Research Article
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Year 2024, Volume: 3 Issue: 1, 22 - 31, 15.01.2024

Abstract

References

  • 1. Eitan Barnea, Haim Tal, Joseph Nissan, Ricardo Tarrasch, Michael Peleg, Roni Kolerman. The Use of Tilted Implant for Posterior Atrophic Maxilla. Clin Implant Dent Relat Res. 2016; 18(4): 788-800.
  • 2. Paulo Maló, Miguel de Araújo Nobre, Armando Lopes. Immediate loading of ‘All-on-4’ maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome. European Journal of Oral Implantology. 2013; 6(3): 1-11.
  • 3. Milena Hopp, Miguel de Araújo Nobre, Paulo Maló. Comparison of marginal bone loss and implant success between axial and tilted implants in maxillary All-on-4 treatment concept rehabilitations after 5 years of follow-up. Clin Implant Dent Relat Res. 2017; 19(5): 849-859.
  • 4. Paulo Maló, Bo Rangert, MechEng; Miguel Nobre. “All-on-Four” immediate-function concept with Brånemark System implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res. 2003; 5(1): 2-9.
  • 5. Krekmanov L. Placement of posterior mandibular and maxillary implants in patients with severe bone deficiency: a clinical report of the procedure. Int J Oral Maxillofac Implants. 2000; 15(5): 722- 730.
  • 6. Manú Van Weehaeghe, Hugo De Bruyn, Stefan Vandeweghe. A prospective, split-mouth study comparing tilted implants with angulated connection versus conventional implants with angulated abutment. Clin Implant Dent Relat Res. 2017; 19(6): 989-996.
  • 7. Bruno Ramos Chrcanovic, Tomas Albrektsson, Ann Wennerberg. Tilted versus axially placed dental implants: A meta-analysis. J Dent. 2015; 43(2): 149-70.
  • 8. Karol Alí Apaza Alccayhuaman, David Soto-Peñaloza, Yasushi Nakajima, Spyridon N Papageorgiou, Daniele Botticelli, Niklaus P Lang. Biological and technical complications of tilted implants in comparison with straight implants supporting fixed dental prostheses. A systematic review and meta-analysis. Clin Oral Implants Res. 2018; 29(18): 295-308.
  • 9. Wei-Shao Lin, Steven E Eckert. Clinical performance of intentionally tilted implants versus axially positioned implants: A systematic review. Clin Oral Implants Res. 2018; 29(16): 78-105.
  • 10. Paulo Maló, Miguel de Araújo Nobre, Armando Lopes, Ana Ferro, Inês Gravito. All-on-4® Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible: A 7-Year Clinical and 5-Year Radiographic Retrospective Case Series with Risk Assessment for Implant Failure and Marginal Bone Level. Clin Implant Dent Relat Res. 2015; 17(S2): e531-e541.
  • 11. Paulo Maló, Miguel de Araújo Nobre, Armando Lopes, Ana Ferro, João Botto. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: A longitudinal study with 10 to 18 years of follow-up. Clin Implant Dent Rel Res. 2019; 21(4): 565-577.
  • 12. Paulo Maló, Miguel de Araújo Nobre, Armando Lopes, Ana Ferro, Mariana Nunes. The All-on-4 concept for full-arch rehabilitation of the edentulous maxillae: A longitudinal study with 5-13 years of follow-up. Clin Implant Dent Relat Res. 2019; 21: 538-549.
  • 13. Jorge Cortés-Bretón Brinkmann, Ignacio García-Gil, Patricia Pedregal, Jesús Peláez, Juan Carlos Prados-Frutos, María Jesús Suárez. Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis. Biology (Basel). 2021; 10(6): 509.
  • 14. Alberto Monje, Hsun-Liang Chan, Fernando Suarez, Pablo Galindo-Moreno, Hom-Lay Wang. Marginal Bone Loss Around Tilted Implants in Comparison to Straight Implants: A Meta- Analysis. Int J Oral Maxillofac Implants. 2012; 27: 1576–1583.
  • 15. Ata-Ali, Javier; Peñarrocha-Oltra, David; Candel-Marti, Eugenia et al. Oral rehabilitation with tilted dental implants: A metaanalysis. Patol Oral Cir Bucal. 2012; 17(4): e582-7.
  • 16. Luciano Malchiodi, Tommaso Moro, Diego P Cattina, Alessandro Cucchi, Paolo Ghensi, Pier F Nocini. Implant rehabilitation of the edentulous jaws: Does tilting of posterior implants at an angle greater than 45° affect bone resorption and implant success?: A retrospective study. Clin Implant Dent Relat Res. 2018; 20(5): 867-874.
  • 17. M Menéndez-Collar, M-A Serrera-Figallo, P Hita-Iglesias, R Castillo-Oyagüe, J-C Casar-Espinosa, A Gutiérrez-Corrales et al. Straight and tilted implants for supporting screw-retained fullarch dental prostheses in atrophic maxillae: A 2-year prospective study. Med Oral Patol Oral Cir Bucal. 2018; 23(6): 733-741.
  • 18. Juan-Carlos Casar-Espinosa, Raquel Castillo-Oyagüe, María Ángeles Serrera-Figallo, Roberto Garrido-Serrano, Christopher D. Lynch, Manuel Menéndez-Collar et al. Combination of straight and tilted implants for supporting screw-retained dental prostheses in atrophic posterior maxillae: A 2-year prospective study. Journal of Dentistry. 2017; 63: 85-93.

