The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 4 ( April, 2020 ) > List of Articles

ORIGINAL RESEARCH

Radiographic Evaluation of the Bone Remodeling on Tilted Osseointegrated Implants: Follow-up at 1 Year

Maddalone Marcello, Mirabelli Luca, Breschigliaro Sara, Baldoni Marco

Keywords : Bone resorption, Implant complications, Implants, Osseointegration, Tilted implants

Citation Information : Marcello M, Luca M, Sara B, Marco B. Radiographic Evaluation of the Bone Remodeling on Tilted Osseointegrated Implants: Follow-up at 1 Year. J Contemp Dent Pract 2020; 21 (4):463-470.

DOI: 10.5005/jp-journals-10024-2799

License: CC BY-NC 4.0

Published Online: 25-08-2012

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Aim: The purpose of this study was to evaluate the degree of vertical peri-implant resorption around implants inserted with an inclination increased more than 10° at a distance of at least 1 year from insertion. Materials and methods: For the realization of the study, a sample consisting of 47 patients for a total of 115 implants was selected. We excluded all those subjects whose conditions could have compromised the outcome of the treatment. An orthopantomography of the dental arches was made using Orthophos XG 3D Sirona at time T0 (at the end of definitive insertion of prosthesis) and at time T1 (at least 1 year after T0) with the aim of an individualized positioner. In this study, all the implants with inclination equal to or greater than 10° were subdivided into three groups, and the implants with inclination between 0 and 10 were used as control sample. Results: In group I, there is a statistically significant difference in at least one of the two sides (distal one) between T0 and T1. In groups II and III, there is a statistically significant difference in the degree of bone resorption on the mesial side with respect to distal side. In group IV, a statistically significant difference on both sides was evidenced. The implant survival at a distance of 1 year was equal to 100% of cases. Conclusion: Surgeons must take into account the possibility that an increase in inclination of implants may lead to a more rapid resorption of bone mesially or distally. Clinical significance: The direction of the prosthetic load transmitted to the fixture is a variable that could influence the degree of reabsorption of both mesial and distal bone structures according to both laboratory and clinical data.


HTML PDF Share
  1. Venino PM, Citterio CL, Pellegatta A, et al. A micro-computed tomography evaluation of the shaping ability of two nickel-titanium instruments, Hyflex EDM and ProTaper next. J Endod 2017;43(4): 628–632. DOI: 10.1016/j.joen.2016.11.022.
  2. Maddalone M, Ferrari M, Stanizzi A, et al. Use of miniscrew implants in orthodontic distal movement [Utilizzo delle miniviti nelle meccaniche ortodontiche di distalizzazione]. Dental Cadmos 2010;78(8): 97–105.
  3. Maddalone M, Ferrari M, Barrila’ S, et al. Intrusive mechanics in orthodontics with the use of TAD’s [Utilizzo delle miniviti nelle meccaniche ortodontiche di intrusione]. Dent Cadmos 2010;78(7): 97–106.
  4. Maddalone M. The association between the psychological status and the severity of facial deformity in orthognathic patients. Angle Orthodontist 2012;82(3):396–402. DOI: 10.2319/060211-363.1.
  5. Citterio F, Pellegatta A, Citterio CL, et al. Analysis of the apical constriction using micro-computed tomography and anatomical sections. G Ital Endod 2014;28(1):41–45. DOI: 10.1016/j.gien.2014.05.001.
  6. Galluzzi F, Pignataro L, Maddalone M, et al. Recurrences of surgery for antrochoanal polyps in children: A systematic review. Int J Pediatr Otorhinolaryngol 2018;106:26–30.
  7. Maddalone M, Gagliani M, Citterio CL, et al. Prevalence of vertical root fractures in teeth planned for apical surgery. A retrospective cohort study. Int Endod J 2018;51(9):969–974.
  8. Maddalone M, Mirabelli L, Venino PM, et al. Long-term stability of autologous bone graft of intraoral origin after lateral sinus floor elevation with simultaneous implant placement. Clin Implant Dent Relat Res 2018;20(5):713–721. DOI: 10.1111/cid.12649.
  9. Porcaro G, Busa A, Bianco E, et al. Use of a partial-thickness flap for guided bone regeneration in the upper jaw. J Contemp Dent Pract 2017;18(12):1117–1121. DOI: 10.5005/jp-journals-10024-2186.
  10. Cavalli N, Corbella S, Taschieri S, et al. Prevalence of periimplant Mucositis and peri-implantitis in patients treated with a combination of axial and tilted implants supporting a complete fixed denture. Sci World J 2015;2015:874842. DOI: 10.1155/2015/874842.
  11. Malò P, de Araújo Nobre M, Lopes A. The use of computer-guided flapless implant surgery and 4 implants placed in immediate function to support a fixed denture: preliminary results after a mean follow-up period of 13 months. J Prosthet Dent 2007;97(6 Suppl):26–34. DOI: 10.1016/S0022-3913(07)60005-5.
  12. Daverio L, Franchini I, Capelli M, et al. Prospective longitudinal study in the rehabilitation of the edentulous maxilla with oblique distal implants. Oral Implantol Milan 2007;3:18–25.
  13. Emanuelli M, Di Lollo S, Paglierani M, et al. Perimplantary histopathological study with linkow blades. Odontostomatol Implantoprothesis 1989;7:10–21.
  14. Lindquist LW, Rockler B, Carlsson GE. Prognosis for osseointegrated implants. J Prosthet Dent 1988;59(1):59–63. DOI: 10.1016/0022-3913(88)90109-6.
  15. Chrcanovic BR, Albrektsson T, Wennerberg A. Tilted versus axially placed dental implants: a meta-analysis. J Dent 2015;43(2):149–170. DOI: 10.1016/j.jdent.2014.09.002.
  16. Del Fabbro M, Bellini CM, Romeo D, et al. Tilted implants for the rehabilitation of edentulous jaws: a systematic review. Clin Implant Dent Relat Res 2012;14(4):612–621. DOI: 10.1111/j.1708-8208.2010.00288.x.
  17. Menini M, Signori A, Tealdo T, et al. Tilted implants in the immediate loading rehabilitation of the maxilla: a systematic review. J Dent Res 2012;91(9):821–827. DOI: 10.1177/0022034512455802.
  18. Francetti L, Agliardi E, Testori T, et al. Immediate rehabilitation of the mandible with fixed full prosthesis supported by axial and tilted implants: interim results of a single color prospective study. Clin Implant Dent Relat Res 2008;10(4):255–263. DOI: 10.1111/j.1708-8208.2008.00090.x.
  19. Bellini CM, Romeo D, Galbusera F, et al. A finite elements analysis of tilted versus non tilted implant configurations in the edentulous maxilla. Int J Prosthodont 2009;22(2):155–157.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.