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J Clin Med. 2019 Feb 1;8(2). pii: E166. doi: 10.3390/jcm8020166.

Etiology and Measurement of Peri-Implant Crestal Bone Loss (CBL).

Author information

1
Department of Prosthodontics, Dental Science Faculty, University of Bordeaux, 33000 Bordeaux, France. Adrien.naveau@laposte.net.
2
Dental and Periodontal Rehabilitation Unit, Saint Andre Hospital, Bordeaux University Hospital, 33000 Bordeaux, France. Adrien.naveau@laposte.net.
3
Department of Oral Implants, Kyushu Dental University, Kitakyushu, Fukuoka 803-8580, Japan. k.shinmyouzu@spice.ocn.ne.jp.
4
Tanpopo Dental Clinic, Nerima ward, Tokyo 178-0062, Japan. k.shinmyouzu@spice.ocn.ne.jp.
5
Department of NanoEngineering, University of California San Diego, La Jolla, CA 92093, USA. cam081@eng.ucsd.edu.
6
Faculty of Dentistry, University of Toronto, Toronto M5G1G6, ON M5G 1G6, Canada. Limor.Avivi-Arber@dentistry.utoronto.ca.
7
Department of NanoEngineering, University of California San Diego, La Jolla, CA 92093, USA. jjokerst@eng.ucsd.edu.
8
Materials Science Program, University of California San Diego, La Jolla, CA 92093, USA. jjokerst@eng.ucsd.edu.
9
Department of Radiology, University of California San Diego, La Jolla, CA 92093, USA. jjokerst@eng.ucsd.edu.
10
Private practice, Koka Dental Clinic, San Diego, CA 92111, USA. skoka66@gmail.com.
11
Advanced Prosthodontics, Loma Linda University School of Dentistry, Loma Linda, CA 92350, USA. skoka66@gmail.com.
12
Advanced Prosthodontics, University of California Los Angeles School of Dentistry, Los Angeles, CA 90095, USA. skoka66@gmail.com.

Abstract

The etiology of peri-implant crestal bone loss is today better understood and certain factors proposed in the past have turned out to not be of concern. Regardless, the incidence of crestal bone loss remains higher than necessary and this paper reviews current theory on the etiology with a special emphasis on traditional and innovative methods to assess the level of crestal bone around dental implants that will enable greater sensitivity and specificity and significantly reduce variability in bone loss measurement.

KEYWORDS:

CBCT (cone beam computerized tomography); Crestal bone loss; brain–bone axis; foreign body reaction; osseoseparation; osseosufficiency; overloading; peri-implantitis; photoacoustic ultrasound; radiography

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