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Long-Term Bone Stability around 312 Rough-Surfaced Immediately Placed Implants with 2-12-Year Follow-Up.

Barry Wagenberg1,2, Stuart J Froum2

  • 1Department of Dentistry, Newark Beth Israel Medical Center, Newark, NJ, USA.

Clinical Implant Dentistry and Related Research
|September 3, 2014
PubMed
Summary
This summary is machine-generated.

Dental implants with anodic oxidized surfaces show significantly less bone loss over 12 years compared to machined surfaces. This enhanced bone stability is crucial for long-term implant success and patient outcomes.

Keywords:
anodic oxidized surfaceimmediate implant placementmarginal bone losssmokerssplinted implantswide-platform implants

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Area of Science:

  • Dental Implantology
  • Biomaterials Science
  • Periodontology

Background:

  • Bone stability around dental implants is critical for long-term success.
  • Anodic oxidized surfaces (e.g., TiUnite) are designed to enhance osseointegration.
  • Immediate implant placement protocols aim to accelerate treatment timelines.

Purpose of the Study:

  • To retrospectively evaluate bone stability around dental implants with anodic oxidized surfaces.
  • To correlate bone stability with various clinical and surgical factors.
  • To compare bone loss between anodic oxidized and other implant surfaces.

Main Methods:

  • Retrospective analysis of 312 implants with anodic oxidized surfaces from 1,187 immediate implants.
  • Radiographic comparison of bone levels from placement to 2-12 years follow-up.
  • Radiologist measurements of bone loss using thread peaks and Mann-Whitney rank-sum test for statistical analysis.

Main Results:

  • Overall mean bone loss was 0.4 mm over a mean 7.4-year follow-up.
  • 92% of implants exhibited <1.5 mm bone loss; 95.5% measured at ≥6 years.
  • Anodic oxidized surfaces showed significantly less bone loss (0.4 mm) than machined surfaces (0.6 mm).

Conclusions:

  • Anodic oxidized surface implants demonstrate superior bone stability compared to machined surfaces.
  • While some factors showed statistical significance, clinical significance of bone loss differences was minimal (<0.3 mm).
  • Implant placement procedures and strict maintenance protocols are vital for long-term marginal bone stability.