Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Bone loss-related factors in tissue and bone level dental implants: a systematic review of clinical trials

  • Mortazavi, Hamed (Department of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences) ;
  • Khodadoustan, Amin (Member of Iranian Association of Periodontology, Private Practice) ;
  • Kheiri, Aida (Student Research Committee, School of Dentistry, Shahid Beheshti University of Medical Sciences) ;
  • Kheiri, Lida (Department of Oral and Maxillofacial Surgery, School of Dentistry, Islamic Azad University)
  • Received : 2020.10.25
  • Accepted : 2021.02.05
  • Published : 2021.06.30
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Abstract

Dental implants are popular for dental rehabilitation after tooth loss. The goal of this systematic review was to assess bone changes around bone-level and tissue-level implants and the possible causes. Electronic searches of PubMed, Google Scholar, Scopus, and Web of Science, and a hand search limited to English language clinical trials were performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines up to September 2020. Studies that stated the type of implants used, and that reported bone-level changes after insertion met the inclusion criteria. The risk of bias was also evaluated. A total of 38 studies were included. Eighteen studies only used bone-level implants, 10 utilized tissue-level designs and 10 observed bone-level changes in both types of implants. Based on bias assessments, evaluating the risk of bias was not applicable in most studies. There are vast differences in methodologies, follow-ups, and multifactorial characteristics of bone loss around implants, which makes direct comparison impossible. Therefore, further well-structured studies are needed.

Keywords

References

  1. Al-Nawas B, Bragger U, Meijer HJ, Naert I, Persson R, Perucchi A, et al. A double-blind randomized controlled trial (RCT) of Titanium-13Zirconium versus Titanium Grade IV small-diameter bone level implants in edentulous mandibles--results from a 1-year observation period. Clin Implant Dent Relat Res 2012;14:896-904. https://doi.org/10.1111/j.1708-8208.2010.00324.x
  2. Andreasi Bassi M, Lopez MA, Confalone L, Gaudio RM, Lombardo L, Lauritano D. Clinical outcome of a two-piece implant system with an internal hexagonal connection: a prospective study. J Biol Regul Homeost Agents 2016;30(2 Suppl 1):7-12.
  3. Ghazal SS, Huynh-Ba G, Aghaloo T, Dibart S, Froum S, O'Neal R, et al. A randomized, controlled, multicenter clinical study evaluating the crestal bone level change of SLActive Bone Level O 3.3 mm implants compared to SLActive Bone Level O 4.1 mm implants for single-tooth replacement. Int J Oral Maxillofac Implants 2019;34:708-18. https://doi.org/10.11607/jomi.6927
  4. Alharbi HM, Babay N, Alzoman H, Basudan S, Anil S, Jansen JA. Bone morphology changes around two types of bone-level implants installed in fresh extraction sockets--a histomorphometric study in Beagle dogs. Clin Oral Implants Res 2015;26:1106-12. https://doi.org/10.1111/clr.12388
  5. Chiapasco M, Casentini P, Zaniboni M, Corsi E. Evaluation of peri-implant bone resorption around Straumann Bone Level implants placed in areas reconstructed with autogenous vertical onlay bone grafts. Clin Oral Implants Res 2012;23:1012-21. https://doi.org/10.1111/j.1600-0501.2011.02262.x
  6. Puisys A, Linkevicius T. The influence of mucosal tissue thickening on crestal bone stability around bone-level implants. A prospective controlled clinical trial. Clin Oral Implants Res 2015;26:123-9. https://doi.org/10.1111/clr.12301
  7. Guven SS, Cabbar F, Guler N. Local and systemic factors associated with marginal bone loss around dental implants: a retrospective clinical study. Quintessence Int 2020;51:128-41. https://doi.org/10.3290/j.qi.a42950
  8. Wu S, Wu X, Shrestha R, Lin J, Feng Z, Liu Y, et al. Clinical and radiologic outcomes of submerged and nonsubmerged bone-level implants with internal hexagonal connections in immediate implantation: a 5-year retrospective study. J Prosthodont 2018;27:101-7. https://doi.org/10.1111/jopr.12647
