Clinical Implant Dentistry and Related Research

ARTICLE

Fresh-Socket Implants of Different Collar Length: Clinical Evaluation in the Aesthetic Zone

Corresponding Author

Roberto Crespi MD, MS

Clinical professor

Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy

Corresponding Author: Dr. Roberto Crespi, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Via Olgettina N.48, 20123 Milano, Italy; e-mail: [email protected]Search for more papers by this author

Paolo Capparè MD, DMD,

Paolo Capparè MD, DMD

Adjunct professor

Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy

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Elisabetta Polizzi DH,

Elisabetta Polizzi DH

Adjunct professor

Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy

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Enrico Gherlone MD, DMD,

Enrico Gherlone MD, DMD

Full professor and chairman

Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy

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Roberto Crespi MD, MS,

Corresponding Author

Roberto Crespi MD, MS

Clinical professor

Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy

Paolo Capparè MD, DMD,

Paolo Capparè MD, DMD

Adjunct professor

Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy

Search for more papers by this author

Elisabetta Polizzi DH,

Elisabetta Polizzi DH

Adjunct professor

Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy

Search for more papers by this author

Enrico Gherlone MD, DMD,

Enrico Gherlone MD, DMD

Full professor and chairman

Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy

Search for more papers by this author

First published: 07 February 2014

https://doi.org/10.1111/cid.12202

Citations: 16

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Abstract

Background

The aim of this clinical study was to compare clinical evaluations of implants in the aesthetic zone with smooth collars of different length.

Materials and Methods

Sixty-six patients requiring extractions of one, two, or three teeth in the aesthetic zone of the maxilla were enrolled in this study. Ninety-four implants were positioned and were loaded immediately after tooth extraction. Forty-seven implants with a short smooth collar of 0.5 mm (SCI) and 47 implants with a long smooth collar of 1.8 mm (LCI) were utilized in this study and were placed using a nonsubmerged approach. Clinical (gingival index, modified plaque index, modified bleeding index, probing depth, gingival recession) and intraoral digital radiographic parameters were measured at baseline and after 6, 12, 24, and 36 months of healing to evaluate crestal bone loss levels over time.

Results

After a follow-up period of 36 months, a survival rate of 100% was reported. The SCI group showed a mean bone loss of 1.07 ± 0.38 mm at 12 months and 1.09 ± 0.38 mm at 36 months. The LCI group showed a mean bone loss of 0.46 ± 0.14 mm at 12 months and 0.53 ± 0.12 mm at 36 months. After the 36-month follow-up period, both groups showed stable bone levels over time. Statistically significant differences were found between groups (p < .05).

No statistically significant differences were found between SCI and LCI groups with regard to clinical parameters over time.

Conclusions

This study revealed significant differences in radiographically observed marginal bone loss between the two types of implant with different smooth-collar lengths, but no differences in gingival vestibular margin outcome were observed.

