Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial
Identifieur interne : 002D04 ( Istex/Corpus ); précédent : 002D03; suivant : 002D05Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial
Auteurs : Norbert Enkling ; Peter Jöhren ; Torben Klimberg ; Regina Mericske-Stern ; Pia-Merete Jerv E-Storm ; Stefan Bayer ; Norbert Gülden ; S Ren JepsenSource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2011-04.
English descriptors
- KwdEn :
- Abutment, Alteration, Angular defect, Astrand, Bacterial colonization, Bacterial contamination, Bacterial counts, Bacterial load, Baseline, Bone level, Bone levels, Bone loss, Bone resorption, Bonelevel, Bonelevel alterations, Buser, Canine mandible, Circular step, Clinical periodontology, Clinical study, Clinical trial, Cochran, Colonization, Cone connection, Contamination, Coronal contact, Crestal, Crestal bone changes, Dental implants, Dental research, Dibl, Distal measurements, Enkling, Equivalence range, Ericsson, Experimental study, Gingival health, Healing, Healing conditions, Healing mode, Healing period, Healing types, Hermann, Implant, Implant collar, Implant insertion, Implant operation, Implant placement, Implant shoulder, Implant sites, Implant surgery, Implants research, Inner cavities, Inner cavity, Inner cone connection, Insertion, Internal cavities, Internal cavity, Internal connection, International journal, Langer model, Mandible, Marginal alterations, Maxillofacial, Maxillofacial implants, Microbiological, Microbiological samples, Microgap, Open healing, Open healing conditions, Oral hygiene, Oral maxillofacial implants, Panoramic, Panoramic images, Periodontology, Periodontopathogenic, Periodontopathogenic bacteria, Present study, Provisional cement, Putative periodontopathogenic bacteria, Radiographic, Randomized, Reference point, Resorption, Temporal pattern, Temporal patterns, Time point, Time points, Titanium implants, Vertical bone loss, Viridans.
- Teeft :
- Abutment, Alteration, Angular defect, Astrand, Bacterial colonization, Bacterial contamination, Bacterial counts, Bacterial load, Baseline, Bone level, Bone levels, Bone loss, Bone resorption, Bonelevel, Bonelevel alterations, Buser, Canine mandible, Circular step, Clinical periodontology, Clinical study, Clinical trial, Cochran, Colonization, Cone connection, Contamination, Coronal contact, Crestal, Crestal bone changes, Dental implants, Dental research, Dibl, Distal measurements, Enkling, Equivalence range, Ericsson, Experimental study, Gingival health, Healing, Healing conditions, Healing mode, Healing period, Healing types, Hermann, Implant, Implant collar, Implant insertion, Implant operation, Implant placement, Implant shoulder, Implant sites, Implant surgery, Implants research, Inner cavities, Inner cavity, Inner cone connection, Insertion, Internal cavities, Internal cavity, Internal connection, International journal, Langer model, Mandible, Marginal alterations, Maxillofacial, Maxillofacial implants, Microbiological, Microbiological samples, Microgap, Open healing, Open healing conditions, Oral hygiene, Oral maxillofacial implants, Panoramic, Panoramic images, Periodontology, Periodontopathogenic, Periodontopathogenic bacteria, Present study, Provisional cement, Putative periodontopathogenic bacteria, Radiographic, Randomized, Reference point, Resorption, Temporal pattern, Temporal patterns, Time point, Time points, Titanium implants, Vertical bone loss, Viridans.
