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Influence of the size of the microgap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged implants in the canine mandible.

Identifieur interne : 002B00 ( PubMed/Checkpoint ); précédent : 002A99; suivant : 002B01

Influence of the size of the microgap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged implants in the canine mandible.

Auteurs : J S Hermann [États-Unis] ; J D Schoolfield ; R K Schenk ; D. Buser ; D L Cochran

Source :

RBID : pubmed:11699479

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English descriptors

Abstract

Endosseous implants can be placed according to a non-submerged or submerged approach and in 1- or 2-piece configurations. Recently, it was shown that peri-implant crestal bone changes differ significantly under such conditions and are dependent on a rough/smooth implant border in 1-piece implants and on the location of an interface (microgap) between the implant and abutment/restoration in 2-piece configurations. Several factors may influence the resultant level of the crestal bone under these conditions, including movements between implant components and the size of the microgap (interface) between the implant and abutment. However, no data are available on the impact of possible movements between these components or the impact of the size of the microgap (interface). The purpose of this study was to histometrically evaluate crestal bone changes around unloaded, 2-piece non-submerged titanium implants with 3 different microgap (interface) dimensions and between implants with components welded together or held together by a transocclusal screw.

DOI: 10.1902/jop.2001.72.10.1372
PubMed: 11699479


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<term>Analysis of Variance</term>
<term>Animals</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Soldering</term>
<term>Dogs</term>
<term>Follow-Up Studies</term>
<term>Image Processing, Computer-Assisted</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Lasers</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Observer Variation</term>
<term>Random Allocation</term>
<term>Statistics as Topic</term>
<term>Surface Properties</term>
<term>Titanium</term>
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<term>Analyse de variance</term>
<term>Animaux</term>
<term>Attribution aléatoire</term>
<term>Biais de l'observateur</term>
<term>Chiens</term>
<term>Conception de prothèse dentaire</term>
<term>Implants dentaires</term>
<term>Lasers</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mâchoire édentée ()</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Processus alvéolaire (anatomopathologie)</term>
<term>Propriétés de surface</term>
<term>Résorption alvéolaire (anatomopathologie)</term>
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<term>Traitement d'image par ordinateur</term>
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<term>Titanium</term>
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<term>Processus alvéolaire</term>
<term>Résorption alvéolaire</term>
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<term>Dental Implantation, Endosseous</term>
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<term>Alveolar Bone Loss</term>
<term>Alveolar Process</term>
<term>Mandible</term>
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<term>Jaw, Edentulous</term>
<term>Mandible</term>
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<term>Analysis of Variance</term>
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<term>Dental Abutments</term>
<term>Dental Prosthesis Design</term>
<term>Dental Soldering</term>
<term>Dogs</term>
<term>Follow-Up Studies</term>
<term>Image Processing, Computer-Assisted</term>
<term>Lasers</term>
<term>Male</term>
<term>Observer Variation</term>
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<term>Mâle</term>
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<term>Propriétés de surface</term>
<term>Soudage dentaire</term>
<term>Statistiques comme sujet</term>
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<div type="abstract" xml:lang="en">Endosseous implants can be placed according to a non-submerged or submerged approach and in 1- or 2-piece configurations. Recently, it was shown that peri-implant crestal bone changes differ significantly under such conditions and are dependent on a rough/smooth implant border in 1-piece implants and on the location of an interface (microgap) between the implant and abutment/restoration in 2-piece configurations. Several factors may influence the resultant level of the crestal bone under these conditions, including movements between implant components and the size of the microgap (interface) between the implant and abutment. However, no data are available on the impact of possible movements between these components or the impact of the size of the microgap (interface). The purpose of this study was to histometrically evaluate crestal bone changes around unloaded, 2-piece non-submerged titanium implants with 3 different microgap (interface) dimensions and between implants with components welded together or held together by a transocclusal screw.</div>
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<DateCompleted>
<Year>2002</Year>
<Month>01</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0022-3492</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>72</Volume>
<Issue>10</Issue>
<PubDate>
<Year>2001</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Journal of periodontology</Title>
<ISOAbbreviation>J. Periodontol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Influence of the size of the microgap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged implants in the canine mandible.</ArticleTitle>
<Pagination>
<MedlinePgn>1372-83</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Endosseous implants can be placed according to a non-submerged or submerged approach and in 1- or 2-piece configurations. Recently, it was shown that peri-implant crestal bone changes differ significantly under such conditions and are dependent on a rough/smooth implant border in 1-piece implants and on the location of an interface (microgap) between the implant and abutment/restoration in 2-piece configurations. Several factors may influence the resultant level of the crestal bone under these conditions, including movements between implant components and the size of the microgap (interface) between the implant and abutment. However, no data are available on the impact of possible movements between these components or the impact of the size of the microgap (interface). The purpose of this study was to histometrically evaluate crestal bone changes around unloaded, 2-piece non-submerged titanium implants with 3 different microgap (interface) dimensions and between implants with components welded together or held together by a transocclusal screw.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A total of 60 titanium implants were randomly placed in edentulous mandibular areas of 5 hounds forming 6 different implant subgroups (A through F). In general, all implants had a relatively smooth, machined suprabony portion 1 mm long, as well as a rough, sandblasted, and acid-etched (SLA) endosseous portion, all placed with their interface (microgap) 1 mm above the bone crest level and having abutments connected at the time of first-stage surgery. Implant types A, B, and C had a microgap of < 10 microns, approximately 50 microns, or approximately 100 microns between implant components as did types D, E, and F, respectively. As a major difference, however, abutments and implants of types A, B, and C were laser-welded together, not allowing for any movements between components, as opposed to types D, E, and F, where abutments and implants were held together by abutment screws. Three months after implant placement, all animals were sacrificed. Non-decalcified histology was analyzed histometrically by evaluating peri-implant crestal bone changes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">For implants in the laser-welded group (A, B, and C), mean crestal bone levels were located at a distance from the interface (IF; microgap) to the first bone-to-implant contact (fBIC) of 1.06 +/- 0.46 mm (standard deviation) for type A, 1.28 +/- 0.47 mm for type B, and 1.17 +/- 0.51 mm for type C. All implants of the non-welded group (D, E, and F) had significantly increased amounts of crestal bone loss, with 1.72 +/- 0.49 mm for type D (P < 0.01 compared to type A), 1.71 +/- 0.43 mm for type E (P < 0.02 compared to type B), and 1.65 +/- 0.37 mm for type F (P < 0.01 compared to type C).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These findings demonstrate, as evaluated by non-decalcified histology under unloaded conditions in the canine mandible, that crestal bone changes around 2-piece, non-submerged titanium implants are significantly influenced by possible movements between implants and abutments, but not by the size of the microgap (interface). Thus, significant crestal bone loss occurs in 2-piece implant configurations even with the smallest-sized microgaps (< 10 microns) in combination with possible movements between implant components.</AbstractText>
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<LastName>Hermann</LastName>
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<Affiliation>Department of Periodontics, Dental School, University of Texas Health Science Center at San Antonio, TX, USA.</Affiliation>
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<LastName>Schoolfield</LastName>
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<DescriptorName UI="D015588" MajorTopicYN="N">Observer Variation</DescriptorName>
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