Tissue alterations at implant-supported single-tooth replacements: a 1-year prospective clinical study

Objectives: The aim of this prospective study was to evaluate dimensional alterations of the peri‐implant tissues at single‐tooth restorations from the time of implant placement to 1‐year post‐loading. Material and methods: Eleven patients, aged 18–36 years, subjected to single‐tooth replacements wi...

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Published inClinical oral implants research Vol. 17; no. 2; pp. 165 - 171
Main Authors Cardaropoli, Giuseppe, Lekholm, Ulf, Wennström, Jan L.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.04.2006
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Online AccessGet full text
ISSN0905-7161
1600-0501
DOI10.1111/j.1600-0501.2005.01210.x

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Abstract Objectives: The aim of this prospective study was to evaluate dimensional alterations of the peri‐implant tissues at single‐tooth restorations from the time of implant placement to 1‐year post‐loading. Material and methods: Eleven patients, aged 18–36 years, subjected to single‐tooth replacements with implant‐supported restorations (Brånemark implant® system) in the maxillary anterior region were included in the analysis. The implant installation was performed as a two‐stage procedure with a 6‐month healing interval. Bone dimensions were determined by direct assessments immediately following implant placement and at abutment connection. The prosthetic restoration was placed approximately 1 month after abutment surgery. Radiographic and clinical examinations were performed at crown placement and at 1‐year post‐loading. Assessments of the soft tissues at the implant site and at the neighboring teeth were performed before and during implant placement, before abutment connection, after crown placement and at the 1‐year follow‐up examination. Mean values and standard deviations were calculated for each variable and interval, with the subject as the statistical unit. Results: At the time of abutment connection, a mean loss of bone height at the facial and lingual aspect of the implant amounting to 0.7–1.3 mm (P<0.05) was recorded, whereas no significant change was noted at proximal sites. A mean reduction of 0.4 mm of the labial bone thickness was observed between implant placement and the second‐stage surgery. The radiographic bone‐to‐implant level showed a mean loss of 0.9 mm between abutment connection and crown placement (P<0.05) and a further 0.7 mm loss at 1 year (P<0.05). The thickness of the labial mucosa was increased at crown placement followed by a slight remission at 1 year. During the corresponding interval, a mean apical displacement of the labial soft tissue margin of 0.6 mm had taken place (P<0.05). A papilla fill of ≥50% was observed at a frequency of 32% at crown placement and 86% at 1 year. Conclusions: The results demonstrated that following implant surgery remodeling takes place, which is manifested in diminished bone dimensions, both horizontally and vertically, at the facial aspect of the implant. The observed soft tissue alterations after the crown placement may affect the esthetic appeal of the restorative therapy.
AbstractList Objectives: The aim of this prospective study was to evaluate dimensional alterations of the peri‐implant tissues at single‐tooth restorations from the time of implant placement to 1‐year post‐loading. Material and methods: Eleven patients, aged 18–36 years, subjected to single‐tooth replacements with implant‐supported restorations (Brånemark implant® system) in the maxillary anterior region were included in the analysis. The implant installation was performed as a two‐stage procedure with a 6‐month healing interval. Bone dimensions were determined by direct assessments immediately following implant placement and at abutment connection. The prosthetic restoration was placed approximately 1 month after abutment surgery. Radiographic and clinical examinations were performed at crown placement and at 1‐year post‐loading. Assessments of the soft tissues at the implant site and at the neighboring teeth were performed before and during implant placement, before abutment connection, after crown placement and at the 1‐year follow‐up examination. Mean values and standard deviations were calculated for each variable and interval, with the subject as the statistical unit. Results: At the time of abutment connection, a mean loss of bone height at the facial and lingual aspect of the implant amounting to 0.7–1.3 mm (P<0.05) was recorded, whereas no significant change was noted at proximal sites. A mean reduction of 0.4 mm of the labial bone thickness was observed between implant placement and the second‐stage surgery. The radiographic bone‐to‐implant level showed a mean loss of 0.9 mm between abutment connection and crown placement (P<0.05) and a further 0.7 mm loss at 1 year (P<0.05). The thickness of the labial mucosa was increased at crown placement followed by a slight remission at 1 year. During the corresponding interval, a mean apical displacement of the labial soft tissue margin of 0.6 mm had taken place (P<0.05). A papilla fill of ≥50% was observed at a frequency of 32% at crown placement and 86% at 1 year. Conclusions: The results demonstrated that following implant surgery remodeling takes place, which is manifested in diminished bone dimensions, both horizontally and vertically, at the facial aspect of the implant. The observed soft tissue alterations after the crown placement may affect the esthetic appeal of the restorative therapy.
