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Influence of crown/implant ratio on marginal bone loss: a systematic review
Journal article

Influence of crown/implant ratio on marginal bone loss: a systematic review

Carlos Garaicoa Pazmino, Fernando Suárez-López del Amo, Alberto Monje, Andrés Catena, Inmaculada Ortega-Oller, Pablo Galindo-Moreno and Hom-Lay Wang
The Journal of periodontology, Vol.85(9), pp.1214-1221
09/01/2014
DOI: 10.1902/jop.2014.130615
PMID: 24444399
url
http://deepblue.lib.umich.edu/bitstream/2027.42/141451/1/jper1214.pdfView
Open Access

Abstract

With the increased use of short dental implants (<10 mm), a high crown/implant (C/I) ratio has become a common finding. However, the effect of the C/I ratio on the marginal bone loss (MBL) has not yet been examined extensively. Hence, the aim of the present systematic review is to explore the influence of the C/I ratio on the success rate and MBL of dental implants. Three electronic databases (PubMed, Ovid MEDLINE, and Cochrane Central) and a manual search for human trials with a minimal follow-up of 6 months are used for the present study. A statistical analysis of the influence of the C/I ratio was performed on the peri-implant MBL while considering follow-up period, type of implants, implant connection, and technical and biologic complications. One hundred ninety-six potential articles were identified on the selected databases. Only 57 articles were selected for full-text evaluation. According to the inclusion criteria, a total of 13 articles were included in this systematic review. A significant negative association between the C/I ratio and the MBL was found (P = 0.012). However, no statistically significant difference was found (P >0.15) for potential effects regarding the observation period, the type of implant connection, or between both methods of evaluating the C/I ratio. Within the limitations of the present study, the C/I ratio of implant-supported restorations has an effect on peri-implant marginal bone level. Within the range of 0.6/1 to 2.36/1, the higher the C/I ratio, the less the peri-implant MBL.
Alveolar Bone Loss - etiology Crowns Dental Implants Dental Prosthesis Design Dental Prosthesis, Implant-Supported Humans Peri-Implantitis - etiology Surface Properties Treatment Outcome

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