In Vivo Evaluation of Two-Piece Implants Placed Following One-Stage and Two-Stage Surgical Protocol in Posterior Mandibular Region. Assessment of Alterations in Crestal Bone Level
Corresponding Author
Minkle Gulati MDS
Resident
Department of Periodontics, Babu Banarasi Das College of Dental Sciences, Babu Banarasi Das University, Lucknow, India
Reprint requests: Dr. Minkle Gulati, c/o Mr. Saranpal Singh Gulati, 54-L, Model Town, Karnal, Haryana, India; e-mail: [email protected]Search for more papers by this authorVivek Govila MDS
professor and head
Department of Periodontics, Babu Banarasi Das College of Dental Sciences, Babu Banarasi Das University, Lucknow, India
Search for more papers by this authorSunil Verma MDS
reader
Department of Periodontics, Babu Banarasi Das College of Dental Sciences, Babu Banarasi Das University, Lucknow, India
Search for more papers by this authorBalakrishnan Rajkumar MDS
professor and head
Department of Conservative Dentistry & Endodontics, Babu Banarasi Das College of Dental Sciences, Babu Banarasi Das University, Lucknow, India
Search for more papers by this authorVishal Anand MDS
senior resident
Department of Periodontics, Chhatrapati Shahuji Maharaj Medical University, Lucknow, India
Search for more papers by this authorAnuj Aggarwal MDS
resident
Department of Oral & Maxillofacial Surgery, Santosh Dental College & Hospital, Ghaziabad, NCR, Delhi, India
Search for more papers by this authorNikil Jain MDS
resident
Department of Oral & Maxillofacial Surgery, Vinayaka Missions Sankarachariyar Dental College, Salem, Tamil Nadu, India
Search for more papers by this authorCorresponding Author
Minkle Gulati MDS
Resident
Department of Periodontics, Babu Banarasi Das College of Dental Sciences, Babu Banarasi Das University, Lucknow, India
Reprint requests: Dr. Minkle Gulati, c/o Mr. Saranpal Singh Gulati, 54-L, Model Town, Karnal, Haryana, India; e-mail: [email protected]Search for more papers by this authorVivek Govila MDS
professor and head
Department of Periodontics, Babu Banarasi Das College of Dental Sciences, Babu Banarasi Das University, Lucknow, India
Search for more papers by this authorSunil Verma MDS
reader
Department of Periodontics, Babu Banarasi Das College of Dental Sciences, Babu Banarasi Das University, Lucknow, India
Search for more papers by this authorBalakrishnan Rajkumar MDS
professor and head
Department of Conservative Dentistry & Endodontics, Babu Banarasi Das College of Dental Sciences, Babu Banarasi Das University, Lucknow, India
Search for more papers by this authorVishal Anand MDS
senior resident
Department of Periodontics, Chhatrapati Shahuji Maharaj Medical University, Lucknow, India
Search for more papers by this authorAnuj Aggarwal MDS
resident
Department of Oral & Maxillofacial Surgery, Santosh Dental College & Hospital, Ghaziabad, NCR, Delhi, India
Search for more papers by this authorNikil Jain MDS
resident
Department of Oral & Maxillofacial Surgery, Vinayaka Missions Sankarachariyar Dental College, Salem, Tamil Nadu, India
Search for more papers by this authorAbstract
Background
Endosseous implants can be placed following either two-stage technique requiring second-stage surgery or one-stage technique, which does not involve a second surgical intervention.
Purpose
The present study was undertaken to evaluate and compare the changes in crestal bone level when two-piece implants were placed in posterior mandibular region following one-stage and two-stage surgical protocol.
Materials and Methods
A parallel group randomized prospective study was designed in which 20 two-piece implants were placed in the posterior mandibular region of 16 partially edentulous healthy patients following either one-stage (Group I) or a two-stage surgical protocol (Group II). Alterations in crestal bone level were assessed with the help of DentaScan at baseline, that is, at the time of implant placement, third month and sixth month.
Results
Nonsignificant differences were seen in both groups in terms of changes in crestal bone level at the final evaluation.
Conclusions
Hence, it could be concluded that two-piece implants can be placed following one-stage surgical protocol as predictably as when two-stage surgical technique is followed.
References
- 1 Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 1992; 63: 995–996.
- 2 Levin L. Dealing with dental implant failures. J Appl Oral Sci 2008; 16: 171–175.
- 3 Albrektsson T, Isidor F. Consensus report of session IV. In: NP Lang, T Karring, eds. Proceedings of the 1st European workshop on periodontology. London: Quintessence Publishing, 1994: 365–369.
- 4 Laurell L, Lundgren D. Marginal bone level changes at dental implants after 5 years in function: a meta-analysis. Clin Implant Dent Relat Res 2011; 13: 19–28.
- 5 Ericsson I, Randow K, Nilner K, Petersson A. Some clinical and radiographical features of submerged and non-submerged titanium implants. A 5-year follow-up study. Clin Oral Implants Res 1997; 8(5): 422–426.
- 6 Røynesdal AK, Ambjørnsen E, Haanæs HR. A comparison of 3 different endosseous nonsubmerged implants in edentulous mandibles: a clinical report. Int J Oral Maxillofac Implants 1999; 14: 543–548.
- 7 Friberg B, Sennerby L, Linden B, Gröndahl K, Lekholm U. Stability measurements of one-stage Brånemark implants during healing in mandibles: a clinical resonance frequency analysis study. Int J Oral Maxillofac Surg 1999; 28: 266–272.