Evaluation of the Relationship Between Marginal Bone Loss and Implant Angulation in All-on-Four System

Year 2024, Volume: 3 Issue: 1, 22 - 31, 15.01.2024

Abstract

Purpose: The All-on-four concept is a reliable treatment modality for severely atrophic jaws. The aim of this study is to investigate
the correlation between the marginal bone loss, length, and angulation of tilted implants inserted for full-arch rehabilitation
according to the All-on-four concept using cone-beam computer tomography (CBCT) images.
Material and Methods: A retrospective study was conducted based on medical records including clinical and radiographical
data of dental implant patients treated between September 2017 and September 2023. The patients were treated with dental
implants according to the All-on-four concept with the same dental implant brand. Patients without any systemic conditions,
non-smokers, and patients who received immediate prosthetic rehabilitation were included in this study. From the CBCT images,
the average marginal bone loss was compared between implants according to their angle-length measurement.
Results: The mean follow-up time was 32.7±16.9 months. The angulation of the axial implants was between 73.07 to 98.41
degrees and lateral implants were tilted 50.45 to 86.46 degrees. The marginal bone loss increased as the angle of the implant
increased. The resorption rate was not affected by gender, age, and follow-up duration.
Conclusion: Regarding this study’s findings, it can be stated that the wide range of different implant angulations in the All-on-four
concept is well tolerated in physiologic limits regarding marginal bone loss, thus it is a successful procedure for rehabilitation of
edentulous patients. However, care must be taken for follow-ups and the cooperation of the patient is crucial for the prognosis.

