The Effect of Laser Micro Grooved Platform Switched Implants and Abutments on Early Crestal Bone Levels and Peri-Implant Soft Tissues Post 1 Year Loading among Diabetic Patients—A Controlled Clinical Trial
Lalli Dharmarajan,
P. S. G. Prakash,
Devapriya Appukuttan,
Jasmine Crena,
Sangeetha Subramanian,
Khalid J. Alzahrani,
Khalaf F. Alsharif,
Ibrahim F. Halawani,
Mrim M. Alnfiai,
Ahmed Alamoudi,
Mona Awad Kamil,
Thodur Madapusi Balaji,
Shankargouda Patil
Affiliations
Lalli Dharmarajan
Department of Periodontics, SRM Dental College and Hospital, Ramapuram, Chennai 600089, India
P. S. G. Prakash
Department of Periodontics, SRM Dental College and Hospital, Ramapuram, Chennai 600089, India
Devapriya Appukuttan
Department of Periodontics, SRM Dental College and Hospital, Ramapuram, Chennai 600089, India
Jasmine Crena
Department of Periodontics, SRM Dental College and Hospital, Ramapuram, Chennai 600089, India
Sangeetha Subramanian
Department of Periodontics, SRM Dental College and Hospital, Ramapuram, Chennai 600089, India
Khalid J. Alzahrani
Department of Clinical Laboratories Sciences, College of Applied Medical Sciences, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia
Khalaf F. Alsharif
Department of Clinical Laboratories Sciences, College of Applied Medical Sciences, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia
Ibrahim F. Halawani
Department of Clinical Laboratories Sciences, College of Applied Medical Sciences, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia
Mrim M. Alnfiai
Department of Information Technology, College of Computers and Information Technology, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia
Ahmed Alamoudi
Oral Biology Department, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia
Mona Awad Kamil
Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 45412, Saudi Arabia
Thodur Madapusi Balaji
Department of Dentistry, Tagore Dental College and Hospital, Chennai 600127, India
Shankargouda Patil
College of Dental Medicine, Roseman University of Health Science, South Jordan, UT 84095, USA
Background and Objectives: The study aimed to compare the mean crestal bone level (CBL) and peri-implant soft tissue parameters in laser micro-grooved (LMG) platform switched implants and abutments (I&A) post 1 year of functional loading among non-diabetic and type II diabetic individuals. Materials and methods: Patients with an edentulous site having minimum bone height and width of ≥13 mm and ≥6 mm, respectively, were divided into two groups: (i) Non-diabetic-8 (control) and (ii) diabetic-8 (test). LMG Implants were placed and loaded immediately with a provisional prosthesis. Mean crestal bone level (MCBL) was evaluated radiographically at baseline and at 1 year. Peri-implant attachment level (PIAL) and relative position of the gingival margin (R-PGM) were recorded. Implant stability quotient (ISQ) level and implant survival rate (ISR) were evaluated at 1 year. Results: Early MCBL within the groups 1 year postloading was similar both mesially and distally (control—0.00 to 0.16 mm and 0.00 to 0.17 mm, respectively; test—0.00 to 0.21 mm and 0.00 to 0.22 mm, respectively) with statistical significance (p ≤ 0.003, p ≤ 0.001 and p ≤ 0.001, p ≤ 0.001, respectively). However, intergroup comparison showed no significant difference statistically in the MCBL in 1 year post functional loading. The peri-implant soft tissue parameters showed no significant difference between the groups. ISQ level between both groups did not reveal any significant changes (p ≤ 0.92), and ISR was 100%. Conclusions: LMG Implants resulted in minimal and comparable early crestal bone loss and soft tissue changes post 1 year of functional loading in moderately controlled diabetic and non-diabetic individuals, suggesting that this could be a reliable system for use in systemically compromised individuals.
