Impact of crestal and subcrestal implant placement upon changes in marginal peri-implant bone level. A systematic review

  1. Hilario Pellicer Chover 1
  2. Rosa Maria Diaz Sanchez 2
  3. David Soto Penaloza 2
  4. María Peñarrocha Diago 3
  5. Luigi Canullo 4
  6. David Peñarrocha Oltra 5
  1. 1 DDS, PhD. Collaborating Professor of the Master in Oral Surgery and Implant Dentistry, Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  2. 2 DDS, Master in Oral Surgery and Implant Dentistry, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  3. 3 MD, PhD, DDS. Full Professor, Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  4. 4 DDS, PhD. Visiting Professor in Oral Surgery and Implantology, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
  5. 5 DDS, PhD. Assistant Professor, Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
Mostrar afiliaciones +
Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2019

Volumen: 24

Número: 5

Páginas: 2

Tipo: Artículo

DOI: 10.4317/MEDORAL.23006 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Objetivos de desarrollo sostenible

Resumen

To systematically assess studies analyzing peri-implant bone loss in implants placed in crestal and subcrestal position. Following the recommended methods for systematic reviews and meta-analyses (PRISMA), an electronic search was conducted in the PubMed (MEDLINE), EMBASE and LILACS databases to identify all relevant articles published up until April 2017. The search included human studies comparing marginal bone loss (MBL) between a control group and a study group with a minimum of 10 patients and a minimum follow-up of 6 months after prosthetic loading with rough neck implants. Two independent reviewers assessed the risk of bias in the selected studies based on the Newcastle-Ottawa scale for observational studies and the Cochrane Collaboration for clinical trials. Of 342 potentially eligible items, 7 complied with the inclusion criteria. One article was retrieved through the manual search. Eight articles were finally included: five experimental and three observational studies. The risk of bias assessed by the Cochrane Collaboration and Newcastle-Ottawa showed a high risk of bias. The mean follow-up period was 21 months (range 6-36 months). In four studies, implants placed in a crestal position presented higher MBL than subcrestal implants - the differences being significant in one study, while in three studies, implants placed in a subcrestal position presented greater MBL than crestal implants, with significant differences in only one study. Despite its limitations, the present systematic review did not find better outcomes between crestal and subcrestal implant placement, however, new studies will be needed, involving improved designs and the standardization of protocols to allow statistical comparisons and the drawing of firm conclusions.

