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The International Journal of Oral & Maxillofacial Implants



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Int J Oral Maxillofac Implants 32 (2017), No. 1     26. Jan. 2017
Int J Oral Maxillofac Implants 32 (2017), No. 1  (26.01.2017)

Page 147-155, doi:10.11607/jomi.4922, PubMed:27835706

Association Between Peri-implant Bone Morphology and Marginal Bone Loss: A Retrospective Study on Implant-Supported Mandibular Overdentures
Ding, Qian / Zhang, Lei / Geraets, Wil / Wu, Wuqing / Zhou, Yongsheng / Wismeijer, Daniel / Xie, Qiufei
Purpose: The present study aimed to explore the association between marginal bone loss and type of peri-implant bony defect determined using a new peri-implant bony defect classification system.
Materials and Methods: A total of 110 patients with implant-supported mandibular overdentures were involved. Clinical information was collected, including gender, age, smoking habit, and the overdenture attachment system used. Peri-implant bony defect types and marginal distances (ie, distance between the marginal bone level and the top of the implant shoulder) of all sites were identified on panoramic radiographs by a single experienced observer. The associations between marginal distance and peri-implant bony defect type, gender, age, smoking habit, attachment system, and time after implantation were investigated using marginal generalized linear models and regression analysis.
Results: A total of 83 participants were included in the final sample with a total of 224 implants involving 3,124 implant sites. The mean observation time was 10.7 years. All peri-implant bony defect types except Type 5 (slit-like) were significantly related to marginal distance in all models (P < .01). Smoking and time after implantation were significantly related to marginal distance while gender, age, and the overdenture attachment system used were not.
Conclusions: The periimplant bony defect type, determined using the new classification system, is associated with the extent of marginal bone loss.

Keywords: bone morphology, dental implant, marginal bone loss, peri-implant bone defect