Abstract

Fourteen adult mongrel dogs (5 intact and 9 neutered) comprising seven males and seven females were used to evaluate change in levels of alveolar crestal bone after implanting two types of dental abutments. Implants were surgically placed in both mandibular fourth premolar zones and restored with conventional (CONV) and platform switching (PFS) abutments. Both abutments were evaluated in each dog. The study lasted 180 days; restoration was performed at Day 60 postsurgical-placed implants and alveolar crestal bone levels was evaluated on Days 0, 30, 60, and 90 post-restoration (cemented crown) through indirect measurement using a digital X-ray sensor. Experimental data were analysed using a completely randomized design: the experimental unit was the dog (random effect), the treatment was the abutment type (fixed effect), and crestal bone level of each implant side (mesial and distal) was the observation. In addition, the gonadal integrity (intact and neutered) and the gender (male and female) were included in the statistical analysis to evaluate their role on the magnitude of changes (interactions) on alveolar crestal bone levels. The average of crestal bone loss was 0.400 ± 0.186 mm. In general, dogs with CONV had a greater (27.3%, P 0.77) between gender and abutment type. Similarly, as a sole factor of variation, gender had no effect (P = 0.26) on crestal bone level responses to abutment type (-0.401 vs -0.385 mm for males and females, respectively). Regardless of the type of abutment, males and females had a similar (P = .65) crestal bone loss (-0.405 vs. -0.393), while neutered dogs showed a greater (30.8%, P < 0.01) crestal bone loss compared with intact dogs. In conclusion, dogs with PFS showed less crestal bone loss than CONV; however, regardless of gender, this response only was maintained in intact dogs; therefore the gonadal condition has an effect on the magnitude of changes of the alveolar crestal bone levels in their response to abutment type in dogs with dental implants.

Highlights

  • The marginal bone level around the dental implant is an important factor to examine for its longterm success because a reduction in bone height represents alteration of soft tissue levels

  • Some studies reported that the use of small diameter attachments into the implant platform resulted in minor crestal bone loss or preserved the same bone level around the implant compared to conventional proceedings that showed crestal bone loss up to 2.5 mm and to platform switching procedures with loss of 0.7 mm (Vela et al, 2006)

  • Since no information is available relating the effects of gender or gonadal condition to the responses of bone crestal levels in dogs implanted with two types of dental prosthetic abutments, the aim of this experiment was to contribute to the knowledge of the factors that affect crestal bone level

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Summary

Introduction

The marginal bone level around the dental implant is an important factor to examine for its longterm success because a reduction in bone height represents alteration of soft tissue levels This situation needs to be avoided or limited to bring about ideal physiological and aesthetic conditions in implant dentistry. The inconsistency can be attributed to several intrinsic (physiological and health) factors In this sense, Mascarenhas et al (2003) and Matthews (2014) argued that age and gender (or gonadal condition) are the most important factors on the alveolar bone level stability responses to implants. Since no information is available relating the effects of gender or gonadal condition to the responses of bone crestal levels in dogs implanted with two types of dental prosthetic abutments, the aim of this experiment was to contribute to the knowledge of the factors that affect crestal bone level

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