ArticleJournal of clinical periodontology2026
Bone-Level Versus Tissue-Level Titanium Dental Implants: A Comparative Cross-Sectional Study.
Article in Journal of clinical periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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.
Who cites it
9 citing papers in PubMed.
- Soft Tissue Volume Augmentation at Single Implant Sites Applying Collagen Matrices or Connective Tissue Grafts: 10-Year Follow-Up of a Randomized Controlled Trial.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026Trial
- Clinical outcomes of free gingival graft, xenogeneic collagen matrix, and acellular dermal matrix for peri-implant keratinized mucosa augmentation: a randomized controlled trial.Clinical oral investigations · 2026Trial
- Impact of Keratinized Mucosa Width and Mucosal Thickness on Implant Outcomes and Brushing Discomfort: A 25-Year Cohort Study.Journal of clinical periodontology · 2026Article
- Progressive Gingival Digital Workflow with Chairside Abutment Customization for Cement-Retained Implant Restorations: A Pilot Comparative Clinical Study of Two Treatment Concepts.Dentistry journal · 2026Article
- Long-Term Incidence of Peri-Implant Conditions: 25-Year Results of The Bernese Prospective Cohort Study.Clinical implant dentistry and related research · 2026Article
- Long-term survival and success rates of immature versus root-end resected mature tooth autotransplants: part I of a retrospective cohort study.Clinical oral investigations · 2026Article
- Association of Transmucosal Emergence Geometry and Peri-Implant Diseases Prevalence Around Bone- and Tissue-Level Implants: A Cross-Sectional Study.Clinical oral implants research · 2026Article
- Crestal Bone Loss and Peri-Implant Conditions at Tissue-Level Implants: Influence of Prosthesis Type After 25 Years.Clinical implant dentistry and related research · 2026Observational
- Peri-Implant Soft Tissue Deformities in the Anterior Maxilla: A Cross-Sectional Study.Clinical implant dentistry and related research · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo compare the long-term survival rate and prevalence of peri-implant diseases between bone-level (BL) and tissue-level (TL) titanium implants. The secondary objective was to assess the effect of implant diameter and other risk indicators of peri-implant diseases on the outcomes of implant therapy. MATERIALS AND
methodsAdult patients with at least one non-molar implant-supported prosthesis (ISP) were included in the study. Relevant clinical and radiographic outcomes, along with patient-related, anatomical, surgical and prosthetic-related factors, were analysed.
resultsA total of 266 patients and 336 ISPs were included after a mean follow-up of 11.2 ± 1.5 years. Implant survival rates at the implant level were 99.4% and 98.2% for BL and TL implants, respectively. The prevalence of peri-implant health, mucositis and peri-implantitis was comparable between BL (21.1%, 67.5% and 11.4%, respectively) and TL implants (20.5%, 70.5% and 9.0%). Implants with a diameter of 3.3 mm showed lower peri-implantitis rates (7.2%) compared to those with 4.1 mm (13.3%; p = 0.02). Notably, 3.3 mm TL implants exhibited a significantly lower peri-implantitis rate (4.8%) than BL implants (9.6%; p < 0.001). Multilevel regression at the implant level showed that parafunctional habits (OR = 0.33, 95% CI: 0.12-0.91) and greater mucosal thickness (OR = 0.44, 95% CI: 0.32-0.60) were cross-sectionally associated with decreased odds of mucositis, whereas higher plaque scores were cross-sectionally associated with increased odds (OR = 1.29, 95% CI: 1.03-1.61). Age was cross-sectionally associated with peri-implantitis (OR = 0.96, 95% CI: 0.93-0.99), higher plaque score (OR = 1.45, 95% CI: 1.11-1.90), larger implant diameter (OR = 2.98, 95% CI: 1.19-7.45) and smoking (OR = 4.54, 95% CI: 1.42-14.5), while greater mucosal thickness (OR = 0.17, 95% CI: 0.08-0.37) was cross-sectionally associated with a reduced risk of developing this condition.
conclusionsBL and TL implants at non-molar sites exhibited comparable survival and peri-implant disease rates. However, TL implants with 3.3 mm diameter showed lower peri-implantitis rates. A higher plaque score increased the risk of both mucositis and peri-implantitis, whereas smoking was a strong risk indicator for peri-implantitis. Greater mucosal thickness was protective against both conditions.
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