Peri-implant bone-level changes in the second decade of loading with regard to the implant–abutment connection: a retrospective study on implants under systematic aftercare

Abstract Background This retrospective study investigates the change in the peri-implant bone level (PBL) during the 2nd decade of intraoral function in patients complying with a ‘supportive implant therapy’ (SIT) program. The results were statistically analyzed with respect to the implant abutment...

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Main Authors: Anne Brigitte Kruse, Vanessa Wild, Petra Ratka-Krüger, Kirstin Vach, Eberhard Frisch
Format: Article
Language:English
Published: SpringerOpen 2021-09-01
Series:International Journal of Implant Dentistry
Subjects:
Online Access:https://doi.org/10.1186/s40729-021-00384-1
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author Anne Brigitte Kruse
Vanessa Wild
Petra Ratka-Krüger
Kirstin Vach
Eberhard Frisch
author_facet Anne Brigitte Kruse
Vanessa Wild
Petra Ratka-Krüger
Kirstin Vach
Eberhard Frisch
author_sort Anne Brigitte Kruse
collection DOAJ
description Abstract Background This retrospective study investigates the change in the peri-implant bone level (PBL) during the 2nd decade of intraoral function in patients complying with a ‘supportive implant therapy’ (SIT) program. The results were statistically analyzed with respect to the implant abutment connection used. Methods In a private practice, only patients with 20-year SIT compliance were identified. Of these, all patients with 10- and 20-year radiographs available were selected. Therefore, no control group was possible and implant losses had to be excluded. Two experienced researchers assessed the peri-implant bone levels. As three different abutment connection concepts (bone-level butt-joint, bone-level conical and tissue-level conical) and two different implant surfaces (machined vs. roughened) were involved, statistical analyses were performed to detect potential differences. Results Ninety-three implants from 36 patients with 20-year SIT compliance and available radiographs were included in the study. At study baseline (10 years intraoral), a mean bone loss of − 1.7 mm (median − 1.2; standard deviation [sd] 1.4, range: 0 to − 7.2) was recorded. After 20 years, we found a mean bone loss of − 2.5 mm (median − 2.3, sd 1.79, range: − 0.5 to + 7.4). Furthermore, we found a mean bone loss of 0.8 mm in intraoral function from year 10 to year 20 (mean: 0.08 mm per year); this change was independent of the abutment connection type. Conclusions During the 2nd decade of function, peri-implant bone loss in patients with SIT compliance might be small in value and should not be expected in all implants.
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spelling doaj.art-994e8d7e82424e6a8cb7a6eab064f0042022-12-21T23:08:10ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342021-09-01711910.1186/s40729-021-00384-1Peri-implant bone-level changes in the second decade of loading with regard to the implant–abutment connection: a retrospective study on implants under systematic aftercareAnne Brigitte Kruse0Vanessa Wild1Petra Ratka-Krüger2Kirstin Vach3Eberhard Frisch4Department of Operative Dentistry and Periodontology, Faculty of Medicine, University of FreiburgZahn Service Center StuttgartDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, University of FreiburgInstitute of Medical Biometry and Statistics, Faculty of Medicine , University of FreiburgDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, University of FreiburgAbstract Background This retrospective study investigates the change in the peri-implant bone level (PBL) during the 2nd decade of intraoral function in patients complying with a ‘supportive implant therapy’ (SIT) program. The results were statistically analyzed with respect to the implant abutment connection used. Methods In a private practice, only patients with 20-year SIT compliance were identified. Of these, all patients with 10- and 20-year radiographs available were selected. Therefore, no control group was possible and implant losses had to be excluded. Two experienced researchers assessed the peri-implant bone levels. As three different abutment connection concepts (bone-level butt-joint, bone-level conical and tissue-level conical) and two different implant surfaces (machined vs. roughened) were involved, statistical analyses were performed to detect potential differences. Results Ninety-three implants from 36 patients with 20-year SIT compliance and available radiographs were included in the study. At study baseline (10 years intraoral), a mean bone loss of − 1.7 mm (median − 1.2; standard deviation [sd] 1.4, range: 0 to − 7.2) was recorded. After 20 years, we found a mean bone loss of − 2.5 mm (median − 2.3, sd 1.79, range: − 0.5 to + 7.4). Furthermore, we found a mean bone loss of 0.8 mm in intraoral function from year 10 to year 20 (mean: 0.08 mm per year); this change was independent of the abutment connection type. Conclusions During the 2nd decade of function, peri-implant bone loss in patients with SIT compliance might be small in value and should not be expected in all implants.https://doi.org/10.1186/s40729-021-00384-1Dental implantBone lossBone-level changesImplant–abutment connectionSupportive implant therapyLong-term results
spellingShingle Anne Brigitte Kruse
Vanessa Wild
Petra Ratka-Krüger
Kirstin Vach
Eberhard Frisch
Peri-implant bone-level changes in the second decade of loading with regard to the implant–abutment connection: a retrospective study on implants under systematic aftercare
International Journal of Implant Dentistry
Dental implant
Bone loss
Bone-level changes
Implant–abutment connection
Supportive implant therapy
Long-term results
title Peri-implant bone-level changes in the second decade of loading with regard to the implant–abutment connection: a retrospective study on implants under systematic aftercare
title_full Peri-implant bone-level changes in the second decade of loading with regard to the implant–abutment connection: a retrospective study on implants under systematic aftercare
title_fullStr Peri-implant bone-level changes in the second decade of loading with regard to the implant–abutment connection: a retrospective study on implants under systematic aftercare
title_full_unstemmed Peri-implant bone-level changes in the second decade of loading with regard to the implant–abutment connection: a retrospective study on implants under systematic aftercare
title_short Peri-implant bone-level changes in the second decade of loading with regard to the implant–abutment connection: a retrospective study on implants under systematic aftercare
title_sort peri implant bone level changes in the second decade of loading with regard to the implant abutment connection a retrospective study on implants under systematic aftercare
topic Dental implant
Bone loss
Bone-level changes
Implant–abutment connection
Supportive implant therapy
Long-term results
url https://doi.org/10.1186/s40729-021-00384-1
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