Intraoral radiographs were taken at all follow-up visits starting 3 months after crown insertion with the long-cone paralleling technique centering the alveolar crest (Hawe X-ray film holder; Kerrhawe SA, Bioggio, Switzerland). The x-ray machine (X mind®, Aceton Germany GmbH, Düsseldorf, Germany) was set to 70 kV and 0.32 mA for the upper jaw and 0.25 mA for the lower jaw respectively. The film-based images (Kodak
Ultraspeed, Rochester, USA) were scanned and digitalized (Epson
Perfection V700 Pro Scanner, at 1200 dpi).
Images were checked for sufficiency by the visibility of sharp implant threads.
The approximal marginal bone levels (MBL = distance between the implant shoulder and the first bone-to-implant contact (Buser, Weber, Bragger, Balsiger, 1991; Weber, Buser, Fiorellini, Williams, 1992) (
link)) were calculated as the mean values of mesial and distal measurements (Image J, Version 1.44; U.S. National Institutes of Health, Bethesda, MD, USA) Negative values represent bone levels coronal to the implant shoulder, positive value represent bone levels apical to the implant shoulder. Dimensions were calibrated using the implant diameter.
The primary endpoint was the median buccal vertical defect depth (distance first bone to implant contact and implant shoulder) at 6.8 -8 years after implant placement.
Waller T., Herzog M., Thoma D.S., Hüsler J., Hämmerle C.H.F, & Jung R.E. (2020). Long-term clinical and radiographic results after treatment or no treatment of small buccal bone dehiscences at posterior dental implants: A randomized, controlled clinical trial. Clinical oral implants research, 31(6).