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Updated: Jun 19, 2026
An Improved Mechanical Testing Method to Assess Bone-implant Anchorage
Published on: February 10, 2014
Radiographic evaluation of marginal bone levels around platform-switched and non-platform-switched implants used in
Roberto Crespi1, Paolo Capparè, Enrico Gherlone
1Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milano, Italy. robcresp@libero.it
Purpose:
The aim of this clinical study was to assess the marginal bone around two different types of implant-abutment junctions-a so-called platform-switched assembly and a conventional external-hexagon connection-after 24 months.
Materials And Methods:
Forty-five patients were included in this prospective study. All selected patients required the extraction of one or two hopeless teeth in maxillary and mandibular region monoradicular and second premolar teeth, and were randomly assigned to one of two groups. The first group received 34 implants with an external-hexagon junction with the abutment and the second group received 30 implants with platform-switched abutments. Implants were positioned immediately after tooth extraction and were loaded immediately.
Results:
After 24 months, a cumulative survival rate of 100% was reported for all implants. The platform-switching group showed a mean bone loss of 0.78 +/- 0.49 mm and the external-hexagon group showed a mean bone loss of 0.73 +/- 0.52 mm (no statistically significant difference between groups).
Conclusion:
The results of this study indicate that implants placed immediately in fresh extraction sockets and loaded immediately represent a predictable procedure, with no differences in bone level changes between "platform-switched" and conventional external-hexagon implants after 24 months.
