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Calvarial Model of Bone Augmentation in Rabbit for Assessment of Bone Growth and Neovascularization in Bone Substitution Materials
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Rehabilitation Using Implants with Sloped Platform Edge vs. Standard Platform with Guided Bone Regeneration: A

Igor Ashurko1, Andrey Samsonov1, Anna Galyas1

  • 1Department of Oral Surgery of the Institute of Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119048 Moscow, Russia.

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|July 26, 2024
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Sloped platform implants significantly reduced vertical bone loss and improved patient outcomes compared to standard implants with guided bone regeneration. This technique offers better soft tissue preservation and aesthetics.

Keywords:
alveolar bone graftingalveolar bone lossbone regenerationdental implantdental implantationimplant therapy

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Area of Science:

  • Dental Implantology
  • Periodontology
  • Regenerative Medicine

Background:

  • Horizontal bone deficiency presents a challenge in dental implant placement.
  • Guided bone regeneration (GBR) is a common technique to augment bone.
  • Sloped platform implants (SLP) offer an alternative approach for bone preservation.

Purpose of the Study:

  • To compare vertical bone loss between sloped platform implants (SLP) and standard implants with guided bone regeneration (GBR).
  • To evaluate patient-reported outcomes, post-operative edema, keratinized mucosa width, and aesthetic scores.

Main Methods:

  • Randomized controlled trial comparing SLP implants to standard implants with GBR in patients with horizontal bone deficiency.
  • Primary outcome: vertical bone loss at 6 months post-prosthetic treatment.
  • Secondary outcomes: PROMs, edema, keratinized mucosa width, PES.

Main Results:

  • Average bone loss was significantly lower in the SLP group (0.23 mm) compared to the GBR group (1.03 mm).
  • SLP group showed reduced pain, edema, NSAID consumption, and improved OHIP-14 scores.
  • Greater keratinized mucosa width (3.7 mm vs. 2 mm) and superior soft tissue preservation (papillae, color, texture) were observed in the SLP group.

Conclusions:

  • Sloped platform implants demonstrate superior vertical bone maintenance compared to standard implants with GBR.
  • SLP implants enhance patient comfort, reduce post-operative complications, and yield better aesthetic outcomes.
  • The SLP technique is a promising alternative for managing horizontal bone deficiency in dental implantology.