Marginal Bone Loss around Implants with Internal Hexagonal and Internal Conical Connections: A 12-Month Randomized Pilot Study

The aim of this study was to analyze the differences in terms of the marginal bone level (MBL) around implants with either an internal conical or an internal hexagonal implant–prosthesis connection. A randomized clinical trial included patients in need of a single implant-supported restoration. The...

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Autores principales: Pablo Galindo-Moreno, Ada Concha-Jeronimo, Lucia Lopez-Chaichio, Roque Rodriguez-Alvarez, Elena Sanchez-Fernandez, Miguel Padial-Molina
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:98d53ea41f254f9ea4a79c53e5ed4df12021-11-25T18:02:42ZMarginal Bone Loss around Implants with Internal Hexagonal and Internal Conical Connections: A 12-Month Randomized Pilot Study10.3390/jcm102254272077-0383https://doaj.org/article/98d53ea41f254f9ea4a79c53e5ed4df12021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5427https://doaj.org/toc/2077-0383The aim of this study was to analyze the differences in terms of the marginal bone level (MBL) around implants with either an internal conical or an internal hexagonal implant–prosthesis connection. A randomized clinical trial included patients in need of a single implant-supported restoration. The implant–prosthesis connection was either internal conical or internal hexagonal while maintaining the same type of implant macro- and microarchitecture. Clinical and radiographical variables were registered up to 12 months of follow-up, including MBL. A total of 30 patients were included in the study. The main outcome variable, MBL 12 months after prosthesis delivery, was statistically different in both groups: −0.25 (0.12) vs. −0.70 (0.43) (conical vs. hexagonal; <i>p</i> = 0.033). Differences were also observed at the 3- and 6-month follow-up visits as well as for the MBL change from prosthesis delivery to the 12-month follow-up (−0.15 (0.13) vs. −0.56 (0.44); conical vs. hexagonal; <i>p</i> = 0.023). Correlations between MBL around the implants and radiographic measurements on the adjacent teeth, buccal bone to implant, tissue thickness or keratinized tissue were not significant neither globally nor when analyzed independently by group. In view of such results, it can be concluded that single-unit restorations with internal hexagonal-connection implants induce higher marginal bone loss after 12 months of follow-up from prosthesis delivery than internal conical-connection implants.Pablo Galindo-MorenoAda Concha-JeronimoLucia Lopez-ChaichioRoque Rodriguez-AlvarezElena Sanchez-FernandezMiguel Padial-MolinaMDPI AGarticlemarginal bone lossimplant–prosthesis connectionperi-implantitisdental implantsMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5427, p 5427 (2021)
institution DOAJ
collection DOAJ
language EN
topic marginal bone loss
implant–prosthesis connection
peri-implantitis
dental implants
Medicine
R
spellingShingle marginal bone loss
implant–prosthesis connection
peri-implantitis
dental implants
Medicine
R
Pablo Galindo-Moreno
Ada Concha-Jeronimo
Lucia Lopez-Chaichio
Roque Rodriguez-Alvarez
Elena Sanchez-Fernandez
Miguel Padial-Molina
Marginal Bone Loss around Implants with Internal Hexagonal and Internal Conical Connections: A 12-Month Randomized Pilot Study
description The aim of this study was to analyze the differences in terms of the marginal bone level (MBL) around implants with either an internal conical or an internal hexagonal implant–prosthesis connection. A randomized clinical trial included patients in need of a single implant-supported restoration. The implant–prosthesis connection was either internal conical or internal hexagonal while maintaining the same type of implant macro- and microarchitecture. Clinical and radiographical variables were registered up to 12 months of follow-up, including MBL. A total of 30 patients were included in the study. The main outcome variable, MBL 12 months after prosthesis delivery, was statistically different in both groups: −0.25 (0.12) vs. −0.70 (0.43) (conical vs. hexagonal; <i>p</i> = 0.033). Differences were also observed at the 3- and 6-month follow-up visits as well as for the MBL change from prosthesis delivery to the 12-month follow-up (−0.15 (0.13) vs. −0.56 (0.44); conical vs. hexagonal; <i>p</i> = 0.023). Correlations between MBL around the implants and radiographic measurements on the adjacent teeth, buccal bone to implant, tissue thickness or keratinized tissue were not significant neither globally nor when analyzed independently by group. In view of such results, it can be concluded that single-unit restorations with internal hexagonal-connection implants induce higher marginal bone loss after 12 months of follow-up from prosthesis delivery than internal conical-connection implants.
format article
author Pablo Galindo-Moreno
Ada Concha-Jeronimo
Lucia Lopez-Chaichio
Roque Rodriguez-Alvarez
Elena Sanchez-Fernandez
Miguel Padial-Molina
author_facet Pablo Galindo-Moreno
Ada Concha-Jeronimo
Lucia Lopez-Chaichio
Roque Rodriguez-Alvarez
Elena Sanchez-Fernandez
Miguel Padial-Molina
author_sort Pablo Galindo-Moreno
title Marginal Bone Loss around Implants with Internal Hexagonal and Internal Conical Connections: A 12-Month Randomized Pilot Study
title_short Marginal Bone Loss around Implants with Internal Hexagonal and Internal Conical Connections: A 12-Month Randomized Pilot Study
title_full Marginal Bone Loss around Implants with Internal Hexagonal and Internal Conical Connections: A 12-Month Randomized Pilot Study
title_fullStr Marginal Bone Loss around Implants with Internal Hexagonal and Internal Conical Connections: A 12-Month Randomized Pilot Study
title_full_unstemmed Marginal Bone Loss around Implants with Internal Hexagonal and Internal Conical Connections: A 12-Month Randomized Pilot Study
title_sort marginal bone loss around implants with internal hexagonal and internal conical connections: a 12-month randomized pilot study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/98d53ea41f254f9ea4a79c53e5ed4df1
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