Journal List > J Korean Acad Periodontol > v.39(1) > 1049800

Kwon, Kim, Jeong, and Lee: Clinical and radiographic evaluation of implants with dual-microthread: 1-year study

Abstract

Purpose

The stability of periodontal condition and marginal bone level were important to achieve long-term success of dental implant treatment. The aim of this study was to evaluate periodontal conditions and marginal bone loss around 67 GSII(OSSTEM, Seoul, Korea) dental implants with dual-microthread at the neck portion, 1 year after prosthetic loading.

Materials and methods

Sixty-seven GS II dental implants in 27 patients(mean age; 47.4±14.0 years) who received implant treatments at Pusan National University Hospital, were included in this study. Thirteen US II(OSSTEM, Seoul, Korea) implants with smooth neck design were selected for the control group. Periodontal and radiographic evaluations were carried out at baseline, 6 months and 12 months after prosthetic loading.

Results

In the GS II group, plaque index(PI), gingival index(GI) and probing depth(PD) increased as time passed. In the US II group, GI and PD increased. Although marginal bone level was lower in the US II group in all evaluation periods, the changes between the periods were not statistically significant(p>0.05). In each period, periodontal parameters were not statistically significant between groups.

Conclusion

One year after prosthetic loading, GS II and US II dental implants showed similar periodontal conditions and marginal bone response, and were within the criteria of success.

Figures and Tables

Figure 1
Illustration of GS II and US II implant. (A) GS II implant has dual-microthread at the implant neck, (B) US II implant has machined surface at the implant neck.
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Figure 2
Distance between implant shoulder and the first visible bone-to-implant contact(DIB). (A) GS II, (B) US II.
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Table 1
Distribution of Implants according to Implant System and Position
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Table 2
Modified Plaque Index(mean±SD)
jkape-39-27-i002

*Statistically significant difference(p<0.05) was found.

A, BThe same letter indicates no significant difference.

Table 3
Modified Gingival Index(mean±SD)
jkape-39-27-i003

*Statistically significant difference(p<0.05) was found.

A, BThe same letter indicates no significant difference.

Table 4
Probing Pocket Depth(mm, mean±SD)
jkape-39-27-i004

*Statistically significant difference(p<0.05) was found.

A, BThe same letter indicates no significant difference.

Table 5
Gingival Recession(mm, mean±SD)
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Table 6
Width of Keratinized Gingiva(mm, mean±SD)
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Table 7
Bleeding on Probing(%, mean±SD)
jkape-39-27-i007
Table 8
Distance between Implant Shoulder and the First Visible Bone-to-Implant Contact Measured in the Radiographs (mm, mean±SD)
jkape-39-27-i008

*Statistically significant difference(P<0.05).

A, BThe same letter indicates no significant difference.

Table 9
Changes of the Marginal Bone-Level between the Examination Periods(mm, mean±SD)
jkape-39-27-i009

"-" indicates the loss of marginal bone.

Table 10
Parameters in the GS II Group and the US II Group at the Baseline, 6months and 12months(mean±SD)
jkape-39-27-i010

mPI: modified Plaque Index; mGI: modified Gingival Index; PD: probing pocket depth; GR: gingival recession; KG: keratinized gingival width; BOP: bleeding on probing; DIB: distance between implant shoulder and the first visible bone-to-implant contact.

NS: indicates that there is no statistically significant between the GS II group and the US II group(p>0.05).

S: indicates that there is a statistically significant between the GS II group and the US II group(p<0.05).

