Evidence map›Paper›PMID 42132365›Full record

Observational studyClinical implant dentistry and related research2026

Crestal Bone Loss and Peri-Implant Conditions at Tissue-Level Implants: Influence of Prosthesis Type After 25 Years.

Clemens Raabe, Manrique Fonseca, Andrea Roccuzzo, Martin Schimmel, Giovanni E Salvi, Vivianne Chappuis, Emilio Couso-Queiruga

Abstract readObservational Study
In one paragraph

Observational study in Clinical implant dentistry and related research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Clemens RaabeDepartment of Oral Surgery and Stomatology, University of Bern School of Dental Medicine, Bern, Switzerland.ORCID https://orcid.org/0000-0003-2659-3505
Manrique FonsecaDepartment of Reconstructive Dentistry and Gerodontology, University of Bern School of Dental Medicine, Bern, Switzerland.ORCID https://orcid.org/0000-0003-4267-0515
Andrea RoccuzzoShanghai Perio-Implant Innovation Center, Institute of Integrated Oral, Craniofacial and Sensory Research, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China.ORCID https://orcid.org/0000-0002-8079-0860
Martin SchimmelDepartment of Reconstructive Dentistry and Gerodontology, University of Bern School of Dental Medicine, Bern, Switzerland.ORCID https://orcid.org/0000-0001-9700-5534
Giovanni E SalviDepartment of Periodontology, University of Bern School of Dental Medicine, Bern, Switzerland.
Vivianne ChappuisDepartment of Oral Surgery and Stomatology, University of Bern School of Dental Medicine, Bern, Switzerland.
Emilio Couso-QueirugaDepartment of Oral Surgery and Stomatology, University of Bern School of Dental Medicine, Bern, Switzerland.ORCID https://orcid.org/0000-0002-9989-4483

Funding

International Team for Implantology 1574-2021
6 · The paper itself

Abstract

objectiveTo evaluate long-term crestal bone level changes (ΔCBL) and prevalence of peri-implant conditions according to the type of implant-supported fixed dental prosthesis (IFDP), and to identify implant-, prosthetic-, and patient-related factors associated with ΔCBL. MATERIALS AND

methodsThis single-center observational study evaluated patients rehabilitated with single crowns (SCs), splinted crowns (SPs), or bridges (BRs) on tissue-level implants after 10 and 25 years of function. Standardized clinical and radiographic evaluations were performed, and peri-implant conditions were diagnosed according to established consensus definitions.

resultsA total of 147 patients with 233 implants were included. The prevalence of peri-implantitis (PI) increased from 10 to 25 years, from 2.3% to 7.8% for SC, from 1.6% to 6.3% for SP, and from 0% to 4.9% for BR, with no significant differences between IFDP types at either time point (p ≥ 0.95). SP tended to have higher peri-implant mucositis (PM) rates at 25 years (87.3%), compared to SC (74.4%) and BR (80.5%). Mean ΔCBL was -0.37 ± 0.91 mm for SC, -0.25 ± 0.85 mm for SP, and -0.70 ± 1.0 mm for BR, with no significant differences between IFDP types (p = 0.37). Multivariate analyses demonstrated that greater ΔCBL was significantly associated with incisor region location (-0.74 mm), increased probing depth (-0.16 mm per mm), and suppuration on probing (-0.97 mm), all p ≤ 0.05. In contrast, prosthetic retention, marginal misfit, and prosthet emergence geometry were not significantly associated with ΔCBL.

conclusionsOver 25 years, the type of IFDP did not significantly affect ΔCBL or the prevalence of PM and PI around tissue-level implants. Long-term bone stability was primarily influenced by implant location in the incisor region, increased probing depths, and the presence of suppuration.

Indexed as

Alveolar Bone LossDental ImplantsDental Prosthesis, Implant-SupportedPeri-ImplantitisAdultAgedCrownsFemaleHumansMaleMiddle AgedDental Implantsbone resorptionclinical trialdental implantsguided bone regenerationperi‐implantitisphenotype

Identifiers

PMID42132365
PMCPMC13174906

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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.