References

1 Cornelini R, Cangini F, Covani U, Wilson T. Immediate restoration of implants placed into fresh extraction sockets for single-tooth replacement: a prospective clinical study. Int J Periodontics Restorative Dent 2005; 25: 439–447.
PubMed Web of Science® Google Scholar
2 Barone A, Rispoli L, Vozza I, Quaranta A, Covani U. Immediate restoration of single implants placed immediately after tooth extraction. J Periodontol 2006; 77: 1914–1920.
10.1902/jop.2006.060072
CAS PubMed Web of Science® Google Scholar
3 Crespi R, Capparè P, Gherlone E, Romanos GE. Immediate occlusal loading of implants placed in fresh sockets after tooth extraction. Int J Oral Maxillofac Implants 2007; 22: 955–962.
PubMed Web of Science® Google Scholar
4 Lang NP, Löe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol 1972; 43: 623–627.
10.1902/jop.1972.43.10.623
CAS PubMed Web of Science® Google Scholar
5 Stetler KJ, Bissada NF. Significance of the width of keratinized gingiva on the periodontal status of teeth with submarginal restorations. J Periodontol 1987; 58: 696–700.
10.1902/jop.1987.58.10.696
CAS PubMed Web of Science® Google Scholar
6 Furhauser R, Florescu D, Benesch T, et al. Evaluation of soft tissue around single tooth implant crowns: the pink esthetic score. Clin Oral Implants Res 2005; 16: 639–644.
10.1111/j.1600-0501.2005.01193.x
PubMed Web of Science® Google Scholar
7 Chang M, Wennstrom JL, Odman PA, Anderson B. Implant supported single-tooth replacements compared to contralateral natural teeth. Clin Oral Implants Res 1999; 10: 185–194.
10.1034/j.1600-0501.1999.100301.x
CAS PubMed Web of Science® Google Scholar
8 Garber DA. The esthetic dental implant: letting restoration be the guide. J Oral Implantol 1996; 22: 45–50.
CAS PubMed Google Scholar
9 Caplanis N, Lozada JL, Kan JYJ. Extraction defect assessment, classification, and management. J Calif Dent Assoc 2005; 33: 853–863.
10.1080/19424396.2005.12224281
PubMed Google Scholar
10 Hermann JS, Cochran DL, Nummikoski PV, Buser D. Crestal bone changes around titanium implants. A radiographic evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. J Periodontol 1997; 68: 1117–1130.
10.1902/jop.1997.68.11.1117
CAS PubMed Web of Science® Google Scholar
11 Hermann JS, Buser D, Schenk RK, Cochran DL. Crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged and submerged implants in the canine mandible. J Periodontol 2000; 71: 1412–1424.
10.1902/jop.2000.71.9.1412
CAS PubMed Web of Science® Google Scholar
12 Karoussis IK, Brägger U, Salvi GE, Bürgin W, Lang NP. Effect of implant design on survival and success rates of titanium oral implants: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res 2004; 15: 8–17.
10.1111/j.1600-0501.2004.00983.x
PubMed Web of Science® Google Scholar
13 Weber HP, Crohin C, Fiorellini J. A 5-year prospective clinical and radiographic study of non-submerged dental implants. Clin Oral Implants Res 2000; 11: 144–153.
10.1034/j.1600-0501.2000.110207.x
CAS PubMed Web of Science® Google Scholar
14 Buser D, Mericske-Stern R, Dula K, Lang NP. Clinical experience with one-stage, non-submerged dental implants. Adv Dent Res 1999; 13: 153–161.
10.1177/08959374990130010501
CAS PubMed Google Scholar
15 Bernard JP, Belser UC, Martinet JP, Borgis SA. Osseointegration of Brånemark fixtures using a single-step operating system. A preliminary prospective one-year study in the edentulous mandible. Clin Oral Impl Res 1995; 6: 122–129.
10.1034/j.1600-0501.1995.060208.x
PubMed Web of Science® Google Scholar
16 Becker W, Becker BE, Israelson H, Lucchini JP, Handelsman M, Ammons W. One-step surgical placement of Brånemark implants. A prospective multicenter clinical study. Int J Oral Maxillofac Implants 1997; 12: 454–462.
CAS PubMed Web of Science® Google Scholar
17 Buser D, Schroeder A, Sutter F, Lang NP. The new concept of ITI hollow-cylinder and hollow-screw implants: part 2. Clinical aspects, indications, and early clinical results. Int J Oral Maxillofac Implants 1988; 3: 173–181.
CAS PubMed Google Scholar
18 Hartman GA, Cochran DL. Initial implant position determines the magnitude of crestal bone remodeling. J Periodontol 2004; 75: 572–577.
