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Journals / Meandros Medical And Dental Journal / 2026 / Volume: 27 Issue: 2

Retrospective Evaluation of Factors Affecting Early Marginal Crestal Bone Loss in Dental Implants Before Prosthetic Loading

Protez Yüklemesi Öncesi Diş İmplantlarında Erken Marjinal Krestal Kemik Kaybını Etkileyen Faktörlerin Retrospektif Değerlendirmesi

Aysan Lektemür Alpan(PAMUKKALE UNIVERSITY, FACULTY OF DENTISTRY)0000-0002-5939-4783
Hande Şenol(PAMUKKALE UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-6395-7924
Mehmet Furkan Sertbaş(PAMUKKALE UNIVERSITY, FACULTY OF DENTISTRY)0009-0008-9584-3663
Esra Nur Coşkun(PAMUKKALE UNIVERSITY, FACULTY OF DENTISTRY)0009-0000-2599-9971
Raziye Tuğçe Can(PAMUKKALE UNIVERSITY, FACULTY OF DENTISTRY)0009-0007-5960-3235
Pages
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Publication Date
2026-06-24
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⚡ TL;DR(Too Long; Didn't Read)

Keywords: Alveolar Bone Loss; Bone Resorption; Dental Implants; Peri-Implantitis; Risk Factors

📌 3 Key Takeaways

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Objective & Hypothesis:Abstract Aim: The occurrence of crestal bone loss during the healing period of a two-stage implant affects the prognosis of an implant.
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Key Findings & Data:Materials and Methods: A retrospective analysis was conducted on 884 implants placed in 271 patients treated between November 2021 and September 2024.
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Conclusion & Impact:Keywords: Alveolar Bone Loss; Bone Resorption; Dental Implants; Peri-Implantitis; Risk Factors
🔬Design:Research Article
📍Scope:2021 Verileri
⚙️Variables:Alveolar Bone Loss · Bone Resorption · Dental Implants

Abstract

Abstract Aim: The occurrence of crestal bone loss during the healing period of a two-stage implant affects the prognosis of an implant. This study aimed to evaluate the factors associated with ECBL and identify predictors of early and late implant failures. Materials and Methods: A retrospective analysis was conducted on 884 implants placed in 271 patients treated between November 2021 and September 2024. Panoramic radiographs taken at the time of surgery and the 3-month follow-up were used to assess ECBL. Clinical and radiographic data, including demographic factors, implant characteristics, and systemic health status, were analyzed. Chi-square and logistic regression analyses were performed. Results: The resorption rate was higher in implants placed in males (54.5%) than in females (45.5%). ECBL was found to be 43.1% in implants placed in smokers and 24.4% in non-smokers (p=0.0001). The mean length of the implants was 8.96 mm (±1.8 mm) in the group with resorption and 9.62 mm (±1.63 mm) in the group without resorption (p = 0.0001). Conclusions: Smoking, implant surface type, and implant length are key predictors of early crestal bone loss and implant failure. These factors should be considered during implant planning, particularly in high-risk patients. Keywords: Alveolar Bone Loss; Bone Resorption; Dental Implants; Peri-Implantitis; Risk Factors

Özet

Özet: Amaç: İki aşamalı implantın iyileşme süresi boyunca krestal kemik kaybının meydana gelmesi, implantın prognozunu etkiler. Bu çalışma, erken dönem krestal kemik kaybı (EDKK) ile ilişkili faktörleri değerlendirmek ve erken ve geç implant başarısızlıklarının öngörücü faktörlerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Kasım 2021 ile Eylül 2024 tarihleri arasında tedavi edilen 271 hastaya yerleştirilen 884 implant üzerinde retrospektif bir analiz yapıldı. ECBL’yi değerlendirmek amacıyla, cerrahi sırasında ve 3. ay kontrolünde çekilen panoramik radyografiler kullanıldı. Demografik faktörler, implant özellikleri ve sistemik sağlık durumu dahil olmak üzere klinik ve radyografik veriler analiz edildi. Ki-kare testi ve lojistik regresyon analizleri uygulandı. Bulgular: Erkek hastalara yerleştirilen implantlardaki rezorpsiyon oranı (%54,5), kadın hastalara yerleştirilenlerden (%45,5) daha yüksekti. Sigara içen bireylerde yer alan implantlarda ECBL oranı %43,1, sigara içmeyenlerde ise %24,4 olarak bulundu (p = 0,0001). Rezorpsiyon gözlenen gruptaki implantların ortalama uzunluğu 8,96 mm (±1,8 mm), rezorpsiyon gözlenmeyen gruptaki ise 9,62 mm (±1,63 mm) idi (p = 0,0001). Sonuç: Sigara kullanımı, implant yüzey tipi ve implant uzunluğu; erken krestal kemik kaybı ve implant başarısızlığının temel öngörücüleridir. Bu faktörler, özellikle yüksek riskli hastalarda implant planlaması sırasında dikkate alınmalıdır. Anahtar Kelimeler: Alveolar Kemik Kaybı; Kemik Rezorpsiyonu; Diş İmplantları; Peri-İmplantitis; Risk Faktörleri

