Marginal Bone Levels around Mono/One-piece Implants – A Systematic Review
Background: Dental implants have become a widely accepted treatment for replacing missing teeth. However, marginal bone level (MBL) changes around implants, particularly mono/one-piece implants, represent a significant concern and an area of ongoing research. This systematic review aimed to assess t...
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| Main Author: | |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of Head & Neck Physicians and Surgeons |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jhnps.jhnps_4_25 |
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| Summary: | Background:
Dental implants have become a widely accepted treatment for replacing missing teeth. However, marginal bone level (MBL) changes around implants, particularly mono/one-piece implants, represent a significant concern and an area of ongoing research. This systematic review aimed to assess the available literature on MBL around mono/one-piece dental implants.
Materials and Methods:
A comprehensive literature search was conducted across multiple databases according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion criteria encompassed studies that reported on MBL around mono/one-piece implants. Studies were evaluated based on the Population, Intervention, Comparison, and Outcome framework. Data extraction was done by two reviewers based on a predesigned format. The methodological quality of the included studies was assessed based on the Risk of Bias 2 (ROB-2) tool.
Results:
Six studies met the inclusion criteria and were included in the final review. The inclusion of studies with longitudinal assessments at different time points postimplantation further enriched the dataset, allowing for a nuanced understanding of outcomes over time. While five studies reported favorable outcomes for single implants, particularly in terms of minimal marginal bone loss, one study presented contrasting findings, revealing a decreased implant survivability rate of 78.2% when marginal bone loss exceeded 2 mm during a 5-year follow-up period. The overall inference from the synthesis of these studies suggests that single implants exhibit promise in minimizing marginal bone loss and may be considered preferable. Despite the varying methodologies and implant types, the review highlights the overall good methodological quality of the included studies, suggesting a low ROB in the reported outcomes.
Conclusion:
While a general trend of progressive MBL over time was observed, the extent and rate of progression varied considerably. The influence of various factors on MBL highlights the need for personalized treatment planning and ongoing patient monitoring in dental implantology. Future research should focus on identifying the optimal treatment protocols to minimize MBL and improve long-term implant success. |
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| ISSN: | 2347-8128 |