Ten-year Survival Rate of Cement- and Screw-retained Restorations on Bone-level Dental Implants in Grafted and Non-grafted Sites: A Retrospective Study.

Purpose: The aim of the present 10-year follow-up study was to assess the survival rate of cement- and screw-retained restorations on dental implants placed in grafted sites.

Materials And Methods: Patients with cement- (group 1) and screw-retained (group 2) restorations on implants placed in grafted sites and patients with cement- (group 3) and screw-retained (group 4) restorations on implants placed in non-grafted sites were included. Demographic data was recorded using a questionnaire, and information regarding implant dimensions, surface characteristics, insertion torque, type of bone graft used, jaw location and duration of implants in function was retrieved from patients' records. These patients were evaluated for peri-implant crestal bone loss (CBL), probing depth (PD), modified plaque index (mPI), and modified bleeding on probing (mBOP). p < 0.05 was considered statistically significant.

Results: Eighty-eight partially edentulous individuals (n = 22 in each group) were included. The mean ages of individuals in all groups were comparable in all groups. In each patient, 1 bone-level platform-switched dental implant with moderately rough surfaces was placed using an insertion torque of 30-35 Ncm. In all groups, the length and diameter of implants ranged between 11-14 mm and 4.1-5 mm, respectively. There was no statistically significant difference in mPI, mBoP, PD, and mesial and distal CBR around implants in any of the groups.

Conclusion: Bone-level implants restored with cement and screw-retained restorations can possess a stable clinicoradiographic status and remain functional in grafted and non-grafted sites, provided strict domestic oral hygiene measures are adopted and routine dental prophylaxis is carried out by oral healthcare providers.