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The Effect of Age, Gender, and Insertion Site on Marginal Bone Loss around Endosseous Implants: Results from a 3-Year Trial with Premium Implant System

Identifieur interne : 000471 ( Pmc/Curation ); précédent : 000470; suivant : 000472

The Effect of Age, Gender, and Insertion Site on Marginal Bone Loss around Endosseous Implants: Results from a 3-Year Trial with Premium Implant System

Auteurs : Massimiliano Negri [Italie] ; Carlo Galli [Italie] ; Arianna Smerieri [Italie] ; Guido M. Macaluso [Italie] ; Edoardo Manfredi [Italie] ; Giulia Ghiacci [Italie] ; Andrea Toffoli [Italie] ; Mauro Bonanini [Italie] ; Simone Lumetti [Italie]

Source :

RBID : PMC:4145382

Abstract

Objectives. The goal of this study was to evaluate bone changes around endosseous implants in partially edentulous patients. Materials and Methods. A total of 632 two-stage implants were placed in 252 patients. The implants had straight emergence profile, ZirTi surface, 3.3 to 5 mm diameter, and 8.5 to 13 mm length. Bone levels were assessed on orthopantomography immediately after surgery and after 36 months and marginal bone loss (MBL) was calculated from their difference. Results. Cumulative survival rate was 98.73%. Overall MBL was 0.8 mm ± 0.03 (mean ± SEM). Higher MBL was observed around implants in the maxilla than in the mandible (P < 0.007). A relation between implant diameter and MBL (P < 0.0001) was observed in male and, more limitedly, female patients. Older patients had higher MBL in the maxilla, but not in the mandible (P < 0.0001). MBL progressively increased with age in male patients, but reached a peak already in the 50–60 years age group in the female subset (P < 0.001). Conclusions. The overall MBL is consistent with the available literature. Site difference and patient age and gender appear to significantly affect MBL, representing important factors to be considered during implant placement.