The aim of this prospective study was to evaluate dimensional alterations of the peri-implant tissues at single-tooth restorations from the time of implant placement to 1-year post-loading.OBJECTIVESThe aim of this prospective study was to evaluate dimensional alterations of the peri-implant tissues at single-tooth restorations from the time of implant placement to 1-year post-loading.Eleven patients, aged 18-36 years, subjected to single-tooth replacements with implant-supported restorations (Brånemark implant system) in the maxillary anterior region were included in the analysis. The implant installation was performed as a two-stage procedure with a 6-month healing interval. Bone dimensions were determined by direct assessments immediately following implant placement and at abutment connection. The prosthetic restoration was placed approximately 1 month after abutment surgery. Radiographic and clinical examinations were performed at crown placement and at 1-year post-loading. Assessments of the soft tissues at the implant site and at the neighboring teeth were performed before and during implant placement, before abutment connection, after crown placement and at the 1-year follow-up examination. Mean values and standard deviations were calculated for each variable and interval, with the subject as the statistical unit.MATERIAL AND METHODSEleven patients, aged 18-36 years, subjected to single-tooth replacements with implant-supported restorations (Brånemark implant system) in the maxillary anterior region were included in the analysis. The implant installation was performed as a two-stage procedure with a 6-month healing interval. Bone dimensions were determined by direct assessments immediately following implant placement and at abutment connection. The prosthetic restoration was placed approximately 1 month after abutment surgery. Radiographic and clinical examinations were performed at crown placement and at 1-year post-loading. Assessments of the soft tissues at the implant site and at the neighboring teeth were performed before and during implant placement, before abutment connection, after crown placement and at the 1-year follow-up examination. Mean values and standard deviations were calculated for each variable and interval, with the subject as the statistical unit.At the time of abutment connection, a mean loss of bone height at the facial and lingual aspect of the implant amounting to 0.7-1.3 mm (P < 0.05) was recorded, whereas no significant change was noted at proximal sites. A mean reduction of 0.4 mm of the labial bone thickness was observed between implant placement and the second-stage surgery. The radiographic bone-to-implant level showed a mean loss of 0.9 mm between abutment connection and crown placement (P<0.05) and a further 0.7 mm loss at 1 year (P < 0.05). The thickness of the labial mucosa was increased at crown placement followed by a slight remission at 1 year. During the corresponding interval, a mean apical displacement of the labial soft tissue margin of 0.6 mm had taken place (P < 0.05). A papilla fill of > or = 50% was observed at a frequency of 32% at crown placement and 86% at 1 year.RESULTSAt the time of abutment connection, a mean loss of bone height at the facial and lingual aspect of the implant amounting to 0.7-1.3 mm (P < 0.05) was recorded, whereas no significant change was noted at proximal sites. A mean reduction of 0.4 mm of the labial bone thickness was observed between implant placement and the second-stage surgery. The radiographic bone-to-implant level showed a mean loss of 0.9 mm between abutment connection and crown placement (P<0.05) and a further 0.7 mm loss at 1 year (P < 0.05). The thickness of the labial mucosa was increased at crown placement followed by a slight remission at 1 year. During the corresponding interval, a mean apical displacement of the labial soft tissue margin of 0.6 mm had taken place (P < 0.05). A papilla fill of > or = 50% was observed at a frequency of 32% at crown placement and 86% at 1 year.The results demonstrated that following implant surgery remodeling takes place, which is manifested in diminished bone dimensions, both horizontally and vertically, at the facial aspect of the implant. The observed soft tissue alterations after the crown placement may affect the esthetic appeal of the restorative therapy.CONCLUSIONSThe results demonstrated that following implant surgery remodeling takes place, which is manifested in diminished bone dimensions, both horizontally and vertically, at the facial aspect of the implant. The observed soft tissue alterations after the crown placement may affect the esthetic appeal of the restorative therapy.
