Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Evaluation of Two Dental Implant Systems After at Least One-Year of Loading: A Clinical Follow-Up: Case Control Research
En Az Bir Yıllık Yüklemeden Sonra İki Farklı İmplant Yüzeyinin Değerlendirilmesi: Klinik Takip: Olgu Kontrol Araştırması
Gökçe KAYABAYa, Ayşe KOÇAK BÜYÜKDEREa
aDepartment of Prosthetic Dentistry, Kocaeli University Faculty of Dentistry, Kocaeli, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(4):890-7
doi: 10.5336/dentalsci.2021-86263
Article Language: EN
Full Text
ABSTRACT
Objective: The purpose of this study was to compare and examine the two different implant surfaces clinically and radiographically in function. The clinical success of implants is closely related to osteointegration of the implants. Implants surface properties are closely related to the osteointegration. To evaluate the success and survival of the implant-supported prostheses, clinical and radiographic findings are used. Material and Methods: Total of 79 patients in need of dental implant were enrolled. They were randomly assigned. 100 TiUnite® surface and 129 SLA® surface were used. Baseline, 6-month, 12-month and 18-month measurements included bone loss, pocket depth, plaque, and bleeding index were evaluated. Baseline and prior to the prosthetic reconstruction affected the implant stability quotient determined by the resonance frequency analysis. All the above data was used for the evaluation of implant survival and success. Results: The overall survival rate of the implants was 100% and the relevant success rate was 97.8%. The technical complication rate was 0.44% due to the superstructure porcelain fracture in one implant. The breakdown of the success rate within the implants was 98.0% for TiUnite® implant, 99.2% for the SLA® implant. Conclusion: Implant surfaces were important in survival rate for the clinical success for the osteointegration in long term period. These two implant surfaces would be chosen for the clinically long-term successful and survival rate.

Keywords: Implant surface; marginal bone loss; resonance frequency analysis; success and survival rate
ÖZET
Amaç: Bu çalışmanın amacı, 2 farklı implant yüzeyinin implantlar fonksiyondayken hem klinik ve radyolojik incelemelerinin karşılaştırıp değerlendirilmesidir. İmplantların klinik başarısı implantların osteointegre olmasıyla yakından ilgilidir. İmplant yüzey özelliği de osteointegrasyonla yakından ilişkilidir. İmplant destekli protezlerin sağkalım ve başarı kriterleri belirlemek için klinik ve radyolojik incelemeler yapılmaktadır. Gereç ve Yöntemler: Toplam 79 hastaya implant uygulandı. Hastalar karışık olarak seçildi. 100 TiUnite® yüzeyi ve 129 SLA® yüzey implant uygulandı. İlk uygulama anı, 6 aylık, 12 aylık, 18 aylık süreçlerde kemik kaybı, cep derinliği, plak ve kanama indeksi ölçüldü. Cerrahi işlem sonrasında ve protetik restorasyon öncesi alınan rezonans frekans analizi ile implant stabilitesi kontrol edildi. Tüm elde edilen sonuçlar implant sağkalım ve başarı karşılaştırmasında kullanıldı. Bulgular: Implantların sağkalım oranı %100 iken başarı oranı %97,8'dir. Bir implantta meydana gelen porselen kırığından dolayı %0,44 oranında teknik komplikasyon hesaplandı. İki farklı yüzeyin kendi içindeki başarı değerleri TiUnite® implantta %98,0, SLA® implantta %99,2 bulundu. Sonuç: Uzun klinik başarılarda ve implantların sağkalım oranlarını artırmakta önemli olan osteointegrasyonda implant yüzey özellikleri önemlidir. Her iki implant yüzeyi de klinik başarı ve uzun dönem sağkalım için seçilebilir.