References

1. Branemark PI, Adell R, Breine U, et al. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969. 3:81–100.
crossref
2. Esposito M, Grusovin MG, Coulthard P, et al. A 5-year follow-up comparative analysis of the efficacy of various osseointegrated dental implant systems: A systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants. 2005. 20:557–568.
3. Chang M, Wennstrom JL, Odman P, Andersson B. Implant supported single-tooth replacements compared to contralateral natural teeth. Crown and soft tissue dimensions. Clin Oral Implants Res. 1999. 10:185–194.
crossref
4. Hansson S. The implant neck: Smooth or provided with retention elements. A biomechanical approach. Clin Oral Implants Res. 1999. 10:394–405.
crossref
5. Abrahamsson I, Berglundh T. Tissue characteristics at microthreaded implants: An experimental study in dogs. Clin Implant Dent Relat Res. 2006. 8:107–113.
crossref
6. Palmer RM, Palmer PJ, Smith BJ. A 5-year prospective study of Astra single tooth implants. Clin Oral Implants Res. 2000. 11:179–182.
crossref
7. Lee DW, Choi YS, Park KH, et al. Effect of microthread on the maintenance of marginal bone level: A 3-year prospective study. Clin Oral Implants Res. 2007. 18:465–470.
crossref
8. Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Periodontol. 2002. 29:Suppl 3. 197–212. discussion 232-233.
crossref
9. Valderhaug J, Birkeland JM. Periodontal conditions in patients 5 years following insertion of fixed prostheses. Pocket depth and loss of attachment. J Oral Rehabil. 1976. 3:237–243.
crossref
10. Schroeder A, van der Zypen E, Stich H, Sutter F. The reactions of bone, connective tissue, and epithelium to endosteal implants with titanium-sprayed surfaces. J Maxillofac Surg. 1981. 9:15–25.
crossref
11. Cochran DL, Hermann JS, Schenk RK, et al. Biologic width around titanium implants. A histometric analysis of the implanto-gingival junction around unloaded and loaded nonsubmerged implants in the canine mandible. J Periodontol. 1997. 68:186–198.
crossref
12. Mombelli A, van Oosten MA, Schurch E Jr, Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987. 2:145–151.
crossref
13. Mombelli A, Lang NP. Clinical parameters for the evaluation of dental implants. Periodontol 2000. 1994. 4:81–86.
crossref
14. Astrand P, Engquist B, Dahlgren S, et al. Astra tech and branemark system implants: A prospective 5-year comparative study. results after one year. Clin Implant Dent Relat Res. 1999. 1:17–26.
crossref
15. Engquist B, Astrand P, Dahlgren S, et al. Marginal bone reaction to oral implants: A prospective comparative study of astra tech and branemark system implants. Clin Oral Implants Res. 2002. 13:30–37.
16. Schou S, Holmstrup P, Hjorting-Hansen E, Lang NP. Plaque-induced marginal tissue reactions of osseointegrated oral implants: A review of the literature. Clin Oral Implants Res. 1992. 3:149–161.
crossref
17. Quirynen M, van Steenberghe D, Jacobs R, et al. The reliability of pocket probing around screw-type implants. Clin Oral Implants Res. 1991. 2:186–192.
crossref
18. Bengazi F, Wennstrom JL, Lekholm U. Recession of the soft tissue margin at oral implants. A 2-year longitudinal prospective study. Clin Oral Implants Res. 1996. 7:303–310.
crossref
19. Adell R, Lekholm U, Rockler B, et al. Marginal tissue reactions at osseointegrated titanium fixtures (I). A 3-year longitudinal prospective study. Int J Oral Maxillofac Surg. 1986. 15:39–52.
20. Quirynen M, Naert I, van Steenberghe D. Fixture design and overload influence marginal bone loss and fixture success in the Branemark system. Clin Oral Implants Res. 1992. 3:104–111.
crossref
21. Engquist B, Nilson H, Astrand P. Single-tooth replacement by osseointegrated branemark implants. A retrospective study of 82 implants. Clin Oral Implants Res. 1995. 6:238–245.
crossref
22. Oh TJ, Yoon J, Misch CE, Wang HL. The causes of early implant bone loss: Myth or science? J Periodontol. 2002. 73:322–333.
crossref
23. Jung YC, Han CH, Lee KW. A 1-year radiographic evaluation of marginal bone around dental implants. Int J Oral Maxillofac Implants. 1996. 11:811–818.
24. Astrand P, Engquist B, Dahlgren S, et al. Astra tech and Branemark system implants: A 5-year prospective study of marginal bone reactions. Clin Oral Implants Res. 2004. 15:413–420.
crossref
25. Engquist B, Astrand P, Dahlgren S, et al. Marginal bone reaction to oral implants: A prospective comparative study of Astra tech and Branemark system implants. Clin Oral Implants Res. 2002. 13:30–37.
26. Alomrani AN, Hermann JS, Jones AA, et al. The effect of a machined collar on coronal hard tissue around titanium implants: A radiographic study in the canine mandible. Int J Oral Maxillofac Implants. 2005. 20:677–686.
27. Broggini N, McManus LM, Hermann JS, et al. Peri-implant inflammation defined by the implant-abutment interface. J Dent Res. 2006. 85:473–478.
crossref
28. Quirynen M, Bollen CM, Eyssen H, van Steenberghe D. Microbial penetration along the implant components of the Branemark system. an in vitro study. Clin Oral Implants Res. 1994. 5:239–244.
crossref
29. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: A review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986. 1:11–25.
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