Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지
DOI QR코드

DOI QR Code

The effect of peri-implant bone exposure on soft tissue healing and bone loss in two adjacent implants

  • Shin, Seung-Yun (Department of Periodontology, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kye, Seung-Boem (Department of Periodontology, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hong, Jong-Rak (Department of Oral and Maxillofacial Surgery, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Paeng, Jun-Young (Department of Oral and Maxillofacial Surgery, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yang, Seung-Min (Department of Periodontology, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2011.12.12
  • Accepted : 2012.01.10
  • Published : 2012.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to evaluate the soft tissue and bone change around two adjacent implants in onestage implant surgery. Methods: Eleven subjects (7 males, 4 females) who were needed placement of 2 adjacent implants in the molar area were included. The two implants were placed with the platform at the level of the alveolar crest. The interproximal bone between the 2 implants was not covered with gingiva. After surgery, an alginate impression was taken to record the gingival shape and radiographs were taken to evaluate implant placement. Using a master cast, the gingival height was measured at baseline, 4 weeks, and 12 weeks. In the radiograph, the alveolar bone level was measured at the mesial and distal side of both implants at baseline and 12 weeks. Results: The exposed bone was covered with gingiva at both 4 and 12 weeks. Loss of alveolar bone around implants was found in all areas. The alveolar bone level in the exposed bone area did not differ from that in the non-exposed area. Conclusions: This study showed that the alveolar bone level and gingival height around 2 adjacent implants in the exposed bone area did not differ from that in unexposed bone area.

Keywords

References

  1. Lindhe J, Lang NP, Karring T. Clinical periodontology and implant dentistry. 5th ed. Oxford: Blackwell Munksgaard; 2008.
  2. Becker W, Ochsenbein C, Tibbetts L, Becker BE. Alveolar bone anatomic profiles as measured from dry skulls. Clinical ramifications. J Clin Periodontol 1997;24:727-31. https://doi.org/10.1111/j.1600-051X.1997.tb00189.x
  3. Choquet V, Hermans M, Adriaenssens P, Daelemans P, Tarnow DP, Malevez C. Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region. J Periodontol 2001;72:1364-71. https://doi.org/10.1902/jop.2001.72.10.1364
  4. Kois JC, Kan JY. Predictable peri-implant gingival aesthetics: surgical and prosthodontic rationales. Pract Proced Aesthet Dent 2001;13:691-8.
  5. Salama H, Salama M, Garber D, Adar P. Developing optimal peri-implant papillae within the esthetic zone: guided soft tissue augmentation. J Esthet Dent 1995;7:125-9. https://doi.org/10.1111/j.1708-8240.1995.tb00729.x
  6. Tarnow D, Elian N, Fletcher P, Froum S, Magner A, Cho SC, et al. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol 2003;74:1785-8. https://doi.org/10.1902/jop.2003.74.12.1785
  7. 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;63:995-6. https://doi.org/10.1902/jop.1992.63.12.995
  8. Esposito M, Ekestubbe A, Gröndahl K. Radiological evaluation of marginal bone loss at tooth surfaces facing single Brånemark implants. Clin Oral Implants Res 1993;4:151-7. https://doi.org/10.1034/j.1600-0501.1993.040306.x
  9. Palacci P, Ericsson I, Engstrand P, Rangert B. Optimal implant positioning & soft tissue management for the Branemark system. Chicago: Quintessence Publisher; 1996.
  10. Park KB. Current soft tissue management in implant dentistry. Seoul: Narae Publishing; 1999.
  11. Lee EK, Herr Y, Kwon YH, Shin SI, Lee DY, Chung JH. I-shaped incisions for papilla reconstruction in second stage implant surgery. J Periodontal Implant Sci 2010;40:139-43. https://doi.org/10.5051/jpis.2010.40.3.139
  12. Yang SM, Shin SY, Kye SB. Relationship between implant stability measured by resonance frequency analysis (RFA) and bone loss during early healing period. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:e12-9.
  13. Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416. https://doi.org/10.1016/S0300-9785(81)80077-4
  14. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11-25.
  15. Hermann F, Lerner H, Palti A. Factors influencing the preservation of the periimplant marginal bone. Implant Dent 2007;16:165-75. https://doi.org/10.1097/ID.0b013e318065aa81
  16. Oh TJ, Yoon J, Misch CE, Wang HL. The causes of early implant bone loss: myth or science? J Periodontol 2002;73: 322-33. https://doi.org/10.1902/jop.2002.73.3.322
  17. Berglundh T, Lindhe J. Dimension of the periimplant mucosa. Biological width revisited. J Clin Periodontol 1996;23:971-3. https://doi.org/10.1111/j.1600-051X.1996.tb00520.x
  18. Tarnow DP, Cho SC, Wallace SS. The effect of inter-implant distance on the height of inter-implant bone crest. J Periodontol 2000;71:546-9. https://doi.org/10.1902/jop.2000.71.4.546