Anahtar Kelimeler: İmplant yüzeyi; marjinal kemik kaybı; rezonans frekans analizi; sağkalım ve başarı oranları
REFERENCES:
  1. Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008;17(1):5-15. [Crossref]  [PubMed] 
  2. Albrektsson T, Brånemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand. 1981;52(2):155-70. [Crossref]  [PubMed] 
  3. Tchinda AP, Pierson G, Kouitat-Njiwa R, Bravetti P. The Surface conditions and composition of titanium alloys in implantology: a comparative study of dental implants of different brands. Materials (Basel). 2022;15(3):1018. [Crossref]  [PubMed]  [PMC] 
  4. Tonetti MS. Determination of the success and failure of root-form osseointegrated dental implants. Adv Dent Res. 1999;13:173-80. [Crossref]  [PubMed] 
  5. Trisi P, Rao W, Rebaudi A. A histometric comparison of smooth and rough titanium implants in human low-density jawbone. Int J Oral Maxillofac Implants. 1999;14(5):689-98. [PubMed] 
  6. Bagno A, Di Bello C. Surface treatments and roughness properties of Ti-based biomaterials. J Mater Sci Mater Med. 2004;15(9):935-49. [Crossref]  [PubMed] 
  7. Colomina LE. Immediate loading of implant-fixed mandibular prostheses: a prospective 18-month follow-up clinical study--preliminary report. Implant Dent. 2001;10(1):23-9. [Crossref]  [PubMed] 
  8. Paolantonio M, Dolci M, Scarano A, d'Archivio D, di Placido G, Tumini V, et al. Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. J Periodontol. 2001;72(11):1560-71. [Crossref]  [PubMed] 
  9. Johansson P, Strid KG. Assessment of bone quality from cutting resistance during implant surgery. International Journal of Oral and Maxillofacial Implants. 1994;9:279-88. [Link] 
  10. da Cunha HA, Francischone CE, Filho HN, de Oliveira RC. A comparison between cutting torque and resonance frequency in the assessment of primary stability and final torque capacity of standard and TiUnite single-tooth implants under immediate loading. Int J Oral Maxillofac Implants. 2004;19(4):578-85. [PubMed] 
  11. Folkman M, Becker A, Meinster I, Masri M, Ormianer Z. Comparison of bone-to-implant contact and bone volume around implants placed with or without site preparation: a histomorphometric study in rabbits. Sci Rep. 2020;10(1):12446. [Crossref]  [PubMed]  [PMC] 
  12. Ottoni JM, Oliveira ZF, Mansini R, Cabral AM. Correlation between placement torque and survival of single-tooth implants. Int J Oral Maxillofac Implants. 2005;20(5):769-76. [PubMed] 
  13. Meredith N, Friberg B, Sennerby L, Aparicio C. Relationship between contact time measurements and PTV values when using the Periotest to measure implant stability. Int J Prosthodont. 1998;11(3):269-75. [PubMed] 
  14. Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000. 2008;47:51-66. [Crossref]  [PubMed] 
  15. Meredith N, Shagaldi F, Alleyne D, Sennerby L, Cawley P. The application of resonance frequency measurements to study the stability of titanium implants during healing in the rabbit tibia. Clin Oral Implants Res. 1997;8(3):234-43. [Crossref]  [PubMed] 
  16. Owens WD, Felts JA, Spitznagel EL Jr. ASA physical status classifications: a study of consistency of ratings. Anesthesiology. 1978;49(4):239-43. [Crossref]  [PubMed] 
  17. Weber HP, Morton D, Gallucci GO, Roccuzzo M, Cordaro L, Grutter L. Consensus statements and recommended clinical procedures regarding loading protocols. Int J Oral Maxillofac Implants. 2009;24 Suppl:180-3. [PubMed] 
  18. Barewal RM, Oates TW, Meredith N, Cochran DL. Resonance frequency measurement of implant stability in vivo on implants with a sandblasted and acid-etched surface. Int J Oral Maxillofac Implants. 2003;18(5):641-51. [PubMed] 
  19. Ersanli S, Karabuda C, Beck F, Leblebicioglu B. Resonance frequency analysis of one-stage dental implant stability during the osseointegration period. J Periodontol. 2005;76(7):1066-71. [Crossref]  [PubMed] 