Abstract
Enkling N, Jöhren P, Klimberg T, Mericske‐Stern R, Jervøe‐Storm P‐M, Bayer S, Gülden N, Jepsen S. Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial. J Clin Periodontol 2011; 38: 374–384. doi: 10.1111/j.1600‐051X.2010.01683.x
Url:
DOI: 10.1111/j.1600-051X.2010.01683.x
Links to Exploration step
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<front><div type="abstract">Enkling N, Jöhren P, Klimberg T, Mericske‐Stern R, Jervøe‐Storm P‐M, Bayer S, Gülden N, Jepsen S. Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial. J Clin Periodontol 2011; 38: 374–384. doi: 10.1111/j.1600‐051X.2010.01683.x</div>
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<profileDesc><abstract xml:lang="en" style="main"><p>Enkling N, Jöhren P, Klimberg T, Mericske‐Stern R, Jervøe‐Storm P‐M, Bayer S, Gülden N, Jepsen S. Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial. J Clin Periodontol 2011; 38: 374–384. doi: 10.1111/j.1600‐051X.2010.01683.x</p>
Abstract
<p><hi rend="bold">Aim: </hi>
The temporal pattern of bone‐level alterations in conventionally restored implants is dependent upon healing mode (open or submerged). This study examined the influence of healing on marginal bone levels at implants with a medium–rough surface including the implant collar and a clearance‐fit implant–abutment connection restored according to a platform‐switching concept.</p>
<p><hi rend="bold">Material and Methods: </hi>
Two implants were placed in the posterior mandible of 21 test subjects, randomly assigned to open (OH) or submerged (SH) healing. Standardized radiographs were obtained after implant surgery, before re‐entry, after crown mounting, 1 and 2 years after implant surgery, and evaluated for implant–bone‐level alterations (ΔIBL). Bacterial samples of the implants' inner cavities were analysed by cultivation. Statistics: Brunner–Langer Model, equivalence testings by Wilcoxon's (equivalence range ±0.4 mm).</p>
<p><hi rend="bold">Results: </hi>
After 2 years, ΔIBL were −0.47±0.46 mm (OH) and −0.54±0.38 mm (SH). At the 1‐year follow‐up, all implants were contaminated with bacteria. ΔIBL (<hi rend="italic">p</hi>
<0.001) and the amount of bacterial contamination (<hi rend="italic">p</hi>
<0.001) significantly depended on time, but not on healing mode. ΔIBL of OH and SH were equivalent at all time points (all <hi rend="italic">p</hi>
<graphic url="les.gif" rend="leqslant R: less-than-or-eq, slant"></graphic>
0.044).</p>
<p><hi rend="bold">Conclusions: </hi>
Platform‐switched implants showed very limited peri‐implant bone‐level alterations. The healing‐mode neither affected the total amount nor the temporal patterns of ΔIBL. Thus, the results for the tested implants with a non‐rigid implant–abutment connection were similar to results reported previously for implants with a rigid implant–abutment connection.</p>
</abstract>
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<correspondenceTo>Address:
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<keywordGroup xml:lang="en"><keyword xml:id="k1">bacterial contamination</keyword>
<keyword xml:id="k2">bone‐level alteration</keyword>
<keyword xml:id="k3">bone loss</keyword>
<keyword xml:id="k4">cultivation</keyword>
<keyword xml:id="k5">healing mode</keyword>
<keyword xml:id="k6">implant's inner cavity</keyword>
<keyword xml:id="k7">non‐rigid connection</keyword>
<keyword xml:id="k8">open healing</keyword>
<keyword xml:id="k9">platform switching</keyword>
<keyword xml:id="k10">submerged healing</keyword>
</keywordGroup>
<abstractGroup><abstract type="main" xml:lang="en"><section xml:id="sec-sum-1"><p>Enkling N, Jöhren P, Klimberg T, Mericske‐Stern R, Jervøe‐Storm P‐M, Bayer S, Gülden N, Jepsen S. Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial. J Clin Periodontol 2011; 38: 374–384. doi: 10.1111/j.1600‐051X.2010.01683.x</p>
</section>
<section xml:id="abs1-1"><title type="main">Abstract</title>
<p><b>Aim: </b>
The temporal pattern of bone‐level alterations in conventionally restored implants is dependent upon healing mode (open or submerged). This study examined the influence of healing on marginal bone levels at implants with a medium–rough surface including the implant collar and a clearance‐fit implant–abutment connection restored according to a platform‐switching concept.</p>
<p><b>Material and Methods: </b>
Two implants were placed in the posterior mandible of 21 test subjects, randomly assigned to open (OH) or submerged (SH) healing. Standardized radiographs were obtained after implant surgery, before re‐entry, after crown mounting, 1 and 2 years after implant surgery, and evaluated for implant–bone‐level alterations (ΔIBL). Bacterial samples of the implants' inner cavities were analysed by cultivation. Statistics: Brunner–Langer Model, equivalence testings by Wilcoxon's (equivalence range ±0.4 mm).</p>
<p><b>Results: </b>
After 2 years, ΔIBL were −0.47±0.46 mm (OH) and −0.54±0.38 mm (SH). At the 1‐year follow‐up, all implants were contaminated with bacteria. ΔIBL (<i>p</i>
