{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:31:31Z","timestamp":1791912691869,"version":"4.3.4"},"reference-count":56,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100011970","name":"International Team for Implantology","doi-asserted-by":"publisher","award":["1905\u20102024"],"award-info":[{"award-number":["1905\u20102024"]}],"id":[{"id":"10.13039\/501100011970","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare the long\u2010term survival rate and prevalence of peri\u2010implant diseases between bone\u2010level (BL) and tissue\u2010level (TL) titanium implants. The secondary objective was to assess the effect of implant diameter and other risk indicators of peri\u2010implant diseases on the outcomes of implant therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Adult patients with at least one non\u2010molar implant\u2010supported prosthesis (ISP) were included in the study. Relevant clinical and radiographic outcomes, along with patient\u2010related, anatomical, surgical and prosthetic\u2010related factors, were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 266 patients and 336 ISPs were included after a mean follow\u2010up of 11.2\u2009\u00b1\u20091.5\u2009years. Implant survival rates at the implant level were 99.4% and 98.2% for BL and TL implants, respectively. The prevalence of peri\u2010implant health, mucositis and peri\u2010implantitis was comparable between BL (21.1%, 67.5% and 11.4%, respectively) and TL implants (20.5%, 70.5% and 9.0%). Implants with a diameter of 3.3\u2009mm showed lower peri\u2010implantitis rates (7.2%) compared to those with 4.1\u2009mm (13.3%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). Notably, 3.3\u2009mm TL implants exhibited a significantly lower peri\u2010implantitis rate (4.8%) than BL implants (9.6%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Multilevel regression at the implant level showed that parafunctional habits (OR\u2009=\u20090.33, 95% CI: 0.12\u20130.91) and greater mucosal thickness (OR\u2009=\u20090.44, 95% CI: 0.32\u20130.60) were cross\u2010sectionally associated with decreased odds of mucositis, whereas higher plaque scores were cross\u2010sectionally associated with increased odds (OR\u2009=\u20091.29, 95% CI: 1.03\u20131.61). Age was cross\u2010sectionally associated with peri\u2010implantitis (OR\u2009=\u20090.96, 95% CI: 0.93\u20130.99), higher plaque score (OR\u2009=\u20091.45, 95% CI: 1.11\u20131.90), larger implant diameter (OR\u2009=\u20092.98, 95% CI: 1.19\u20137.45) and smoking (OR\u2009=\u20094.54, 95% CI: 1.42\u201314.5), while greater mucosal thickness (OR\u2009=\u20090.17, 95% CI: 0.08\u20130.37) was cross\u2010sectionally associated with a reduced risk of developing this condition.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>BL and TL implants at non\u2010molar sites exhibited comparable survival and peri\u2010implant disease rates. However, TL implants with 3.3\u2009mm diameter showed lower peri\u2010implantitis rates. A higher plaque score increased the risk of both mucositis and peri\u2010implantitis, whereas smoking was a strong risk indicator for peri\u2010implantitis. Greater mucosal thickness was protective against both conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.70080","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:07:19Z","timestamp":1766473639000},"page":"529-538","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Bone\u2010Level Versus Tissue\u2010Level Titanium Dental Implants: A Comparative Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9989-4483","authenticated-orcid":false,"given":"Emilio","family":"Couso\u2010Queiruga","sequence":"first","affiliation":[{"name":"Department of Oral Surgery and Stomatology University of Bern School of Dental Medicine  Bern 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E.","family":"Salvi","sequence":"additional","affiliation":[{"name":"Department of Periodontology University of Bern School of Dental Medicine  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5873-9903","authenticated-orcid":false,"given":"Frank","family":"Schwarz","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery and Implantology Goethe University Carolinum  Frankfurt am Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2659-3505","authenticated-orcid":false,"given":"Clemens","family":"Raabe","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery and Stomatology University of Bern School of Dental Medicine  Bern Switzerland"},{"name":"Department of Oral Surgery and Implantology Goethe University Carolinum  Frankfurt am Main 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