Bone Regeneration Following Implantoplasty: A Retrospective Cohort Study with Long-Term Radiographic Assessment

doi:10.11607/prd.7422

AutoresP Khayat, David Aidan, Javier Calatrava, Hom‐Lay Wang

Por qué importa

Este estudio retrospectivo evalúa la regeneración ósea espontánea tras implantoplastia, una técnica habitualmente considerada resectiva, en 70 implantes de 56 pacientes seguidos hasta 10 años. La mayoría de los implantes (más del 60%) mostraron ganancia ósea significativa, hasta 4.8 mm, sin necesidad de injertos o membranas. Un hallazgo relevante es que la implantoplastia, realizada aisladamente, podría ser una opción viable para manejar defectos periimplantarios, promoviendo la regeneración ósea y mejorando los niveles óseos marginales en un porcentaje considerable de casos. Esta evidencia aporta una perspectiva clínica interesante para el manejo de la periimplantitis, sugiriendo un potencial regenerativo inherente a la propia técnica en determinadas circunstancias y abriendo vías para futuras investigaciones clínicas más robustas.

Abstract original

Implantoplasty involves mechanically modifying the exposed implant surface by removing macro- and microstructures and is typically considered a resective approach. The potential for bone regen-eration with implantoplasty alone has not yet been studied. This research aimed to evaluate long-term changes in peri-implant bone levels without using regenerative materials. A total of 56 patients (70 implants) were included in the study and were followed for up to 10 years, with a mean observa-tion time of 59 months (~5 years). The implants were evaluated retrospectively through radiograph-ic and clinical (bleeding on probing and suppuration) analyses. Of the 70 implants, 11 (15.7%) were lost due to disease recurrence and additional bone loss. One implant (1.4%) experienced up to 1.0 mm of bone loss, 15 implants (21.4%) showed no change in marginal bone levels (MBLs), and 43 implants (61.5%) gained bone up to 4.8 mm, all without the use of any graft material or membrane. The overall mean MBL change for the remaining 59 implants at the end of the follow-up period (84.3%) was a gain of 1.27 mm. Implantoplasty alone without osseous surgery, flap repositioning, or use of a graft material or membrane may be a viable option for managing peri-implantitis defects. However, future randomized clinical trials with larger sample sizes are necessary to validate current findings.

Leer texto completo ↗DOI · 10.11607/prd.7422

Autor Doctor&Cols

Javier Calatrava Serrano de Haro
Cirugía Oral e Implantología

Cómo citar

Khayat P, Aidan D, Calatrava J, Wang H. Bone Regeneration Following Implantoplasty: A Retrospective Cohort Study with Long-Term Radiographic Assessment. The International Journal of Periodontics & Restorative Dentistry. 2024. doi:10.11607/prd.7422