Differences in the progression of experimental peri-implantitis depending on the implant to abutment connection.
Abutments
Animal model
Bone loss
Dental implants
Experimental peri-implantitis
Implant to abutment connection
Peri-implantitis
Platform switching
Radiographic analysis
Journal
Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
17
07
2020
accepted:
04
11
2020
pubmed:
13
11
2020
medline:
25
5
2021
entrez:
12
11
2020
Statut:
ppublish
Résumé
The aim was to evaluate the rate of bone loss progression during experimentally induced peri-implantitis using two different implant-abutment connections in implants with identical surface topography. Forty-eight Regular Neck tissue-level SLA implants with a matching implant to abutment connection (TL) and 36 bone-level SLA implants with a switching platform implant to abutment connection (BL) were subjected to experimental peri-implantitis in two independent in vivo pre-clinical investigations. Experimental peri-implantitis was induced by means of silk ligatures during 3 months (induction phase), and followed for one extra month without ligatures (progression phase). Radiographic and clinical outcomes were evaluated longitudinally along both studies and subsequently compared between experiments. During the induction phase, radiographic bone loss was significantly higher in implants with matched abutments compared with those with platform switching connections (2.65 ± 0.66 mm vs 0.84 ± 0.16 mm, respectively, p = 0.001). During the progression phase, both types of implant-abutment connection exhibited similar rates of radiographic bone loss. Similar outcomes were observed clinically. A platform switching connection resulted in a more benign development of peri-implantitis during the experimental induction phase of the disease. These differences, however, disappeared once the ligatures were removed (progression phase). Influence of the implant-abutment connection in peri-implantitis progression may be relevant when considering implant selection in the moment of placement. In this sense, platform switching abutment demonstrated less peri-implantitis development when compared to implant matching connection.
Identifiants
pubmed: 33179178
doi: 10.1007/s00784-020-03680-z
pii: 10.1007/s00784-020-03680-z
doi:
Substances chimiques
Dental Implants
0
Types de publication
Journal Article
Langues
eng
Pagination
3577-3587Références
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