Evidence map›Paper›PMID 39927705›Full record

ArticleClinical oral implants research2025

Combined Effect of Abutment Height and Restoration Emergence Angle on Peri-Implant Bone Loss Progression: A Retrospective Analysis.

Jonathan Misch, Sawsan Abu-Reyal, Danyal Lohana, Obada Mandil, Muhammad H A Saleh, Junying Li, Hom-Lay Wang, Andrea Ravidà

Registry-linked trialAbstract read
In one paragraph

Article in Clinical oral implants research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07637864 (Association Between Buccal Prosthetic Profile Angles at Different Supraplatform Zones and Peri-Implant Tissue Remodeling Around Bone-Level Implants), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07637864 active not recruitingnot on this map

Association Between Buccal Prosthetic Profile Angles at Different Supraplatform Zones and Peri-Implant Tissue Remodeling Around Bone-Level Implants: A Retrospective CBCT-Based Cohort Study

TypeobservationalSponsorChang Gung Memorial HospitalRan2019 to 2026Enrolled100ConditionsDental Implants, Early Peri-Implant Bone Remodeling, Peri-Implant Soft Tissue RemodelingArmsImplant-Supported Prosthetic Restoration
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Influence of Concave Versus Convex Emergence Profiles on Midfacial Mucosal Stability-A Systematic Review With Meta-Analysis.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Pooled it
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  9. Emergence Profile Angle Matters-Restoring Peri-Implant Health by Adjusting Prosthetics-A Narrative Review.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jonathan MischDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.ORCID 0000-0002-3189-994X
Sawsan Abu-ReyalDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Danyal LohanaDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Obada MandilDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Muhammad H A SalehDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.ORCID 0000-0001-5067-7317
Junying LiDepartment of Biological and Materials Sciences & Prosthodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Hom-Lay WangDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.ORCID 0000-0003-4238-1799
Andrea RavidàDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.ORCID 0000-0002-3029-8130

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to investigate the combined effect of trans-mucosal abutment height (TmAH) and restorative emergence angle (REA) on marginal bone loss (MBL) around bone-level implants.

methodsImplant radiographs 12-18 months after crown placement (T0) and at least one year later (T1) were retrospectively analyzed. Sites were separated into four groups: Long/Narrow-Angle (LN) with TmAH > 2 mm and REA < 30°, Long/Wide-Angle (LW) with TmAH > 2 mm and REA ≥ 30°, Short/Narrow-Angle (SN) with TmAH < 2 mm and REA < 30°, and Short/Wide-Angle (SW) with TmAH < 2 mm and REA ≥ 30°. MBL was calculated, and multiple linear regression analysis was performed to control for patient-level and implant/prosthesis-level factors.

results192 implants pertaining to 119 patients were included. Group significantly influenced MBL experience (p < 0.001). Group SW experienced on average 0.48 mm (95% CI: 0.25-0.71, p < 0.001), 0.43 mm (95% CI: 0.18-0.68, p = 0.001), and 0.25 mm (95% CI: 0.00-0.45, p = 0.013) greater MBL compared to Groups LN, LW, and SN, respectively. Group was also a significant factor impacting the development of peri-implantitis (p = 0.041), with Group SW displaying a roughly 4× greater likelihood of having peri-implantitis (PI) diagnosed compared to Groups LN (OR: 4.04; p = 0.091) and LW (OR: 4.19; p = 0.013). Every 1 mm increase in TmAH significantly decreased the likelihood of MBL > 0 mm (OR = 0.63; p = 0.003).

conclusionsAbutment height > 2 mm may play a role in reducing PI and MBL related to ≥ 30° REA around bone-level implants. REA was found to only be a significant factor when TmAH is less than 2 mm.

Indexed as

Alveolar Bone LossDental AbutmentsDental Implant-Abutment DesignDental Implantation, EndosseousDental ImplantsAdultAgedCrownsFemaleHumansMaleMiddle AgedPeri-ImplantitisRetrospective StudiesDental Implantsabutment heightdental implantdental prosthesisemergence anglemarginal bone lossperi‐implantitisprevalencerisk factors

Identifiers

PMID39927705
PMCPMC12066925

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.