Radiographic bone level changes of implant-supported restorations in edentulous and partially dentate patients: 5-year results.

Gholami, Hadi; Mericske, Regina; Kessler, Gerda; Katsoulis, Joannis (2014). Radiographic bone level changes of implant-supported restorations in edentulous and partially dentate patients: 5-year results. International journal of oral & maxillofacial implants, 29(4), pp. 898-904. Quintessence Publ. 10.11607/jomi.3042

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PURPOSE To evaluate and compare crestal bone level changes and peri-implant status of implant-supported reconstructions in edentulous and partially dentate patients after a minimum of 5 years of loading. MATERIALS AND METHODS All patients who received a self-tapping implant with a microstructured surface during the years 2003 and 2004 at the Department of Prosthodontics, University of Bern, were included in this study. The implant restorations comprised fixed and removable prostheses for partially and completely edentulous patients. Radiographs were taken immediately after surgery, at impression making, and 1 and 5 years after loading. Crestal bone level (BIC) was measured from the implant shoulder to the first bone contact, and changes were calculated over time (ΔBIC). The associations between pocket depth, bleeding on probing (BOP), and ΔBIC were assessed. RESULTS Sixty-one implants were placed in 20 patients (mean age, 62 ± 7 years). At the 5-year follow-up, 19 patients with 58 implants were available. Implant survival was 98.4% (one early failure; one patient died). The average ΔBIC between surgery and 5-year follow-up was 1.5 ± 0.9 mm and 1.1 ± 0.6 mm for edentulous and partially dentate patients, respectively. Most bone resorption (50%, 0.7 mm) occurred during the first 3 months (osseointegration) and within the first year of loading (21%, 0.3 mm). Mean annual bone loss during the 5 years of loading was < 0.12 mm. Mean pocket depth was 2.6 ± 0.7 mm. Seventeen percent of the implant sites displayed BOP; the frequency was significantly higher in women. None of the variables were significantly associated with crestal bone loss. CONCLUSION Crestal bone loss after 5 years was within the normal range, without a significant difference between edentulous and partially dentate patients. In the short term, this implant system can be used successfully for various prosthetic indications.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Prosthodontics (discontinued)
04 Faculty of Medicine > School of Dental Medicine > Division of Fixed Prosthodontics (discontinued)

UniBE Contributor:

Gholami, Hadi; Mericske, Regina; Kessler, Gerda and Katsoulis, Joannis

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0882-2786

Publisher:

Quintessence Publ.

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

27 Jan 2015 11:04

Last Modified:

25 Jan 2017 12:15

Publisher DOI:

10.11607/jomi.3042

PubMed ID:

25032770

Uncontrolled Keywords:

crestal bone level, edentulous, implant survival, partially dentate

URI:

https://boris.unibe.ch/id/eprint/61745

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