Evidence map›Paper›PMID 41824090›Full record

ArticleClinical oral investigations2026

Prevalence of caries in teeth adjacent to implant-supported prostheses and relationship with implant location and the manner of restoration placement: a retrospective cohort study.

Pablo Lastra-Prados, Jorge Cortés-Bretón Brinkmann, Diego Gómez-Costa, Luis Sánchez-Labrador, Marta Hernández de Oliveira, Jesús Rodríguez-Molinero, Antonio Francisco López-Sánchez

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Article in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Pablo Lastra-PradosDoctoral Program in Health Science, Faculty of Health Sciences, Rey Juan Carlos University, Avenida de Atenas s/n Alcorcón, Madrid, 28922, Spain.
Jorge Cortés-Bretón BrinkmannDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Plaza Ramón y Cajal S/N, Madrid, 28040, Spain. jcortesb@ucm.es.
Diego Gómez-CostaDepartment of Nursery and Stomatology, Faculty of Health Science, Rey Juan Carlos University, Avenida de Atenas s/n Alcorcón, Madrid, 28922, Spain.
Luis Sánchez-LabradorDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Plaza Ramón y Cajal S/N, Madrid, 28040, Spain.
Marta Hernández de OliveiraDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Plaza Ramón y Cajal S/N, Madrid, 28040, Spain.
Jesús Rodríguez-MolineroDepartment of Nursery and Stomatology, Faculty of Health Science, Rey Juan Carlos University, Avenida de Atenas s/n Alcorcón, Madrid, 28922, Spain.
Antonio Francisco López-SánchezDepartment of Nursery and Stomatology, Faculty of Health Science, Rey Juan Carlos University, Avenida de Atenas s/n Alcorcón, Madrid, 28922, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe primary objective of this study was to analyze the overall prevalence of caries in teeth adjacent to implant-supported protheses (ISPs). Secondary objectives were to determine how different implant restoration placement options (direct to implant, intermediate abutment, or Ti-Base) and/or ISP location influence the occurrence of caries. MATERIALS AND

methodsThis retrospective cohort study was performed at the University Clinic of King Juan Carlos University (URJC, Madrid, Spain), between January 2018 and December 2023, following strict inclusion and exclusion criteria. Both single crowns and fixed partial dentures supported by implants were included. Descriptive statistics were calculated for the relevant variables. Associations between different groups (direct to implant, Ti-base, and intermediate abutment) were analyzed.

resultsThe study evaluated 445 implant-supported protheses in 359 patients. The overall prevalence of caries in teeth adjacent to ISPs at patient level was 8.9% (95% CI: 5.95% to 11.84%) and 8.1% (95% CI: 5.56% to 10.63%) at prothesis level. Prevalence was higher in the molar region (9.6%; 95% CI: 5.7% to 13.4%), followed by premolar sites (8.6%; 95% CI: 4.2% to 12.9%). The highest prevalence of caries was found in teeth adjacent to ISPs placed direct to implant (11.4%; 95% CI: 7.3% to 15.4%); followed by teeth adjacent to implants restored with Ti-Base (10.5%; 95% CI: 0.0% to 24.2%). Those teeth adjacent to implants restored using intermediate abutments had the lowest prevalence (3.7%; 95% CI: 1% to 6.3%). Statistically significant differences between restoration groups were observed (p = 0.013). Moreover, the odds of caries increased by 3.37 times in teeth adjacent to ISPs placed direct to implant compared with those restored with intermediate abutments.

conclusionsThe prevalence of caries in teeth adjacent to ISPs is significantly higher in implants restored direct to implant compared with those restored with intermediate abutments. CLINICAL RELEVANCE: Selecting the appropriate implant-supported restoration placement option may reduce caries in teeth adjacent to an ISP. Intermediate abutments would appear to reduce the risk of caries compared with direct implant restorations.

Indexed as

Dental CariesDental Prosthesis, Implant-SupportedAdultAgedFemaleHumansMaleMiddle AgedPrevalenceRetrospective StudiesSpainAdjacent teethDental cariesDental implantsImplant-supported rehabilitation

Identifiers

PMID41824090
PMCPMC12987891

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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.