Systematic assessment of soft tissue level and bone level dental implants

An introduction to dental implants

“…The lower the vertical distance from contact point to bone crest the greater the papillary fill. 35 Papilla height between an implant and a tooth is dependent on tooth clinical attachment levels 36 Horizontal distance between implant and adjacent tooth Minimal horizontal distance between implant and tooth of 1-15 mm to preserve bone adjacent to the tooth 37 Two adjacent implants 3 mm of bone between two implants required to maintain inter-implant bone and optimal soft tissue film 36 Soft tissue phenotype Some contradictory data, but for immediate implants, thick gingival phenotype did better 58,59,61 Buccolingual implant position Buccally placed implants for immediate and delayed implant placement show greater facial mucosal recession…”

“…However, soft tissue recession and peri-implant bone loss is often multifactorial and so such a simplistic decision-making approach may not always be appropriate. The recent systematic review by Lago et al 35 looked at the influences of mesiodistal edentulous space, aesthetics, type of prosthetic restoration, the need for connection-reconnection and denture space on the decision-making process.…”

“…An overdenture may be better suited to a TL implant, as is the case for a cement-retained restoration, as margin is removed further from the crest of the bone, making cement removable easier. 35 Lagos et al concluded that all implants offer good results in terms of marginal bone loss and survival rates and that the choice between the two should be based on the characteristics of the individual case.…”

Effect of implant type on the stability of cantilever fixed dental prostheses: An in vitro study

“…Tissue‐level implants allow open healing (one‐time healing) and are preferred for the posterior area or for the retention of removable dental prostheses. Bone‐level implants are primarily selected for closed two‐stage healing (e.g., when simultaneous bone augmentation procedures are conducted) and for esthetically demanding cases, allowing for a more flexible design of the emergence profile in the anterior and premolar regions (Lago et al., 2023). The effect of the implant type on the performance of ICFDPs has not yet been investigated.…”