Evidence map›Paper›PMID 41099303›Full record

SynthesisClinical and experimental dental research2025

Peri-Implantitis and Survival Outcomes of Tissue Level Versus Bone Level Dental Implants: A Systematic Review and Meta-Analysis.

Momen A Atieh, Maanas Shah, Abeer Hakam, Ahmad Aid, Andrew Tawse-Smith, Nabeel H M Alsabeeha

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Clinical and experimental dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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.

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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. 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

6 authors.

Momen A AtiehHamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.ORCID 0000-0003-4019-9491
Maanas ShahHamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
Abeer HakamHamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
Ahmad AidHamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
Andrew Tawse-SmithFaculty of Dentistry, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand.
Nabeel H M AlsabeehaCollege of Dentistry, Ajman University, Ajman, United Arab Emirates.ORCID 0000-0003-2003-3494

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

objectivesThe aim of this systematic review and meta-analyses was to evaluate the outcomes of using tissue level in comparison to bone level implants in terms of clinical and radiographic changes, peri-implantitis, and implant failure rates. MATERIALS AND

methodsElectronic databases were searched to identify randomized studies that compared tissue level to bone level implant. The risk of bias was assessed using the Cochrane Collaboration's Risk of Bias tool. Data were analyzed using a statistical software program.

resultsA total of 798 studies were identified, of which, five studies with 501 dental implants in 241 participants were included. Overall meta-analysis showed that the use of tissue level implants had lower rates of peri-implantitis (relative risk [RR] 0.59; 95% confidence interval [CI] 0.14-2.48; p = 0.47) and implant failure (RR 0.59; 95% CI 0.07-4.69; p = 0.62) but the differences were not statistically significant.

conclusionsTissue level and bone level have comparable survival rates and risk of peri-implantitis within 1-5 years of observation. Additionally, no significant differences in probing pocket depths and marginal bone level changes were observed. CLINICAL RELEVANCE: Tissue level implants demonstrated lower rates of peri-implantitis and implant failure, as well as smaller changes in probing pocket depths at 12 and 24 months, compared to bone level implants. Although these differences were not statistically significant, they suggest potential clinical advantages of tissue level implants in maintaining peri-implant health and stability over time.

Indexed as

Dental Implantation, EndosseousDental ImplantsDental Restoration FailurePeri-ImplantitisHumansTreatment OutcomeDental Implantsdental implantsmeta‐analysisosseointegrationperi‐implantitissystematic review

Identifiers

PMID41099303
PMCPMC12529224

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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.