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Related Concept Videos

Bone Remodeling01:40

Bone Remodeling

Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.

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An Improved Mechanical Testing Method to Assess Bone-implant Anchorage
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Marginal Bone Changes Around Tissue-Level Implants After Prosthesis Delivery: A Multicenter Prospective Study.

Sergio Spinato1, Fabio Bernardello2, Claudio Stacchi3

  • 1Private Practice, Sassuolo, Italy.

Clinical Implant Dentistry and Related Research
|June 12, 2025
PubMed
Summary
This summary is machine-generated.

Early marginal bone loss (EMBL) around dental implants is stable post-prosthetic loading. However, thin mucosa and smoking significantly predict bone loss from placement to 18 months.

Keywords:
bone remodelingcrown emergence profileearly marginal bone lossmucosal thicknessprosthetic loadingtissue‐level implantstransmucosal collar height

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Area of Science:

  • Dental Implantology
  • Periodontology
  • Biomaterials Science

Background:

  • Early marginal bone loss (EMBL) is a common concern in dental implantology, influenced by surgical and prosthetic factors.
  • Understanding EMBL is crucial for long-term implant success and patient satisfaction.

Purpose of the Study:

  • To assess variables influencing marginal bone stability around tissue-level implants from crown delivery to 18 months post-loading.
  • To identify predictors of peri-implant bone loss from implant placement to 18 months.

Main Methods:

  • Prospective multi-center study of 47 patients with single posterior mandibular implants.
  • Evaluation of peri-implant bone levels from implant placement (T0) to 18 months post-loading (T2), with a focus on T1-T2.
  • Analysis of host factors (age, gender, smoking, periodontitis, mucosal thickness) and prosthetic parameters.

Main Results:

  • Marginal bone levels remained stable between crown delivery (T1) and 18 months post-loading (T2).
  • No significant association was found between MBL and host or prosthetic factors during T1-T2.
  • Thin mucosa at T0 and smoking were identified as significant predictors of total marginal bone loss (T0-T2).

Conclusions:

  • Tissue-level implant marginal bone is stable from 12 months to 18 months post-loading.
  • Peri-implant bone loss from placement is significantly associated with thin initial mucosa and smoking.
  • These findings highlight the importance of patient factors in managing bone levels around dental implants.