Dental implants with versus without peri-implant bone defects treated with guided bone regeneration
Identifieur interne : 005E89 ( Ncbi/Merge ); précédent : 005E88; suivant : 005E90Dental implants with versus without peri-implant bone defects treated with guided bone regeneration
Auteurs : Amparo Aloy-Pr Sper [Espagne] ; David Pe Arrocha-Oltra [Espagne] ; Maria Pe Arrocha-Diago [Espagne] ; Miguel Pe Arrocha-Diago [Espagne]Source :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2015.
Abstract
The guided bone regeneration (GBR) technique is highly successful for the treatment of peri-implant bone defects. The aim was to determine whether or not implants associated with GBR due to peri-implant defects show the same survival and success rates as implants placed in native bone without defects.
Patients with a minimum of two submerged dental implants: one suffering a dehiscence or fenestration defect during placement and undergoing simultaneous guided bone regeneration (test group), versus the other entirely surrounded by bone (control group) were treated and monitored annually for three years. Complications with the healing procedure, implant survival, implant success and peri-implant marginal bone loss were assessed. Statistical analysis was performed with non-parametric tests setting an alpha value of 0.05.
Seventy-two patients and 326 implants were included (142 test, 184 control). One hundred and twenty-five dehiscences (average height 1.92±1.11) and 18 fenestrations (average height 3.34±2.16) were treated. At 3 years post-loading, implant survival rates were 95.7% (test) and 97.3% (control) and implant success rates were 93.6% and 96.2%, respectively. Mean marginal bone loss was 0.54 (SD 0.26 mm) for the test group and 0.43 (SD 0.22 mm) for the control group. No statistically significant differences between both groups were found.
Within the limits of this study, implants with peri-implant defects treated with guided bone regeneration exhibited similar survival and success rates and peri-implant marginal bone loss to implants without those defects. Large-scale randomized controlled studies with longer follow-ups involving the assessment of esthetic parameters and hard and soft peri-implant tissue stability are needed.
Url:
DOI: 10.4317/jced.52292
PubMed: 26330931
PubMed Central: 4554234
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p> The guided bone regeneration (GBR) technique is highly successful for the treatment of peri-implant bone defects. The aim was to determine whether or not implants associated with GBR due to peri-implant defects show the same survival and success rates as implants placed in native bone without defects.</p>
</sec>
<sec><title> Material and Methods </title>
<p> Patients with a minimum of two submerged dental implants: one suffering a dehiscence or fenestration defect during placement and undergoing simultaneous guided bone regeneration (test group), versus the other entirely surrounded by bone (control group) were treated and monitored annually for three years. Complications with the healing procedure, implant survival, implant success and peri-implant marginal bone loss were assessed. Statistical analysis was performed with non-parametric tests setting an alpha value of 0.05.</p>
</sec>
<sec><title> Results </title>
<p> Seventy-two patients and 326 implants were included (142 test, 184 control). One hundred and twenty-five dehiscences (average height 1.92±1.11) and 18 fenestrations (average height 3.34±2.16) were treated. At 3 years post-loading, implant survival rates were 95.7% (test) and 97.3% (control) and implant success rates were 93.6% and 96.2%, respectively. Mean marginal bone loss was 0.54 (SD 0.26 mm) for the test group and 0.43 (SD 0.22 mm) for the control group. No statistically significant differences between both groups were found.</p>
</sec>
<sec><title> Conclusions </title>
<p> Within the limits of this study, implants with peri-implant defects treated with guided bone regeneration exhibited similar survival and success rates and peri-implant marginal bone loss to implants without those defects. Large-scale randomized controlled studies with longer follow-ups involving the assessment of esthetic parameters and hard and soft peri-implant tissue stability are needed.</p>
<p><bold> Key words:</bold>
Guided bone regeneration, peri-implant defects, dental implants, marginal bone level, success rate, survival rate.</p>
</sec>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Exp Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Exp Dent</journal-id>
<journal-id journal-id-type="publisher-id">Medicina Oral S.L.</journal-id>
<journal-title-group><journal-title>Journal of Clinical and Experimental Dentistry</journal-title>
</journal-title-group>
<issn pub-type="epub">1989-5488</issn>
<publisher><publisher-name>Medicina Oral S.L.</publisher-name>
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<article-meta><article-id pub-id-type="pmid">26330931</article-id>
<article-id pub-id-type="pmc">4554234</article-id>
