Bone Implant; Complications
Conditions
Keywords
implant, peri-implant bone remodeling, posterior maxilla, bone thickness
Brief summary
The primary outcome of the study was the vertical variation of peri-implant buccal and palatal bone level from implant placement (T0) to uncovering stage (3 months later - T1)
Detailed description
despite various recommendations, there is insufficient evidence to set a threshold for minimal buccal bone thickness necessary to ensure peri-implant marginal bone stability and optimal aesthetic outcomes. Therefore, the aim of the present multi-centre prospective study was to investigate the influence of buccal and palatal bone thickness at the time of implant placement on peri-implant bone remodeling during the submerged healing period, with a strict control of possible confounding factors.
Interventions
bone level dental implant insertion
Sponsors
Study design
Eligibility
Inclusion criteria
* age \> 18 years; * no smokers; * no history of periodontal disease; * healed bone crest (at least six months after tooth extraction); * crestal bone height ≥8 mm; * crestal bone with a minimum bucco-palatal width of 6 mm with no concomitant or previous bone augmentation procedures.
Exclusion criteria
* absolute contraindications to implant surgery * immunological or genetic disorders; * uncontrolled diabetes (HBA1c \> 7.5%); * present or past treatment with anti resorptive drugs; * oncologic patients; * history of head or neck radiotherapy; * alcohol or drugs abuse; * final insertion torque \> 50 Ncm.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| peri-implant bone changes in height buccal | three months after surgery | measurement after implant insertion with a probe |
| peri-implant bone changes in height palatal | three months after surgery | measurement after implant insertion with a probe |
| peri-implant bone changes in width palatal | three months after surgery | measurement after implant site preparation with a caliper |
| peri-implant bone changes in width buccal | three months after surgery | measurement after implant site preparation with a caliper |
Countries
Italy