BONE REMODELING AROUND A HYBRID CONICAL CONNECTION IMPLANT

Emanuel-Adrian Bratu, Ioan-Achim Borsanu, Emanuel Andritoi, Alexia-Maria Obadan, Remus Bratu, Sergiu-Manuel Antonie

Abstract

Aim of the study Implant positioning is determinant for clinical outcomes of oral rehabilitation on implants, influencing factors such as marginal bone loss, implant stability, and soft tissue integration. Usually, conical connection implants are placed subcrestally. The CopaSKY conical implant system, Bredent Group GmbH&Co.KG (Senden, Germany) offers flexibility in placement, accommodating both subcrestal and bone-level positioning to address diverse clinical needs. This study aimed to evaluate and compare the clinical and radiographic outcomes of CopaSKY implants, Bredent Group GmbH&Co.KG (Senden, Germany) placed subcrestally and at bone level. Materials and methods A prospective clinical study was conducted using CopaSKY implants with a diameter of 4 mm and a length of 10 mm. Radiographic images from patients with subcrestal and bone-level implant placement were analyzed. Marginal bone levels and bone density were assessed to evaluate the impact of implant positioning. Results Radiographic analysis demonstrated that subcrestal positioning did not provide a significant clinical advantage over bone-level placement, except in cases where additional soft tissue thickness was required for optimal gingival support. Marginal bone loss or growth and implant stability were comparable between the two groups (P > 0.05). Bone regenerated consistently (1.0–1.5 mm), irrespective of implant position. Conclusions Subcrestal placement of CopaSKY implants, Bredent Group GmbH&Co.KG (Senden, Germany) should be considered only when increased soft tissue support is clinically indicated. These findings simplify decision-making for implant placement and highlight the adaptability and clinical reliability of the CopaSKY implant system, Bredent Group GmbH&Co.KG (Senden, Germany) across various treatment scenarios. The system offers an advantage over other implants that are not specifically crafted and treated to facilitate rapid osteointegration and soft tissue adaptation.

DOI : 10.62610/RJOR.2025.3.17.28