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CC BY-NC-ND 4.0 · Eur J Dent 2019; 13(01): 047-052
DOI: 10.1055/s-0039-1688538
Original Article
Dental Investigation Society

Does Implant-Abutment Interface affect Marginal Bone Levels around Implants?

Eser Elemek
1   Private Practice, Istanbul, Turkey
,
Artun Urgancioglu
1   Private Practice, Istanbul, Turkey
,
Janberd Dincer
1   Private Practice, Istanbul, Turkey
,
Altug Cilingir
2   Department of Prosthodontics, Faculty of Dentistry, Trakya University, Edirne, Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
06 June 2019 (online)

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Abstract

Objective The use of dental implants with different types of surface roughness and implant-abutment interface has brought about a situation of marginal bone loss. Therefore, the aim of this study was to analyze and compare marginal bone levels of different types of osseointegrated dental implants with platform switch (Group A: Ankylos, Mannheim, Germany) and platform match (Group B: Dentsply Xive, Mannheim, Germany, and Group C: MIS Implant Technologies, Karmiel, Israel).

Materials and Methods One hundred and seven patients (52 men and 55 women) with a mean age of 54.79 (standard deviation ± 12.35) years and a total of 321 dental implants (Group A, n = 198; Group B, n = 58; and Group C, n = 65) placed in a private practice between April 2006 and May 2015 were retrospectively analyzed. In addition to demographic information and implant characteristics, marginal bone levels were evaluated by Image J (Wayne Rasband, National Institute of Health, Maryland) program.

Results The mean age of all patients was 54.79 ± 12.35 years, and 51.5% of them were women. Implants supporting fixed bridge were most commonly used in all groups (65%), whereas only 20% were restored with a single crown and 15% with overdentures. In total, 47.5% of all implants showed no marginal bone loss. Mean bone loss in Group A was significantly lower (0.81 ± 1.60 mm) as compared to Group B (1.58 ± 1.59 mm) and Group C (1.18 ± 1.36) (p < 0.005).

Conclusion Among different types of dental implants, platform switch seems to preserve marginal bone levels and increase the long-term success of dental implants.

Keywords

implant - marginal bone loss - platform match - platform switch
 

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