151. A Long-Term Prospective Evaluation of Marginal Bone Level Change Around Different Implant Systems
- Author
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In-Chul Rhyu, Su-Young Lee, Young Ku, Jai-Young Koak, Chong-Hyun Han, Seong-Kyun Kim, and Seong-Joo Heo
- Subjects
Adult ,Male ,Surface Properties ,Radiography ,Alveolar Bone Loss ,Dentistry ,Mandible ,02 engineering and technology ,Prospective evaluation ,03 medical and health sciences ,0302 clinical medicine ,Alveolar Process ,Humans ,Medicine ,Prospective Studies ,Implant loading ,Bone level ,Aged ,Dental Implants ,Crestal bone ,business.industry ,Dental Implantation, Endosseous ,030206 dentistry ,General Medicine ,Middle Aged ,021001 nanoscience & nanotechnology ,Dental Prosthesis Design ,Coronal plane ,Female ,Implant ,Oral Surgery ,0210 nano-technology ,business ,Follow-Up Studies - Abstract
Purpose: The purpose of this prospective study was to assess the change of marginal bone level around three different types of external-hex implants after 5 years using radiography. Materials and Methods: Included in this study were 54 patients randomly put into three different groups; rough-surface implants (Branemark), machined coronal aspect implants (Restore), and microthreaded coronal aspect implants (Hexplant). Clinical and radiographic assessments were performed contemporaneously with implant loading (baseline) and at 1, 3, and 5 years post-functional loading. A mixed-model analysis was employed to examine mean marginal bone change significance in the three treatment groups. Results: In a total of 31 out of 54 patients, 81 of 135 implants remained to the end of the study. At 5 years, the microthreaded coronal aspect implants had 0.61 ± 0.32 mm mean crestal bone loss; the rough-surface implants without microthread, 0.99 ± 0.38 mm; and the machined coronal aspect implants, 1.06 ± 0.39 mm. The rough-surface implants and the machined coronal aspect implants did not exhibit statistically significantly different marginal bone loss, whereas the microthreaded coronal aspect implants exhibited significantly less marginal bone loss (P = .0015). Conclusion: In this research, rough-surface implants with microthreads showed positive long-term effects in preserving peri-implant bone level against functional loads when compared with implants lacking these aspects at the coronal part. Most of the bone loss was shown within 1 year of loading, and all types of implants stabilized after 1 year.
- Published
- 2016
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