Are marginal bone levels and implant stability/mobility affected by single-stage platform switched dental implants? A comparative clinical study

Dursun E., Tulunoglu I., Canpinar P., UYSAL S., AKALIN F. A., TÖZÜM T. F.

CLINICAL ORAL IMPLANTS RESEARCH, vol.23, no.10, pp.1161-1167, 2012 (SCI-Expanded) identifier identifier identifier


Objectives The aim of this study was to evaluate short-term bone level and stability/mobility measurement alterations at platform switched (PS) and standard platform (SP) implants placed in mandibular premolar/molar regions using a single-stage protocol. Materials and methods Sixteen PS and 16 SP implants restorated with fixed prosthesis were included. Standard implant dimensions were used for both implant systems. After 3 similar to months of osseointegration, implants were connected to abutments and final restorations were performed. Marginal bone loss was measured by standardized periapical radiographs. Implant stability/mobility was determined by resonance frequency analysis (RFA) and mobility measuring (MM) device values. Peri-implant parameters were evaluated with clinical periodontal indices and all parameters were assessed at baseline, 1, 3, and 6 similar to months after the surgery. Results After 6 similar to months, all implants showed uneventful healing. Radiographic evaluation showed a mean bone loss of 0.72 similar to mm for PS and 0.56 similar to mm for SP implants, and there were no significant differences between implant types. At 6 similar to months, mean implant stability quotient (ISQ) values were 73.38 and 77 for PS and SP implants, respectively. Mean MM values were -4.75 for PS and -6.38 for SP implants. Mean MM values were lower for SP implants compared to PS implants at all time points. No significant differences were detected between implant types according to clinical peri-implant parameters. Conclusions The micro-gap at crestal level which immediately exposed to the oral cavity in non-submerged two part implants seems to have adverse influence on the marginal bone level.