  20. Monov G, Fuerst G, Tepper G, Watzak G, Zechner W, Watzek G. The effect of platelet-rich plasma upon implant stability measured by resonance frequency analysis in the lower anterior mandibles. Clin Oral Implants Res. 2005;16(4):461-5. [Crossref]  [PubMed] 
  21. Huwiler MA, Pjetursson BE, Bosshardt DD, Salvi GE, Lang NP. Resonance frequency analysis in relation to jawbone characteristics and during early healing of implant installation. Clin Oral Implants Res. 2007;18(3):275-80. [Crossref]  [PubMed] 
  22. Oates TW, Valderrama P, Bischof M, Nedir R, Jones A, Simpson J, et al. Enhanced implant stability with a chemically modified SLA surface: a randomized pilot study. Int J Oral Maxillofac Implants. 2007;22(5):755-60. [PubMed] 
  23. Bischof M, Nedir R, Szmukler-Moncler S, Bernard JP, Samson J. Implant stability measurement of delayed and immediately loaded implants during healing. Clin Oral Implants Res. 2004;15(5):529-39. [Crossref]  [PubMed] 
  24. Glauser R, Lundgren AK, Gottlow J, Sennerby L, Portmann M, Ruhstaller P, et al. Immediate occlusal loading of Brånemark TiUnite implants placed predominantly in soft bone: 1-year results of a prospective clinical study. Clin Implant Dent Relat Res. 2003;5 Suppl 1:47-56. [Crossref]  [PubMed] 
  25. Berglundh T, Lindhe J, Ericsson I, Marinello CP, Liljenberg B, Thomsen P. The soft tissue barrier at implants and teeth. Clin Oral Implants Res. 1991;2(2):81-90. [Crossref]  [PubMed] 
  26. Ali M, Yang F, Plachokova AS, Jansen JA, Walboomers XF. Application of specialized pro-resolving mediators in periodontitis and peri-implantitis: a review. Eur J Oral Sci. 2021;129(1):e12759. [Crossref]  [PubMed]  [PMC] 
  27. Christensen MM, Joss A, Lang NP. Reproducibility of automated periodontal probing around teeth and osseointegrated oral implants. Clin Oral Implants Res. 1997;8(6):455-64. [Crossref]  [PubMed] 
  28. Lang NP, Wetzel AC, Stich H, Caffesse RG. Histologic probe penetration in healthy and inflamed peri-implant tissues. Clin Oral Implants Res. 1994;5(4):191-201. [Crossref]  [PubMed] 
  29. Tolentino L, Sukekava F, Seabra M, Lima LA, Garcez-Filho J, Araújo MG. Success and survival rates of narrow diameter implants made of titanium-zirconium alloy in the posterior region of the jaws-results from a 1-year follow-up. Clin Oral Implants Res. 2014;25(2):137-41. [Crossref]  [PubMed] 
  30. Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Brägger U, Hämmerle CH, Lang NP. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res. 2003;14(3):329-39. [Crossref]  [PubMed] 
  31. Ayna M, Karayürek F, Jepsen S, Emmert M, Acil Y, Wiltfang J, et al. Six-year clinical outcomes of implant-supported acrylic vs. ceramic superstructures according to the All-on-4 treatment concept for the rehabilitation of the edentulous maxilla. Odontology. 2021;109(4):930-40. [Crossref]  [PubMed]  [PMC] 
  32. Kim DM, Badovinac RL, Lorenz RL, Fiorellini JP, Weber HP. A 10-year prospective clinical and radiographic study of one-stage dental implants. Clin Oral Implants Res. 2008;19(3):254-8. [Crossref]  [PubMed] 
  33. Bischof M, Nedir R, Abi Najm S, Szmukler-Moncler S, Samson J. A five-year life-table analysis on wide neck ITI implants with prosthetic evaluation and radiographic analysis: results from a private practice. Clin Oral Implants Res. 2006;17(5):512-20. [Crossref]  [PubMed] 
  34. Ebler S, Ioannidis A, Jung RE, Hämmerle CH, Thoma DS. Prospective randomized controlled clinical study comparing two types of two-piece dental implants supporting fixed reconstructions-results at 1 year of loading. Clin Oral Implants Res. 2016;27(9):1169-77. [Crossref]  [PubMed] 
  35. Nicolau P, Guerra F, Reis R, Krafft T, Benz K, Jackowski J. 10-year outcomes with immediate and early loaded implants with a chemically modified SLA surface. Quintessence Int. 2019;50(2):114-24. [PubMed] 

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