  9. Donos N, Horvath A, Calciolari E, Mardas N. Immediate provisionalization of bone level implants with a hydrophilic surface. A five-year follow-up of a randomized controlled clinical trial. Clin Oral Implants Res 2019;30:139-49. https://doi.org/10.1111/clr.13400
  10. Markovic A, Colic S, Scepanovic M, Misic T, Dinic A, Bhusal DS. A 1-year prospective clinical and radiographic study of early-loaded bone level implants in the posterior maxilla. Clin Implant Dent Relat Res 2015;17:1004-13. https://doi.org/10.1111/cid.12201
  11. Schwarz F, Sager M, Kadelka I, Ferrari D, Becker J. Influence of titanium implant surface characteristics on bone regeneration in dehiscence-type defects: an experimental study in dogs. J Clin Periodontol 2010;37:466-73. https://doi.org/10.1111/j.1600-051X.2010.01533.x
  12. Cochran DL, Bosshardt DD, Grize L, Higginbottom FL, Jones AA, Jung RE, et al. Bone response to loaded implants with non-matching implant-abutment diameters in the canine mandible. J Periodontol 2009;80:609-17. https://doi.org/10.1902/jop.2009.080323
  13. Filippi A, Higginbottom FL, Lambrecht T, Levin BP, Meier JL, Rosen PS, et al. A prospective noninterventional study to document implant success and survival of the Straumann Bone Level SLActive dental implant in daily dental practice. Quintessence Int 2013;44:499-512. https://doi.org/10.3290/j.qi.a29611
  14. Elian N, Bloom M, Trushkowsky RD, Dard MM, Tarnow D. Effect of 3- and 4-mm interimplant distances on the height of interimplant bone crest: a histomorphometric evaluation measured on bone level dental implants in minipig. Implant Dent 2014;23:522-8. https://doi.org/10.1097/ID.0000000000000153
  15. Gao E, Hei WH, Park JC, Pang K, Kim SK, Kim B, et al. Bone-level implants placed in the anterior maxilla: an open-label, single-arm observational study. J Periodontal Implant Sci 2017;47:312-27. https://doi.org/10.5051/jpis.2017.47.5.312
  16. Canullo L, Fedele GR, Iannello G, Jepsen S. Platform switching and marginal bone-level alterations: the results of a randomized-controlled trial. Clin Oral Implants Res 2010;21:115-21. https://doi.org/10.1111/j.1600-0501.2009.01867.x
  17. Koutouzis T, Mesia R, Calderon N, Wong F, Wallet S. The effect of dynamic loading on bacterial colonization of the dental implant fixture-abutment interface: an in vitro study. J Oral Implantol 2014;40:432-7. https://doi.org/10.1563/AAID-JOI-D-11-00207
  18. Lauritano D, Moreo G, Lucchese A, Viganoni C, Limongelli L, Carinci F. The impact of implant-abutment connection on clinical outcomes and microbial colonization: a narrative review. Materials (Basel) 2020;13:1131. https://doi.org/10.3390/ma13051131
  19. Flores-Guillen J, Alvarez-Novoa C, Barbieri G, Martin C, Sanz M. Five-year outcomes of a randomized clinical trial comparing bone-level implants with either submerged or transmucosal healing. J Clin Periodontol 2018;45:125-35. https://doi.org/10.1111/jcpe.12832
  20. Lorenz J, Lerner H, Sader RA, Ghanaati S. Investigation of periimplant tissue conditions and peri-implant tissue stability in implants placed with simultaneous augmentation procedure: a 3-year retrospective follow-up analysis of a newly developed bone level implant system. Int J Implant Dent 2017;3:41. https://doi.org/10.1186/s40729-017-0104-4
  21. Tesmer M, Wallet S, Koutouzis T, Lundgren T. Bacterial colonization of the dental implant fixture-abutment interface: an in vitro study. J Periodontol 2009;80:1991-7. https://doi.org/10.1902/jop.2009.090178
  22. Novoa L, Batalla P, Caneiro L, Pico A, Linares A, Blanco J. Influence of abutment height on maintenance of peri-implant crestal bone at bone-level implants: a 3-year follow-up study. Int J Periodontics Restorative Dent 2017;37:721-7. https://doi.org/10.11607/prd.2762
  23. Santing HJ, Raghoebar GM, Vissink A, den Hartog L, Meijer HJ. Performance of the Straumann Bone Level Implant system for anterior single-tooth replacements in augmented and nonaugmented sites: a prospective cohort study with 60 consecutive patients. Clin Oral Implants Res 2013;24:941-8. https://doi.org/10.1111/j.1600-0501.2012.02486.x
