RCT comparing minimally with moderately rough implants. Part 1: clinical observations

Clin Oral Implants Res. 2012 May;23(5):617-24. doi: 10.1111/j.1600-0501.2011.02256.x. Epub 2011 Nov 25.

Abstract

Aim: This 1-year prospective RCT compared the outcome of minimally (turned) and moderately rough (TiUnite) implant surfaces.

Material and methods: Two subgroups of patients were formed; one group (n = 10) where all teeth had been extracted due to severe periodontitis, another group (n = 8) with teeth in the antagonistic jaw with a history of periodontitis and some remaining medium pockets (4-6 mm). Implants (n = 85, 43 turned & 42 TiUnite) were installed randomly in each patient. After 3-6 months of submerged healing, healing abutments were connected, followed by final abutments 2 weeks later, all with the same surface characteristics as the supporting implant. Peri-implant parameters and intra-oral radiographs were recorded up to 1 year after abutment connection.

Results: Two turned implants failed in the partial edentulous group during the initial healing period (CSR: 95%) and none of the TiUnite (CSR: 100%) surface. No statistically significant differences in clinical parameters could be observed between both surfaces. The partial edentulous subgroup showed more bone loss compared to the full edentulous subgroup.

Conclusion: Moderately rough implants have a similar clinical outcome (at 1 year of loading in periodontitis susceptible patients) compared to minimally rough implants.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Dental Implant-Abutment Design*
  • Dental Implantation, Endosseous / methods*
  • Dental Implants*
  • Dental Restoration Failure
  • Female
  • Humans
  • Jaw, Edentulous / rehabilitation*
  • Jaw, Edentulous, Partially / rehabilitation
  • Linear Models
  • Male
  • Microscopy, Electron, Scanning
  • Middle Aged
  • Periodontitis / surgery
  • Prospective Studies
  • Surface Properties
  • Tooth Extraction

Substances

  • Dental Implants