Submerged Plateau Implants: A Practical Solution for Mandibular Posterior Region

JOURNAL TITLE: International Journal of Oral Implantology & Clinical Research

Author
1. Hardi L Domadiya
2. Dhruvi H Shukla
3. Sonal M Anchlia
4. Nisarg P Patel
5. Vipul Nagavadiya
6. Rohit K Panwar
ISSN
0975-6523
DOI
10.5005/jp-journals-10012-1159
Volume
8
Issue
1
Publishing Year
2017
Pages
7
  • Article keywords

    Abstract

    Introduction

    Placement of endosseous plateau implants represents a valid treatment in the setting of limited alveolar bone height. This study's objectives were to evaluate the effect of submerging and platform switching on crestal bone loss and redistribution of occlusal forces, the advantage of plateau design in providing more surface area for osseointegration, and the outcome of autogenous bone grafting from the implant osteotomy site as an alternate to exogenous bone graft.

    Materials and methods

    A prospective study of 10 patients with mandibular posterior edentulism was selected. Preoperative alveolar bone height (mean 11.87 mm) and width (8.22 mm) were measured on cone beam computed tomography. Two-staged implants were placed with 2.0 mm of submergence, which remained below the alveolar crest. The distribution of site according to bone quality and implant dimension was D2. Patients were followed up after 7 days for pain, infection, soft tissue dehiscence, and paresthesia followed by an average period of 1 year and evaluated for bone gain over implant shoulder, crestal bone loss, and peri-implant radiolucency.

    Results

    One-year postloading survival rates for submerged plateau implants was 100.0% in D2 bone, with no peri-implant radiolucency and statistically insignificant (~0–0.8 mm) crestal bone loss.

    Conclusion

    Submerged plateau implants have excellent survival rates and crestal bone level maintenance. The results of this study support the hypothesis that plateau implants can be successfully used in mandibular areas with limited bone height.

    How to cite this article

    Shukla DH, Anchlia SM, Patel NP, Nagavadiya V, Panwar RK, Domadiya HL. Submerged Plateau Implants: A Practical Solution for Mandibular Posterior Region. Int J Oral Implantol Clin Res 2017;8(1):5-11.

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