Referencias bibliográficas

  • Albrektsson, T,Zarb, G,Worthington, P,Eriksson, AR. (1986). The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1. 11-25
  • Roos-Jansaker, AM,Lindahl, C,Renvert, H,Renvert, S. (2006). Nine-to fourteen-year follow-up of implant treatment. Part II: presence of peri-implant lesions. 33. 290
  • Jemt, T,Lekholm, U. (2005). Single implants and buccal bone grafts in the anterior maxilla: measurements of buccal crestal contours in a 6-year prospective clinical study. Clinical Implant Dentistry and Related Research. 7. 127
  • Linkevicius, T,Apse, P,Grybauskas, S,Puisys, A. (2009). Th influence of soft tissue thickness on crestal bone changes around implants: a 1-year prospective controlled clinical trial. Int J Oral Maxillofac Implants. 24. 712
  • Rodríguez-Ciurana, X,Vela-Nebot, X,Segalà-Torres, M,Calvo-Guirado, JL,Camba, J,Méndez-Blando, V. (2009). The effect of interimplant distance on the height of the interimplant bone crest when using platform-switched implants. Int J Periodontics Restorative Dent. 29. 141
  • Canullo, L,Micarelli, C,Lembo-Fazio, L,Iannello, G,Clementini, M. (2014). Microscopical and microbiologic characterization of customized titanium abutments after different cleaning procedures. Clin. Oral Impl. Res. 25. 328
  • Naert, I,Duyck, J,Vandamme, K. (2012). Occlusal overload and bone/implant loss. Clin. Oral Implants Res. 23. 95-107
  • Prosper, L,Redaelli, S,Pasi, M,Zarone, F,Radaelli, G,Gherlone, EF. (2009). A randomized prospective multicenter trial evaluating the platform-switching technique for the prevention of postrestorative crestal bone loss. Int J Oral Maxillofac Implants. 24. 299-308
  • Canullo, L,Fedele, GR,Iannello, G,Jepsen, S. (2010). Platform switching and marginal bone-level alterations: the results of a randomized-controlled trial. Clinical Oral Implants Research. 21. 115
  • Romanos, GE. (2015). Wound healing in immediately loaded implants. Periodontology 2000. 68. 153
  • Brånemark, PI,Adell, R,Breine, U,Hansson, BO,Lindström, J,Ohlsson, A. (1969). Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 3. 81-100
  • Kütan, E,Bolukbasi, N,Yildirim-Ondur, E,Ozdemir, T. (2015). Clinical and Radiographic Evaluation of Marginal Bone Changes around Platform-Switching Implants Placed in Crestal or Subcrestal Positions: A Randomized Controlled Clinical Trial. Clinical implant dentistry and related research. 17. 364
  • Hämmerle, CH,Brägger, U,Bürgin, W,Lang, NP. (1996). The effect of subcrestal placement of the polished surface of ITI implants on marginal soft and hard tissues. Clinical oral implants research. 7. 111
  • Cesaretti, G,Lang, NP,Salata, LA,Schweikert, MT,Gutierrez Hernandez, ME,Botticelli, D. (2015). Sub-crestal positioning of implants results in higher bony crest resorption: an experimental study in dogs. Clin. Oral Impl Res. 26. 1355
  • Stein, AE,McGlmphy, EA,Johnston, WM,Larsen, PE. (2009). Effects of implant design and surface roughness on crestal bone and soft tissue levels in the esthetic zone. Int J Oral Maxillofac Implants. 24. 910
  • Broggini, N,McManus, LM,Hermann, JS,Medina, RU,Oates, TW,Schenk, RK. (2003). Persistent acute inflammation at the implant-abutment interface. J Dent Res. 82. 232
  • Piattelli, A,Vrespa, G,Petrone, G,Iezzi, G,Annibali, S,Scarano, A. (2003). Role of the Microgap Between Implant and Abutment: A Retrospective Histologic Evaluation in Monkeys. Journal of Periodontology. 74. 346
  • Hermann, JS,Cochran, DL,Nummikoski, PV,Buser, D. (1997). Crestal bone changes around titanium implants. A radiographic evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. Journal of periodontology. 68. 1117
  • Galindo-Moreno, P,León-Cano, A,Ortega-Oller, I,Monje, A,O′Valle, F,Catena, A. Marginal bone loss as success criterion in implant dentistry: beyond 2 mm. Clin Oral Impl Res.
  • Esposito, M,Grusovin, MG,Tzanetea, E,Piattelli, A,Worthington, HV. (2010). Interventions for replacing missing teeth: treatment of perimplantitis. Cochrane Database Syst Rev. 16. 004970
  • Armitage, GC,Xenoudi, P. (2016). Post-treatment supportive care for the natural dentition and dental implants. Periodontology 2000. 71. 164
  • Shea, BJ,Hamel, C,Wells, GA,Bouter, LM,Kristjansson, E,Grimshaw, J. (2009). AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. Journal of clinical epidemiology. 62. 1013