<0.001) and the amount of bacterial contamination (<i>p</i>
<0.001) significantly depended on time, but not on healing mode. ΔIBL of OH and SH were equivalent at all time points (all <i>p</i>
<inlineGraphic alt="leqslant R: less-than-or-eq, slant" extraInfo="nonStandardEntity" location="les.gif" href=""></inlineGraphic>
0.044).</p>
<p><b>Conclusions: </b>
Platform‐switched implants showed very limited peri‐implant bone‐level alterations. The healing‐mode neither affected the total amount nor the temporal patterns of ΔIBL. Thus, the results for the tested implants with a non‐rigid implant–abutment connection were similar to results reported previously for implants with a rigid implant–abutment connection.</p>
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<noteGroup><note xml:id="fn1"><p><b>Conflict of interest and source of funding statement:</b>
The authors declare that they have no conflict of interest. The study was supported by the Schilli Implantology Circle and SICinvent AG, Basel, CH.</p>
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<titleInfo type="abbreviated" lang="en"><title>Platform‐switching healing mode</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial</title>
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<name type="personal"><namePart type="given">Norbert</namePart>
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<affiliation>Department of Prosthodontics, University of Berne, Berne, Switzerland</affiliation>
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<name type="personal"><namePart type="given">Torben</namePart>
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<name type="personal"><namePart type="given">Regina</namePart>
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<affiliation>Department of Prosthodontics, University of Berne, Berne, Switzerland</affiliation>
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<name type="personal"><namePart type="given">Pia‐Merete</namePart>
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<affiliation>Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, Germany</affiliation>
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<name type="personal"><namePart type="given">Stefan</namePart>
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<name type="personal"><namePart type="given">Norbert</namePart>
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<affiliation>Department of Orthodontics, Saarland University, Homburg/Saar, Germany</affiliation>
<role><roleTerm type="text">author</roleTerm>
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<name type="personal"><namePart type="given">Søren</namePart>
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<affiliation>Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, Germany</affiliation>
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<abstract>Enkling N, Jöhren P, Klimberg T, Mericske‐Stern R, Jervøe‐Storm P‐M, Bayer S, Gülden N, Jepsen S. Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial. J Clin Periodontol 2011; 38: 374–384. doi: 10.1111/j.1600‐051X.2010.01683.x</abstract>
<abstract>Aim: The temporal pattern of bone‐level alterations in conventionally restored implants is dependent upon healing mode (open or submerged). This study examined the influence of healing on marginal bone levels at implants with a medium–rough surface including the implant collar and a clearance‐fit implant–abutment connection restored according to a platform‐switching concept. Material and Methods: Two implants were placed in the posterior mandible of 21 test subjects, randomly assigned to open (OH) or submerged (SH) healing. Standardized radiographs were obtained after implant surgery, before re‐entry, after crown mounting, 1 and 2 years after implant surgery, and evaluated for implant–bone‐level alterations (ΔIBL). Bacterial samples of the implants' inner cavities were analysed by cultivation. Statistics: Brunner–Langer Model, equivalence testings by Wilcoxon's (equivalence range ±0.4 mm). Results: After 2 years, ΔIBL were −0.47±0.46 mm (OH) and −0.54±0.38 mm (SH). At the 1‐year follow‐up, all implants were contaminated with bacteria. ΔIBL (p<0.001) and the amount of bacterial contamination (p<0.001) significantly depended on time, but not on healing mode. ΔIBL of OH and SH were equivalent at all time points (all p0.044). Conclusions: Platform‐switched implants showed very limited peri‐implant bone‐level alterations. The healing‐mode neither affected the total amount nor the temporal patterns of ΔIBL. Thus, the results for the tested implants with a non‐rigid implant–abutment connection were similar to results reported previously for implants with a rigid implant–abutment connection.</abstract>
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<topic>bacterial contamination</topic>
<topic>bone‐level alteration</topic>
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<topic>cultivation</topic>
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