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Alterations in soft tissue levels and aesthetics over a 16–22year period following single implant treatment in periodontally‐healthy patients: a retrospective case series

Identifieur interne : 005855 ( Istex/Corpus ); précédent : 005854; suivant : 005856

Alterations in soft tissue levels and aesthetics over a 16–22year period following single implant treatment in periodontally‐healthy patients: a retrospective case series

Auteurs : Melissa Dierens ; Evelyn De Bruecker ; Stefan Vandeweghe ; Jëno Kisch ; Hugo De Bruyn ; Jan Cosyn

Source :

RBID : ISTEX:B13F3D90905F1F79C4ECB3AD2BBA19C416FBB5E8

English descriptors

Abstract

Long term studies on single implants are scarce and merely focus on clinical response parameters, complications and bone remodelling. The objective of this retrospective case series was to assess alterations in soft tissue levels and aesthetics over a 16–22 year period in periodontally‐healthy patients.

Url:
DOI: 10.1111/jcpe.12049

Links to Exploration step

ISTEX:B13F3D90905F1F79C4ECB3AD2BBA19C416FBB5E8

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Purpose
<p>Long term studies on single implants are scarce and merely focus on clinical response parameters, complications and bone remodelling. The objective of this retrospective case series was to assess alterations in soft tissue levels and aesthetics over a 16–22 year period in periodontally‐healthy patients.</p>
Material and methods
<p>Patients who had received a single turned implant in the anterior maxilla/mandible at the Dental Specialist Clinic in Malmö between 1987 and 1993 were invited for a re‐examination on the basis of a number of inclusion criteria. Both neighbouring teeth had to be present at re‐examination and baseline clinical photographs (within the first year of function) had to be available for soft tissue evaluation. These photographs were superimposed onto final clinical photographs to assess longitudinal soft tissue alterations.</p>
Results
<p>Twenty‐one patients (nine females; mean age 23, range 16–41) treated with 24 single implants met the criteria for soft tissue evaluation. Peri‐implant soft tissue levels (papillae, midfacial level) remained stable over a 16–22 year observation period (
<hi rend="italic">p</hi>
 ≥ 0.372). However, neighbouring teeth demonstrated midfacial recession and eruption pointing to a major distortion with the implant crown (> 1 mm) in 5/24 (21%) and 10/24 (42%) of the cases, respectively. Baseline aesthetics was considered poor (mean Pink Esthetic Score 7.42, mean White Esthetic Score 5.43), yet a significant time effect could not be demonstrated (
<hi rend="italic">p</hi>
 ≥ 0.552). Implant and tooth bone loss was low (mean 0.6 mm and 0.4 mm, respectively) over a 16–22 year period.</p>
Conclusions
<p>This limited case series demonstrated stable peri‐implant soft tissue levels and aesthetics in the long term following single implant treatment in periodontally‐healthy patients. However, midfacial recession and eruption may be expected at neighbouring teeth.</p>
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<p>Long term studies on single implants are scarce and merely focus on clinical response parameters, complications and bone remodelling. The objective of this retrospective case series was to assess alterations in soft tissue levels and aesthetics over a 16–22 year period in periodontally‐healthy patients.</p>
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<p>Patients who had received a single turned implant in the anterior maxilla/mandible at the Dental Specialist Clinic in Malmö between 1987 and 1993 were invited for a re‐examination on the basis of a number of inclusion criteria. Both neighbouring teeth had to be present at re‐examination and baseline clinical photographs (within the first year of function) had to be available for soft tissue evaluation. These photographs were superimposed onto final clinical photographs to assess longitudinal soft tissue alterations.</p>
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<p>Twenty‐one patients (nine females; mean age 23, range 16–41) treated with 24 single implants met the criteria for soft tissue evaluation. Peri‐implant soft tissue levels (papillae, midfacial level) remained stable over a 16–22 year observation period (
<i>p</i>
 ≥ 0.372). However, neighbouring teeth demonstrated midfacial recession and eruption pointing to a major distortion with the implant crown (> 1 mm) in 5/24 (21%) and 10/24 (42%) of the cases, respectively. Baseline aesthetics was considered poor (mean Pink Esthetic Score 7.42, mean White Esthetic Score 5.43), yet a significant time effect could not be demonstrated (
<i>p</i>
 ≥ 0.552). Implant and tooth bone loss was low (mean 0.6 mm and 0.4 mm, respectively) over a 16–22 year period.</p>
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<p>This limited case series demonstrated stable peri‐implant soft tissue levels and aesthetics in the long term following single implant treatment in periodontally‐healthy patients. However, midfacial recession and eruption may be expected at neighbouring teeth.</p>
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<b>Conflict of interest and sources of funding statement</b>
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<p>The authors declare they have no conflict of interests. The study was supported by the Department of Periodontology and Oral Implantology of the University in Ghent and Folktandvården, Region Skåne, Sweden.</p>
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<title>Alterations in soft tissue levels and aesthetics over a 16–22year period following single implant treatment in periodontally‐healthy patients: a retrospective case series</title>
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<title>Alterations in soft tissue levels and aesthetics over a 16–22year period following single implant treatment in periodontally‐healthy patients: a retrospective case series</title>