10.1902/jop.2004.75.4.572
PubMed Web of Science® Google Scholar
19 Lekholm U, Zarb GA. Patient selection and preparation. In: P-I Brånemark, GA Zarb, T Albrektsson, eds. Tissue-integrated prostheses: osseointegration in clinical dentistry. Chicago: Quintessence, 1985: 201–209.
Google Scholar
20 Mombelli A, Lang NP. Clinical parameters for the evaluation of dental implants. Periodontol 2000 1994; 4: 81–88.
10.1111/j.1600-0757.1994.tb00008.x
CAS PubMed Web of Science® Google Scholar
21 Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003; 23: 313–323.
PubMed Web of Science® Google Scholar
22 Bengazi F, Wennström JL, Lekholm U. Recession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. Clin Oral Implants Res 1996; 7: 303–310.
10.1034/j.1600-0501.1996.070401.x
CAS PubMed Web of Science® Google Scholar
23 Cochran DL, Nummikoski PV, Schoolfield JD, Jones AA, Oates TW. A prospective multicenter 5-year radiographic evaluation of crestal bone levels over time in 596 dental implants placed in 192 patients. J Periodontol 2009; 80: 725–733.
10.1902/jop.2009.080401
PubMed Web of Science® Google Scholar
24 Callan DP, Cobb CM, Williams KB. DNA probe identification of bacteria colonizing internal surfaces of the implant-abutment interface: a preliminary study. J Periodontol 2005; 76: 115–120.
10.1902/jop.2005.76.1.115
PubMed Web of Science® Google Scholar
25 Hermann J, Buser D, Schenk R, Schoolfield J, Cochrain D. Biologic width around one- and two-piece titanium implants. Clin Oral Implants Res 2001; 12: 559–571.
10.1034/j.1600-0501.2001.120603.x
CAS PubMed Web of Science® Google Scholar
26 Hermann J, Schoolfield JD, Schenk RK, Buser D, Cochran DL. Influence of the size of the microgap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged implants in the canine mandible. J Periodontol 2001; 72: 1372–1383.
10.1902/jop.2001.72.10.1372
CAS PubMed Web of Science® Google Scholar
27 Cochran D, Hermann JS, Schenk R, Higginbottom FL, Buser D. Biologic width around titanium implants. A histometric analysis of the implanto-gingival junction around unloaded and loaded non-submerged implants in the canine mandible. J Periodontol 1997; 68: 186–198.
10.1902/jop.1997.68.2.186
CAS PubMed Web of Science® Google Scholar
28 Quirynen M, van Steenberghe D. Bacterial colonization of the internal part of two-stage implants. An in vivo study. Clin Oral Implants Res 1993; 4: 158–161.
10.1034/j.1600-0501.1993.040307.x
CAS PubMed Web of Science® Google Scholar
29 Persson LG, Lekholm U, Leonhardt A, Dahlen G, Lindhe J. Bacterial colonization on internal surfaces of Brånemark System implant components. Clin Oral Implants Res 1996; 7: 90–95.
10.1034/j.1600-0501.1996.070201.x
CAS PubMed Web of Science® Google Scholar
30 Den Hartog L, Raghoebar GM, Huddleston Slater JJ, Stellingsma K, Vissink A, Meijer HJ. Single-tooth implants with different neck designs: a randomized clinical trial evaluating the aesthetic outcome. Clin Impl Dent Relat Res 2013; 15: 311–321.
10.1111/j.1708-8208.2011.00372.x
PubMed Web of Science® Google Scholar
31 Crespi R, Capparè P, Gherlone E. A 4-year evaluation of the peri-implant parameters of immediate loaded implants placed in fresh extraction sockets. J Periodontol 2010; 81: 1629–1634.
10.1902/jop.2010.100115
PubMed Web of Science® Google Scholar
32 Chung DM, Oh TJ, Shotwell JL, Misch CE, Wang HL. Significance of keratinized mucosa in maintenance of dental implants with different surfaces. J Periodontol 2006; 8: 1410–1420.
10.1902/jop.2006.050393
Web of Science® Google Scholar
33 Schrott AR, Jimenez M, Hwang JW, Fiorellini J, Weber HP. Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health an stability around implants supporting full-arch mandibular fixed prostheses. Clin Oral Implants Res 2009; 20: 1170–1177.
10.1111/j.1600-0501.2009.01795.x
PubMed Web of Science® Google Scholar

Citing Literature

Volume17, Issue5

October 2015

Pages 871-878

Fresh-Socket Implants of Different Collar Length: Clinical Evaluation in the Aesthetic Zone

Abstract

Background

Materials and Methods

Results

Conclusions

References

Citing Literature

References

Information

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