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Analysis of risk factors for early crestal bone loss in osseointegrated, submerged implants prior to restoration.

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Title: Analysis of risk factors for early crestal bone loss in osseointegrated, submerged implants prior to restoration.
Authors: Shah, Bansari, Dukka, Himabindu, Alhachache, Sara, Hill, Margaret, Cheng, GuoLiang, Sekula, Michael
Source: Journal of Periodontology; Dec2023, Vol. 94 Issue 12, p1405-1413, 9p
Subject Terms: FACTOR analysis, GUIDED bone regeneration, GENERALIZED estimating equations, RISK assessment, DENTAL implants, OSSEOINTEGRATED dental implants, PERIODONTIUM
Abstract: Background: Evidence on the etiology behind bone loss around submerged, prosthetically nonloaded implants is still limited. The long‐term stability and success of implants with early crestal bone loss (ECBL), especially when placed as two‐stage implants, is uncertain. Hence, the aim of this retrospective study is to analyze the potential patient‐level, tooth‐ and implant‐related factors for ECBL around osseointegrated, submerged implants, before restoration as compared with healthy implants with no bone loss. Methods: Retrospective data were collected from patient electronic health records between 2015 and 2022. Control sites included healthy implants with no bone loss and test sites included implants with ECBL, both of which were submerged. Patient, tooth and implant level data were collected. ECBL was assessed using periapical radiographs obtained during implant placement and second‐stage surgeries. Generalized estimating equation logistic regression models were used to account for multiple implants within patients. Results: The total number of implants included in the study was 200 from 120 patients. Lack of supportive periodontal therapy (SPT) was shown to have nearly five‐times higher risk of developing ECBL and was statistically significant (p < 0.05). Guided bone regeneration (GBR) procedures before implant placement had a protective effect with an odds ratio of 0.29 (p < 0.05). Conclusions: Lack of SPT was significantly associated with ECBL, while sites that received GBR procedures prior to implant placement were less likely to exhibit ECBL. Our results underscore the importance of periodontal treatment and SPT for peri‐implant health, even when the implants are submerged and unrestored. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Periodontology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Analysis of risk factors for early crestal bone loss in osseointegrated, submerged implants prior to restoration.
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  Data: Journal of Periodontology; Dec2023, Vol. 94 Issue 12, p1405-1413, 9p
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22FACTOR+analysis%22&quot;&gt;FACTOR analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22GUIDED+bone+regeneration%22&quot;&gt;GUIDED bone regeneration&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22GENERALIZED+estimating+equations%22&quot;&gt;GENERALIZED estimating equations&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22RISK+assessment%22&quot;&gt;RISK assessment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22DENTAL+implants%22&quot;&gt;DENTAL implants&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22OSSEOINTEGRATED+dental+implants%22&quot;&gt;OSSEOINTEGRATED dental implants&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22PERIODONTIUM%22&quot;&gt;PERIODONTIUM&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Evidence on the etiology behind bone loss around submerged, prosthetically nonloaded implants is still limited. The long‐term stability and success of implants with early crestal bone loss (ECBL), especially when placed as two‐stage implants, is uncertain. Hence, the aim of this retrospective study is to analyze the potential patient‐level, tooth‐ and implant‐related factors for ECBL around osseointegrated, submerged implants, before restoration as compared with healthy implants with no bone loss. Methods: Retrospective data were collected from patient electronic health records between 2015 and 2022. Control sites included healthy implants with no bone loss and test sites included implants with ECBL, both of which were submerged. Patient, tooth and implant level data were collected. ECBL was assessed using periapical radiographs obtained during implant placement and second‐stage surgeries. Generalized estimating equation logistic regression models were used to account for multiple implants within patients. Results: The total number of implants included in the study was 200 from 120 patients. Lack of supportive periodontal therapy (SPT) was shown to have nearly five‐times higher risk of developing ECBL and was statistically significant (p &lt; 0.05). Guided bone regeneration (GBR) procedures before implant placement had a protective effect with an odds ratio of 0.29 (p &lt; 0.05). Conclusions: Lack of SPT was significantly associated with ECBL, while sites that received GBR procedures prior to implant placement were less likely to exhibit ECBL. Our results underscore the importance of periodontal treatment and SPT for peri‐implant health, even when the implants are submerged and unrestored. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Journal of Periodontology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder&#39;s express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1002/JPER.23-0161
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1405
    Subjects:
      – SubjectFull: FACTOR analysis
        Type: general
      – SubjectFull: GUIDED bone regeneration
        Type: general
      – SubjectFull: GENERALIZED estimating equations
        Type: general
      – SubjectFull: RISK assessment
        Type: general
      – SubjectFull: DENTAL implants
        Type: general
      – SubjectFull: OSSEOINTEGRATED dental implants
        Type: general
      – SubjectFull: PERIODONTIUM
        Type: general
    Titles:
      – TitleFull: Analysis of risk factors for early crestal bone loss in osseointegrated, submerged implants prior to restoration.
        Type: main
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          Name:
            NameFull: Shah, Bansari
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            NameFull: Dukka, Himabindu
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            NameFull: Alhachache, Sara
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            NameFull: Hill, Margaret
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            NameFull: Cheng, GuoLiang
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            NameFull: Sekula, Michael
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          Dates:
            – D: 01
              M: 12
              Text: Dec2023
              Type: published
              Y: 2023
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              Value: 94
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              Value: 12
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            – TitleFull: Journal of Periodontology
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