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Cite This Article

Alpan, A. L., Şenol, H., Sertbaş, M. F., Coşkun, E. N., Can, R. T., *, M. F. S. (2026). Retrospective Evaluation of Factors Affecting Early Marginal Crestal Bone Loss in Dental Implants Before Prosthetic Loading. Meandros Medical And Dental Journal, Volume: 27 Issue: 2. https://doi.org/10.69601/meandrosmdj.1741006

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References (26)

  1. Ozgur, G.O., et al., Risk Factors Associated With Implant Marginal Bone Loss: A Retrospective 6-Year Follow-Up Study. Implant Dent, 2016. 25(1): p. 122-7.
  2. van Velzen, F.J., et al., 10-year survival rate and the incidence of peri-implant disease of 374 titanium dental implants with a SLA surface: a prospective cohort study in 177 fully and partially edentulous patients. Clin Oral Implants Res, 2015. 26(10): p. 1121-8.
  3. Albrektsson, T., et al., The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants, 1986. 1(1): p. 11-25.
  4. Mombelli, A. and N.P. Lang, Clinical parameters for the evaluation of dental implants. Periodontol 2000, 1994. 4: p. 81-6.
  5. Misch, C.E., et al., Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent, 2008. 17(1): p. 5-15.
  6. Simonis, P., T. Dufour, and H. Tenenbaum, Long-term implant survival and success: a 10–16-year follow-up of non-submerged dental implants. Clinical Oral Implants Research, 2010. 21(7): p. 772-777.
  7. Renvert, S., et al., Peri‐implant health, peri‐implant mucositis, and peri‐implantitis: Case definitions and diagnostic considerations. Journal of clinical periodontology, 2018. 45: p. S278-S285.
  8. Klinge, B., Peri-implant marginal bone loss: an academic controversy or a clinical challenge? European journal of oral implantology, 2012. 5.
  9. Galindo‐Moreno, P., et al., Marginal bone loss as success criterion in implant dentistry: beyond 2 mm. Clinical oral implants research, 2015. 26(4): p. e28-e34.
  10. Agrawal, K.K., et al., Association of interleukin-1 gene polymorphism and early crestal bone loss around submerged dental implants: A systematic review and meta-analysis. J Indian Prosthodont Soc, 2021. 21(2): p. 116-124.
  11. Cassetta, M., et al., Early peri-implant bone loss: a prospective cohort study. Int J Oral Maxillofac Surg, 2015. 44(9): p. 1138-45.
  12. Kang, M.H., et al., Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years. II. Marginal bone stability. Clin Implant Dent Relat Res, 2018. 20(5): p. 875-881.
  13. Chen, Z., et al., Influence of abutment height on peri-implant marginal bone loss: A systematic review and meta-analysis. J Prosthet Dent, 2019. 122(1): p. 14-21.e2.
  14. Oh, T.J., et al., The causes of early implant bone loss: myth or science? Journal of periodontology, 2002. 73(3): p. 322-333.
  15. Windael, S., et al., Early peri‐implant bone loss as a predictor for peri‐implantitis: a 10‐year prospective cohort study. Clinical Implant Dentistry and Related Research, 2021. 23(3): p. 298-308.
  16. Newbrun, E., Indices to measure gingival bleeding. J Periodontol, 1996. 67(6): p. 555-61. 17. Turesky, S., N.D. Gilmore, and I. Glickman, Reduced plaque formation by the chloromethyl analogue of victamine C. J Periodontol, 1970. 41(1): p. 41-3.
  17. Tonetti, M.S. and M. Sanz, Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education. Journal of clinical periodontology, 2019. 46(4): p. 398-405.
  18. Papapanou, P.N., et al., Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. Journal of periodontology, 2018. 89: p. S173-S182.
  19. Chapple, I.L., et al., Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. Journal of periodontology, 2018. 89: p. S74-S84.
  20. Tonetti, M.S., H. Greenwell, and K.S. Kornman, Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of periodontology, 2018. 89: p. S159-S172.
  21. Shah, B., et al., Analysis of risk factors for early crestal bone loss in osseointegrated, submerged implants prior to restoration. J Periodontol, 2023. 94(12): p. 1405-1413.
  22. Monje, A., et al., Strategies for implant surface decontamination in peri-implantitis therapy. Int. J. Oral Implantol, 2022. 15: p. 213-248.
  23. Lee, S.-Y., et al., The effect of the thread depth on the mechanical properties of the dental implant. The journal of advanced prosthodontics, 2015. 7(2): p. 115-121.
  24. Hermann, J.S., et al., Crestal bone changes around titanium implants. A radiographic evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. Journal of periodontology, 1997. 68(11): p. 1117-1130.
  25. Albrektsson, T., D. Buser, and L. Sennerby, Crestal bone loss and oral implants. Clinical implant dentistry and related research, 2012. 14(6): p. 783-791.
  26. Safii, S.H., R.M. Palmer, and R.F. Wilson, Risk of implant failure and marginal bone loss in subjects with a history of periodontitis: a systematic review and meta‐analysis. Clinical implant dentistry and related research, 2010. 12(3): p. 165-174. Cardiovasc Dis. 2020;30(10):1685–96.