Screw-Type Collar vs. Non-Screw-Type Collar Implants—Comparison of Initial Stability, Soft Tissue Adaptation, and Early Marginal Bone Loss—A Preclinical Study in the Dog

Background: Implant neck characteristics may affect initial implant stability, soft tissue healing, and early marginal bone loss (EMBL) at second-stage surgery. The null hypothesis was that, following two-stage implant insertion, rough surface, non-screw-type collar implants will present lower EMBL...

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Main Authors: Haim Tal, Vadim Reiser, Sarit Naishlos, Gal Avishai, Roni Kolerman, Liat Chaushu
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Biology
Subjects:
Online Access:https://www.mdpi.com/2079-7737/11/8/1213
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author Haim Tal
Vadim Reiser
Sarit Naishlos
Gal Avishai
Roni Kolerman
Liat Chaushu
author_facet Haim Tal
Vadim Reiser
Sarit Naishlos
Gal Avishai
Roni Kolerman
Liat Chaushu
author_sort Haim Tal
collection DOAJ
description Background: Implant neck characteristics may affect initial implant stability, soft tissue healing, and early marginal bone loss (EMBL) at second-stage surgery. The null hypothesis was that, following two-stage implant insertion, rough surface, non-screw-type collar implants will present lower EMBL at 2nd-stage surgery than rough-surface, screw-type collar implants. Methods: The study comprised seven male beagle dogs (mean weight 10.57 ± 2.8 kg; range 9–17 kg). A novel implant design was developed, composed of 2 parts: an apical part resembling a regular threaded implant, and a coronal non-screw-type collar, 4.2 mm long, served as the study group, whereas standard threaded implants served as control. Twenty-eight implants were placed: two on each side of the mandible. All implants were sand-blasted/acid-etched and of similar dimensions. Each dog received four implants. To assess location (anterior vs. posterior) impact on the outcomes, implants were placed as follows: group I—posterior mandible right—non-screw-type collar implants; group II—anterior mandible right—similar non-screw-type collar implants. To assess the collar-design effect on the outcomes, implants were placed as follows—Group III—anterior mandible left—control group, screw-type collar implants; Group IV—study group, posterior mandible left—non-screw-type collar implants. The following parameters were measured and recorded: insertion torque, soft tissue healing, early implant failure, and EMBL at 2nd-stage surgery. Results: No statistically significant differences were noted between groups I and II regarding all outcome parameters. At the same time, although insertion torque (55 N/cm) and early implant failure (0) were similar between groups III and IV, group III presented significantly poorer soft tissue healing (1.43 vs. 0.14) and increased marginal bone loss (0.86 vs. 0 mm). Conclusions: When a two-stage implant protocol was used, rough-surface non-screw-type collar implants led to superior outcomes at 2nd-stage surgery. Implant location did not affect the results. The significance of this result in preventing EMBL awaits further research.
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spelling doaj.art-955ca8754d81454b84ec6922efb62b132023-11-30T23:13:36ZengMDPI AGBiology2079-77372022-08-01118121310.3390/biology11081213Screw-Type Collar vs. Non-Screw-Type Collar Implants—Comparison of Initial Stability, Soft Tissue Adaptation, and Early Marginal Bone Loss—A Preclinical Study in the DogHaim Tal0Vadim Reiser1Sarit Naishlos2Gal Avishai3Roni Kolerman4Liat Chaushu5Department of Periodontology and Oral Implantology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelDepartment of Oral & Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelDepartment of Pedodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelDepartment of Oral & Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelDepartment of Periodontology and Oral Implantology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelDepartment of Periodontology and Oral Implantology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, IsraelBackground: Implant neck characteristics may affect initial implant stability, soft tissue healing, and early marginal bone loss (EMBL) at second-stage surgery. The null hypothesis was that, following two-stage implant insertion, rough surface, non-screw-type collar implants will present lower EMBL at 2nd-stage surgery than rough-surface, screw-type collar implants. Methods: The study comprised seven male beagle dogs (mean weight 10.57 ± 2.8 kg; range 9–17 kg). A novel implant design was developed, composed of 2 parts: an apical part resembling a regular threaded implant, and a coronal non-screw-type collar, 4.2 mm long, served as the study group, whereas standard threaded implants served as control. Twenty-eight implants were placed: two on each side of the mandible. All implants were sand-blasted/acid-etched and of similar dimensions. Each dog received four implants. To assess location (anterior vs. posterior) impact on the outcomes, implants were placed as follows: group I—posterior mandible right—non-screw-type collar implants; group II—anterior mandible right—similar non-screw-type collar implants. To assess the collar-design effect on the outcomes, implants were placed as follows—Group III—anterior mandible left—control group, screw-type collar implants; Group IV—study group, posterior mandible left—non-screw-type collar implants. The following parameters were measured and recorded: insertion torque, soft tissue healing, early implant failure, and EMBL at 2nd-stage surgery. Results: No statistically significant differences were noted between groups I and II regarding all outcome parameters. At the same time, although insertion torque (55 N/cm) and early implant failure (0) were similar between groups III and IV, group III presented significantly poorer soft tissue healing (1.43 vs. 0.14) and increased marginal bone loss (0.86 vs. 0 mm). Conclusions: When a two-stage implant protocol was used, rough-surface non-screw-type collar implants led to superior outcomes at 2nd-stage surgery. Implant location did not affect the results. The significance of this result in preventing EMBL awaits further research.https://www.mdpi.com/2079-7737/11/8/1213dental implantmarginal bone losssoft tissue healing2nd-stage surgeryimplant collar
spellingShingle Haim Tal
Vadim Reiser
Sarit Naishlos
Gal Avishai
Roni Kolerman
Liat Chaushu
Screw-Type Collar vs. Non-Screw-Type Collar Implants—Comparison of Initial Stability, Soft Tissue Adaptation, and Early Marginal Bone Loss—A Preclinical Study in the Dog
Biology
dental implant
marginal bone loss
soft tissue healing
2nd-stage surgery
implant collar
title Screw-Type Collar vs. Non-Screw-Type Collar Implants—Comparison of Initial Stability, Soft Tissue Adaptation, and Early Marginal Bone Loss—A Preclinical Study in the Dog
title_full Screw-Type Collar vs. Non-Screw-Type Collar Implants—Comparison of Initial Stability, Soft Tissue Adaptation, and Early Marginal Bone Loss—A Preclinical Study in the Dog
title_fullStr Screw-Type Collar vs. Non-Screw-Type Collar Implants—Comparison of Initial Stability, Soft Tissue Adaptation, and Early Marginal Bone Loss—A Preclinical Study in the Dog
title_full_unstemmed Screw-Type Collar vs. Non-Screw-Type Collar Implants—Comparison of Initial Stability, Soft Tissue Adaptation, and Early Marginal Bone Loss—A Preclinical Study in the Dog
title_short Screw-Type Collar vs. Non-Screw-Type Collar Implants—Comparison of Initial Stability, Soft Tissue Adaptation, and Early Marginal Bone Loss—A Preclinical Study in the Dog
title_sort screw type collar vs non screw type collar implants comparison of initial stability soft tissue adaptation and early marginal bone loss a preclinical study in the dog
topic dental implant
marginal bone loss
soft tissue healing
2nd-stage surgery
implant collar
url https://www.mdpi.com/2079-7737/11/8/1213
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