  24. Vanlioglu BA, Kahramanoglu E, Ozkan Y, Kulak-Ozkan Y. Clinical and radiographic evaluation of early loaded maxillary anterior single-tooth bone-level implants. Int J Oral Maxillofac Implants 2014;29:1369-73. https://doi.org/10.11607/jomi.3446
  25. Kang MH, Jung UW, Cho KS, Lee JS. Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years. II. Marginal bone stability. Clin Implant Dent Relat Res 2018;20:875-81. https://doi.org/10.1111/cid.12636
  26. Friedmann A, Gissel K, Soudan M, Kleber BM, Pitaru S, Dietrich T. Randomized controlled trial on lateral augmentation using two collagen membranes: morphometric results on mineralized tissue compound. J Clin Periodontol 2011;38:677-85. https://doi.org/10.1111/j.1600-051X.2011.01738.x
  27. Agustin-Panadero R, Martinez-Martinez N, Fernandez-Estevan L, Faus-Lopez J, Sola-Ruiz MF. Influence of transmucosal area morphology on peri-implant bone loss in tissue-level implants. Int J Oral Maxillofac Implants 2019;34:947-52. https://doi.org/10.11607/jomi.7329
  28. Makowiecki A, Botzenhart U, Seeliger J, Heinemann F, Biocev P, Dominiak M. A comparative study of the effectiveness of early and delayed loading of short tissue-level dental implants with hydrophilic surfaces placed in the posterior section of the mandible-a preliminary study. Ann Anat 2017;212:61-8. https://doi.org/10.1016/j.aanat.2017.02.009
  29. Kumar VV, Sagheb K, Kammerer PW, Al-Nawas B, Wagner W. Retrospective clinical study of marginal bone level changes with two different screw-implant types: comparison between tissue level (TE) and bone level (BL) implant. J Maxillofac Oral Surg 2014;13:259-66. https://doi.org/10.1007/s12663-013-0532-5
  30. Lopez MA, Andreasi Bassi M, Confalone L, Gaudio RM, Lombardo L, Lauritano D. Retrospective study on bone-level and soft-tissue-level cylindrical implants. J Biol Regul Homeost Agents 2016;30(2 Suppl 1):43-8.
  31. Hadzik J, Botzenhart U, Krawiec M, Gedrange T, Heinemann F, Vegh A, et al. Comparative evaluation of the effectiveness of the implantation in the lateral part of the mandible between short tissue level (TE) and bone level (BL) implant systems. Ann Anat 2017;213:78-82. https://doi.org/10.1016/j.aanat.2017.05.008
  32. Ladwein C, Schmelzeisen R, Nelson K, Fluegge TV, Fretwurst T. Is the presence of keratinized mucosa associated with periimplant tissue health? A clinical cross-sectional analysis. Int J Implant Dent 2015;1:11. https://doi.org/10.1186/s40729-015-0009-z
  33. Wallner G, Rieder D, Wichmann MG, Heckmann SM. Peri-implant bone loss of tissue-level and bone-level implants in the esthetic zone with gingival biotype analysis. Int J Oral Maxillofac Implants 2018;33:1119-25. https://doi.org/10.11607/jomi.6641
  34. Canullo L, Menini M, Covani U, Pesce P. Clinical outcomes of using a prosthetic protocol to rehabilitate tissue-level implants with a convergent collar in the esthetic zone: a 3-year prospective study. J Prosthet Dent 2020;123:246-51. https://doi.org/10.1016/j.prosdent.2018.12.022
  35. Buser D, Janner SF, Wittneben JG, Bragger U, Ramseier CA, Salvi GE. 10-Year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res 2012;14:839-51. https://doi.org/10.1111/j.1708-8208.2012.00456.x
  36. Lago L, da Silva L, Gude F, Rilo B. Bone and soft tissue response in bone-level implants restored with platform switching: a 5-year clinical prospective study. Int J Oral Maxillofac Implants 2017;32:919-26. https://doi.org/10.11607/jomi.5859
  37. Lago L, da Silva L, Martinez-Silva I, Rilo B. Radiographic assessment of crestal bone loss in tissue-level implants restored by platform matching compared with bone-level implants restored by platform switching: a randomized, controlled, split-mouth trial with 3-year follow-up. Int J Oral Maxillofac Implants 2019;34:179-86. https://doi.org/10.11607/jomi.6954
  38. Lago L, da Silva L, Martinez-Silva I, Rilo B. Crestal bone level around tissue-level implants restored with platform matching and bone-level implants restored with platform switching: a 5-year randomized controlled trial. Int J Oral Maxillofac Implants 2018;33:448-56. https://doi.org/10.11607/jomi.6149
