Original Article
Factors affecting peri-implant bone loss: a post-five-year retrospective study
Rocío Vázquez Álvarez,
Mario Pérez Sayáns,
Pilar Gayoso Diz,
Abel García García,
Rocío Vázquez Álvarez
Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
Search for more papers by this authorCorresponding Author
Mario Pérez Sayáns
Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
Corresponding author:
Mario Pérez Sayáns, MD, PhD, DDS
Instituto de Investigación Sanitaria de Santiago (IDIS)
Entrerríos s/n
Santiago de Compostela
C.P. 15782
Spain
Tel.: 881812355
Fax: 981562266
e-mail: [email protected]
Search for more papers by this authorPilar Gayoso Diz
Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
Clinical Epidemiology and Biostatistics Unit, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorAbel García García
Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
Search for more papers by this authorRocío Vázquez Álvarez,
Mario Pérez Sayáns,
Pilar Gayoso Diz,
Abel García García,
Rocío Vázquez Álvarez
Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
Search for more papers by this authorCorresponding Author
Mario Pérez Sayáns
Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
Corresponding author:
Mario Pérez Sayáns, MD, PhD, DDS
Instituto de Investigación Sanitaria de Santiago (IDIS)
Entrerríos s/n
Santiago de Compostela
C.P. 15782
Spain
Tel.: 881812355
Fax: 981562266
e-mail: [email protected]
Search for more papers by this authorPilar Gayoso Diz
Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
Clinical Epidemiology and Biostatistics Unit, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorAbel García García
Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
Search for more papers by this authorAbstract
Introduction
Although peri-implant bone loss is one of the parameters included in the criteria for determining implant success, its prevention is of vital importance. The goal of this article is to assess the factors that affect peri-implant bone loss.
Material and methods
An observational, longitudinal, retrospective study was conducted in 148 partially edentulous patients rehabilitated with implants and with a follow-up period of 5 years or more. A total of 585 implants were included in the study. Radiographic peri-implant bone loss was compared with radiographic periodontal bone loss, and other characteristics such as prosthesis design, hygiene, and implant size were studied as potential peri-implant bone loss modification factors.
Results
In the univariate analysis, a statistically significant relationship between peri-implant bone loss and gender (P < 0.05), implant system (P < 0.01), reason for extraction (P < 0.05), splinting (P < 0.0001), and distance between the implant platform and the horizontal component of the prosthesis (P < 0.0001) were observed. In multivariate analysis, the relationship between this peri-implant loss and gender (P < 0.05), implant system (P < 0.05), splinting (P < 0.001), and the aforementioned distance (P < 0.01) remains.
Conclusions
The distance implant platform-horizontal component of the prosthesis has the greatest effect on peri-implant bone loss This distance must be >3.3 mm and <6 mm, above this range, it no longer influences in peri-implant bone loss and favors the appearance of embrasures and the buildup of bacterial plaque.
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