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Radiographic evaluation of narrow-diameter implants from different systems for two years.

Xudong Fan1, Xiaoya Cheng2, Yuanyuan Wang1

  • 1Department of Stomatology, Wuhan No.1 Hospital (Wuhan Hospital of Traditional Chinese and Western Medicine), Wuhan, Hubei, China.

Frontiers in Bioengineering and Biotechnology
|September 17, 2025
PubMed
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Narrow-diameter implants (NDIs) show a high 2-year survival rate for limited alveolar ridge width. TiZr alloy implants demonstrated the least marginal bone loss (MBL), influenced by material and patient factors.

Area of Science:

  • Dental Implantology
  • Periodontology
  • Biomaterials Science

Background:

  • Narrow-diameter implants (NDIs) provide a solution for bone augmentation in narrow alveolar ridges.
  • Evaluating NDI performance is crucial for managing limited bone width cases.

Purpose of the Study:

  • To retrospectively assess marginal bone loss (MBL) and survival rates of NDIs from three systems after two years.
  • To compare MBL across different implant systems, patient demographics, and locations.

Main Methods:

  • Retrospective evaluation of 109 NDIs from Straumann®, Thommen, and Osstem brands in 78 patients.
  • Radiographic MBL measurements at baseline and 3, 6, 12, and 24 months post-loading.
  • Statistical comparison of MBL based on implant system, gender, and anatomical location.
Keywords:
implant survivalmarginal bone lossnarrow-diameter implantsperi-implant bone levelradiographic evaluationtitanium-zirconium alloy

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Main Results:

  • Overall 2-year survival rate was 98.17%, with two failures within 6 months.
  • Mean 24-month MBL was 1.67 ± 0.66 mm.
  • Straumann® (TiZr alloy) implants showed significantly less MBL than Osstem (Grade IV titanium) implants. Female patients and posterior implant locations exhibited higher MBL early on.

Conclusions:

  • NDIs exhibit high survival rates, validating their use in narrow alveolar sites.
  • Implant system (material/design) significantly impacts MBL, with TiZr alloy showing superior results.
  • Gender and posterior location are early factors influencing MBL, indicating multifactorial bone preservation.