OBJECTIVES: The aim of this prospective study was to evaluate dimensional alterations of the peri-implant tissues at single-tooth restorations from the time of implant placement to 1-year post-loading. MATERIAL AND METHODS: Eleven patients, aged 18-36 years, subjected to single-tooth replacements with implant-supported restorations (Brånemark implant system) in the maxillary anterior region were included in the analysis. The implant installation was performed as a two-stage procedure with a 6-month healing interval. Bone dimensions were determined by direct assessments immediately following implant placement and at abutment connection. The prosthetic restoration was placed approximately 1 month after abutment surgery. Radiographic and clinical examinations were performed at crown placement and at 1-year post-loading. Assessments of the soft tissues at the implant site and at the neighboring teeth were performed before and during implant placement, before abutment connection, after crown placement and at the 1-year follow-up examination. Mean values and standard deviations were calculated for each variable and interval, with the subject as the statistical unit. RESULTS: At the time of abutment connection, a mean loss of bone height at the facial and lingual aspect of the implant amounting to 0.7-1.3 mm (P < 0.05) was recorded, whereas no significant change was noted at proximal sites. A mean reduction of 0.4 mm of the labial bone thickness was observed between implant placement and the second-stage surgery. The radiographic bone-to-implant level showed a mean loss of 0.9 mm between abutment connection and crown placement (P<0.05) and a further 0.7 mm loss at 1 year (P < 0.05). The thickness of the labial mucosa was increased at crown placement followed by a slight remission at 1 year. During the corresponding interval, a mean apical displacement of the labial soft tissue margin of 0.6 mm had taken place (P < 0.05). A papilla fill of > or = 50% was observed at a frequency of 32% at crown placement and 86% at 1 year. CONCLUSIONS: The results demonstrated that following implant surgery remodeling takes place, which is manifested in diminished bone dimensions, both horizontally and vertically, at the facial aspect of the implant. The observed soft tissue alterations after the crown placement may affect the esthetic appeal of the restorative therapy.
Objectives: The aim of this prospective study was to evaluate dimensional alterations of the peri-implant tissues at single-tooth restorations from the time of implant placement to 1-year post-loading. Material and methods: Eleven patients, aged 18-36 years, subjected to single-tooth replacements with implant-supported restorations (Braanemark implant super( registered ) system) in the maxillary anterior region were included in the analysis. The implant installation was performed as a two-stage procedure with a 6-month healing interval. Bone dimensions were determined by direct assessments immediately following implant placement and at abutment connection. The prosthetic restoration was placed approximately 1 month after abutment surgery. Radiographic and clinical examinations were performed at crown placement and at 1-year post-loading. Assessments of the soft tissues at the implant site and at the neighboring teeth were performed before and during implant placement, before abutment connection, after crown placement and at the 1-year follow-up examination. Mean values and standard deviations were calculated for each variable and interval, with the subject as the statistical unit. Results: At the time of abutment connection, a mean loss of bone height at the facial and lingual aspect of the implant amounting to 0.7-1.3 mm (P<0.05) was recorded, whereas no significant change was noted at proximal sites. A mean reduction of 0.4 mm of the labial bone thickness was observed between implant placement and the second-stage surgery. The radiographic bone-to-implant level showed a mean loss of 0.9 mm between abutment connection and crown placement (P<0.05) and a further 0.7 mm loss at 1 year (P<0.05). The thickness of the labial mucosa was increased at crown placement followed by a slight remission at 1 year. During the corresponding interval, a mean apical displacement of the labial soft tissue margin of 0.6 mm had taken place (P<0.05). A papilla fill of greater than or equal to 50% was observed at a frequency of 32% at crown placement and 86% at 1 year. Conclusions: The results demonstrated that following implant surgery remodeling takes place, which is manifested in diminished bone dimensions, both horizontally and vertically, at the facial aspect of the implant. The observed soft tissue alterations after the crown placement may affect the esthetic appeal of the restorative therapy.