  39. Fernandez-Formoso N, Rilo B, Mora MJ, Martinez-Silva I, DiazAfonso AM. Radiographic evaluation of marginal bone maintenance around tissue level implant and bone level implant: a randomised controlled trial. A 1-year follow-up. J Oral Rehabil 2012;39:830-7. https://doi.org/10.1111/j.1365-2842.2012.02343.x
  40. Chiapasco M, Casentini P, Zaniboni M. Implants in reconstructed bone: a comparative study on the outcome of Straumann® tissue level and bone level implants placed in vertically deficient alveolar ridges treated by means of autogenous onlay bone grafts. Clin Implant Dent Relat Res 2014;16:32-50. https://doi.org/10.1111/j.1708-8208.2012.00457.x
  41. Chiapasco M, Casentini P, Zaniboni M, Corsi E, Anello T. Titanium-zirconium alloy narrow-diameter implants (Straumann Roxolid(®)) for the rehabilitation of horizontally deficient edentulous ridges: prospective study on 18 consecutive patients. Clin Oral Implants Res 2012;23:1136-41. https://doi.org/10.1111/j.1600-0501.2011.02296.x
  42. Fretwurst T, Nack C, Al-Ghrairi M, Raguse JD, Stricker A, Schmelzeisen R, et al. Long-term retrospective evaluation of the peri-implant bone level in onlay grafted patients with iliac bone from the anterior superior iliac crest. J Craniomaxillofac Surg 2015;43:956-60. https://doi.org/10.1016/j.jcms.2015.03.037
  43. Buser D, Halbritter S, Hart C, Bornstein MM, Grutter L, Chappuis V, et al. Early implant placement with simultaneous guided bone regeneration following single-tooth extraction in the esthetic zone: 12-month results of a prospective study with 20 consecutive patients. J Periodontol 2009;80:152-62. https://doi.org/10.1902/jop.2009.080360
  44. Le BT, Borzabadi-Farahani A. Simultaneous implant placement and bone grafting with particulate mineralized allograft in sites with buccal wall defects, a three-year follow-up and review of literature. J Craniomaxillofac Surg 2014;42:552-9. https://doi.org/10.1016/j.jcms.2013.07.026
  45. Buser D, Chappuis V, Bornstein MM, Wittneben JG, Frei M, Belser UC. Long-term stability of contour augmentation with early implant placement following single tooth extraction in the esthetic zone: a prospective, cross-sectional study in 41 patients with a 5-to 9-year follow-up. J Periodontol 2013;84:1517-27. https://doi.org/10.1902/jop.2013.120635
  46. Shin YK, Han CH, Heo SJ, Kim S, Chun HJ. Radiographic evaluation of marginal bone level around implants with different neck designs after 1 year. Int J Oral Maxillofac Implants 2006;21:789-94.
  47. Vianna TT, Taiete T, Casarin RCV, Giorgi MCC, Aguiar FHB, Silverio KG, et al. Evaluation of peri-implant marginal tissues around tissue-level and bone-level implants in patients with a history of chronic periodontitis. J Clin Periodontol 2018;45:1255-65. https://doi.org/10.1111/jcpe.12999
  48. Sargolzaie N, Samizade S, Arab H, Ghanbari H, Khodadadifard L, Khajavi A. The evaluation of implant stability measured by resonance frequency analysis in different bone types. J Korean Assoc Oral Maxillofac Surg 2019;45:29-33. https://doi.org/10.5125/jkaoms.2019.45.1.29
  49. Schrott A, Riggi-Heiniger M, Maruo K, Gallucci GO. Implant loading protocols for partially edentulous patients with extended edentulous sites--a systematic review and meta-analysis. Int J Oral Maxillofac Implants 2014;29 Suppl:239-55. https://doi.org/10.11607/jomi.2014suppl.g4.2
  50. Lorenz J, Kubesch A, Korzinskas T, Barbeck M, Landes C, Sader RA, et al. TRAP-positive multinucleated giant cells are foreign body giant cells rather than osteoclasts: results from a split-mouth study in humans. J Oral Implantol 2015;41:e257-66. https://doi.org/10.1563/aaid-joi-D-14-00273
  51. Degidi M, Piattelli A, Carinci F. Clinical outcome of narrow diameter implants: a retrospective study of 510 implants. J Periodontol 2008;79:49-54. https://doi.org/10.1902/jop.2008.070248
  52. Gonzalez-Martin O, Oteo C, Ortega R, Alandez J, Sanz M, Veltri M. Evaluation of peri-implant buccal bone by computed tomography: an experimental study. Clin Oral Implants Res 2016;27:950-5. https://doi.org/10.1111/clr.12663