Significantly less bone loss can occur around bone-level implants placed in naturally thick mucosal tissues, in comparison with thin biotype. Augmentation of thin soft tissues with allogenic membrane during implant placement could be way to reduce crestal bone loss.
Implants with cement remnants in patients with history of periodontitis may be more likely to develop peri-implantitis, compared with patients without history of periodontal infection.
It can be concluded that platform switching does not prevent crestal bone loss if, at the time of implant placement, mucosal tissue is thin. In thick soft tissue, use of platform-switched implants maintained crestal bone level with minimal remodeling.
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