References

  • 1. Eitan Barnea, Haim Tal, Joseph Nissan, Ricardo Tarrasch, Michael Peleg, Roni Kolerman. The Use of Tilted Implant for Posterior Atrophic Maxilla. Clin Implant Dent Relat Res. 2016; 18(4): 788-800.
  • 2. Paulo Maló, Miguel de Araújo Nobre, Armando Lopes. Immediate loading of ‘All-on-4’ maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome. European Journal of Oral Implantology. 2013; 6(3): 1-11.
  • 3. Milena Hopp, Miguel de Araújo Nobre, Paulo Maló. Comparison of marginal bone loss and implant success between axial and tilted implants in maxillary All-on-4 treatment concept rehabilitations after 5 years of follow-up. Clin Implant Dent Relat Res. 2017; 19(5): 849-859.
  • 4. Paulo Maló, Bo Rangert, MechEng; Miguel Nobre. “All-on-Four” immediate-function concept with Brånemark System implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res. 2003; 5(1): 2-9.
  • 5. Krekmanov L. Placement of posterior mandibular and maxillary implants in patients with severe bone deficiency: a clinical report of the procedure. Int J Oral Maxillofac Implants. 2000; 15(5): 722- 730.
  • 6. Manú Van Weehaeghe, Hugo De Bruyn, Stefan Vandeweghe. A prospective, split-mouth study comparing tilted implants with angulated connection versus conventional implants with angulated abutment. Clin Implant Dent Relat Res. 2017; 19(6): 989-996.
  • 7. Bruno Ramos Chrcanovic, Tomas Albrektsson, Ann Wennerberg. Tilted versus axially placed dental implants: A meta-analysis. J Dent. 2015; 43(2): 149-70.
  • 8. Karol Alí Apaza Alccayhuaman, David Soto-Peñaloza, Yasushi Nakajima, Spyridon N Papageorgiou, Daniele Botticelli, Niklaus P Lang. Biological and technical complications of tilted implants in comparison with straight implants supporting fixed dental prostheses. A systematic review and meta-analysis. Clin Oral Implants Res. 2018; 29(18): 295-308.
  • 9. Wei-Shao Lin, Steven E Eckert. Clinical performance of intentionally tilted implants versus axially positioned implants: A systematic review. Clin Oral Implants Res. 2018; 29(16): 78-105.
  • 10. Paulo Maló, Miguel de Araújo Nobre, Armando Lopes, Ana Ferro, Inês Gravito. All-on-4® Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible: A 7-Year Clinical and 5-Year Radiographic Retrospective Case Series with Risk Assessment for Implant Failure and Marginal Bone Level. Clin Implant Dent Relat Res. 2015; 17(S2): e531-e541.
  • 11. Paulo Maló, Miguel de Araújo Nobre, Armando Lopes, Ana Ferro, João Botto. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: A longitudinal study with 10 to 18 years of follow-up. Clin Implant Dent Rel Res. 2019; 21(4): 565-577.
  • 12. Paulo Maló, Miguel de Araújo Nobre, Armando Lopes, Ana Ferro, Mariana Nunes. The All-on-4 concept for full-arch rehabilitation of the edentulous maxillae: A longitudinal study with 5-13 years of follow-up. Clin Implant Dent Relat Res. 2019; 21: 538-549.
  • 13. Jorge Cortés-Bretón Brinkmann, Ignacio García-Gil, Patricia Pedregal, Jesús Peláez, Juan Carlos Prados-Frutos, María Jesús Suárez. Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis. Biology (Basel). 2021; 10(6): 509.
  • 14. Alberto Monje, Hsun-Liang Chan, Fernando Suarez, Pablo Galindo-Moreno, Hom-Lay Wang. Marginal Bone Loss Around Tilted Implants in Comparison to Straight Implants: A Meta- Analysis. Int J Oral Maxillofac Implants. 2012; 27: 1576–1583.
  • 15. Ata-Ali, Javier; Peñarrocha-Oltra, David; Candel-Marti, Eugenia et al. Oral rehabilitation with tilted dental implants: A metaanalysis. Patol Oral Cir Bucal. 2012; 17(4): e582-7.
  • 16. Luciano Malchiodi, Tommaso Moro, Diego P Cattina, Alessandro Cucchi, Paolo Ghensi, Pier F Nocini. Implant rehabilitation of the edentulous jaws: Does tilting of posterior implants at an angle greater than 45° affect bone resorption and implant success?: A retrospective study. Clin Implant Dent Relat Res. 2018; 20(5): 867-874.
  • 17. M Menéndez-Collar, M-A Serrera-Figallo, P Hita-Iglesias, R Castillo-Oyagüe, J-C Casar-Espinosa, A Gutiérrez-Corrales et al. Straight and tilted implants for supporting screw-retained fullarch dental prostheses in atrophic maxillae: A 2-year prospective study. Med Oral Patol Oral Cir Bucal. 2018; 23(6): 733-741.
  • 18. Juan-Carlos Casar-Espinosa, Raquel Castillo-Oyagüe, María Ángeles Serrera-Figallo, Roberto Garrido-Serrano, Christopher D. Lynch, Manuel Menéndez-Collar et al. Combination of straight and tilted implants for supporting screw-retained dental prostheses in atrophic posterior maxillae: A 2-year prospective study. Journal of Dentistry. 2017; 63: 85-93.
There are 18 citations in total.

Details

Primary Language English
Subjects Facial Plastic Surgery
Journal Section Research Articles
Authors

Ardakgul Salyut 0000-0002-1312-8228

Sıdıka Akdeniz 0000-0001-7597-9469

Ezgi Ergezen 0000-0002-0904-9850

Cem Çetinşahin This is me 0000-0002-5816-9699

Publication Date January 15, 2024
Submission Date November 13, 2023
Acceptance Date December 20, 2023
Published in Issue Year 2024 Volume: 3 Issue: 1

Cite

Vancouver Salyut A, Akdeniz S, Ergezen E, Çetinşahin C. Evaluation of the Relationship Between Marginal Bone Loss and Implant Angulation in All-on-Four System. EJOMS. 2024;3(1):22-31.

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