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Related Concept Videos

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Updated: Apr 26, 2026

Oral Biofilm Formation on Different Materials for Dental Implants
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Marginal bone loss around implants - What does it mean?

Carlotta Dionigi1, Kostas Bougas1, Tord Berglundh1

  • 1Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.

Periodontology 2000
|April 24, 2026
PubMed
Summary
This summary is machine-generated.

Marginal bone level (MBL) changes around dental implants are typically minimal, especially after the initial healing phase. Most bone loss occurs early, with subsequent changes usually within 1 mm, but progressive loss defines peri-implantitis.

Keywords:
dental implantmarginal bone lossperi‐implantitis

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Area of Science:

  • Dental implantology
  • Periodontology
  • Biomaterials science

Background:

  • Peri-implant marginal bone levels (MBL) are critical indicators of dental implant success.
  • Monitoring MBL changes assesses the long-term integrity of tissues supporting implants.

Purpose of the Study:

  • To review evidence on MBL changes around dental implants.
  • Focus on temporal patterns, assessment methods, and clinical interpretation of MBL data.

Main Methods:

  • Narrative review of literature.
  • Included pre-clinical studies, observational studies, and clinical trials.
  • Prioritized population-based datasets and randomized controlled trials with radiographic MBL assessment.

Main Results:

  • Most MBL change occurs early post-implant/abutment placement, typically under 1 mm.
  • Post-loading MBL changes are limited (0.1-0.3 mm in year one), with minimal subsequent alterations.
  • Radiographic assessment has errors ≤0.5 mm; 15-25% of implants show >1 mm bone loss.

Conclusions:

  • MBL changes are generally limited for most dental implants.
  • Alterations result from biological, mechanical, and host factors.
  • Interpreting MBL requires considering assessment methods and peri-implant disease, as progressive loss indicates peri-implantitis.