Long-Term Clinical and Radiographic Analysis of Platform Matching and Platform Switching Implants in the Esthetic Zone: A Retrospective Cohort Study

Background: The aims of this study are to retrospectively compare the clinical, radiographic and esthetic outcomes of platform switching (PS) and platform matching (PM) dental implants in the anterior maxilla after ≥ 10 years of functional loading. Methods: Marginal bone loss (MBL) levels were recor...

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Main Authors: Andrea Raco, Bianca Di Murro, Pier Carmine Passarelli, Antonio D’Addona, Andrea Pilloni, Lorenzo Marini, Piero Papi
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/1/661
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author Andrea Raco
Bianca Di Murro
Pier Carmine Passarelli
Antonio D’Addona
Andrea Pilloni
Lorenzo Marini
Piero Papi
author_facet Andrea Raco
Bianca Di Murro
Pier Carmine Passarelli
Antonio D’Addona
Andrea Pilloni
Lorenzo Marini
Piero Papi
author_sort Andrea Raco
collection DOAJ
description Background: The aims of this study are to retrospectively compare the clinical, radiographic and esthetic outcomes of platform switching (PS) and platform matching (PM) dental implants in the anterior maxilla after ≥ 10 years of functional loading. Methods: Marginal bone loss (MBL) levels were recorded; furthermore, peri-implant clinical parameters (PPD, BOP, PI) were collected and the Pink and White Esthetic scores (PES/WES) were used to evaluate the esthetic outcomes. Wilcoxon signed rank tests were performed to compare collected parameters among the two groups, with a <i>p</i>-value < 0.05. Results: A final sample of 58 patients was enrolled in this study (PM implants = 29; PS implants = 29). PS implants showed lower MBL levels (1.02 ± 0.81 mm vs. 1.67 ± 0.99 mm, <i>p</i> = 0.028) and PPD values (3.69 ± 1.1 vs. 5.16 ± 1.09 mm, <i>p</i> < 0.001) compared to PM implants. Mean PES values were higher in the PS group compared to the PM group (8.46 ± 0.69 vs. 7.89 ± 0.78, <i>p</i> < 0.005), while there were no differences for WES values (7.82 ± 1.09 vs. 7.71 ± 0.85, <i>p</i> > 0.05) and peri-implant diseases’ prevalence (<i>p</i> > 0.05). Conclusions: After 10 years, PS implants showed statistically significant lower MBL and PPD values and higher PES values compared to PM implants.
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spelling doaj.art-ce14f10429cf42029b973f8a6b6c4fe12023-11-16T15:00:15ZengMDPI AGApplied Sciences2076-34172023-01-0113166110.3390/app13010661Long-Term Clinical and Radiographic Analysis of Platform Matching and Platform Switching Implants in the Esthetic Zone: A Retrospective Cohort StudyAndrea Raco0Bianca Di Murro1Pier Carmine Passarelli2Antonio D’Addona3Andrea Pilloni4Lorenzo Marini5Piero Papi6Department of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, 00185 Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, 00185 Rome, ItalyDivision of Oral Surgery and Implantology, Department of Head and Neck, Oral Surgery, and Implantology Unit, Institute of Clinical Dentistry, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDivision of Oral Surgery and Implantology, Department of Head and Neck, Oral Surgery, and Implantology Unit, Institute of Clinical Dentistry, Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, 00185 Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, 00185 Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, “Sapienza” University of Rome, 00185 Rome, ItalyBackground: The aims of this study are to retrospectively compare the clinical, radiographic and esthetic outcomes of platform switching (PS) and platform matching (PM) dental implants in the anterior maxilla after ≥ 10 years of functional loading. Methods: Marginal bone loss (MBL) levels were recorded; furthermore, peri-implant clinical parameters (PPD, BOP, PI) were collected and the Pink and White Esthetic scores (PES/WES) were used to evaluate the esthetic outcomes. Wilcoxon signed rank tests were performed to compare collected parameters among the two groups, with a <i>p</i>-value < 0.05. Results: A final sample of 58 patients was enrolled in this study (PM implants = 29; PS implants = 29). PS implants showed lower MBL levels (1.02 ± 0.81 mm vs. 1.67 ± 0.99 mm, <i>p</i> = 0.028) and PPD values (3.69 ± 1.1 vs. 5.16 ± 1.09 mm, <i>p</i> < 0.001) compared to PM implants. Mean PES values were higher in the PS group compared to the PM group (8.46 ± 0.69 vs. 7.89 ± 0.78, <i>p</i> < 0.005), while there were no differences for WES values (7.82 ± 1.09 vs. 7.71 ± 0.85, <i>p</i> > 0.05) and peri-implant diseases’ prevalence (<i>p</i> > 0.05). Conclusions: After 10 years, PS implants showed statistically significant lower MBL and PPD values and higher PES values compared to PM implants.https://www.mdpi.com/2076-3417/13/1/661dental implantsestheticsimplant-supported crownplatform matching implantsplatform switching implants
spellingShingle Andrea Raco
Bianca Di Murro
Pier Carmine Passarelli
Antonio D’Addona
Andrea Pilloni
Lorenzo Marini
Piero Papi
Long-Term Clinical and Radiographic Analysis of Platform Matching and Platform Switching Implants in the Esthetic Zone: A Retrospective Cohort Study
Applied Sciences
dental implants
esthetics
implant-supported crown
platform matching implants
platform switching implants
title Long-Term Clinical and Radiographic Analysis of Platform Matching and Platform Switching Implants in the Esthetic Zone: A Retrospective Cohort Study
title_full Long-Term Clinical and Radiographic Analysis of Platform Matching and Platform Switching Implants in the Esthetic Zone: A Retrospective Cohort Study
title_fullStr Long-Term Clinical and Radiographic Analysis of Platform Matching and Platform Switching Implants in the Esthetic Zone: A Retrospective Cohort Study
title_full_unstemmed Long-Term Clinical and Radiographic Analysis of Platform Matching and Platform Switching Implants in the Esthetic Zone: A Retrospective Cohort Study
title_short Long-Term Clinical and Radiographic Analysis of Platform Matching and Platform Switching Implants in the Esthetic Zone: A Retrospective Cohort Study
title_sort long term clinical and radiographic analysis of platform matching and platform switching implants in the esthetic zone a retrospective cohort study
topic dental implants
esthetics
implant-supported crown
platform matching implants
platform switching implants
url https://www.mdpi.com/2076-3417/13/1/661
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