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An Improved Mechanical Testing Method to Assess Bone-implant Anchorage
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Bone level changes around platform switching and platform matching implants: a systematic review with meta-analysis.

M DI Girolamo1, R Calcaterra2, R DI Gianfilippo1

  • 1School of Dentistry, University of Rome "Tor Vergata", Rome, Italy.

ORAL & Implantology
|January 3, 2017
PubMed
Summary

Platform switching dental implants show less marginal bone loss compared to platform matching implants. No differences were found in implant failure rates between the two techniques.

Keywords:
implant-abutment designmarginal bone lossplatform shifting implantsplatform switching implantsreview

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Area of Science:

  • Dental Implantology
  • Biomaterials Science
  • Prosthodontics

Background:

  • Marginal bone loss is a key indicator for dental implant therapy success and prognosis.
  • Evaluating the efficacy of platform switching (PS) versus platform matching (PM) dental implants is crucial for optimizing treatment outcomes.

Approach:

  • A systematic review of English randomized controlled human clinical trials was conducted.
  • Studies included a minimum of 10 implants, 12-month follow-up post-loading, and compared PS and PM groups.
  • Data on implant survival and marginal bone loss were extracted from 15 eligible publications.

Key Points:

  • Fifteen publications involving 1439 implants and 642 patients were analyzed.
  • A majority of studies indicated reduced mean marginal bone loss around PS implants.
  • No significant differences in implant failure rates were observed between PS and PM implants.

Conclusions:

  • The platform switching technique demonstrates effectiveness in mitigating marginal bone resorption around dental implants.
  • While promising, the findings on reduced bone loss with PS implants should be considered with caution due to study heterogeneity.