Bone Response and Soft Tissue Changes Around Implants With/Without Abutments Supporting Fixed Partial Dentures: Results From a 3-Year, Prospective, Randomized, Controlled Study
- 19 March 2015
- journal article
- research article
- Published by Wiley in Clinical Implant Dentistry and Related Research
- Vol. 18 (2), 309-322
- https://doi.org/10.1111/cid.12315
Abstract
BackgroundDiverging opinions exist regarding rough surface abutment usage, and abutment exclusion effects are unstudied. PurposeThe study aims to: (1) assess tissue response to oxidized or machined abutments or no abutment; and (2) evaluate immediate implant-loading effects. Materials and MethodsIn a 2005-2008 parallel-group randomized, clinical trial, 50 partially edentulous subjects received three Branemark TiUnite (Nobel Biocare (R), Gothenburg, Sweden) implants. Superstructures were attached via abutments (one with a TiUnite surface - AOX, and one with a machine-milled surface - AM) or directly at implant level (IL). Implants were immediately loaded (test) or unloaded for 3 months (control). Postoperative examinations were done up to 3 years. ResultsForty-seven subjects were reexamined after 3 years. Four and two implants were lost in test and control groups, respectively, during the first year. Thereafter, no implant loss occurred (95.7% survival). After 1 year, mean (SEM) peri-implant marginal bone loss (MBL) was 1.33 (0.08) mm (test) and 1.25 (0.08) mm (control). Between 1 and 3 years, a nonsignificant MBL occurred: 0.36 (0.08) mm (test) and 0.33 (0.06) mm (control). Similar MBL was found at IL (1.81 [0.93] mm) and AOX (1.77 [0.14] mm) after 3 years and was significantly lower at AM (1.42 [0.17] mm) than at IL (groups merged); 42% of the implants displayed mucosal bleeding at 3 years and probing pocket depths varied between 2.13 (0.12) mm and 3.62 (0.15) mm, significantly lower buccally. Bleeding on probing (BoP) in minute amounts was found in 30-45% of the sites and abundant BoP at about 20% of the sites. Soft tissue retracted mostly during year 1 and was more pronounced buccally. Regression analyses revealed significant effects from smoking, periodontal disease, abundant BoP, and a low initial implant stability quotient on MBL. ConclusionsNo further significant MBL was found between 1 and 3 years, irrespective of loading protocol. Use of machined abutments may benefit marginal bone stability over time.Keywords
Funding Information
- Jönköping county council
- Swedish Research Council (K2012-52X-09495-25-3)
This publication has 44 references indexed in Scilit:
- Alterations in soft tissue levels and aesthetics over a 16–22year period following single implant treatment in periodontally‐healthy patients: a retrospective case seriesJournal of Clinical Periodontology, 2013
- A systematic review of the survival and complication rates of implant‐supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 yearsClinical Oral Implants Research, 2012
- The Validity of Self-Reported Nicotine Product Use in the 2001–2008 National Health and Nutrition Examination SurveyMedical Care, 2010
- Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental implantsCochrane Database of Systematic Reviews, 2010
- Factors and Techniques Influencing Peri-Implant PapillaeImplant Dentistry, 2010
- Peri‐implant soft tissue and bone crest alterations at fixed dental prostheses: a 3‐year prospective studyClinical Oral Implants Research, 2010
- Implant Success, Survival, and Failure: The International Congress of Oral Implantologists (ICOI) Pisa Consensus ConferenceImplant Dentistry, 2008
- Smoking interferes with the prognosis of dental implant treatment: a systematic review and meta‐analysisJournal of Clinical Periodontology, 2007
- A systematic review of marginal soft tissue at implants subjected to immediate loading or immediate restorationClinical Oral Implants Research, 2006
- Dimension of Interproximal Soft Tissue Between Adjacent Implants in Two Distinctive Implant SystemsThe Journal of Periodontology, 2006