolithic zirconia prostheses at 1 week and 12 weeks after implant surgery, respectively. The implant stability quotient (ISQ) measurements and periapical radiographs were taken and peri-implant parameters were evaluated at 1, 3, 4, 8, 12, 24, 36, and 48 weeks after surgery. Nineteen long implants and 27 short implants were finally used for the statistical analysis. There was no significant difference between the groups in terms of insertion torque, ISQ values (except 3 weeks), marginal bone loss, and peri-implant soft tissue parameters (p > 0.05). Both groups exhibited no stability dip during the early phase of healing. The average marginal bone loss from the baseline of implant placement for the control and experimental groups was −0.07 and 0.03 mm after 12 weeks and 0.06 and 0.05 mm after 48 weeks. All of the soft tissue parameters were within normal limits. Within the limits of the short term follow up, immediate loading of short single implants can be considered as one of predictable treatment modality in mandible with reduced bone height when primary stability can be achieved.

Sign in / Sign up

Export Citation Format

Share Document