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<name type="personal">
<namePart type="given">Melissa</namePart>
<namePart type="family">Dierens</namePart>
<affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent, Belgium</affiliation>
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<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Evelyn</namePart>
<namePart type="family">de Bruecker</namePart>
<affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent, Belgium</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Stefan</namePart>
<namePart type="family">Vandeweghe</namePart>
<affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent, Belgium</affiliation>
<affiliation>Department of Prosthetic Dentistry, Malmö University, Malmö, Sweden</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Jëno</namePart>
<namePart type="family">Kisch</namePart>
<affiliation>Clinic for Prosthodontics, Centre of Dental Specialist Care, Malmö, Sweden</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">Hugo</namePart>
<namePart type="family">de Bruyn</namePart>
<affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent, Belgium</affiliation>
<affiliation>Department of Prosthetic Dentistry, Malmö University, Malmö, Sweden</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">Jan</namePart>
<namePart type="family">Cosyn</namePart>
<affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent, Belgium</affiliation>
<affiliation>Faculty of Medicine and Pharmacy, Dental Medicine, Free University of Brussels (VUB), Brussels, Belgium</affiliation>
<affiliation>Jan CosynDepartment of Periodontology and Oral ImplantologyUniversity of Ghent, Faculty of Medicine and Health Sciences, Dental School,De Pintelaan 185, B‐9000 GhentBelgiumE‐mail:</affiliation>
<affiliation>E-mail: jan.cosyn@ugent.be</affiliation>
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<genre type="case-report" displayLabel="caseStudy" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</genre>
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<publisher>Blackwell Publishing Ltd</publisher>
<dateIssued encoding="w3cdtf">2013-03</dateIssued>
<dateCreated encoding="w3cdtf">2012-12-11</dateCreated>
<dateCaptured encoding="w3cdtf">2012-07-03</dateCaptured>
<dateValid encoding="w3cdtf">2012-11-13</dateValid>
<edition>Dierens M , DeBruecker E , Vandeweghe S , Kisch J , DeBruyn H , Cosyn J .J Clin Periodontol2012;00:000–000.Alterations in soft tissue levels and aesthetics over a 16 to 22 year period following single implant treatment in periodontally‐healthy patients: a retrospective case series10.1111/jcpe.12049</edition>
<copyrightDate encoding="w3cdtf">2013</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract>Long term studies on single implants are scarce and merely focus on clinical response parameters, complications and bone remodelling. The objective of this retrospective case series was to assess alterations in soft tissue levels and aesthetics over a 16–22 year period in periodontally‐healthy patients.</abstract>
<abstract>Patients who had received a single turned implant in the anterior maxilla/mandible at the Dental Specialist Clinic in Malmö between 1987 and 1993 were invited for a re‐examination on the basis of a number of inclusion criteria. Both neighbouring teeth had to be present at re‐examination and baseline clinical photographs (within the first year of function) had to be available for soft tissue evaluation. These photographs were superimposed onto final clinical photographs to assess longitudinal soft tissue alterations.</abstract>
<abstract>Twenty‐one patients (nine females; mean age 23, range 16–41) treated with 24 single implants met the criteria for soft tissue evaluation. Peri‐implant soft tissue levels (papillae, midfacial level) remained stable over a 16–22 year observation period (p ≥ 0.372). However, neighbouring teeth demonstrated midfacial recession and eruption pointing to a major distortion with the implant crown (> 1 mm) in 5/24 (21%) and 10/24 (42%) of the cases, respectively. Baseline aesthetics was considered poor (mean Pink Esthetic Score 7.42, mean White Esthetic Score 5.43), yet a significant time effect could not be demonstrated (p ≥ 0.552). Implant and tooth bone loss was low (mean 0.6 mm and 0.4 mm, respectively) over a 16–22 year period.</abstract>
<abstract>This limited case series demonstrated stable peri‐implant soft tissue levels and aesthetics in the long term following single implant treatment in periodontally‐healthy patients. However, midfacial recession and eruption may be expected at neighbouring teeth.</abstract>
<subject>
<genre>keywords</genre>
<topic>aesthetics</topic>
<topic>dental implant</topic>
<topic>eruption</topic>
<topic>infra‐position</topic>
<topic>long term</topic>
<topic>recession</topic>
<topic>single tooth</topic>
<topic>soft tissue</topic>
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<title>J Clin Periodontol</title>
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<genre>article-category</genre>
<topic>Case Report</topic>
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<identifier type="ISSN">0303-6979</identifier>
<identifier type="eISSN">1600-051X</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-051X</identifier>
<identifier type="PublisherID">JCPE</identifier>
<part>
<date>2013</date>
<detail type="volume">
<caption>vol.</caption>
<number>40</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>3</number>
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<extent unit="pages">
<start>311</start>
<end>318</end>
<total>8</total>
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<identifier type="DOI">10.1111/jcpe.12049</identifier>
<identifier type="ArticleID">JCPE12049</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd© 2012 John Wiley & Sons A/S</accessCondition>
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