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Biologic width changes around loaded implants inserted in different levels in relation to crestal bone: histometric
Ana Emília Farias Pontes1, Fernando Salimon Ribeiro, Giovanna Iezzi
1FEB-Educational Foundation of Barretos, School of Dentistry, Barretos, SP, Brazil.
Clinical Oral Implants Research
|March 29, 2008
Summary
Apical positioning of dental implants may not affect soft tissue levels. Immediate restoration of implants can help minimize lateral bone loss, suggesting improved outcomes for dental implant procedures.
Area of Science:
- Dental Implantology
- Periodontology
- Biomaterials Science
Background:
- Understanding peri-implant tissue response to implant positioning and loading is crucial for long-term success.
- Histometric evaluation provides quantitative data on hard and soft tissue changes around implants.
Purpose of the Study:
- To evaluate histometric changes around dental implants placed at different levels relative to crestal bone.
- To assess the impact of conventional versus immediate loading on peri-implant tissues.
Main Methods:
- Thirty-six implants were placed in canine mandibles at bone level, 1 mm below, or 2 mm below the crest.
- Implants were subjected to conventional or immediate restoration protocols.
- Peri-implant soft and hard tissue dimensions were measured after 90 days.
Main Results:
- Apical implant placement (Minus 2) showed a greater distance between soft tissue margin and bone contact with conventional loading.
- No significant differences in soft tissue margin or bone-implant contact were found with immediate restoration.
- Immediate restoration resulted in significantly less lateral bone loss compared to conventional restoration.
Conclusions:
- Placing implants apically may not negatively impact soft tissue position.
- Immediate implant restoration appears beneficial in reducing lateral bone loss.
- Further research is needed to confirm long-term clinical significance.