Objectives: The aim of this prospective study was to evaluate dimensional alterations of the peri‐implant tissues at single‐tooth restorations from the time of implant placement to 1‐year post‐loading. Material and methods: Eleven patients, aged 18–36 years, subjected to single‐tooth replacements with implant‐supported restorations (Brånemark implant ® system) in the maxillary anterior region were included in the analysis. The implant installation was performed as a two‐stage procedure with a 6‐month healing interval. Bone dimensions were determined by direct assessments immediately following implant placement and at abutment connection. The prosthetic restoration was placed approximately 1 month after abutment surgery. Radiographic and clinical examinations were performed at crown placement and at 1‐year post‐loading. Assessments of the soft tissues at the implant site and at the neighboring teeth were performed before and during implant placement, before abutment connection, after crown placement and at the 1‐year follow‐up examination. Mean values and standard deviations were calculated for each variable and interval, with the subject as the statistical unit. Results: At the time of abutment connection, a mean loss of bone height at the facial and lingual aspect of the implant amounting to 0.7–1.3 mm ( P <0.05) was recorded, whereas no significant change was noted at proximal sites. A mean reduction of 0.4 mm of the labial bone thickness was observed between implant placement and the second‐stage surgery. The radiographic bone‐to‐implant level showed a mean loss of 0.9 mm between abutment connection and crown placement ( P <0.05) and a further 0.7 mm loss at 1 year ( P <0.05). The thickness of the labial mucosa was increased at crown placement followed by a slight remission at 1 year. During the corresponding interval, a mean apical displacement of the labial soft tissue margin of 0.6 mm had taken place ( P <0.05). A papilla fill of ≥50% was observed at a frequency of 32% at crown placement and 86% at 1 year. Conclusions: The results demonstrated that following implant surgery remodeling takes place, which is manifested in diminished bone dimensions, both horizontally and vertically, at the facial aspect of the implant. The observed soft tissue alterations after the crown placement may affect the esthetic appeal of the restorative therapy.
The aim of this prospective study was to evaluate dimensional alterations of the peri-implant tissues at single-tooth restorations from the time of implant placement to 1-year post-loading. Eleven patients, aged 18-36 years, subjected to single-tooth replacements with implant-supported restorations (Brånemark implant system) in the maxillary anterior region were included in the analysis. The implant installation was performed as a two-stage procedure with a 6-month healing interval. Bone dimensions were determined by direct assessments immediately following implant placement and at abutment connection. The prosthetic restoration was placed approximately 1 month after abutment surgery. Radiographic and clinical examinations were performed at crown placement and at 1-year post-loading. Assessments of the soft tissues at the implant site and at the neighboring teeth were performed before and during implant placement, before abutment connection, after crown placement and at the 1-year follow-up examination. Mean values and standard deviations were calculated for each variable and interval, with the subject as the statistical unit. At the time of abutment connection, a mean loss of bone height at the facial and lingual aspect of the implant amounting to 0.7-1.3 mm (P < 0.05) was recorded, whereas no significant change was noted at proximal sites. A mean reduction of 0.4 mm of the labial bone thickness was observed between implant placement and the second-stage surgery. The radiographic bone-to-implant level showed a mean loss of 0.9 mm between abutment connection and crown placement (P<0.05) and a further 0.7 mm loss at 1 year (P < 0.05). The thickness of the labial mucosa was increased at crown placement followed by a slight remission at 1 year. During the corresponding interval, a mean apical displacement of the labial soft tissue margin of 0.6 mm had taken place (P < 0.05). A papilla fill of > or = 50% was observed at a frequency of 32% at crown placement and 86% at 1 year. The results demonstrated that following implant surgery remodeling takes place, which is manifested in diminished bone dimensions, both horizontally and vertically, at the facial aspect of the implant. The observed soft tissue alterations after the crown placement may affect the esthetic appeal of the restorative therapy.
Author Cardaropoli, Giuseppe
Lekholm, Ulf
Wennström, Jan L.
