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http://dx.doi.org/10.5051/jpis.2012.42.6.231

Influence of crown-to-implant ratio on periimplant marginal bone loss in the posterior region: a five-year retrospective study  

Lee, Kyung-Jin (Department of Periodontology, Kyungpook National University School of Dentistry)
Kim, Yong-Gun (Department of Periodontology, Kyungpook National University School of Dentistry)
Park, Jin-Woo (Department of Periodontology, Kyungpook National University School of Dentistry)
Lee, Jae-Mok (Department of Periodontology, Kyungpook National University School of Dentistry)
Suh, Jo-Young (Department of Periodontology, Kyungpook National University School of Dentistry)
Publication Information
Journal of Periodontal and Implant Science / v.42, no.6, 2012 , pp. 231-236 More about this Journal
Abstract
Purpose: The aim of this study was to evaluate the influence of the crown-to-implant (C/I) ratio on the change in marginal bone level around the implant and to determine the site-related factors influencing the relationship between the C/I ratio and periimplant marginal bone loss. Methods: A total of 259 implants from 175 patients were evaluated at a mean follow-up of five years. Implants were divided into two groups according to their C/I ratios: ${\leq}$ 1, and >1. Site-related factors having an influence on the relationship between C/I ratio and periimplant marginal bone loss were analyzed according to the implant location, implant diameter, implant manufacturer, prosthesis type, and guided bone regeneration (GBR) procedure. Results: It was found that 1) implants with a C/I ratio below 1 exhibited greater periimplant marginal bone loss than implants with a C/I ratio more than 1, 2) site-related factors had an effect on periimplant marginal bone loss, except for the implant system used, 3) the C/I ratio was the factor having more dominant influence on periimplant marginal bone loss, compared with implant diameter, prosthesis type, implant location, and GBR procedure, 4) implants with a C/I ratio below 1 showed greater periimplant marginal bone loss than implants with a C/I ratio greater than 1 in the maxilla, but not in the mandible, 5) and periimplant marginal bone loss was more affected by the implant system than the C/I ratio. Conclusions: Within the limitations of this study, implants with a higher C/I ratio exhibited less marginal bone loss than implants with a lower C/I ratio in the posterior regions. The C/I ratio was a more dominant factor affecting periimplant marginal bone loss in the maxilla than the mandible. Meanwhile, the implant system was a more dominant factor influencing periimplant marginal bone loss than the C/I ratio.
Keywords
Alveolar bone loss; Dental implants; Follow-up studies;
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