  • Wells, GA,Shea, B,O'Connell, D,Peterson, J,Welch, V,Losos, M. (2000). The Newcastle - Scale for assessing the quality of nonrandomised studies in meta-analyses. 7.
  • Higgins, JP,Altman, DG,Gotzsche, PC,Juni, P,Moher, D,Oxman, AD. (2011). The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 343. 5928
  • Araújo, MM,Martins, CC,Costa, LCM,Cota, LOM,Faria, RLAM,Cunha, FA. (2016). Association between depression and periodontitis: a systematic review and meta-analysis. J Clin Periodontol. 43. 216
  • Al Amri, MD,Al-Johany, SS,Al Baker, AM,Al Rifaiy, MQ,Abduljabbar, TS,Al-Kheraif, AA. (2016). Soft tissue changes and crestal bone loss around platform-switched implants placed at crestal and subcrestal levels: 36-month results from a prospective split-mouth clinical trial. Clin Oral Impl Res. 28. 1-6
  • De Siqueira, RA,Fontão, FN,Sartori, IA,Santos, PG,Bernardes, SR,Tiossi, R. (2016). Effect of different implant placement depths on crestal bone levels and soft tissue behavior: a randomized clinical trial. Clin Oral Impl Res. 28. 1-7
  • Koh, RU,Oh, TJ,Rudek, I,Neiva, GF,Misch, CE,Rothman, ED. (2011). Hard and soft tissue changes after crestal and subcrestal immediate implant placement. Journal of Periodontology. 82. 1112
  • Pellicer-Chover, H,Peñarrocha-Diago, MA,Peñarrocha-Oltra, D,GomarVercher, S,Agustín-Panadero, R,Peñarrocha-Diago, M. (2016). Impact of crestal and subcrestal implant placement in peri-implant bone: A prospective comparative study. Med Oral Patol Oral Cir Bucal. 21. 103
  • Cassetta, M,Di Mambro, A,Giansanti, M,Brandetti, G,Calasso, S. (2016). A 36-month follow-up prospective cohort study on peri-implant bone loss of Morse Taper connection implants with platform switching. Journal of Oral Science. 58. 49-57
  • Cassetta, M,Driver, A,Brandetti, G,Calasso, S. (2016). Peri-implant bone loss around platform-switched Morse taper connection implants: a prospective 60-month follow-up study. International Journal of Oral and Maxillofacial Surgery. 45. 1577
  • Nagarajan, B,Murthy, V,Livingstone, D,Surendra, MP,Srinivasan, J. (2015). Evaluation of crestal bone loss around implants placed at equicrestal and subcrestal levels before loading: A prospective clinical study. Journal of Clinical and Diagnostic Research. 9. 47-50
  • Alomrani, AN,Hermann, JS,Jones, AA,Buser, D,Schoolfield, J,Cochran, DL. (2005). The effect of a machined collar on coronal hard tissue around titanium implants: a radiographic study in the canine mandible. Int J Oral Maxillofac Implants. 20. 677
  • Hänggi, MP,Hänggi, DC,Schoolfield, JD,Meyer, J,Cochran, DL,Hermann, JS. (2005). Crestal bone changes around titanium implants. Part I: A retrospective radiographic evaluation in humans comparing two non-submerged implant designs with different machined collar lengths. Journal of Periodontology. 76. 791-802
  • Buser, D,Weber, HP,Lang, NP. (1990). Tissue integration of non-submerged implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. Clinical oral implants research. 1. 33-40
  • Wennerberg, A,Albrektsson, T,Andersson, B,Krol, JJ. (1995). A histomorphometric and removal torque study of screw-shaped titanium implants with three different surface topographies. Clinical Oral Impl Res. 6. 24-30
  • Degidi, M,Perrotti, V,Shibli, JA,Novaes, AB,Piattelli, A,Iezzi, G. (2011). Equicrestal and subcrestal dental implants: A histologic and histomorphometric evaluaton of nine retrieved human implants. Journal of Periodontology. 82. 708
  • Donovan, R,Fetner, A,Koutouzis, T,Lundgren, T. (2010). Crestal bone changes around implants with reduced abutment diameter placed non-submerged and at subcrestal positions: a 1-year radiographic evaluation. J Periodontol. 81. 428
  • Aimetti, M,Ferrarotti, F,Mariani, GM,Ghelardoni, C,Romano, F. (2015). Soft tissue and crestal bone changes around implants with platform-switched abutments placed nonsubmerged at subcrestal position: a 2-year clinical and radiographic evaluation. Int J Oral Maxillofac Implants. 30. 1369
  • Schmitt, CM,Nogueira-Filho, G,Tenenbaum, HC,Lai, JY,Brito, C,Döring, H. (2014). Performance of conical abutment (Morse Taper) connection implants: a systematic review. J Biomed Mater Res A. 102. 552
Fuente de los datos: Dialnet