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Influence of Implant Neck Surface and Placement Depth on Crestal Bone Changes Around Platform‐Switched Implants: A Clinical and Radiographic Study in Dogs
Author(s) -
Valles Cristina,
RodríguezCiurana Xavier,
Nart Jose,
Santos Antonio,
Galofre Marta,
Tarnow Dennis
Publication year - 2017
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2017.170192
Subject(s) - medicine , dentistry , implant , radiography , abutment , osseointegration , molar , orthodontics , collar , surgery , civil engineering , engineering , mechanical engineering
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 acid‐etched (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 sacrifice. 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 (β = −0.08; P = 0.45), equicrestal (β = −0.05; P = 0.50), or subcrestal (β = −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.