TY - JOUR
T1 - Crestal bone changes around implants with implant-abutment connections at epicrestal level or above
T2 - Systematic review and meta-analysis
AU - van Eekeren, P.J.A.
AU - Tahmaseb, A.
AU - Wismeijer, D.
PY - 2016
Y1 - 2016
N2 - Purpose: The aim of this systematic review and meta-analysis was to evaluate crestal bone changes around implants when placing the implant-abutment connection at the crestal bone level or above. Materials and Methods: Medline (Pubmed), EMBASE, and Cochrane Library up to January 2014 were electronically and hand searched for any publications that evaluated radiographic crestal bone changes around nonsubmerged, rough-surfaced implants placed in healed sites in humans and loaded for a minimum of 1 year. Results: The search yielded 1,122 publications; 1,106 could not be included. After 16 full-text articles were read and subjected to inclusion and exclusion criteria, four were included. The mean difference was -0.29 mm (95% CI, -0.58 mm to -0.01 mm). Heterogeneity between studies was observed (I2 = 95%). Significantly more crestal bone change was seen in the epicrestal implant-abutment (bone level) connection group when compared to implants with the prosthetic connection above the crestal bone level (tissue level) (P < .00001). Conclusion: Dental implants at bone level show significantly less crestal bone change after 1 year of loading than tissue-level implants.
AB - Purpose: The aim of this systematic review and meta-analysis was to evaluate crestal bone changes around implants when placing the implant-abutment connection at the crestal bone level or above. Materials and Methods: Medline (Pubmed), EMBASE, and Cochrane Library up to January 2014 were electronically and hand searched for any publications that evaluated radiographic crestal bone changes around nonsubmerged, rough-surfaced implants placed in healed sites in humans and loaded for a minimum of 1 year. Results: The search yielded 1,122 publications; 1,106 could not be included. After 16 full-text articles were read and subjected to inclusion and exclusion criteria, four were included. The mean difference was -0.29 mm (95% CI, -0.58 mm to -0.01 mm). Heterogeneity between studies was observed (I2 = 95%). Significantly more crestal bone change was seen in the epicrestal implant-abutment (bone level) connection group when compared to implants with the prosthetic connection above the crestal bone level (tissue level) (P < .00001). Conclusion: Dental implants at bone level show significantly less crestal bone change after 1 year of loading than tissue-level implants.
UR - https://www.scopus.com/pages/publications/84979098398
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U2 - 10.11607/jomi.4235
DO - 10.11607/jomi.4235
M3 - Article
C2 - 26800168
SN - 0882-2786
VL - 31
SP - 119
EP - 124
JO - The International Journal of Oral and Maxillofacial Implants
JF - The International Journal of Oral and Maxillofacial Implants
IS - 1
ER -
