Crestal Bone and Soft Tissue Stability Surrounding Laser Microtextured Collar of
Dental Implant; A 3- Year Clinical and Radiographic Evaluation
Osama Abdelrahman Rasras, Mahmoud abu ta'a and Ala Hassan A Qamheya
Department of Dental Science, Faculty of Graduate studies, Arab American University, Ramallah, Palestine
*Corresponding Author: Ala Hassan A Qamheya, Department of Dental Science,
Faculty of Graduate studies, Arab American University, Ramallah, Palestine.
Received: December 19, 2022; Published: January 05, 2023
Objective: To evaluate marginal bone level (MBL) and clinical performance of dental implants with laser microtextured collar after three years of loading.
Material and Methods: Randomly selected were 24 patients (mean age ± standard deviation [SD] 44.0 ± 11.1 years) who had dental implants in the dental center at the Arab American University in Ramallah, Palestine. 64 implants are necessary to achieve 99% confidence level with a margin of error 0.1mm. Periapical radiographs were taken for these dental implants immeadiatly after loading and 3-years after loading. Crestal bone resorption was evaluated taking into consideration the attached gingivae width. Probing pocket depth and bleeding scores were also evaluated.
Results: After 3 years of loading, the crestal bone loss was 0.74 ± 1.06 SD. Probing pocket depth 3.73 ± 0.85 SD. Gingivitis index (Bleeding on probing 0.77 ± 0.86 SD). Plaque index 0.40 ± 0.76 SD. In addition, no significant differences (P = 0.708) related to the attached gingiva width and radiograpgic bone loss were observed.
Conclusion: Laser microtexturing of the collar of the dental implants provide stability of hard and soft tissue around dental implants. Nevertheless, it did not eliminate crestal bone resorption. Within the limits of this study, the laser microtexuring can stabilize the soft tissue regardless of the width of attached ginigiva.
Keywords:Crestal Bone Loss; Laser- Microtextured Collar Dental Implants; Biologic Width; Peri-Implantitis; Micro Gap
- Palmer R. “Introduction to dental implant”. British Dental Journal 187 (1999): 127-132.
- Anil S., et al. “Dental Implant Surface Enhancement and Osseointegration”. Implant Dentistry - A Rapidly Evolving Practice (2011).
- Souza JCM., et al. “Nano-scale modification of titanium implant surfaces to enhance osseointegration”. Acta Biomaterialia 94 (2019): 112-131.
- Raghavan R., et al. “Surface Treatments of Implant: A Review”. International Journal of Science and Healthcare Research 5 (2020): 128.
- Qamheya AHA., et al. “Thermal oxidation and hydrofluoric acid treatment on the sandblasted implant surface: A histologic histomorphometric and biomechanical study”. Clinical Oral Implants Research 29 (2018): 741-755.
- Pecora GE., et al. “Clinical evaluation of laser microtexturing for soft tissue and bone attachment to dental implants”. Implant Dentistry 18 (2009): 57-66.
- Guarnieri R., et al. “Influence of a Laser-Lok Surface on Immediate Functional Loading of Implants in Single-Tooth Replacement: Three-Year Results of a Prospective Randomized Clinical Study on Soft Tissue Response and Esthetics”. International Journal of Periodontics and Restorative Dentistry 35 (2015): 865-875.
- Farronato D., et al. “Influence of Laser-Lok Surface on Immediate Functional Loading of Implants in Single-Tooth Replacement: A 2-Year Prospective Clinical Study”. International Journal of Periodontics and Restorative Dentistry 34 (2014): 79-89.
- El Chaar E., et al. “Crestal Bone and Keratinized Tissue Around 3.0-mm Laser-Microtextured Dental Implants After 1 Year in Function: A Case Series”. International Journal of Periodontics and Restorative Dentistry 39 (2019): 333-339.
- Nevins M., et al. “Human histologic evidence of a connective tissue attachment to a dental implant”. International Journal of Periodontics and Restorative Dentistry 28 (2008): 111-21.
- Conserva E., et al. “Adhesion and proliferation of human dental pulp stem cells on a laser microtextured implant surface: an in vitro study”. Oral Health Care (2018): 3.
- Ketabi M and Deporter D. “The Effects of Laser Microgrooves on Hard and Soft Tissue Attachment to Implant Collar Surfaces: A Literature Review and Interpretation”. International Journal of Periodontics and Restorative Dentistry 33 (2013): e145-e152.