Url:
DOI: 10.1155/2014/369051
PubMed: 25187903
PubMed Central: 4145382

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PMC:4145382

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<p>
<italic>Objectives.</italic>
The goal of this study was to evaluate bone changes around endosseous implants in partially edentulous patients.
<italic>Materials and Methods.</italic>
A total of 632 two-stage implants were placed in 252 patients. The implants had straight emergence profile, ZirTi surface, 3.3 to 5 mm diameter, and 8.5 to 13 mm length. Bone levels were assessed on orthopantomography immediately after surgery and after 36 months and marginal bone loss (MBL) was calculated from their difference.
<italic>Results.</italic>
Cumulative survival rate was 98.73%. Overall MBL was 0.8 mm ± 0.03 (mean ± SEM). Higher MBL was observed around implants in the maxilla than in the mandible (
<italic>P</italic>
< 0.007). A relation between implant diameter and MBL (
<italic>P</italic>
< 0.0001) was observed in male and, more limitedly, female patients. Older patients had higher MBL in the maxilla, but not in the mandible (
<italic>P</italic>
< 0.0001). MBL progressively increased with age in male patients, but reached a peak already in the 50–60 years age group in the female subset (
<italic>P</italic>
< 0.001).
<italic> Conclusions.</italic>
The overall MBL is consistent with the available literature. Site difference and patient age and gender appear to significantly affect MBL, representing important factors to be considered during implant placement.</p>
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<name sortKey="Manolagas, Sc" uniqKey="Manolagas S">SC Manolagas</name>
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<name sortKey="Almeida, M" uniqKey="Almeida M">M Almeida</name>
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</author>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Biomed Res Int</journal-id>
<journal-id journal-id-type="iso-abbrev">Biomed Res Int</journal-id>
<journal-id journal-id-type="publisher-id">BMRI</journal-id>
<journal-title-group>
<journal-title>BioMed Research International</journal-title>
</journal-title-group>
<issn pub-type="ppub">2314-6133</issn>
<issn pub-type="epub">2314-6141</issn>
<publisher>
<publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25187903</article-id>
<article-id pub-id-type="pmc">4145382</article-id>
<article-id pub-id-type="doi">10.1155/2014/369051</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Clinical Study</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>The Effect of Age, Gender, and Insertion Site on Marginal Bone Loss around Endosseous Implants: Results from a 3-Year Trial with Premium Implant System</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Negri</surname>
<given-names>Massimiliano</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7476-7181</contrib-id>
<name>
<surname>Galli</surname>
<given-names>Carlo</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-8301-5982</contrib-id>
<name>
<surname>Smerieri</surname>
<given-names>Arianna</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Macaluso</surname>
<given-names>Guido M.</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Manfredi</surname>
<given-names>Edoardo</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-2902-2214</contrib-id>
<name>
<surname>Ghiacci</surname>
<given-names>Giulia</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-1641-7743</contrib-id>
<name>
<surname>Toffoli</surname>
<given-names>Andrea</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bonanini</surname>
<given-names>Mauro</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-0826-927X</contrib-id>
<name>
<surname>Lumetti</surname>
<given-names>Simone</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Private Practice, 29121 Piacenza, Italy</aff>
<aff id="I2">
<sup>2</sup>
SBiBiT, Centro di Odontoiatria, Università degli Studi di Parma, Via Gramsci 14, 43126 Parma, Italy</aff>
<author-notes>
<corresp id="cor1">*Guido M. Macaluso:
<email>guidomaria.macaluso@unipr.it</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Konstantinos Michalakis</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>8</month>
<year>2014</year>
</pub-date>
<volume>2014</volume>
<elocation-id>369051</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>4</month>
<year>2014</year>
</date>
<date date-type="rev-recd">
<day>11</day>
<month>6</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>9</day>
<month>7</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2014 Massimiliano Negri et al.</copyright-statement>
<copyright-year>2014</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>
<italic>Objectives.</italic>
The goal of this study was to evaluate bone changes around endosseous implants in partially edentulous patients.
<italic>Materials and Methods.</italic>
A total of 632 two-stage implants were placed in 252 patients. The implants had straight emergence profile, ZirTi surface, 3.3 to 5 mm diameter, and 8.5 to 13 mm length. Bone levels were assessed on orthopantomography immediately after surgery and after 36 months and marginal bone loss (MBL) was calculated from their difference.
<italic>Results.</italic>
Cumulative survival rate was 98.73%. Overall MBL was 0.8 mm ± 0.03 (mean ± SEM). Higher MBL was observed around implants in the maxilla than in the mandible (
<italic>P</italic>
< 0.007). A relation between implant diameter and MBL (
<italic>P</italic>
< 0.0001) was observed in male and, more limitedly, female patients. Older patients had higher MBL in the maxilla, but not in the mandible (
<italic>P</italic>
< 0.0001). MBL progressively increased with age in male patients, but reached a peak already in the 50–60 years age group in the female subset (
