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Peri-implant bone preservation of a novel, self-cutting, and fully tapered implant in the healed crestal ridge of minipigs : submerged vs. transgingival healing

Francisco, Helena ; Finelle, Gary ; Bornert, Fabien ; Sandgren, Rebecca LU ; Herber, Valentin ; Warfving, Nils and Pippenger, Benjamin E. (2021) In Clinical Oral Investigations 25(12). p.6821-6832
Abstract

Objectives: The aim of this study was to assess the influence of transgingival compared with submerged healing on peri-implant bone maintenance around a novel, fully tapered implant in a healed crestal ridge in minipigs. Materials and methods: In each of 12 minipigs, two implants (Straumann® BLX, Roxolid® SLActive®, Ø 3.75 × 8 mm) were placed. Implants were either left for submerged or for transgingival healing for 12 weeks. Measurements performed were bone-to-implant contact (BIC), first bone-to-implant contact (fBIC), bone area to total area (BATA), perpendicular bone crest to implant shoulder (pCIS), bone height change from placement, and bone overgrowth (for submerged implants). Results: No significant differences were found between... (More)

Objectives: The aim of this study was to assess the influence of transgingival compared with submerged healing on peri-implant bone maintenance around a novel, fully tapered implant in a healed crestal ridge in minipigs. Materials and methods: In each of 12 minipigs, two implants (Straumann® BLX, Roxolid® SLActive®, Ø 3.75 × 8 mm) were placed. Implants were either left for submerged or for transgingival healing for 12 weeks. Measurements performed were bone-to-implant contact (BIC), first bone-to-implant contact (fBIC), bone area to total area (BATA), perpendicular bone crest to implant shoulder (pCIS), bone height change from placement, and bone overgrowth (for submerged implants). Results: No significant differences were found between transgingival and submerged healing in any of the measured parameters, except for BATA on the buccal aspect in which significantly more bone formation was found for the transgingival healing group. For both groups, there was a gain in crestal bone height during the 12-week healing period. Conclusions: Loaded compared with unloaded implants displayed comparable levels of osseointegration and equivalent marginal bone levels. This qualifies the implant placement protocol with respect to the osteotomy dimensions and subcrestal placement protocol for immediate loading. Clinical relevance: The here presented results related to osseointegration and crestal bone maintenance after submerged or transgingival healing have demonstrated a high level of consistency in the used in vivo translational model. The obtained results support the translation of the novel implant type in conjunction with the developed surgical workflow and placement protocol into further clinical investigation and use.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Crestal bone preservation, Hard bone, Healed crestal ridge, Roxolid®, Submerged, Tapered implant, Transgingival
in
Clinical Oral Investigations
volume
25
issue
12
pages
6821 - 6832
publisher
Springer
external identifiers
  • scopus:85105474045
  • pmid:33950374
ISSN
1432-6981
DOI
10.1007/s00784-021-03970-0
language
English
LU publication?
yes
additional info
Funding Information: The authors would like to thank Leticia Grize (Swiss Tropical Institute for Public Health) for performing the statistical analysis. This work was supported by Institut Straumann AG, Basel, Switzerland. Funding Information: Open Access funding provided by Universität Bern. The work was supported by Institut Straumann AG.
id
8db802fd-e470-4b9d-94c0-74e4ef77ed7b
date added to LUP
2021-05-27 12:29:52
date last changed
2024-04-20 06:40:42
@article{8db802fd-e470-4b9d-94c0-74e4ef77ed7b,
  abstract     = {{<p>Objectives: The aim of this study was to assess the influence of transgingival compared with submerged healing on peri-implant bone maintenance around a novel, fully tapered implant in a healed crestal ridge in minipigs. Materials and methods: In each of 12 minipigs, two implants (Straumann® BLX, Roxolid® SLActive®, Ø 3.75 × 8 mm) were placed. Implants were either left for submerged or for transgingival healing for 12 weeks. Measurements performed were bone-to-implant contact (BIC), first bone-to-implant contact (fBIC), bone area to total area (BATA), perpendicular bone crest to implant shoulder (pCIS), bone height change from placement, and bone overgrowth (for submerged implants). Results: No significant differences were found between transgingival and submerged healing in any of the measured parameters, except for BATA on the buccal aspect in which significantly more bone formation was found for the transgingival healing group. For both groups, there was a gain in crestal bone height during the 12-week healing period. Conclusions: Loaded compared with unloaded implants displayed comparable levels of osseointegration and equivalent marginal bone levels. This qualifies the implant placement protocol with respect to the osteotomy dimensions and subcrestal placement protocol for immediate loading. Clinical relevance: The here presented results related to osseointegration and crestal bone maintenance after submerged or transgingival healing have demonstrated a high level of consistency in the used in vivo translational model. The obtained results support the translation of the novel implant type in conjunction with the developed surgical workflow and placement protocol into further clinical investigation and use.</p>}},
  author       = {{Francisco, Helena and Finelle, Gary and Bornert, Fabien and Sandgren, Rebecca and Herber, Valentin and Warfving, Nils and Pippenger, Benjamin E.}},
  issn         = {{1432-6981}},
  keywords     = {{Crestal bone preservation; Hard bone; Healed crestal ridge; Roxolid®; Submerged; Tapered implant; Transgingival}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{6821--6832}},
  publisher    = {{Springer}},
  series       = {{Clinical Oral Investigations}},
  title        = {{Peri-implant bone preservation of a novel, self-cutting, and fully tapered implant in the healed crestal ridge of minipigs : submerged vs. transgingival healing}},
  url          = {{http://dx.doi.org/10.1007/s00784-021-03970-0}},
  doi          = {{10.1007/s00784-021-03970-0}},
  volume       = {{25}},
  year         = {{2021}},
}