Influence of Implant Neck Surface and Placement Depth on Crestal Bone Changes Around Platform-Switched Implants: A Clinical and Radiographic Study in Dogs

• Autores: Cristina Valles Vegas, Xavier Rodríguez Ciurana, José Nart Molina, Antonio Santos, Marta Galofré Mercadé, Dennis Tarnow
• Localización: Journal of periodontology, ISSN 0022-3492, Vol. 88, Nº. 11, 2017, págs. 1200-1210
• Idioma: inglés
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• Resumen

  • Background: The aim of this animal study is to analyze bone remodeling around platform-switching (PS) implants with and without a machined (MACH) collar placed at different levels in relation to the crestal bone in a canine model.

    Methods: All mandibular premolars and first molars were extracted in five dogs. After 6 months, grit-blasted acidetched (GBAE) PS implants with and without a MACH neck were randomly inserted in each hemimandible, positioning the implant-abutment interface in either a supracrestal (+1.5 mm), equicrestal, or subcrestal (-1.5 mm) position, and healing abutments were connected. Implant abutments were dis/reconnected at 12, 14, 16, and 18 weeks after implant placement. After 6 months of healing, animals were sacrificed. Clinical parameters and periapical radiographs were registered on the day of implant placement, at 2 months, at every abutment dis/reconnection, and at sacri- fice. Crestal bone changes were calculated and defined as the primary outcome variable.

    Results: When crestal bone changes from implant placement to 6 months were compared between MACH and GBAE groups, no significant differences were encountered except for implants placed in an equicrestal position (P = 0.04). However, multivariable regression analysis revealed no significant differences between MACH and GBAE implants placed in a supracrestal (b = -0.08; P = 0.45), equicrestal (b = -0.05;

    P = 0.50), or subcrestal (b = -0.13; P = 0.19) position.

    Conclusion: Surface treatment of the implant neck had no significant influence on crestal bone changes around PS implants with and without a MACH collar. J Periodontol 2017;

    88:1200-1210.