J Adv Prosthodont.  2010 Jun;2(2):54-57. 10.4047/jap.2010.2.2.54.

Use of separate single-tooth implant restorations to replace two or more consecutive posterior teeth: a prospective cohort study for up to 1 year

Affiliations
  • 1Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital, Sungnam, Gyeonggi, Korea.
  • 2Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Sungnam, Gyeonggi, Korea.
  • 3Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul, Korea. jhoyang@snu.ac.kr

Abstract

PURPOSE
The aim of this study was to evaluate the periodontal and prosthodontic complications of multiple freestanding implants in the posterior jaws for up to 1 year of function. MATERIAL AND METHODS: Eight patients received 20 implants posterior to canines. Two or more implants were consecutively inserted to each patient. Single crowns were delivered onto the implants. Marginal bone loss, implant mobility, probing depth, and screw loosening were examined to evaluate the clinical success of such restorations for maximum 1 year of functional loading.
RESULTS
All the implants performed well during the observation period. Neither periodontal nor prosthodontic complications were found except a slight porcelain chipping. While the marginal bone level was on average 0.09 mm lower around the implant after 6 months of loading, it was 0.15 mm higher after 1 year.
CONCLUSION
Within the limits of this investigation, separate single-tooth implant restorations to replace consecutive missing teeth may clinically function well in the posterior jaw.

Keyword

Separate restoration; Freestanding implant; Consecutive teeth; Marginal bone loss; Single-tooth implant

MeSH Terms

Cohort Studies
Crowns
Dental Implants, Single-Tooth
Dental Porcelain
Humans
Jaw
Prospective Studies
Prosthodontics
Tooth
Dental Porcelain

Figure

  • Fig. 1 Possible distortion was accounted from the true dimension of the implant. The proportional expression to calculate the amount of marginal bone level change is shown on the upper left part of this figure (a: distance between fixture-abutment interface and the first visible bone to implant contact measured from radiograph b: pitch distance measured from radiograph x: assumed amount of real bone change, 0.9: pitch distance between macrothreads).

  • Fig. 2 The means of marginal bone loss were measured at 3, 6, and 12 months after loading. The negative value means marginal bone loss, the positive value and marginal bone gain.


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