The Influence of History of Severe Periodontitis on Estimated Long-Term Marginal Bone Loss around Implants Restored with Fixed Segmented Full-Arch Rehabilitation

Author:

Galindo-Moreno Pablo12ORCID,Catena Andres3,Lopez-Chaichio Lucia4ORCID,Borges Tiago5,O’Valle Francisco26,Torrecillas-Martínez Laura27ORCID,Padial-Molina Miguel12ORCID

Affiliation:

1. Department of Oral Surgery and Implant Dentistry, School of Dentistry, University of Granada, 18071 Granada, Spain

2. Instituto de Investigación Biosanitaria ibs.GRANADA, 18071 Granada, Spain

3. Department of Experimental Psychology, School of Psychology, University of Granada, 18071 Granada, Spain

4. Private Practice, 23650 Jaen, Spain

5. Centre of Interdisciplinary Research in Health, and Faculty of Dentistry, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal

6. Department of Pathology and IBIMER, School of Medicine, University of Granada, 18071 Granada, Spain

7. Private Practice, 18008 Granada, Spain

Abstract

The aim of this study was to analyze the long-term marginal bone level (MBL) of implants supporting fixed full-arch restoration in patients who had previously lost their dentition due to severe periodontitis. This retrospective study included 35 patients in whom 342 implants with internal tapered conical connections were placed. MBL was analyzed radiographically over time and a long-term estimation of MBL was calculated. A mixed linear model with abutment height, graft, diameter and location (maxilla/mandible) as factors and gender, age, implant length and prosthetic variables as covariates was used to evaluate the influence on MBL. MBL in these patients showed an estimator of predictions at 4108 days after loading of −0.307 mm, SE = 0.042. Only 0.15% of implants were radiographically affected with MBL of 3 mm or more. The mixed linear model results showed a main effect of the type of opposing dentition, gender, implant diameter, and abutment height. Particularly, an abutment height of 1 mm had associated larger MBL than the remaining heights. Thus, it can be concluded that dental implants restored with fixed segmented full-arch rehabilitation in patients with a history of severe periodontal disease do not suffer important marginal bone loss if some specific factors are considered, mainly the use of long transmucosal abutments (≥2 mm).

Funder

Research Groups #CTS-138

#CTS-176

#CTS-1028

Publisher

MDPI AG

Subject

General Medicine

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