Imperative Clinical Assessment of Status of Osseointegration and Peri-Implantmucositis in Six Month Post Osteotomy Phase: An Original Research Study

Abstract

Background and Aim: Successful osseointegration and absence of peri-implantmucositis are the two most desirable success criteria for dental implants. However, in most of the clinical situation clinicians are unable to achieve perfect osseointegration with total absence of peri-implantmucositis. Eventually all these undesirable activities are ending with ultimate failure of implant and implant prosthesis. Hence this study was intended, planned and conducted to clinically assess the status of osseointegration and peri-implantmucositis in six month post osteotomy phase.

Materials and Methods: Total 18 patients with single maxillary central incisor were included in the study. All implants were placed by using similar armamentarium and method. Both male and female patients were included in the study in the age range of 30 years to 45 years. Osseointegration was evaluated an innovative system Osstell®. Peri-implantmucositis was checked by clinical signs like bleeding on probing, suppurations, recession, and radiographic bone losses. Osseointegration and peri-implantmucositis were assessed exactly after 6 month of osteotomy procedure. Osseointegration was noted as satisfactory or non-satisfactory and peri-implantmucositis was noted as present or absent. P value less than 0.05 was taken as significant.

Statistical Analysis and Results: Statistical analysis was completed by SPSS statistical package software. Results confirmed that out of 18 studied patients, 11 were males and 7 were females. Osseointegration was satisfactory in 12 patients non satisfactory in 4 patients. 13 patients confirmed presence of Peri-implantmucositis and 3 patients with absent Peri-implantmucositis. The inferences of ANOVA test revealed that level of significance (p value) was highly significant for the test conducted between groups. It was significantly 0.002.

Conclusion: It was concluded that non-satisfactory osseointegration and peri-implantmucositis happens and are actually unavoidable clinical phenomenon. Authors also identified presence of peri-implantmucositis in high proportion as compared to osseointegration. Also, other future long term studies are expected to authenticate and confirm our results.