International Journal of Oral Implantology & Clinical Research

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VOLUME 8 , ISSUE 1 ( January-April, 2017 ) > List of Articles

RESEARCH ARTICLE

Submerged Plateau Implants: A Practical Solution for Mandibular Posterior Region

Dhruvi H Shukla, Sonal M Anchlia, Nisarg P Patel, Vipul Nagavadiya, Rohit K Panwar, Hardi L Domadiya

Citation Information : Shukla DH, Anchlia SM, Patel NP, Nagavadiya V, Panwar RK, Domadiya HL. Submerged Plateau Implants: A Practical Solution for Mandibular Posterior Region. Int J Oral Implantol Clin Res 2017; 8 (1):5-11.

DOI: 10.5005/jp-journals-10012-1159

License: CC BY 3.0

Published Online: 01-07-2014

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Introduction

Placement of endosseous plateau implants represents a valid treatment in the setting of limited alveolar bone height. This study's objectives were to evaluate the effect of submerging and platform switching on crestal bone loss and redistribution of occlusal forces, the advantage of plateau design in providing more surface area for osseointegration, and the outcome of autogenous bone grafting from the implant osteotomy site as an alternate to exogenous bone graft.

Materials and methods

A prospective study of 10 patients with mandibular posterior edentulism was selected. Preoperative alveolar bone height (mean 11.87 mm) and width (8.22 mm) were measured on cone beam computed tomography. Two-staged implants were placed with 2.0 mm of submergence, which remained below the alveolar crest. The distribution of site according to bone quality and implant dimension was D2. Patients were followed up after 7 days for pain, infection, soft tissue dehiscence, and paresthesia followed by an average period of 1 year and evaluated for bone gain over implant shoulder, crestal bone loss, and peri-implant radiolucency.

Results

One-year postloading survival rates for submerged plateau implants was 100.0% in D2 bone, with no peri-implant radiolucency and statistically insignificant (~0–0.8 mm) crestal bone loss.

Conclusion

Submerged plateau implants have excellent survival rates and crestal bone level maintenance. The results of this study support the hypothesis that plateau implants can be successfully used in mandibular areas with limited bone height.

How to cite this article

Shukla DH, Anchlia SM, Patel NP, Nagavadiya V, Panwar RK, Domadiya HL. Submerged Plateau Implants: A Practical Solution for Mandibular Posterior Region. Int J Oral Implantol Clin Res 2017;8(1):5-11.


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  1. Greater diameter implants after four years of experience. Nobel Biocare Global Forum 1996;10(3):8-9.
  2. The importance of crestal bone preservation in the use of short implants. J Adv Dent Res 2010 Oct;1(1):15-18.
  3. Mechanical properties of human bone surrounding plateau root form implants retrieved after 0.3–24 years of function. J Biomed Mater Res Part B 2012 Oct:100B(7):2015-2021.
  4. Failure rate of short implant and factors influencing their failure: a systemic overview. Int J Oral Maxillofac Implants 2011 Jul-Aug;26(4):816-825.
  5. Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients. Eur J Dent 2010 Jul;4(3):270-279.
  6. Explaining sex differences in dental caries prevalence: saliva, hormones, and “life-history” etiologies. Am J Hum Biol 2006 Jul-Aug;18(4):540-555.
  7. Dental caries prevalence in individual tooth in primary and permanent dentition among 6-12-year-old school children in Shimla, Himachal Pradesh. Int J Health Allied Sci 2014 May;3(2):125-128.
  8. Effects of installation depth on survival of an hydroxyapatite-coated Bicon implant for single-tooth restoration. J Oral Maxillofac Surg 2010 Jun;68(6):1345-1352.
  9. Immediately loaded titanium implant with a tissue-stabilizing/maintaining design (‘beyond platform switch’) retrieved from man after 4 weeks: a histological and histomorphometrical evaluation. A case report. Clin Oral Implants Res 2008 Mar;19(3):276-282.
  10. Bacteremia following dental implant surgery: preliminary results. Med Oral Patol Oral Cir Bucal 2012 Jan;17(1):e69-e75.
  11. Complications of dental implants: identification, frequency, and associated risk factors. Int J Oral Maxillofac Implants 2003 Nov-Dec;18(6):848-855.
  12. Biologic width changes around loaded implants inserted in different levels in relation to crestal bone: histometric evaluation in canine mandible. Clin Oral Implants Res 2008 May;19(5):483-490.
  13. Influence of microgap location and configuration on the peri-implant bone morphology in submerged implants. An experimental study. Clin Oral Implants Res 2008 Nov;19(11):1141-1147.
  14. Subcrestal placement of two-part implants. Clin Oral Implants Res 2009 Mar;20(3):226-231.
  15. A retrospective analysis of mandibular bone height changes associated with 81 screw-retained implant-supported prosthesis with distal cantilevers: a long- term follow-up analysis. Int J Oral Maxillofac Implants 2013 May-Jun;28(3):854-859.
  16. Platform switching: a new concept in implant dentistry for controlling post restorative crestal bone levels. Int J Periodontics Restorative Dent 2006 Feb;26(1):9-17.
  17. Combined effects of implant insertion depth and alveolar bone quality on peri-implant bone strain induced by a wide- diameter, short implant and a narrow- diameter, long implant. J Prosthet Dent 2010 Nov;104(5):293-300.
  18. Crown-to-implant ratios of short-length implants. J Oral Implantol 2010 Jun;36(6):425-433.
  19. Survival estimates and risk factors for failure with 6 × 5.7-mm implants. Int J Oral Maxillofac Implants 2005 Nov-Dec;20(6):930-937.
  20. Short dental implants in posterior partial edentulism: a multicenter retrospective 6-year case series study. J Periodontol 2006 Aug;77(8):1340-1347.
  21. A novel drilling procedure and subsequent bone autograft preparation: a technical note. Int J Oral Maxillofac Implants 2007 Jan-Feb;22(1):138-145.
  22. Effects of drill speed production and the rate and quality of bone formation in dental implant osteotomies. Part II: relationship between drill speed and healing. Int J Prosthodont 1997 Nov-Dec;10(6):536-540.
  23. Effects of drill speed on heat production and the rate and quality of bone formation in dental implant osteotomies. Part I: relationship between drill speed and heat production. Int J Prosthodont 1997 Sep-Oct;10(5):411-414.
  24. Growth factors and wound healing: biochemical properties of growth factors and their receptors. Am J Surg 1993 Jun;165(6):728-737.
  25. Platform switching and marginal bone-level alterations: the results of a randomized controlled trial. Clin Oral Implants Res 2010 Jan;21(1):115-121.
  26. Seemann R, Dragan IF, Lubelski W, Leary J, Chuang SK. A retrospective radiographic study on the effect of natural tooth-implant proximity and an introduction to the concept of a bone-loading platform switch. Int J Oral Maxillofac Implants 2014 Nov-Dec;29(6):1412-1424.
  27. Survival rate of short, locking taper implants with a plateau design: a 5-year retrospective study. Bio Med Res Int 2015 Apr;2015:8.
  28. Evaluation of patient and implant characteristics as potential prognostic factors for oral implant failures. Int J Oral Maxillofac Implants 2005 Mar-Apr;20(2):220-230.
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