Clinical and radiographic evaluation of early loaded maxillary anterior single-tooth bone-level implants

• Published in: The International journal of oral and maxillofacial implants Vol. 29; no. 6; p. 1369
• Main Authors: Vanlıoğlu, Burçin Akoğlu, Kahramanoğlu, Erkut, Ozkan, Yaşar, Kulak-Özkan, Yasemin
• Format: Journal Article
• Language: English
• Published: United States 01-11-2014
• Subjects: Adult; Alveolar Bone Loss - classification; Alveolar Bone Loss - diagnostic imaging; Crowns; Dental Implant-Abutment Design; Dental Implants, Single-Tooth; Dental Plaque Index; Dental Prosthesis, Implant-Supported; Female; Follow-Up Studies; Gingival Recession - classification; Gingival Recession - pathology; Humans; Immediate Dental Implant Loading; Male; Maxilla - diagnostic imaging; Maxilla - pathology; Maxilla - surgery; Middle Aged; Osseointegration - physiology; Periodontal Index; Periodontal Pocket - classification; Periodontal Pocket - pathology; Radiography; Treatment Outcome; Young Adult
• ISSN: 1942-4434
• DOI: 10.11607/jomi.3446

The aim of this study was to evaluate the clinical and radiographic outcomes of early loaded platform-switched implants in the anterior maxilla.
In this study, patients were treated with implants that supported all-ceramic single-tooth crowns and were followed for 2 to 4 years. Implants were evaluated on the basis of clinical and radiographic parameters, including Plaque Index, Sulcus Bleeding Index, peri-implant probing depths (PDs), Papilla Index, soft tissue recession, and marginal bone levels. Statistical analyses were performed.
Fifty-five implants were placed in 47 patients. At the recall examinations, all implants had successfully integrated, demonstrating healthy peri-implant soft tissues as documented by standard clinical parameters. At the time of recall, 7 implants had been followed for 4 years, 30 implants for 3 years, and 18 implants for 2 years. Plaque accumulation scores of 2 and 3 were not noted at any point during the study. At baseline, the mean PD was 2.1 ± 0.6 mm, at 2 years it was 2.2 ± 0.6 mm, at 3 years it was 2.2 ± 0.6 mm, and at 4 years (7 implants), the mean PD was 1.9 ± 0.4 mm. There were no statistically significant differences between time intervals. Complete papilla fill was seen for 49 implants. All implants showed less than 0.5 mm of marginal bone loss; mean bone loss at the time of final recall was 0.12 ± 0.22 mm. Seven implants showed an increase in the level of bone contact. There were no statistically significant differences over time.
Bone-level implants with a platform-switched design are a successful treatment modality for anterior single-tooth implants.