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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MDPI AG
2023-01-01
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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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