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Healing of surgically created circumferential gap around non-submerged-type implants in dogs: a histomorphometric study.

Jung UW, Kim CS, Choi SH, Cho KS, Inoue T, Kim CK

Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul, Korea.

OBJECTIVES: This study was conducted to evaluate the healing of surgically created circumferential gaps around non-submerged-type implants according to varying size and healing periods in dogs. MATERIAL AND METHODS: In four mongrel dogs, all mandible premolars were extracted and after an 8-week healing period, non-submerged-type implants were placed. Circumferential coronal defects around the implants were performed surgically with a customized tapered step drill. Groups were divided according to the width of the coronal gaps: 1, 1.5, or 2 mm. First the right side of the mandible was prepared, and after 8 weeks, the left side was prepared. The dogs were sacrificed following an 8-week healing period. Specimens were analyzed histologically and histomorphometrically. RESULTS: As the size of the coronal gap increased, the unfilled area tended to be greater. In terms of bone-to-implant contact and bone density, both the 1 and 1.5 mm groups showed a larger percentage of coronal defect than the apical side, while the 2 mm group showed contrary results in the 8-week groups. The general histologic features in the 16-week groups were similar to the findings of 8-week groups but were more matured, with a higher percentage of lamellar bone. A certain amount of bone filling and osseointegration was observed in the defects of all the groups. CONCLUSION: It can be concluded that the remaining defect, small enough to be clinically neglected, irrespective of gap size within 2 mm, does not need any kind of regenerating procedures.

Published 12 March 2007 in Clin Oral Implants Res, 18(2): 171-8.
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Dental Implants Research Today Archive:

Volume 1 (2004)
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  Issue 3 (December)

Volume 2 (2005)
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