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Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial

Identifieur interne : 002D04 ( Istex/Corpus ); précédent : 002D03; suivant : 002D05

Open 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 Jepsen

Source :

RBID : ISTEX:5B953C9BDB6765F2196725A7EEF13B62A1007986

English descriptors

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

ISTEX:5B953C9BDB6765F2196725A7EEF13B62A1007986

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<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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<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>
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E‐mail:
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<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>
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<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>
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<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>
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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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<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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<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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