Comparison Of Crestal Bone Loss Around Implants With Different Crown Materials

Authors

  • P. Anil Kumar
  • Ravinder Reddy B
  • Koineni Rajender
  • Muduganti Jawali Reddy
  • K. Soumya
  • T. Sudhakar Reddy

Keywords:

Dental implants, Dental implants, Crestal bone loss, Crestal bone loss, Crown materials, Crown materials, Zirconia, Zirconia, Porcelain-fused-to-metal, Porcelain-fused-to-metal, Resin-modified ceramics, Resin-modified ceramics, Marginal bone level, Marginal bone level, Prosthetic rehabilitation, Prosthetic rehabilitation

Abstract

Background: Crestal bone stability is a key indicator of long-term implant success. Different crown materials may influence biomechanical load transfer and thereby affect peri-implant bone remodeling. This study compared crestal bone loss (CBL) around implants restored with porcelain-fused-to-metal (PFM), monolithic zirconia, and resin-modified ceramic crowns.

Materials and Methods: A prospective clinical study was conducted on 60 bone-level implants placed in 54 patients. Following standardized healing and prosthetic protocols, implants were randomly assigned to one of three crown material groups (n = 20 each). Crestal bone levels were measured radiographically at crown placement (baseline), 6 months, and 12 months using a standardized paralleling technique and digital analysis. Clinical parameters, including plaque index, probing depth, and bleeding on probing, were recorded.

Results: All implants survived over the 12-month follow-up. Mean 12-month CBL was 0.68 ± 0.18 mm (PFM), 0.59 ± 0.15 mm (zirconia), and 0.64 ± 0.17 mm (resin-modified ceramic), with no statistically significant differences among groups (p > 0.05). Soft-tissue parameters remained stable and comparable across groups.

Conclusion: Within the study limits, crown material did not significantly influence early crestal bone remodeling. All three restorative materials demonstrated minimal and clinically acceptable bone loss after 1 year of loading

Downloads

Download data is not yet available.

References

Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: A review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1(1):11-25.

Karthik K, Sivakumar AA, Thangaswamy V. Evaluation of dental implant success: A review of past and present concepts. J Pharm Bioallied Sci. 2013;5(Suppl 1):S117-9. doi:10.4103/0975-7406.113310.

Uppala S, Parihar AS, Dhillon M, Sharma N. Crestal bone loss around dental implants after implantation of tricalcium phosphate and platelet-rich plasma: A comparative study. J Family Med Prim Care. 2020;9(1):229-34. doi:10.4103/jfmpc.jfmpc_707_19.

Sargolzaie N, Zarch HH, Arab H, Koohestani T, Ramandi MF. Marginal bone loss around crestal or subcrestal dental implants: A prospective clinical study. J Korean Assoc Oral Maxillofac Surg. 2022;48(3):159-66. doi:10.5125/jkaoms.2022.48.3.159.

Aldebes A, Al-Judy A, Al-Jabrah O, Habib E, Al-Omari M. The effect of restoration material on marginal bone resorption in zirconia implants: A randomized clinical trial. Clin Exp Dent Res. 2022;8(4):864-73. doi:10.1002/cre2.607.

Shen XT, Li JY, Luo X, Feng Y, Gai LT, He FM. Peri-implant marginal bone changes with implant-supported metal-ceramic or monolithic zirconia single crowns: A retrospective clinical study of 1 to 5 years. J Prosthet Dent. 2022;128(3):368-74. doi:10.1016/j.prosdent.2020.11.021.

Agustín-Panadero R, Soriano-Valero S, Faus-Llácer V, Fons-Font A, Solá-Ruiz MF. Implant-supported metal-ceramic and resin-modified ceramic crowns: A 5-year prospective clinical study. J Prosthet Dent. 2020;123(1):120-7. doi:10.1016/j.prosdent.2019.07.002.

Sabău DT, Juncar RI, Moca AE, Bota T, Moca RT, Juncar M. Impact of prosthetic material and restoration type on peri-implant bone resorption: A retrospective analysis in a Romanian sample. J Clin Med. 2024;13(6):1794. doi:10.3390/jcm13061794.

Abdul Rahim M, Khan K, Chrcanovic BR. Influence of crown-implant ratio and implant inclination on marginal bone loss around dental implants supporting single crowns in the posterior region: A retrospective clinical study. J Clin Med. 2023;12(9):3219. doi:10.3390/jcm12093219.

Chu M, Kim J, Lee J. Factors influencing marginal bone loss in dental implants: A prosthetic perspective. J Korean Acad Osseointegr. 2025;29(1):1-10. (Online ahead of print).

Schwarz F, Derks J, Monje A, Wang HL. Peri-implantitis. J Periodontol. 2018;89(S1):S267-90. doi:10.1002/JPER.16-0350.

Sailer I, Fehér A, Filser F, Lüthy H, Gauckler LJ, Schärer P, et al. Prospective clinical study of zirconia posterior fixed partial dentures: 3-year follow-up. Quintessence Int. 2006;37(9):685-93.

Budhwar P, Syed AK. Bone regeneration and implantology. In Stem Cells and Dentistry; 2024.

Kanneppady SS, Kanneppady SK, Mathew T, Almazrou YM, Syed AK, Hota S, Tiwari R. Diagnostic Accuracy of Cone-Beam Computed Tomography (CBCT) in Identifying Periapical Lesions: A Comparative Study with Conventional Radiography. J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S476-S478. doi: 10.4103/jpbs.jpbs_1433_24.

Dharmendra Kumar MG, Gurmehak Kaur Sandhu, Mamta Garg, Rahul Tiwari, Heena Dixit, Afroz Kalmee Syed. Efficacy of Collagen Pouch versus Standard Repair in Sinus Membrane Healing: A Comparative Study. J Contemp Clin Pract. 2021;7(2):110-116.

Kanneppady SS, Kanneppady SK, Jamatia K, Tiwari K, Ausare SS, Dash A, Syed AK. Assessment of Jaw Bone Density Using Cone-Beam CT in Patients with Osteoporosis: A Cross-Sectional Study. J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S430-S432. doi: 10.4103/jpbs.jpbs_1434_24. Epub 2025 Feb 25. PMID: 40511131; PMCID: PMC12156532...

Downloads

Published

2025-06-25

How to Cite

1.
Kumar PA, Reddy B R, Rajender K, Jawali Reddy M, Soumya K, Reddy TS. Comparison Of Crestal Bone Loss Around Implants With Different Crown Materials. J Neonatal Surg [Internet]. 2025 Jun. 25 [cited 2026 Mar. 8];14(26S):1314-9. Available from: https://jneonatalsurg.com/index.php/jns/article/view/9609