Correlations between radiographic, clinical and mobility parameters after loading of oral implants with fixed partial dentures. A 2‐year longitudinal study.

Abstract

The aim of present study was to correlate the changes in the peri-implant tissues occurring after functional loading of non-submerged titanium implants and assessed by radiographic, clinical and mobility measurements. 11 patients with distal extension situations received 18 implants of the ITI Dental Implant System. After a healing period of 3 months, the suprastructures were fabricated and seated 5 months post-surgically. For the assessment of peri-implant bone changes, standardized vertical bitewing radiographs with reproducible exposure geometry were evaluated using computer assisted densitometric image analyses (CADIA) and bone height measurements. Since the radiographic evaluations were performed at mesial and distal sites only, the clinical parameters from these implant aspects were included in the analysis. Clinical periodontal parameters modified for the use around implants were obtained, damping characteristics were expressed as Periotest readings and standardized radiographs were obtained at 1, 3, 6, 12 and 24 months after loading. In addition, radiographs were also taken at the start of functional loading. The data obtained from this small sample of implants demonstrated a wide range of different tissue alterations when using radiographic, clinical and mobility assessments. The parameters of probing attachment level (PAL) in combination with radiographic parameters obtained at 1, 3, and 6 months after loading were good predictors for the peri-implant tissue status at 2 years. This was shown by means of multiple stepwise regression analyses. Mobility measurements did not reveal valuable predictive information with the statistical models applied. Assessments of probing attachment levels using periodontal probes rendered information on peri-implant tissue alterations, which were closely correlated to the radiographically measurable peri-implant bone changes.

X-ray evaluation at 5–6 years of Straumann implants (part 2)

“…The two year longitudinal study of Brägger et al [13] confirmed that the measurements of probing attachment level (PAT) along with radiographic parameters were good predictors of peri-implant bone level. The use of modified periodontal indices was suggested later [23,32].…”

“…The effects of the projection and the beam angle on the interpretation of non standardized films were reported by many authors [13][14][15].…”

“…Radiographs are currently considered the gold standard in measuring bone level changes at interproximal implant sites (Fig. 2) and in evaluating the presence or absence of peri-implant radiolucencies [13][14][15][16][17].…”

“…Several longitudinal studies consider that radiographic monitoring of bone level changes provides valuable insight into the longevity of oral implants [13][14][15][16][17] (Fig. 3).…”

“…Survival rate was defined as the proportion of implants in place and in function [3,7,13,18,65,70] at the 5-6 years reevaluation. Success rate was considered as the proportion of implants showing no mobility, no peri-implant radiolucency, no active or recurrent peri-implantitis [5,55,65] and no radiological CBL > 3 mm.…”