Radiographic Peri‐Implant Bone Changes in Osteoporotic Women Treated With a Ti‐Zr, Bone Level Tapered Implant With a Hydrophilic Surface: A 12‐Month Prospective Case‐Series
{"title":"Radiographic Peri‐Implant Bone Changes in Osteoporotic Women Treated With a Ti‐Zr, Bone Level Tapered Implant With a Hydrophilic Surface: A 12‐Month Prospective Case‐Series","authors":"Calciolari Elena, Mardas Nikos, Palaska Iro, Tagliaferri Sara, Donos Nikolaos","doi":"10.1111/clr.14469","DOIUrl":null,"url":null,"abstract":"ObjectivesThis study assessed 12‐month post‐loading 3D peri‐implant radiographic bone changes in osteoporotic women receiving a single titanium‐zirconium bone‐level tapered dental implant with a hydrophilic surface.Materials and MethodsThis was a prospective case series involving 18 post‐menopausal osteoporotic women in need of a single dental implant. A standardized CBCT scan was performed after implant placement and at 12 months post‐loading to assess peri‐implant bone changes. The Implant Stability Quotient (ISQ) was recorded after implant placement, at implant impression, loading, and 12 months post‐loading. Peri‐implant clinical parameters were recorded at 6 and 12 months post‐loading and during the last visit implant survival and success were also evaluated.ResultsSeventeen patients completed all study visits, and implant placement was uneventful for all participants. A statistically significant difference (reduction) from implant placement to 12 months post‐loading was observed in terms of radiographic buccal bone width and palatal/lingual width (ΔBw‐0: 0.53 mm, <jats:italic>p</jats:italic> < 0.001 and ΔPw‐0: 0.47 mm, <jats:italic>p</jats:italic> = 0.006), as well as in terms of vertical distance between the implant shoulder and the first bone to implant contact on the buccal and palatal/lingual aspect (ΔBICb: −0.26 mm, <jats:italic>p</jats:italic> = 0.005 and ΔBICp: −0.46 mm, <jats:italic>p</jats:italic> = 0.018). ISQ increased during osseointegration, and a high implant survival (100%) and success rate (from 81.3% to 100% based on 3 different sets of criteria) were recorded at 12 months post‐loading.ConclusionIn this case series, osteoporotic patients treated with single titanium‐zirconium implants showed high survival rates, predictable 12‐month implant outcomes, and physiologic peri‐implant bone remodelling.Trial Registration: NCT02884401","PeriodicalId":10455,"journal":{"name":"Clinical Oral Implants Research","volume":"2 1","pages":""},"PeriodicalIF":4.8000,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Oral Implants Research","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1111/clr.14469","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
ObjectivesThis study assessed 12‐month post‐loading 3D peri‐implant radiographic bone changes in osteoporotic women receiving a single titanium‐zirconium bone‐level tapered dental implant with a hydrophilic surface.Materials and MethodsThis was a prospective case series involving 18 post‐menopausal osteoporotic women in need of a single dental implant. A standardized CBCT scan was performed after implant placement and at 12 months post‐loading to assess peri‐implant bone changes. The Implant Stability Quotient (ISQ) was recorded after implant placement, at implant impression, loading, and 12 months post‐loading. Peri‐implant clinical parameters were recorded at 6 and 12 months post‐loading and during the last visit implant survival and success were also evaluated.ResultsSeventeen patients completed all study visits, and implant placement was uneventful for all participants. A statistically significant difference (reduction) from implant placement to 12 months post‐loading was observed in terms of radiographic buccal bone width and palatal/lingual width (ΔBw‐0: 0.53 mm, p < 0.001 and ΔPw‐0: 0.47 mm, p = 0.006), as well as in terms of vertical distance between the implant shoulder and the first bone to implant contact on the buccal and palatal/lingual aspect (ΔBICb: −0.26 mm, p = 0.005 and ΔBICp: −0.46 mm, p = 0.018). ISQ increased during osseointegration, and a high implant survival (100%) and success rate (from 81.3% to 100% based on 3 different sets of criteria) were recorded at 12 months post‐loading.ConclusionIn this case series, osteoporotic patients treated with single titanium‐zirconium implants showed high survival rates, predictable 12‐month implant outcomes, and physiologic peri‐implant bone remodelling.Trial Registration: NCT02884401
目的:本研究评估骨质疏松症女性接受单一亲水表面钛-锆骨水平锥形牙种植体后12个月的3D种植周骨变化。材料和方法:这是一个前瞻性的病例系列,涉及18名绝经后骨质疏松的需要单颗种植牙的妇女。在植入后和植入后12个月进行标准化的CBCT扫描,以评估种植体周围的骨变化。种植体稳定性商数(ISQ)在种植体放置后、种植体印模、装载和装载后12个月记录。在装填后6个月和12个月记录种植体周围的临床参数,并在最后一次访问时评估种植体的生存和成功。结果17名患者完成了所有的研究访问,所有参与者的种植体放置都很顺利。从种植体放置到装填后12个月,在x线片颊骨宽度和腭/舌宽度方面观察到统计学上显著的差异(减少)(ΔBw‐0.53 mm, p <;0.001和ΔPw‐0:0.47 mm, p = 0.006),以及种植体肩关节与颊侧和腭侧/舌侧第一种植体接触骨之间的垂直距离(ΔBICb:−0.26 mm, p = 0.005和ΔBICp:−0.46 mm, p = 0.018)。ISQ在骨整合过程中增加,并且在加载后12个月记录了高种植体存活率(100%)和成功率(基于3套不同标准从81.3%到100%)。结论:在本病例系列中,骨质疏松患者使用单一钛锆种植体治疗具有较高的存活率,可预测的12个月种植体效果,以及种植体周围的生理性骨重建。试验注册:NCT02884401
期刊介绍:
Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.