<italic>P</italic>
< 0.001).
<italic> Conclusions.</italic>
The overall MBL is consistent with the available literature. Site difference and patient age and gender appear to significantly affect MBL, representing important factors to be considered during implant placement.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Detail of orthopantomographies 6 months (a) or 3 years (b) after implant insertion. MBL was calculated from the distance between implant shoulder and first bone-to-implant contact, which here is indicated by a yellow solid line.</p>
</caption>
<graphic xlink:href="BMRI2014-369051.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Flow chart illustrating the total number of patients screened, enrolled, and analyzed in the study.</p>
</caption>
<graphic xlink:href="BMRI2014-369051.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Marginal bone loss (MBL, mm) around endosseous implants of different diameter (3.3, 3.8, 4.25, or 5 mm) inserted in maxilla or mandible. *
<italic>P</italic>
< 0.05. Solid line indicates comparisons in the maxilla; dotted line indicates comparisons in the mandible.</p>
</caption>
<graphic xlink:href="BMRI2014-369051.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Marginal bone loss (MBL, mm) around endosseous implants of different diameter (3.3, 3.8, 4.25, or 5 mm) inserted in maxilla or mandible in (a) male or (b) female patients. *
<italic>P</italic>
< 0.05, **
<italic>P</italic>
< 0.01, and ***
<italic>P</italic>
< 0.0001. Solid line indicates comparisons in the maxilla; dotted line indicates comparisons in the mandible.</p>
</caption>
<graphic xlink:href="BMRI2014-369051.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>(a) Marginal bone loss (MBL, mm) around endosseous implants inserted in maxilla or mandible in patients of different age categories. (b) Marginal bone loss (MBL, mm) around endosseous implants of different diameter (3.3, 3.8, 4.25, or 5 mm) inserted in maxilla or mandible in patients older than 60 years. *
<italic>P</italic>
< 0.05, **
<italic>P</italic>
< 0.01, and ***
<italic>P</italic>
< 0.0001.</p>
</caption>
<graphic xlink:href="BMRI2014-369051.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Marginal bone loss (MBL, mm) around endosseous implants inserted in maxilla or mandible in (a) male or (b) female patients of different age categories. *
<italic>P</italic>
< 0.05, **
<italic>P</italic>
< 0.01, and ***
<italic>P</italic>
< 0.0001. Solid line indicates comparisons in the maxilla; dotted line indicates comparisons in the mandible.</p>
</caption>
<graphic xlink:href="BMRI2014-369051.006"></graphic>
</fig>
<table-wrap id="tab1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<p>Mean age of analyzed patients.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="1" colspan="1"></th>
<th align="center" rowspan="1" colspan="1">Total (number)</th>
<th align="center" rowspan="1" colspan="1">Male (number)</th>
<th align="center" rowspan="1" colspan="1">Female (number)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">Total patients</td>
<td align="center" rowspan="1" colspan="1">54.4 ± 0.7 (247)</td>
<td align="center" rowspan="1" colspan="1">55.8 ± 1.1 (103)</td>
<td align="center" rowspan="1" colspan="1">53.3 ± 0.8 (144)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Maxilla</td>
<td align="center" rowspan="1" colspan="1">55.2 ± 0.9 (137)</td>
<td align="center" rowspan="1" colspan="1">56.9 ± 1.6 (49)</td>
<td align="center" rowspan="1" colspan="1">54.3 ± 1.0 (88)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Mandible</td>
<td align="center" rowspan="1" colspan="1">53.2 ± 1.0 (111)</td>
<td align="center" rowspan="1" colspan="1">54.8 ± 1.7 (54)</td>
<td align="center" rowspan="1" colspan="1">51.6 ± 1.0 (57)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Mean ± SEM (number of patients).</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tab2" orientation="portrait" position="float">
<label>Table 2</label>
<caption>
<p>Number of implants.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="1" colspan="1"></th>
<th align="center" rowspan="1" colspan="1">Maxilla (M/F)</th>
<th align="center" rowspan="1" colspan="1">Mandible (M/F)</th>
<th align="center" rowspan="1" colspan="1">Total (M/F)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">Diameter 3.3 mm</td>
<td align="center" rowspan="1" colspan="1">50 (15/35)</td>
<td align="center" rowspan="1" colspan="1">27 (13/14)</td>
<td align="center" rowspan="1" colspan="1">77 (28/49)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Diameter 3.8 mm</td>
<td align="center" rowspan="1" colspan="1">116 (48/68)</td>
<td align="center" rowspan="1" colspan="1">67 (33/34)</td>
<td align="center" rowspan="1" colspan="1">183 (81/102)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Diameter 4.25 mm</td>
<td align="center" rowspan="1" colspan="1">164 (57/107)</td>
<td align="center" rowspan="1" colspan="1">125 (64/61)</td>
<td align="center" rowspan="1" colspan="1">289 (121/168)</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Diameter 5 mm</td>
<td align="center" rowspan="1" colspan="1">51 (24/27)</td>
<td align="center" rowspan="1" colspan="1">24 (15/9)</td>
<td align="center" rowspan="1" colspan="1">75 (39/36)</td>
</tr>
<tr>
<td align="center" colspan="4" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">Total</td>
<td align="center" rowspan="1" colspan="1">381 (144/237)</td>
<td align="center" rowspan="1" colspan="1">243 (125/118)</td>
<td align="center" rowspan="1" colspan="1">624 (269/355)</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
</record>

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