Short vs. Standard Laser-Microgrooved Implants Supporting Single and Splinted Crowns: A Prospective Study with 3 Years Follow-Up

J Prosthodont. 2019 Feb;28(2):e771-e779. doi: 10.1111/jopr.12959. Epub 2018 Aug 31.

Abstract

Purpose: The aim of this study was to compare survival rates, marginal bone loss (MBL), and peri-implant soft tissue parameters between short and standard laser-microgrooved implants supporting single or splinted crowns 3 years after loading.

Materials and methods: 30 subjects received 1 short ( 7 mm ) and 1 standard length ( 9 mm ) laser-microgrooved implant in adjacent sites of the premolar and molar regions of the mandible or maxilla. Peri-implant soft tissue parameters and intraoral radiographs were recorded at the delivery of definitive crowns (baseline) and 3 years later. Cumulative survival rate (CSR) and marginal bone loss (MBL) in relation to crown/implant (C/I) ratio, implant length, location, type of antagonist, and type of prosthetic design (single or splinted), were evaluated.

Results: CSR of short implants was 98%, compared to 100% for standard implants, without significant statistical difference. MBL was not significantly different over the observation period, with an average of 0.23 ± 0.6 mm and 0.27 ± 0.3 mm for short and standard implants, respectively. No statistical differences were found between short and standard implants regarding plaque (14.7% vs. 15.7%), number of sites BOP (8.3% vs. 5.9%), probing depth (1.13 ± 0.6 mm vs. 1.04 ± 0.8 mm), and mean mucosal recession (0.18 ± 0.3 mm vs. 0.22 ± 0.3 mm). Analyzing MBL in relation to the C/I ratio, implant length, location, type of antagonist, and type of prosthetic design, no statistically significant differences were found.

Conclusion: Regardless of C/I ratio, implant length, location, type of antagonist, and type of prosthetic design, short and standard laser-microgrooved implants had similar survival rates, MBL, and peri-implant soft tissue conditions over the observation period of 3 years.

Keywords: Laser-microgrooved collar; marginal bone loss; short implants; survival rate.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Alveolar Bone Loss / epidemiology
  • Alveolar Bone Loss / etiology
  • Crowns*
  • Dental Implants
  • Dental Prosthesis Design / methods*
  • Dental Prosthesis Retention / methods
  • Dental Prosthesis, Implant-Supported* / methods
  • Dental Restoration Failure
  • Female
  • Follow-Up Studies
  • Humans
  • Lasers
  • Male
  • Middle Aged
  • Prospective Studies
  • Radiography, Dental
  • Young Adult

Substances

  • Dental Implants

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