{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T11:32:44Z","timestamp":1780054364929,"version":"3.54.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T00:00:00Z","timestamp":1620086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Implant Dent Rel Res"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The current evidence regarding the alterations experienced by the alveolar ridge (hard tissue changes) after implant removal due to peri\u2010implantitis is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To assess the hard tissue dimensional changes following implant removal due to peri\u2010implantitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Clinical records were examined to identify patients with implants that had to be removed due to a hopeless prognosis secondary to peri\u2010implantitis due to expendability of peri\u2010implantitis implants for functional reasons. Patients with preoperative and postoperative cone\u2010beam computed tomography (CBCT) scans were included. Patient\u2010related, implant\u2010related, and surgery\u2010related factors were assessed based on the clinical records. Linear measurements were made to evaluate the influence of bone plate thickness (BPT), ridge width (RW), and ridge height (RH) at various levels upon the outcome of implant removal. A descriptive statistical analysis of the quantitative and qualitative variables was performed. Correlations of the variables with the primary outcome (dimensional changes) were tested using univariate and multivariate analyses (multinomial random intercept mixed model linear regressions).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 26 patients (<jats:italic>n<\/jats:italic><jats:sub>implants<\/jats:sub> =\u200979) met the eligibility criteria. The mean decrease in RW at 1 and 3\u2009mm below the crest was 11.3% and 4.4%, respectively (<jats:italic>P<\/jats:italic> &lt;\u20090.001). Buccal and lingual RH was significantly reduced by 2.2% and 6.3%, respectively (<jats:italic>P<\/jats:italic> &lt;\u20090.001). Few patient\u2010related, implant\u2010related, and surgery\u2010related factors appeared to have an impact upon the hard tissue dimensional changes. Bone regeneration simultaneous to implant removal minimized the dimensional changes of the ridge both vertically (5% lesser buccal RH reduction) and horizontally (12% lesser RW reduction) when compared with spontaneous healing. The use of a reverse\u2010torque removal kit seemed to be critical in limiting the dimensional changes of the ridge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Minimal hard tissue changes can be expected following implant removal due to peri\u2010implantitis. Simultaneous bone regeneration procedures and the use of a removal kit may considerably reduce the impact upon the dimensional changes (NCT04534361).<\/jats:p><\/jats:sec>","DOI":"10.1111\/cid.13004","type":"journal-article","created":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T05:44:04Z","timestamp":1620193444000},"page":"432-443","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Hard tissue dimensional changes following implant removal due to peri\u2010implantitis: A retrospective study"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7472-7526","authenticated-orcid":false,"given":"Ram\u00f3n","family":"Pons","sequence":"first","affiliation":[{"name":"Department of Periodontology Universitat Internacional de Catalunya  Barcelona 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Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8292-1927","authenticated-orcid":false,"given":"Alberto","family":"Monje","sequence":"additional","affiliation":[{"name":"Department of Periodontology Universitat Internacional de Catalunya  Barcelona Spain"},{"name":"Department of Periodontology, School of Dental Medicine University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0501.1997.080302.x"},{"issue":"2","key":"e_1_2_11_3_1","first-page":"109","article-title":"Long\u2010term stability of osseointegrated implants in augmented bone: a 5\u2010year prospective study in partially edentulous patients","volume":"22","author":"Buser D","year":"2002","journal-title":"Int J Periodontics 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