Evidence map›Paper›PMID 40500982›Full record

ArticleClinical implant dentistry and related research2025

Marginal Bone Changes Around Tissue-Level Implants After Prosthesis Delivery: A Multicenter Prospective Study.

Sergio Spinato, Fabio Bernardello, Claudio Stacchi, Carlo Maria Soardi, Marcello Messina, Antonio Rapani, Teresa Lombardi

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Clinical implant dentistry and related 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 NCT05363306 (Influence of the Apico-coronal Position of Tissue-level Implants on Marginal Bone Stability), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT05363306 completednot on this map

Influence of the Apico-coronal Position of Tissue-level Implants on Marginal Bone Stability

TypeobservationalSponsorInternational Piezosurgery AcademyRan2021 to 2022Enrolled50ConditionsBone Atrophy, AlveolarArmsimplant insertion
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
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

7 authors.

Sergio SpinatoPrivate Practice, Sassuolo, Italy.ORCID https://orcid.org/0000-0002-9014-8732
Fabio BernardelloPrivate Practice, Legnago, Italy.ORCID https://orcid.org/0000-0001-6432-1549
Claudio StacchiDepartment of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.ORCID https://orcid.org/0000-0003-4017-4980
Carlo Maria SoardiPrivate Practice, Brescia, Italy.ORCID https://orcid.org/0000-0003-4618-5541
Marcello MessinaPrivate Practice, Trieste, Italy.ORCID https://orcid.org/0000-0002-6803-0076
Antonio RapaniDepartment of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.ORCID https://orcid.org/0000-0002-9767-4401
Teresa LombardiDepartment of Medical and Surgery Specialties, Radiological Sciences and Public Health, Dental School, University of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0002-0334-6029

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEarly marginal bone loss (EMBL) is a non-infective phenomenon occurring around the implant neck from placement to the first year of prosthetic function, being influenced by both surgical and prosthetic factors. This multi-center prospective study assesses the impact of different variables potentially influencing marginal bone stability during the period from crown delivery to 18 months of functional loading.

methodsForty-seven patients requiring a single posterior mandibular implant were selected according to specific criteria. Tissue-level implants were placed at different crestal bone levels based on vertical mucosal thickness and followed in an unsubmerged healing protocol, as described in a previous study evaluating peri-implant bone levels (PBL) from implant placement (T0) to crown delivery (T1). The present study continues this evaluation, focusing on MBL from T1 to 18 months post-loading (T2). Host-related factors (age, gender, smoking, history of periodontitis, vertical mucosal thickness) and specific prosthetic parameters, including crown mesio-distal dimension, emergence angle, and transmucosal collar height were recorded. Multiple linear regression analysis explored associations between MBL and prosthetic or patient-related factors, with significance set at p < 0.05.

resultsMarginal bone levels remained stable from T1 to T2, with no significant association between MBL and host-related factors or defined prosthetic variables. However, total MBL from T0 to T2 was significantly higher around implants with thin mucosa at T0 compared to medium and thick mucosa. Multivariate analysis (T0-T2) identified thin mucosa and smoking as significant MBL predictors.

conclusionFrom T1 to T2, marginal bone levels around tissue-level implants remain stable, with no significant influence from variables analyzed. Conversely, peri-implant bone resorption between T0 and T2 is significantly associated with thin mucosa (primarily affecting T0-T1) and smoking.

trial registrationwww. CLINICALTRIALS: gov: NCT05363306.

Indexed as

Alveolar Bone LossDental Implantation, EndosseousDental Implants, Single-ToothAdultAgedCrownsFemaleHumansMaleMandibleMiddle AgedProspective Studiesbone remodelingcrown emergence profileearly marginal bone lossmucosal thicknessprosthetic loadingtissue‐level implantstransmucosal collar height

Identifiers

PMID40500982
PMCPMC12159522

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.