Single-staged vs. two-staged implant placement in vertically deficient alveolar ridges using bone ring technique - Part 2: implant osseointegration

Clin Oral Implants Res. 2017 Jul;28(7):e31-e38. doi: 10.1111/clr.12851. Epub 2016 Apr 19.


Objectives: The aim of this study was to evaluate the osseointegration of implants placed in a single-staged compared to two-staged procedure using bone ring technique.

Material and methods: In this study were used standardized, vertical alveolar bone defects in dogs. In the test group, dental implants (Straumann BL® , Basel, Switzerland) were inserted simultaneously with bone ring technique. As control group served implants inserted 6 months following grafting. Implants of both groups were left for an osseointegration period of 3 and 6 months. The peri-implant bone loss and bone-to-implant contact within the bone ring and native bone were analyzed morphometrically. An explorative statistical analysis was performed.

Results: The peri-implant bone level remained relatively stable within groups and between groups per given time period. Most of bone apposite on the implant surface in two groups was composed of newly formed bone. A nonparametric analysis of variance (ANOVA) revealed no significant advantage for two-staged implant placement for new and total bone, except for residual bone (P = .0084). Furthermore, two groups of implants performed similarly in bone ring and in native bone throughout the observation period.

Conclusions: In terms of osseointegration, both techniques are likely equally efficient in the present defect model. The single-staged implant placement with cortical bone grafts warrants further documentation in clinical studies.

Keywords: animal experiments; bone implant interactions; bone regeneration; guided tissue; morphometric analysis; regeneration; surgical; techniques.

MeSH terms

  • Alveolar Bone Loss / pathology
  • Alveolar Bone Loss / surgery
  • Alveolar Ridge Augmentation / methods*
  • Animals
  • Bone Transplantation / methods*
  • Dental Implantation, Endosseous / methods*
  • Dental Implants*
  • Dogs
  • Male
  • Mandible / transplantation
  • Osseointegration / physiology*
  • Osteotomy
  • Skull / transplantation
  • Surgical Flaps
  • X-Ray Microtomography


  • Dental Implants