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Clinical Experience with One-Stage, Non-Submerged Dental Implants

Department of Oral Surgery School of Dental Medicine University of Berne Freiburgstrasse 7 CH-3010 Bern, Switzerland

Regina Mericske-Stern

Department of Prosthetic Dentistry School of Dental Medicine University of Berne Freiburgstrasse 7 CH-3010 Bern, Switzerland

Karl Dula

Department of Oral Surgery School of Dental Medicine University of Berne Freiburgstrasse 7 CH-3010 Bern, Switzerland

Niklaus P. Lang

Department of Periodontology and Fixed Prosthodontics School of Dental Medicine University of Berne Freiburgstrasse 7 CH-3010 Bern, Switzerland

This review article describes the scientific documentation of one-stage, non-submerged dental implants. In the past 25 years, numerous in vivo studies have demonstrated that non-submerged titanium implants achieve osseointegration as predictable as that of submerged titanium implants. This observation was confirmed in prospective clinical studies, mostly done with the ITI® Dental Implant System. ITI implants have been widely documented for up to 10 years of prospective follow-up at various centers. All studies showed success rates well above 90%. In summary, the non-submerged approach is a true alternative to the original healing modality with submerged titanium implants. The non-submerged approach offers several clinical advantages: (i) the avoidance of a second surgical procedure and less chair time per patient, resulting in overall reduced treatment cost; (ii) the lack of a microgap at the bone crest level, leading to less crestal bone during healing and resulting in a more favorable crown-to-implant length ratio; and (iii) a simplified prosthetic procedure, presenting an ideal basis for cemented implant restorations. Due to these significant clinical advantages, the non-submerged approach will become more important in implant dentistry in the near future, particularly in implant sites without esthetic priority.

Key Words: Non-submerged • one-stage implants.

Advances in Dental Research, Vol. 13, No. 1, 153-161 (1999)
DOI: 10.1177/08959374990130010501


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