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Year : 2018  |  Volume : 8  |  Issue : 2  |  Page : 365-368

Considerations regarding dental implant surfaces, bone reaction and “Peri-implantitis”

1 International Implant Foundation, Head of Dental Implant Faculty, Munich, Germany
2 OSA Simpladent, CG-85315 Sv.Stefan/Tudorovici, Montenegro

Correspondence Address:
Prof. Stefan Ihde
International Implant Foundation, Head of Dental Implant Faculty, DE-80802 Munich
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DOI: 10.4103/ams.ams_224_18

PMID: 30693267

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This article explains, based on a long-term observation, the hard-tissue reaction to different endosseous implant surfaces and different implant designs. A patient who had received a full maxillary implant-supported restoration on basal implants and compression screws followed by immediate loading presented no clinical problems at the 20-year follow-up, but the X-ray examination revealed different hard tissue reactions to different implant types. No bone loss was found around lateral basal implants with fully polished vertical aspects, whereas crater-like bone loss was observed around the vertical shafts of implants with a roughened surface and macromechanical retentions. The case seems to indicate that roughened surfaces around the crestal transmucosal aspect of a dental implant may promote vertical bone loss and peri-implantitis.

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