- 8 Heydenrijk K, Raghoebar GM, Meijer HJA, van der Reijden WA, van Winkelhoff A-J, Stegenga B. Two-part implants inserted in a one-stage or a two-stage procedure. A prospective comparative study. J Clin Periodontol 2002; 29: 900–909.
- 9 Cecchinato D, Olsson C, Lindhe J. Submerged or non-submerged healing of endosseous implants to be used in the rehabilitation of partially dentate patients. J Clin Periodontol 2004; 31: 299–308.
- 10 Han TJ, Park BK, Klokkevold PR. Chapter 76: Standard implant surgical procedures. In: FA Carranza, MG Newman, HH Takei, PR Klokkevold, eds. Carranza's clinical periodontology. 10th ed. St. Louis, MO: Saunders Elsevier, 2006: 1120–1132.
- 11 Heydenrijk K, Raghoebar GM, Meijer HJA, van der Reijden WA, van Winkelhoff A-J, Stegenga B. Two-stage IMZ implants and ITI implants inserted in a single-stage procedure. A prospective comparative study. Clin Oral Implants Res 2002; 13: 371–380.
- 12 Heijdenrijk K, Raghoebar GM, Meijer HJ, Stegenga B, van der Reijden WA. Feasibility and influence of the microgap of two implants placed in a non-submerged procedure: a five-year follow-up clinical trial. J Periodontol 2006; 77: 1051–1060.
- 13 Hermann J, 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.
- 14 Broggini N, McManus LM, Hermann JS, et al. Persistent acute inflammation at the implant-abutment interface. J Dent Res 2003; 82: 232–237.
- 15 Buser D, Belser UC, Lang NP. The original one-stage dental implant system and its clinical application. Periodontol 2000 1998; 17: 106–118.
- 16 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.
- 17 Batenburg RHK, Meijer HJA, Geraets WGM, van-der Stelt PF. Radiographic assessment of changes in marginal bone around endosseous implants supporting mandibular overdentures. Dentomaxillofac Radiol 1998; 27: 221–224.
- 18 Weber HP, Buser D, Fiorellini JP, Williams RC. Radiographic evaluation of crestal bone levels adjacent to nonsubmerged titanium implants. Clin Oral Implants Res 1992; 3: 181–188.
- 19 Fiorellini JP, Artuscel G, Eber LAE. Longitudinal studies of implant systems. Periodontol 2000 1998; 17: 125–131.
- 20 Heydenrijk K, Raghoebar GM, Meijer HJ, Stegenga B. Clinical and radiologic evaluation of 2-stage IMZ implants placed in a single-stage procedure: 2-year results of a prospective comparative study. Int J Oral Maxillofac Implants 2003; 18: 424–432.
- 21 Batenburg RHK, Meijer HJA, Raghoebar GM, Van Ort RP, Boering G. Mandibular overdentures supported by two Branemark, IMZ or ITI implants. A prospective comparative preliminary study: one-year results. Clin Oral Implants Res 1998; 9: 374–383.
- 22 Esposito M, Grusovin MG, Chew YS, Coulthard P, Worthington HV. Interventions for replacing missing teeth: 1- versus 2-stage implant placement. Cochrane Database Syst Rev 2010; (1): 1–24.
- 23 Jayadevappa BS, Kodhandarama GS, Santosh SV, Rashid WT. Imaging of dental implants. Journal of Oral Health Research 2010; 1: 50–61.
- 24 Nagao J, Mori K, Kitasaka T, Suenaga Y, Yamada S, Naitoh M. Quantification and visualization of alveolar bone resorption from 3D dental CT images. Int J CARS 2007; 2: 43–53.
- 25 Szmukler-Moncler S, Piattelli A, Favero GA, Dubruille JH. Considerations preliminary to the application of early and immediate loading protocols in dental implantology. Clin Oral Implants Res 2000; 11: 12–25.
- 26 Cochran DL. The evidence for immediate loading of implants. J Evid Based Dent Pract 2006; 6: 155–163.
- 27 Becktor JP, Isaksson S, Billström CA. Prospective multicenter study using two different surgical approaches in the mandible with turned Brånemark implants: conventional loading using fixed prostheses. Clin Implant Dent Relat Res 2007; 9: 179–185.
- 28 Yeh S, Jain K, Andreana S. Using a diode laser to uncover dental implants in second-stage surgery. Gen Dent 2005; 53: 414–417.
- 29 Park JH, Kim YK, Yun PY, et al. Analysis of factors affecting crestal bone loss around the implants. J Kor Dent Sci 2009; 3: 12–17.
- 30 Vidyasagar L, Apse P. Biological response to dental implant loading/overloading. Implant overloading: empiricism or science? Stomatologija, Baltic Dental and Maxillofacial Journal 2003; 5: 83–89.
- 31 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.
- 32 Sennerby L, Thomsen P, Ericson LE. Early tissue response to titanium implants inserted in rabbit cortical bone. Part I light microscopic observations. J Mater Sci Mater Med 1993; 4: 240–250.
- 33 Enkling N, Jöhren P, Klimberg T, et al. Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial. J Clin Periodontol 2011; 38: 374–384.
- 34 Fiorellini JP, Buser D, Paquette DW, Williams RC, Haghighi D, Weber HP. A radiographicevaluation of bone healing around submerged and non-submerged dental implants in beagle dogs. J Periodontol 1999; 70: 248–254.
- 35 Choi B-H, Li J, Kim H-S, Ko C-Y, Jeong S-M, Xuan F. Comparison of submerged and nonsubmerged implants placed without flap reflection in the canine mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105: 561–565.
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