Three‐Year Outcomes of Dental Implants With a Hybrid Surface Macro‐Design Placed in Patients With History of Periodontitis: A Randomised Clinical Trial

IF 5.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2025-04-25 DOI:10.1111/jcpe.14153

Benjamín Serrano, Ignacio Sanz‐Sánchez, Eduardo Montero, Mariano Sanz

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Abstract

AimThis randomised controlled trial (RCT) with a 3‐year follow‐up was aimed at assessing the clinical and radiographic outcomes of implants with either a hybrid or moderately rough macro‐surface design placed in patients with a history of periodontitis.Material and MethodsForty periodontitis subjects with a stable periodontal condition were included and randomly assigned to receive either a hybrid implant with a machined‐collar surface (HS) or a conventional implant with a moderately rough‐collar surface up to the shoulder (RS). Radiographic, clinical, microbiological and patient‐related outcome measurements (PROMs) were assessed at baseline (implant loading) and 3, 6, 12, 24 and 36 months post‐loading.ResultsThirty‐six patients (17 and 19, in the test and control groups, respectively) completed the three‐year follow‐up. At this visit, mean marginal bone level (MBL) changes were −0.08 (SD 0.2) and 0.02 (SD 0.28) mm for the test and control groups, respectively, with only three patients exhibiting MBLs exceeding 1 mm and only one implant with a peri‐implantitis diagnosis. Patients in both groups showed a high degree of satisfaction, and implants in both groups harboured a similar proportion and counts of measured periodontal pathogens. No significant differences were observed between the two groups regarding any of the radiographic, clinical or microbiological variables.ConclusionsAt the three‐year follow‐up, both implant groups demonstrated high peri‐implant bone stability, as well as a low incidence of peri‐implant diseases.Trial Registration: ClinicalTrials.gov (identifier NCT05010382). https://clinicaltrials.gov/ct2/show/NCT05010382?cond=peri‐implantitis&cntry=ES&city=Madrid&draw=2&rank=5

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一项随机临床试验：在有牙周炎病史的患者中放置混合表面宏观设计种植体的三年结果

材料与方法纳入 40 名牙周状况稳定的牙周炎受试者，并随机分配他们接受加工冠表面的混合种植体（HS）或中度粗糙冠表面至肩部的传统种植体（RS）。结果36名患者（试验组和对照组分别为17名和19名）完成了为期三年的随访。在这次随访中，试验组和对照组的平均边缘骨水平（MBL）变化分别为-0.08（标准差 0.2）毫米和 0.02（标准差 0.28）毫米，只有三名患者的边缘骨水平超过了 1 毫米，只有一名种植体被诊断为种植体周围炎。两组患者的满意度都很高，两组种植体中牙周病原体的比例和数量相似。结论在三年的随访中，两组种植体都表现出较高的种植体周围骨稳定性，种植体周围疾病的发生率也很低：https://clinicaltrials.gov/ct2/show/NCT05010382?cond=peri-implantitis&cntry=ES&city=Madrid&draw=2&rank=5。

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来源期刊

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.