Bone level around dental implants adjacent to teeth and implants

Keywords: bone loss, dental implants, interproximal bone height, x-rays, teeth


[Objective] This investigation seeks to determine the difference in bone level around implants adjacent to teeth and implants. [Methodology] This cross-sectional study included 17 patients with a total of 51 stable implants with a functional loading of at least 6 months. These implants were located next to natural teeth, other implants, or both. All implants and adjacent teeth were clinically examined, and periodontal and peri-implant parameters were recorded. A radiographic analysis was carried out to measure the bone level around implants in relation to the implant platform. Data were analyzed to detect differences between bone levels on the side of an implant next to a tooth compared to those on the side of an implant next to another implant. Statistical differences were considered significant when p≤0.05. [Results] The distance from the crestal bone on the coronal side of the implant platform to adjacent teeth or implants was approximately 1 mm. The bone level in zones adjacent to other implants was more apically located (2.9 ± 1.4 mm) than was the case for bone levels on sides adjacent to natural teeth (1.3 ± 0.07 mm) and the difference in these distances was statistically significant (p<0.05). Bivariate analysis showed that the bone level around implants was more likely to be coronal in relation to the implant platform on the side adjacent to a tooth than on the side adjacent to another implant (p=0.04). [Conclusions] The results indicate that the bone level of implants adjacent to natural teeth is maintained more coronal as compared to implants adjacent to other implants. This suggests a greater stability of implants when they are located near remaining natural teeth.


Abrahamsson, I.; Berglundh, T.; Wennström, J., & Lindhe, J. (1996). The peri-implant hard and soft tissues at different implant systems. A comparative study in the dog. Clinical Oral Implants Research, 7 (3), 212-219.
Adell, R.; Eriksson, B.; Lekholm, U.; Brånemark, P. I., & Jemt, T. (1990). Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. The International Journal of Oral & Maxillofacial Implants, 5 (4), 347-359.
Albrektsson, T.; Zarb, G.; Worthington, P., & Eriksson, A. R. (1986). The long-term efficacy of currently used dental implants: a review and proposed criteria of success. The International Journal of Oral & Maxillofacial Implants, 1 (1), 11-25.
Arabi, S. R.; Shishehian, A.; Khazaei, S., Poormoradi, B.; Abbasi, S.; Allahbakhshi, H.; Fotovat, F., & Faradmal, J. (2019). Effect of dental implantation on the hard and soft tissues around the adjacent natural teeth. Dental and Medical Problems, 56 (4), 331-336.
Araújo, M. G., & Lindhe, J. (2005). Dimensional ridge alterations following tooth extraction. An experimental study in the dog. Journal of Clinical Periodontology, 32 (2), 212-218.
Araújo, M. G., & Lindhe, J. (2018). Peri-implant health. Journal of Periodontology, 89 (Suppl 1), S249-S256.
Avivi-Arber, L., & Zarb, G. A. (1996). Clinical effectiveness of implant-supported single-tooth replacement: the Toronto Study. The International Journal of Oral & Maxillofacial Implants, 11 (3), 311-321.
Berglundh, T., & Lindhe, J. (1996). Dimension of the periimplant mucosa. Biological width revisited. Journal of Clinical Periodontology, 23 (10), 971-973.
Brånemark, P. I.; Hansson, B. O.; Adell, R.; Breine, U.; Lindström, J.; Hallén, O., & Ohman, A. (1977). Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scandinavian Journal of Plastic and Reconstructive Surgery. Supplementum, 16, 1-132.
Cecchinato, D.; Marino, M., & Lindhe, J. (2016). Bone loss at implants and teeth in the same segment of the dentition in partially dentate subjects. Clinical Oral Implants Research, 28 (5), 626-630.
Cooper, L. F.; Tarnow, D.; Froum, S.; Moriarty, J., & De Kok, I. J. (2016). Comparison of marginal bone changes with internal conus and external hexagon design implant systems: a prospective, randomized study. The International Journal of Periodontics & Restorative Dentistry, 36 (5), 631-642.
Chapple, I.; Mealey, B. L.; Van Dyke, T. E.; Bartold, P. M.; Dommisch, H.; Eickholz, P. & Yoshie, H. (2018). Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Periodontology, 89 (Suppl 1), S74-S84.
Degidi, M.; Perrotti, V.; Shibli, J. A.; Novaes, A. B.; Piattelli, A., & Iezzi, G. (2011). Equicrestal and subcrestal dental implants: a histologic and histomorphometric evaluation of nine retrieved human implants. Journal of Periodontology, 82 (5), 708-715.
Esposito, M.; Grusovin, M. G.; Coulthard, P.; Thomsen, P., & Worthington, H. V. (2005). A 5-year follow-up comparative analysis of the efficacy of various osseointegrated dental implant systems: a systematic review of randomized controlled clinical trials. The International Journal of Oral & Maxillofacial Implants, 20 (4), 557-568.
Grunder, U.; Gracis, S., & Capelli, M. (2005). Influence of the 3-D bone-to-implant relationship on esthetics. The International Journal of Periodontics & Restorative Dentistry, 25 (2), 113-119.
Lee, D. W.; Lee, D. W.; Park, K. H., & Moon, I. S. (2014). The effects of off-axial loading on periimplant marginal bone loss in a single implant. The Journal of Prosthetic Dentistry, 112 (3), 501-507.
Mailoa, J.; Fu, J. H.; Chan, H. L.; Khoshkam, V.; Li, J., & Wang, H. L. (2015). The Effect of Vertical Implant Position in relation to adjacent teeth on marginal bone loss in posterior arches: a retrospective study. The International Journal of Oral & Maxillofacial Implants, 30 (4), 931-936.
Miyamoto, I.; Tsuboi, Y.; Wada, E.; Suwa, H., & Iizuka, T. (2005). Influence of cortical bone thickness and implant length on implant stability at the time of surgery-clinical, prospective, biomechanical, and imaging study. Bone, 37 (6), 776-780.
Pontes, A. E.; Ribeiro, F. S.; da Silva, V. C.; Margonar, R.; Piattelli, A.; Cirelli, J. A., & Marcantonio, E., Jr. (2008). Clinical and radiographic changes around dental implants inserted in different levels in relation to the crestal bone, under different restoration protocols, in the dog model. Journal of Periodontology, 79 (3), 486-494.
van Eekeren, P. J.; Tahmaseb, A., & Wismeijer, D. (2016). Crestal bone changes around implants with implant-abutment connections at epicrestal level or above: systematic review and meta-analysis. The International Journal of Oral & Maxillofacial Implants, 31 (1), 119-124.
Weigl, P., & Strangio, A. (2016). The impact of immediately placed and restored single-tooth implants on hard and soft tissues in the anterior maxilla. European Journal of Oral Implantology, 9 (Suppl 1), S89-S106.
Zhang, Z.; Shi, D.; Meng, H.; Han, J.; Zhang, L., & Li, W. (2020). Influence of vertical soft tissue thickness on occurrence of peri-implantitis in patients with periodontitis: a prospective cohort study. Clinical Implant Dentistry and Related Research, 22 (3), 292-300.
How to Cite
Gómez-Guzmán, J., Arias-Holguín, Y., Pérez, M., Restrepo-Restrepo, F., Rodríguez-Medina, C., & Botero, J. (2022). Bone level around dental implants adjacent to teeth and implants. Uniciencia, 36(1), 1-11.
Original scientific papers (evaluated by academic peers)

Comentarios (ver términos de uso)

Most read articles by the same author(s)