David French1, Mitchel Naito2, Bernie Linke3. 1. Clinical Instructor, Faculty of Dentistry, Department of Periodontics, University of British Columbia Faculty of Dentistry, Vancouver, Canada; Private practice, Calgary, Canada. Electronic address: drfrench@shaw.ca. 2. Graduate Resident, School of Dentistry, University of Alberta, Edmonton Clinic Health Academy (ECHA), Edmonton, Canada. 3. Director, Department of Prosthodontics, School of Dentistry, University of Alberta, Edmonton Clinic Health Academy (ECHA), Edmonton, Canada.
Abstract
STATEMENT OF PROBLEM: Interproximal contact loss (ICL) is a common finding between implant restorations and teeth, yet few reports have been published on incidence or related complications. PURPOSE: The purpose of this cross-sectional retrospective study was to measure the ICL of 4325 implants, including single and multiple splinted restorations. MATERIAL AND METHODS: Data on 4325 implants were extracted from patient records on ICL, time of follow-up, implant location, and sex of the participant for whom implants were placed in a private practice between 1999 and 2016. Periapical radiographs were used to evaluate the crestal bone level (CBL), whereas peri-implant soft tissues were evaluated with the implant mucosal index (IMI). Measurements (ICL, IMI, and CBL) were evaluated with an average follow-up of 4.5 years (range: 0.25 to 21 years). ICL was assessed in relation to the implant location and sex and grouped by the last clinical recall (1, 2-3, 4-5, 6-7, or 8+ years) to evaluate the effect of time. Data were analyzed by the chi-square test (α=.05). RESULTS: Overall, 17% of implants had ICL, and this significantly increased over time from 11% at 1 year to 29% at ≥8 years (chi-square: 123.8, P<.001). Mandibular implants had more ICL (20%) than maxillary implants (15%) (chi-square: 17.5, P<.001), whereas no difference was found between molar and premolar sites or male and female participants. There was no significant effect of ICL on CBL over time, but there was an increase in inflammation with higher IMI scores at ICL sites. CONCLUSIONS: The incidence of implant ICL was found to be 17%, and ICL was found to increase over time up to 27% at ≥8 years of follow-up. ICL was more common in posterior and mandibular sites. ICL was shown to increase soft tissue inflammation but was not found to affect implant CBLs.
STATEMENT OF PROBLEM: Interproximal contact loss (ICL) is a common finding between implant restorations and teeth, yet few reports have been published on incidence or related complications. PURPOSE: The purpose of this cross-sectional retrospective study was to measure the ICL of 4325 implants, including single and multiple splinted restorations. MATERIAL AND METHODS: Data on 4325 implants were extracted from patient records on ICL, time of follow-up, implant location, and sex of the participant for whom implants were placed in a private practice between 1999 and 2016. Periapical radiographs were used to evaluate the crestal bone level (CBL), whereas peri-implant soft tissues were evaluated with the implant mucosal index (IMI). Measurements (ICL, IMI, and CBL) were evaluated with an average follow-up of 4.5 years (range: 0.25 to 21 years). ICL was assessed in relation to the implant location and sex and grouped by the last clinical recall (1, 2-3, 4-5, 6-7, or 8+ years) to evaluate the effect of time. Data were analyzed by the chi-square test (α=.05). RESULTS: Overall, 17% of implants had ICL, and this significantly increased over time from 11% at 1 year to 29% at ≥8 years (chi-square: 123.8, P<.001). Mandibular implants had more ICL (20%) than maxillary implants (15%) (chi-square: 17.5, P<.001), whereas no difference was found between molar and premolar sites or male and female participants. There was no significant effect of ICL on CBL over time, but there was an increase in inflammation with higher IMI scores at ICL sites. CONCLUSIONS: The incidence of implant ICL was found to be 17%, and ICL was found to increase over time up to 27% at ≥8 years of follow-up. ICL was more common in posterior and mandibular sites. ICL was shown to increase soft tissue inflammation but was not found to affect implant CBLs.
Authors: Thomas J W Gasser; Spyridon N Papageorgiou; Theodore Eliades; Christoph H F Hämmerle; Daniel S Thoma Journal: Clin Oral Implants Res Date: 2022-03-01 Impact factor: 5.021