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Marginal bone loss around cement and screw-retained fixed implant prosthesis
Muhammad-Hasan Hameed1, Farhan-Raza Khan2, Robia Ghafoor2
1Resident, Department of Dentistry, Aga Khan University Hospital, Karachi, Pakistan.
Screw-retained dental implants in male patients over 65 with bone grafts showed greater marginal bone loss (MBL). This highlights key predictors for implant restoration success and potential complications.
Area of Science:
- Dentistry
- Oral Surgery
- Biomaterials
Background:
- Implant-supported fixed restorations are standard for missing teeth, available as screw or cement-retained options.
- Marginal bone loss (MBL) is a critical factor determining the success or failure of implant restorations.
Purpose of the Study:
- To compare MBL around cement-retained versus screw-retained implant prosthesis.
- To identify predictors associated with MBL in implant restorations.
Main Methods:
- A retrospective chart review of 104 implant restorations assessed via periapical radiographs.
- MBL was measured at baseline and 12 months, with statistical analysis using SPSS and Generalized Estimation Equation (GEE).
Main Results:
- Screw-retained prosthesis exhibited significantly greater MBL than cement-retained prosthesis (p=0.018).
- Significant predictors of MBL included male gender (p<0.01), age over 65 (p=0.028), and bone-grafted sites (p=0.003).
Conclusions:
- Male patients over 65 with bone grafts receiving screw-retained prosthesis experienced significantly higher MBL.
- Findings emphasize the importance of considering patient demographics and surgical factors in predicting MBL for implant success.
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