PMID: 16632764Apr 25, 2006Paper

Peri-implant inflammation defined by the implant-abutment interface

Journal of Dental Research
N BrogginiD L Cochran

Abstract

An implant-abutment interface at the alveolar bone crest is associated with sustained peri-implant inflammation; however, whether magnitude of inflammation is proportionally dependent upon interface position remains unknown. This study compared the distribution and density of inflammatory cells surrounding implants with a supracrestal, crestal, or subcrestal implant-abutment interface. All implants developed a similar pattern of peri-implant inflammation: neutrophilic polymorphonuclear leukocytes (neutrophils) maximally accumulated at or immediately coronal to the interface. However, peri-implant neutrophil accrual increased progressively as the implant-abutment interface depth increased, i.e., subcrestal interfaces promoted a significantly greater maximum density of neutrophils than did supracrestal interfaces (10,512 +/- 691 vs. 2398 +/- 1077 neutrophils/mm(2)). Moreover, inflammatory cell accumulation below the original bone crest was significantly correlated with bone loss. Thus, the implant-abutment interface dictates the intensity and location of peri-implant inflammatory cell accumulation, a potential contributing component in the extent of implant-associated alveolar bone loss.

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Citations

Feb 23, 2013·Journal of Materials Science. Materials in Medicine·Song-Mei ZhangQing-Feng Huang
Jul 24, 2013·Journal of Biomechanics·Atilim EserMurat Cavit Cehreli
Apr 16, 2011·Biomedical Engineering Online·Jacques-Henri TorresBernard Levallois
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