- Cary A Shapoff., et al. “Radiographic analysis of crestal bone levels around Laser-Lok collar dental implants”. The International Journal of Periodontics and Restorative Dentistry 2 (2010): 129-137.
- Randall E., et al. “The Effect of Dental Implant Collar Design on Crestal Bone Loss at 1 Year After Implant Placement”. International Journal of Periodontics and Restorative Dentistry 39 (2019): 165-173.
- Weiner S., et al. “The effects of laser microtextured collars upon crestal bone levels of dental implants”. Implant Dentistry 17 (2008): 217-228.
- Hagiwara Y. “Does platform switching really prevent crestal bone loss around implants?” The Japanese Dental Science Review 46 (2010): 122-131.
- Oh T-J., et al. “The Causes of Early Implant Bone Loss: Myth or Science?” Journal of Periodontology 73 (2002): 322-333.
- Shen WL., et al. “Influence of implant collar design on stress and strain distribution in the crestal compact bone: A three-dimensional finite element analysis”. The International Journal of Oral and Maxillofacial Implants 25 (2010): 901-910.
- Ionescu AC., et al. “Laser microtextured titanium implant surfaces reduce in vitro and in situ oral biofilm formation”. PLoS One 13 (2018): 1-19.
- Yanagisawa N., et al. “Human Gingival Fibroblast Attachment to Smooth Titanium Disks with Different Surface Roughnesses”. Biomimetics 7 (2022): 164.
- Doll PW., et al. “Enhancing the soft-tissue integration of dental implant abutments-in vitro study to reveal an optimized microgroove surface design to maximize spreading and alignment of human gingival fibroblasts”. Journal of Biomedical Materials Research Part B: Applied Biomaterials 109 (2021): 1768-1776.
- Quirynen M., et al. “Infectious risks for oral implants: a review of the literature”. Clinical Oral Implants Research 13.200229 (2002): 1-19.
- Augusta M., et al. “Gingival Diseases - Their Aetiology, Prevention and Treatment”. Gingival Diseases - Their Aetiology, Prevention and Treatment (2012).
- Karthik K., et al. “Evaluation of implant success: A review of past and present concepts”. Journal of Pharmacy and Bioallied Sciences 5 (2013):
- Albrektsson T., et al. “The Long - Term Efficacy of Currently Used Dental Implants : A Review and Proposed Criteria of Success”. International Journal of Oral and Maxillofacial Surgery 1 (1985): 11-25.
- Cumbo C., et al. “Implant platform switching concept: A literature review”. European Review for Medical and Pharmacological Sciences 17 (2013): 392-397.
- Rocha S., et al. “Effect of platform switching on crestal bone levels around implants in the posterior mandible: 3 years results from a multicentre randomized clinical trial”. Journal of Clinical Periodontology 43 (2016): 374-382.
- Bryant SR and Zarb GA. “Crestal bone loss proximal to oral implants in older and younger adults”. Journal of Prosthetic Dentistry 89 (2003): 589-597.
- Koodaryan R and Hafezeqoran A. “Effect of laser-microtexturing on bone and soft tissue attachments to dental implants: A systematic review and meta-analysis”. Journal of Dental Research, Dental Clinics, Dental Prospects 15 (2021): 290-296.
- Guarnieri R., et al. “The Impact of a Laser-Microtextured Collar on Crestal Bone Level and Clinical Parameters Under Various Placement and Loading Protocols”. The International Journal of Oral and Maxillofacial Implants 29 (2014): 354-363.
- Patil YB., et al. “Influence of Implant Neck Design on Crestal Bone Loss: A Comparative Study”. Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society 26 (2020): 22.
- Chen Z., et al. “Influence of Laser-Microtextured Surface Collar on Marginal Bone Loss and Peri-Implant Soft Tissue Response: A Systematic Review and Meta-Analysis”. Journal of Periodontology 88 (2017): 651-662.
- Gultekin BA., et al. “Clinical Study Does the Laser-Microtextured Short Implant Collar Design Reduce Marginal Bone Loss in Comparison with a Machined Collar?” BioMed Research International (2016).
- Botos S., et al. “The effects of laser microtexturing of the dental implant collar on crestal bone levels and peri-implant health”. The International Journal of Oral and Maxillofacial Implants 26 (2011): 492-498.
- Linkevicius T., et al. “Radiological comparison of laser-microtextured and platform-switched implants in thin mucosal biotype”. Clinical Oral Implants Research 26 (2015): 599-605.