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Updated: Mar 1, 2026
Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness
Published on: March 14, 2025
Hybrid and fully-etched surface implants in periodontally healthy patients: A comparative retrospective study on
Sergio Spinato1, Fabio Bernardello2, Paolo Sassatelli3
1Private Practice, Sassuolo, MO, 41049, Italy.
Background:
Human studies on implants with the same design but with different surfaces are lacking at the present time.
Purpose:
The aim of this study was to compare the survival rate of and marginal bone loss (MBL) around 2 types of implants with the same design, but with different surfaces: fully "sandblasted and double-etched" (SDE) implants and hybrid (H) implants, with an apical SDE-surface and a coronal machined-surface.
Materials And Methods:
The SDE- and H-surfaces were previously analyzed under SEM and profilometer. Implants were placed in partially edentulous periodontally healthy patients requiring single implant-restoration, in either mandible or maxilla, with cement-retained prosthetic restoration. Twelve months after prosthetic loading, MBL in relation to prosthetic abutment height (AH), calculated radiographically, was statistically analyzed.
Results:
SEM and profilometer analyses revealed no differences between the SDE-surfaces of either SDE- or H-implants. Transverse ridges and grooves characterized the machined portion of H-implants, clearly influencing the profilometer analysis. In 75 patients, 37 SDE and 38 H-implants were placed and all functioned completely after 12 months. In both SDE- and H-groups, MBL had a significant inverse relationship with AH, with greater intercept and negative slope for SDE-group and intersection of the 2 regression lines at AH = 2 mm.
Conclusions:
A 100% survival rate was recorded for SDE- and H-implants placed in pristine bone of periodontally healthy patients; MBL was limited and similar in both SDE- and H-groups; the higher the prosthetic AH, the lesser the MBL around implants; H-implants could reduce bone loss most effectively with abutments lower than 2 mm, realistically exploitable on thin biotypes; SDE-implants could reduce bone loss most effectively with abutments greater than 2 mm, realistically exploitable on thick biotypes.
