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Impact of abutment geometry on early implant marginal bone loss. A double‐blind, randomized, 6‐month clinical trial
Objectives The objective of this study was to analyze the impact of the abutment width on early marginal bone loss (MBL). Material and Methods A balanced, randomized, double‐blind clinical trial with two parallel experimental arms was conducted without a control group. The arms were “cylindrical” ab...
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Published in: | Clinical oral implants research 2022-10, Vol.33 (10), p.1038-1048 |
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Main Authors: | , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Objectives
The objective of this study was to analyze the impact of the abutment width on early marginal bone loss (MBL).
Material and Methods
A balanced, randomized, double‐blind clinical trial with two parallel experimental arms was conducted without a control group. The arms were “cylindrical” abutment and “concave” abutment. Eighty hexagonal internal connection implants, each with a diameter of 4 × 10 mm, were placed in healed mature bone. The main variable was the peri‐implant tissue stability, which was measured as MBL at 8 weeks and 6 months.
Results
The final sample consisted of 77 implants that were placed in 25 patients. 38 (49.4%) were placed using the cylindrical abutment, and the other 39 (50.6%) were placed using the concave abutment. The early global MBL of −0.6 ± 0.7 mm in the cylindrical abutment group was significantly higher than it was in the concave abutment group, in which the early global MBL was −0.4 ± 0.6 mm (p = .030). The estimated effect size (ES) was negative for the cylindrical abutment (ES = −1.3730, CI −2.5919 to −0.1327; t‐value = −2.4893; p = .0139), therefore implying a loss of mean bone level, and it was positive for the concave abutment (ES = 2.8231; CI: 1.4379 to 4.2083; t‐value = 4.0957; p = .0002), therefore implying an increase in the average bone level.
Conclusions
The concave abutments presented significantly less early MBL at 6 months post‐loading than classical cylindrical abutments did. |
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ISSN: | 0905-7161 1600-0501 |
DOI: | 10.1111/clr.13985 |