Author_xml – sequence: 1
  givenname: Giuseppe
  surname: Cardaropoli
  fullname: Cardaropoli, Giuseppe
  organization: Department of Periodontology, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden
– sequence: 2
  givenname: Ulf
  surname: Lekholm
  fullname: Lekholm, Ulf
  organization: Department of Oral & Maxillofacial Surgery, Institute of Odontology, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden
– sequence: 3
  givenname: Jan L.
  surname: Wennström
  fullname: Wennström, Jan L.
  organization: Department of Periodontology, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden
BackLink https://www.ncbi.nlm.nih.gov/pubmed/16584412$$D View this record in MEDLINE/PubMed
https://gup.ub.gu.se/publication/61780$$DView record from Swedish Publication Index
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References_xml – reference: Eger, T., Muller, H.P. & Helnecke, A. (1996) Ultrasonic determination of gingival thickness. Subject variation and influence of tooth type and clinical features. Journal of Clinical Periodontology 23: 839-845.
– reference: Pietrokovski, J. & Massler, M. (1967) Alveolar ridge resorption following tooth extraction. Journal of Prosthetic Dentistry 17: 21-27.
– reference: Naert, I., Gizani, S. & Van Steenberghe, D. (1999) Bone behavior around sleeping and non-sleeping implants retaining a mandibular hinging overdenture. Clinical Oral Implants Research 10: 149-154.
– reference: Andersson, B., Odman, P., Lindvall, A.M. & Branemark, P.I. (1998) Five-year prospective study of prosthodontic and surgical single-tooth implant treatment in general practices and at a specialist clinic. International Journal of Prosthodontic 11: 351-355.
– reference: Belser, U.C., Buser, D., Hess, D., Schmid, B., Bernard, J.P. & Lang, N.P. (1998) Esthetic implant restorations in partially edentulous patients - a critical appraisal. Periodontology 2000 17: 132-150.
– reference: Small, P.N. & Tarnow, D.P. (2000) Gingival recession around implants: a 1-year longitudinal prospective study. International Journal of Oral & Maxillofacial Implants 15: 527-532.
– reference: Malevez, C.H., Hermans, M. & Daelemans, P.H. (1996) Marginal bone levels at Brånemark system implants used for single tooth restoration. The influence of implant design and anatomical region. Clinical Oral Implants Research 7: 162-169.
– reference: Polson, A.M. (1997) The research team, calibration, and quality assurance in clinical trials in periodontics. Annals of Periodontology 2: 75-82.
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Snippet Objectives: The aim of this prospective study was to evaluate dimensional alterations of the peri‐implant tissues at single‐tooth restorations from the time of...
Objectives: The aim of this prospective study was to evaluate dimensional alterations of the peri‐implant tissues at single‐tooth restorations from the time of...
The aim of this prospective study was to evaluate dimensional alterations of the peri-implant tissues at single-tooth restorations from the time of implant...
Objectives: The aim of this prospective study was to evaluate dimensional alterations of the peri-implant tissues at single-tooth restorations from the time of...
OBJECTIVES: The aim of this prospective study was to evaluate dimensional alterations of the peri-implant tissues at single-tooth restorations from the time of...
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StartPage 165
SubjectTerms Adolescent
Adult
Alveolar Bone Loss
Alveolar Bone Loss - classification
bone
classification
Crowns
Dental
Dental Abutments
Dental Implantation
Dental Implantation, Endosseous - methods
Dental Implants
Dental Implants, Single-Tooth
Dental Prosthesis
Dental Prosthesis, Implant-Supported
Endosseous
Esthetics
Esthetics, Dental
Female
Follow-Up Studies
Gingival Recession
Gingival Recession - classification
Humans
Implant-Supported
Incisor
Male
Maxilla
Maxilla - pathology
Maxilla - surgery
methods
Mouth Mucosa
Mouth Mucosa - pathology
Odontologi
Odontology
Osseointegration
Osseointegration - physiology
pathology
Periodontal Diseases
Periodontal Diseases - classification
Periodontal Pocket
Periodontal Pocket - classification
physiology
Prospective Studies
single implant
Single-Tooth
soft tissues
surgery
Wound Healing
Wound Healing - physiology
Title Tissue alterations at implant-supported single-tooth replacements: a 1-year prospective clinical study
URI https://api.istex.fr/ark:/67375/WNG-PB3CD49H-7/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1600-0501.2005.01210.x
https://www.ncbi.nlm.nih.gov/pubmed/16584412
https://www.proquest.com/docview/19446115
https://www.proquest.com/docview/67824792
https://gup.ub.gu.se/publication/61780
Volume 17
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