Evaluation of peri-implant soft tissue and bone levels around early loaded implant in restoring single missing tooth: A clinico-radiographic study

Abstract

Background:One-stage nonsubmerged protocol which can achieve success rates comparable to implants placed in a two-staged submerged procedure also the preconditions for periimplant bone regeneration has lead to more refined concepts of implant loading.Materials and Methods:Twenty sites with single missing tooth were included in this study. Clinical parameters included sulcus bleeding index (sBI), probing pocket depth (PD), and papilla index (PI) and radiographic parameters included crestal bone level were assessed for a period of 9 months.Results:The crestal bone loss showed mean value ranging from baseline 0.25 ± 0.11 to 0.31 ± 0.08 at 3 weeks, to 0.67 ± 0.13 at 3 months, to 0.85 ± 0.09 at 6 months, and to 0.88 ± 0.12 at 9 months. Probing PD, the mean value for probing PD at 3 weeks 1.20 ± 0.83, 3 months 1.60 ± 1.1, at 6 months 1.40 ± 1.14, and at 9 months 1.20 ± 1.0. sBI, mean value for sBI at 3 weeks 0.00 ± 0.00, 3 months 0.3 ± 0.11, at 6 months 0.09 ± 0.25, and at 9 months 0.08 ± 0.24. PI, showed a significant difference among at different points of time with P = 0.000.Conclusion:The dental implants showed <1 mm of crestal bone loss at 9 months follow-up, clinically significant marginal bone loss occurred between the time of implant placement and 3 months. Subsequent to that, bone loss observed around the implant up to 9 months was minimal. The periimplant soft tissue maturity was maintained throughout the study.

Impact of a zoledronate coating on early post‐surgical implant stability and marginal bone resorption in the maxilla—A split‐mouth randomized clinical trial

“…This is similar to the 2‐month results in our previous trial with Brånemark implants. Others have reported greater resorption at similar time points with other implant designs (Bhardwaj, Bhushan, Sudha Baiju, Bali, & Joshi, ).…”

Comparative Evaluation of Different Bone Markers in Peri-implant Crevicular Fluid of Immediate Loaded and Nonloaded Dental Implants

“…This depicts that in both immediate loaded dental implant and non-loaded dental implants, there is a slight difference in BOP index. Bhardwaj et al 9 assessed sulcus bleeding index, papilla index and probing pocket depth in immediate loaded dental implants in single missing tooth found that at baseline the mean crestal bone loss was 0.25 mm which increased 0.88 mm after 9 months. Similarly, PPD found to be the same at 3 weeks and after 9 months.…”

Impact Of Concentrated Growth Factors(CGF) On Clinical outcomes Of Immediately Loaded Dental Implants In Controlled Diabetic Patients

“…This is in harmony with Bhardwaj et al in 2016 who revealed insignificant changes in probing depths at 3, 6, 9 and 12 months of implant loading. (31) Such finding was based on the fact that formation and maturation of the barrier function of junctional epithelium around implant abutments requires 6-8 weeks of healing and stabilization which acts as a barrier between the contaminated oral cavity and marginal bone. (32) Regarding the modified sulcus bleeding index, no statistical significant differences were found between all groups at (T0), (T1), (T2) (P=0.822, 0.211, 0.149 respectively).…”