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- Title
Root-analogue implants compared to forced orthodontic extrusion: a retrospective analysis of clinical, radiological and esthetic outcomes after restoration.
- Authors
Böse, Mats Wernfried Heinrich; Beuer, Florian; Naumann, Michael; Spies, Benedikt Christopher; Neumeyer, Stefan; Hildebrand, Detlef; Bruhnke, Maria
- Abstract
Objectives: To assess clinical, radiological and esthetic outcomes of restorations supported by root-analogue implants (RAIs) or roots of severely damaged teeth after forced orthodontic extrusion (FOE). Materials and methods: Clinical data regarding milled one-piece (titanium/zirconia roots and zirconia abutments) RAIs (REPLICATE™ System) and FOE were recorded and retrospectively evaluated for 40 patients by two investigators. Strict inclusion and exclusion criteria were applied. Functional and esthetic outcomes were assessed for n = 20 pre-molars and n = 20 anterior teeth via comparison of radiographic and digital images applying the novel Functional Implant Prosthodontic Score (FIPS). Krippendorff's alpha coefficient was calculated to assess inter-rater reliability. Mann–Whitney-U-Test was used to compare the assessed parameters. Level of significance was set to p < 0.05. Results: After a mean observation period of 18.4 ± 5.7 months for restorations supported by RAIs and 43.9 ± 16.4 months for restorations after FOE, mean FIPS scores were 9.2/8.8 ± 1.1/1.2 (RAIs) and 7.4/7.7 ± 1.3/1.5 (FOE), respectively. Krippendorff's alpha coefficients did not reveal unacceptable inter-rater reliabilities regarding the investigators and applicability of FIPS. Significant differences were documented when comparing restorations after FOE or supported by RAIs regarding bone loss (p < 0.01), presence of papillae (p < 0.05) and quality and quantity of mucosa (p < 0.02) in favor of FOE. Conclusions: Within the main limitations of sample size and the retrospective study design, both concepts seem to provide clinically acceptable results. Clinical relevance: Bone- and tissue-preserving characteristics regarding the concept of FOE are promising. It could be applicable for socket preservation and subsequent conventional implant placements in an adapted workflow.
- Subjects
CRONBACH'S alpha; INCISORS; RETROSPECTIVE studies; INTERDENTAL papilla; DIGITAL images; TOOTH socket; SAMPLE size (Statistics)
- Publication
Clinical Oral Investigations, 2023, Vol 27, Issue 10, p5875
- ISSN
1432-6981
- Publication type
Article
- DOI
10.1007/s00784-023-05198-6