Evidence map›Paper›PMID 40827015›Full record

Trial reportJournal of clinical periodontology2025

Long-Term Impact of 1-mm Versus 3-mm Definitive Abutments on Marginal Bone Loss and Peri-Implant Disease: A 7-Year Randomised Clinical Trial.

Marta Muñoz, Germán Pardo, Javi Vilarrasa, Álvaro Babiano, Vanessa Ruíz-Magaz, José Nart

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of clinical periodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Review
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

6 authors.

Marta MuñozDepartment of Periodontology, Universitat International de Catalunya, Barcelona, Spain.
Germán PardoDepartment of Periodontology, Universitat International de Catalunya, Barcelona, Spain.ORCID 0000-0002-5599-9697
Javi VilarrasaDepartment of Periodontology, Universitat International de Catalunya, Barcelona, Spain.
Álvaro BabianoDepartment of Periodontology, Universitat International de Catalunya, Barcelona, Spain.ORCID 0000-0003-1355-8700
Vanessa Ruíz-MagazDepartment of Periodontology, Universitat International de Catalunya, Barcelona, Spain.
José NartDepartment of Periodontology, Universitat International de Catalunya, Barcelona, Spain.ORCID 0000-0002-2363-4992

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate bone level changes in implants with 1-mm- or 3-mm-high abutments over a 7-year period and to investigate the role of abutment height upon peri-implant status. MATERIALS AND

methodsTwo-piece implants were placed 1.5 mm subcrestally with either 1-mm (control) or 3-mm (test) high definitive abutments. Marginal bone level change from the first to seventh year was the primary outcome. Peri-implant status and other patient and peri-implant clinical variables (smoking, peri-implant maintenance therapy compliance, interproximal hygiene, vertical soft tissue thickness and keratinised mucosa width) were also assessed.

resultsAfter 7 years, 37 subjects (63 implants) were analysed: 17 subjects with 32 implants in the 1-mm abutment group, and 20 subjects with 31 implants in the 3-mm abutment group. Significant differences in marginal bone level changes were observed at 7 years. The 3-mm abutment group showed smaller changes compared to the 1-mm abutment group at mesial sites (-0.27 ± 1.32 mm vs. -0.42 ± 0.50 mm, respectively) and distal sites (-0.33 ± 1.39 mm vs. -0.35 ± 0.38 mm), with both differences being statistically significant (p < 0.001). In the control group, 18 implants (54.6%) presented peri-implant mucositis and 6 implants (18.2%) showed peri-implantitis. In the test group, 23 implants (74.2%) presented peri-implant mucositis and 1 implant (3.2%) showed peri-implantitis. No statistically significant differences were found (p = 0.158).

conclusionsSubcrestally inserted implants with 3-mm definitive abutments experienced minimal bone loss over long-term follow-up compared to 1-mm abutments. However, since the differences were not statistically significant, no conclusions could be drawn on the protective effect against peri-implantitis.

Indexed as

Alveolar Bone LossDental AbutmentsDental Implant-Abutment DesignDental ImplantsPeri-ImplantitisAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedDental Implantsabutment heightbone leveldental implantlong‐term studiesmarginal bone levelperi‐implantitisperi‐implant maintenance therapyperi‐implant status

Identifiers

PMID40827015
PMCPMC12531360

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Registered trials

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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.