Clinical and radiographic peri-implant health status around narrow diameter implant-supported single and splinted crowns

Khulud Abdulrahman Al-Aali; Aws S ArRejaie; Ali Alrahlah; Yasser F AlFawaz; Tariq Abduljabbar; Fahim Vohra

doi:10.1111/cid.12718

Clinical and radiographic peri-implant health status around narrow diameter implant-supported single and splinted crowns

Clin Implant Dent Relat Res. 2019 Apr;21(2):386-390. doi: 10.1111/cid.12718. Epub 2019 Feb 14.

Authors

Khulud Abdulrahman Al-Aali¹, Aws S ArRejaie², Ali Alrahlah^{3

4}, Yasser F AlFawaz³, Tariq Abduljabbar^{3

4}, Fahim Vohra^{3

4}

Affiliations

¹ Department of Prosthodontics, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
² Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
³ Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
⁴ Engineer Abdullah Bugshan Research Chair for Dental and Oral Rehabilitation, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.

PMID: 30767366
DOI: 10.1111/cid.12718

Abstract

Background: Studies assessing and comparing clinical and radiographic peri-implant status around narrow diameter implant-supported single crowns (NDISCs) and splinted crowns (NDISPs) are scarce.

Objective: The aim of this retrospective study was to estimate and compare complication rates, patient satisfaction, peri-implant status and peri-implant bone loss (PBL) of NDISCs and NDISPs.

Materials and methods: Patients receiving narrow diameter implants (NDIs) in the posterior mandible were assessed. Technical complication and patient satisfaction were recorded. Clinical peri-implant plaque index (PI), bleeding on probing (BoP), probing depth (PD) and PBL were assessed. Technical complications and patient satisfaction were recorded. Log-rank test was computed to evaluate the influence of prostheses type and NDIs location on technical complications. P-value less than 0.05 was regarded as significant.

Results: Seventy-eight patients (43 male and 35 females) agreed to follow up. The mean follow-up duration of the patients was 3.6 years. A total of 102 (43 NDISCs and 59 NDISPs) NDIs with moderately rough surfaces were included. No significant differences in PI, BoP, or PD were observed between NDISCs and NDISPs. The average PBL score was 1.17 (range: 0.03-4.15) at implant level and 1.14 (range: 0.03-4.14) at patient level. Seven implants and three patients showed peri-implantitis. The rates of technical complication of single crowns were significantly higher than those of splinted crowns (P = 0.036). PBL was significantly higher in molar sites than those in premolar sites (P = 0.041). A total of 67 patients (85.9%) were satisfied with the esthetics of the crowns, while a total of 59 patients (75.6%) were satisfied with the function of the crowns.

Conclusion: NDISCs and NDISPs offer high patient satisfaction and tolerable complication rates. Peri-implant conditions and peri-implant bone levels were comparable around NDISCs and NDISPs. However, bone loss of implants was higher in molar sites than those implants in premolar sites.

Keywords: crestal bone levels; narrow diameter implants; patient satisfaction; single crowns; splinted crowns.

MeSH terms

Alveolar Bone Loss*
Crowns
Dental Prosthesis, Implant-Supported*
Female
Follow-Up Studies
Health Status
Humans
Male
Retrospective Studies

Abstract

MeSH terms

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