A radiographic evaluation of bone healing around submerged and non-submerged dental implants in beagle dogs.
BACKGROUND
The rehabilitation of the oral cavity with dental implants has become a predictable treatment modality. However, there have been only a few direct comparisons evaluating the submerged and nonsubmerged placement techniques. The purpose of this study was to characterize radiographic peri-implant bone changes following the insertion of submerged and nonsubmerged implants in the beagle dog.


METHODS
At the end of the extraction healing phase, 19 submerged and 19 nonsubmerged implants were randomly placed in a split-mouth study design and observed over an 18-week period. For submerged implants, a second stage surgery and transmucosal abutment attachment was performed at week 12. Standardized dental radiographs taken at baseline, week 12, and week 18 were used to measure peri-implant bone changes. The radiographs were analyzed with a simple computer assisted method.


RESULTS
A total of 43 standardized radiographs were exposed to evaluate the 38 implants. During the study period, all submerged and nonsubmerged implants demonstrated peri-implant bone loss. At baseline, both submerged and nonsubmerged implants had similar bone levels (P > or = 0.05). When the mean peri-implant bone levels for submerged and nonsubmerged implants were compared from baseline to week 12, nonsubmerged implants had a significantly greater amount and rate of bone resorption than submerged implants (P < or = 0.05). Following week 12, the initially submerged implant had a significantly higher rate and amount of peri-implant bone loss than the nonsubmerged implants (P < or = 0.05). However, by the end of the study period, week 18, both submerged and nonsubmerged implants had comparable bone levels (P > or = 0.05).


CONCLUSIONS
The study indicates that, although the temporal patterns of peri-implant bone resorption differed, there were no differences between submerged and nonsubmerged implants in the overall amount and rate of peri-implant bone loss.
Fiorellini
J P
JP
Department of Periodontology, Harvard School of Dental Medicine, Boston, MA 02115, USA. joseph_fiorellini@hms.harvard.edu
Buser
D
D
Paquette
D W
DW
Williams
R C
RC
Haghighi
D
D
Weber
H P
HP
D000539:Alveolar Process / Q000000981:diagnostic imaging; D000704:Analysis of Variance; D000818:Animals; D001862:Bone Resorption / Q000209:etiology; D020099:Coated Materials, Biocompatible; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D017267:Dental Prosthesis Design; D004285:Dogs; D005260:Female; D005500:Follow-Up Studies; D008334:Mandible / Q000000981:diagnostic imaging* / Q000601:surgery; D015588:Observer Variation; D011859:Radiography; D011897:Random Allocation; D014025:Titanium; D014945:Wound Healing
D020099:Coated Materials, Biocompatible; D015921:Dental Implants; D014025:Titanium