<article-id pub-id-type="publisher-id">52292</article-id>
<article-id pub-id-type="doi">10.4317/jced.52292</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
<subj-group><subject>Oral Surgery</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Dental implants with versus without peri-implant bone
defects treated with guided bone regeneration</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Aloy-Prósper</surname>
<given-names>Amparo</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Peñarrocha-Oltra</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Peñarrocha-Diago</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Peñarrocha-Diago</surname>
<given-names>Miguel</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
DDS, MSc, Collaborating Professor of the Master in Oral Surgery and Implant Dentistry, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain</aff>
<aff id="A2"><label>2</label>
DDS, MSc, PhD, Junior Researcher, Collaborating Professor of the Master in Oral Surgery and Implant Dentistry, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain</aff>
<aff id="A3"><label>3</label>
DDS, PhD, Full Professor of Oral Surgery, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain</aff>
<aff id="A4"><label>4</label>
MD, PhD, Chairman of Oral Surgery, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain</aff>
<author-notes><corresp> Clínicas odontológicas
Gascó Oliag 1
46021- Valencia, Spain
, E-mail: <email>amparo.aloyprosper@gmail.com</email>
</corresp>
<fn id="FN1" fn-type="conflict"><p><bold>Conflict of interest statement:</bold>
None of the authors have a conflict of interest. </p>
</fn>
</author-notes>
<pub-date pub-type="epub"><day>1</day>
<month>7</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><month>7</month>
<year>2015</year>
</pub-date>
<volume>7</volume>
<issue>3</issue>
<fpage>e361</fpage>
<lpage>e368</lpage>
<history><date date-type="accepted"><day>26</day>
<month>3</month>
<year>2015</year>
</date>
<date date-type="received"><day>7</day>
<month>1</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>Copyright: © 2015 Medicina Oral S.L.</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.5/"><license-p>This is an open-access article distributed under the terms of 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><sec><title>Background</title>
<p> The guided bone regeneration (GBR) technique is highly successful for the treatment of peri-implant bone defects. The aim was to determine whether or not implants associated with GBR due to peri-implant defects show the same survival and success rates as implants placed in native bone without defects.</p>
</sec>
<sec><title> Material and Methods </title>
<p> Patients with a minimum of two submerged dental implants: one suffering a dehiscence or fenestration defect during placement and undergoing simultaneous guided bone regeneration (test group), versus the other entirely surrounded by bone (control group) were treated and monitored annually for three years. Complications with the healing procedure, implant survival, implant success and peri-implant marginal bone loss were assessed. Statistical analysis was performed with non-parametric tests setting an alpha value of 0.05.</p>
</sec>
<sec><title> Results </title>
<p> Seventy-two patients and 326 implants were included (142 test, 184 control). One hundred and twenty-five dehiscences (average height 1.92±1.11) and 18 fenestrations (average height 3.34±2.16) were treated. At 3 years post-loading, implant survival rates were 95.7% (test) and 97.3% (control) and implant success rates were 93.6% and 96.2%, respectively. Mean marginal bone loss was 0.54 (SD 0.26 mm) for the test group and 0.43 (SD 0.22 mm) for the control group. No statistically significant differences between both groups were found.</p>
</sec>
<sec><title> Conclusions </title>
<p> Within the limits of this study, implants with peri-implant defects treated with guided bone regeneration exhibited similar survival and success rates and peri-implant marginal bone loss to implants without those defects. Large-scale randomized controlled studies with longer follow-ups involving the assessment of esthetic parameters and hard and soft peri-implant tissue stability are needed.</p>
<p><bold> Key words:</bold>
Guided bone regeneration, peri-implant defects, dental implants, marginal bone level, success rate, survival rate.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Espagne</li>
</country>
</list>
<tree><country name="Espagne"><noRegion><name sortKey="Aloy Pr Sper, Amparo" sort="Aloy Pr Sper, Amparo" uniqKey="Aloy Pr Sper A" first="Amparo" last="Aloy-Pr Sper">Amparo Aloy-Pr Sper</name>
</noRegion>
<name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="Maria" last="Pe Arrocha-Diago">Maria Pe Arrocha-Diago</name>
<name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name>
<name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name>
</country>
</tree>
</affiliations>
</record>
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