Relationship between crestal bone levels and crown-to-implant ratio of ultra-short implants with a microrough surface: A prospective study with 48 months of follow-up

Luciano Malchiodi, Erika Giacomazzi, Alessandro Cucchi, Giulia Ricciotti, Riccardo Caricasulo, Dario Bertossi, Enrico Gherlone

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this cohort study was to investigate the relationship between crestal bone levels and crown-to-implant ratio of ultra-short implants, after functional loading. Sixty patients with single or partial edentulism and alveolar bone atrophy were enrolled and treated between December 2009 and January 2016. Without using bone-grafting procedures, patients were rehabilitated with ultra-short implants characterized by a microrough surface and a 6-mm length. Clinical and anatomical crown-to-implant (C/I) ratios and crestal bone levels (CBL) were measured after a follow-up period ranging from 12 to 72 months; all peri-implant and prosthetic parameters were recorded. The data collected were statistically analyzed (P ¼ .05). A total of 47 patients with 66 ultra-short implants were completely followed up according to described protocol. The mean follow-up was 48.5 6 19.1 months. The mean anatomical C/I ratio was 2.2, while the mean clinical C/I ratio was 2.6 6 0.6 at baseline and 2.8 6 0.6 at the last follow-up appointment. Mean CBL as calculated at the baseline was 0.7 6 0.5 mm, while at the last appointment it measured 1.0 6 0.5 mm. The overall implant-based success rate was 96.9%, and the mean peri-implant bone loss (PBL) was 0.3 6 0.3 mm. No statistically significant relationship was found between anatomical or clinical C/I ratio and PBL. Ultra-short implants appear to offer a predictable solution for implant-prosthetic rehabilitation in patients with edentulism and bone atrophy. A high percentage of implants were successful, with minimal crestal bone loss. The high C/I ratio did not appear to influence either peri-implant bone loss or prosthetic complication rates.

Original languageEnglish
Pages (from-to)18-28
Number of pages11
JournalJournal of Oral Implantology
Volume45
Issue number1
DOIs
Publication statusPublished - Feb 2019

Keywords

  • Biomechanical evaluation
  • Dental implants
  • Micro roughed surface
  • Ultra short implants

ASJC Scopus subject areas

  • Oral Surgery

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