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CompletedNCT07625813Early Bone LosUpdated Jun 4, 2026

Early Bone Loss in Dental Implants

An observational study in Dental Implant and Marginal Bone Loss, sponsored by Abant Izzet Baysal University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-04.

Sponsored by Abant Izzet Baysal University · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
256
Ages
18 Years and older
Sex
All
01

Study summary

This retrospective observational study aims to evaluate early marginal bone loss around dental implants using panoramic radiographs. Radiographic records of patients who underwent mandibular dental implant surgery and implant-supported prosthetic rehabilitation will be reviewed. Marginal bone loss will be measured on the mesial and distal aspects of each implant at final restoration delivery and at follow-up periods after prosthetic loading. The study will also assess patient-, implant-, and prosthesis-related factors associated with marginal bone loss.

02

Conditions studied

  • Dental Implant
  • Marginal Bone Loss

Keywords

  • Dental implants
  • Early bone loss
  • Marginal bone loss
  • Peri-implant bone loss
  • Implant-supported prosthesis
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In context

Bone Diseases, Metabolic

470 studies on the registry are indexed under Bone Diseases, Metabolic; 71 are open to participants now.

This study's enrollment of 256 is above the median of 81 across 103 observational studies indexed under Bone Diseases, Metabolic.

Browse Bone Diseases, Metabolic studies →

Lead sponsor

Abant Izzet Baysal University is the lead sponsor of 242 studies on the registry; 64 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The study population will consist of adult systemically healthy patients who underwent mandibular dental implant surgery and implant-supported prosthetic rehabilitation at Bolu Abant Izzet Baysal University Faculty of Dentistry between 2012 and 2025 and had suitable panoramic radiographs available for retrospective radiographic evaluation of marginal bone loss.

Inclusion criteria

  • Individuals older than 18 years
  • Patients with mandibular dental implants
  • Availability of panoramic radiographs obtained after implant surgery and after prosthetic loading
  • Panoramic radiographs suitable for radiographic evaluation
  • Visibility of the mandibular inferior cortex and mental foramen on panoramic radiographs
  • Systemically healthy individuals

Exclusion criteria

Exclusion Criteria:

  • Low-quality panoramic radiographs
  • Missing follow-up radiographs
  • Presence of systemic diseases or conditions that may affect bone metabolism
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
256 participants (actual)
Patient registry
No

Groups and cohorts

  • Dental Implant Patients

    Patients with mandibular dental implants who had suitable panoramic radiographs for retrospective evaluation of marginal bone loss.

06

What researchers measure

Primary outcomes

  1. Change in Marginal Bone Loss Over Time

    Marginal bone loss will be assessed on panoramic radiographs by measuring the linear distance from the implant platform to the nearest supporting crestal bone on the mesial and distal aspects of each implant. Mesial, distal, and mean marginal bone loss values will be recorded in millimeters.

    Time frame: At final restoration delivery, 6 months, 18 months, and 60 months after prosthetic loading

Secondary outcomes

  1. Effect of implant length on mean marginal bone loss

    The effect of implant length on mean marginal bone loss will be evaluated using regression analysis. Implant length will be recorded in millimeters from patient records and implant system information. Mean marginal bone loss will be calculated by averaging mesial and distal marginal bone loss measurements for each implant.

    Time frame: Up to 60 months after prosthetic loading

  2. Effect of implant diameter on mean marginal bone loss

    The effect of implant diameter on mean marginal bone loss will be evaluated using regression analysis. Implant diameter will be recorded in millimeters from patient records and implant system information. Mean marginal bone loss will be calculated by averaging mesial and distal marginal bone loss measurements for each implant.

    Time frame: Up to 60 months after prosthetic loading.

  3. Effect of abutment height on mean marginal bone loss

    The effect of abutment height on mean marginal bone loss will be evaluated using regression analysis. Abutment height will be recorded in millimeters from prosthetic records. Mean marginal bone loss will be calculated by averaging mesial and distal marginal bone loss measurements for each implant.

    Time frame: Up to 60 months after prosthetic loading.

  4. Effect of implant-tooth distance on mean marginal bone loss

    The effect of implant-tooth distance on mean marginal bone loss will be evaluated using regression analysis. Implant-tooth distance will be measured on panoramic radiographs as the horizontal distance between the implant and the adjacent natural tooth when applicable. Mean marginal bone loss will be calculated by averaging mesial and distal marginal bone loss measurements for each implant.

    Time frame: Up to 60 months after prosthetic loading.

  5. Effect of implant-implant distance on mean marginal bone loss

    The effect of implant-implant distance on mean marginal bone loss will be evaluated using regression analysis. Implant-implant distance will be measured on panoramic radiographs as the horizontal distance between adjacent implants when applicable. Mean marginal bone loss will be calculated by averaging mesial and distal marginal bone loss measurements for each implant.

    Time frame: Up to 60 months after prosthetic loading.

  6. Effect of emergence profile angle on mean marginal bone loss

    The effect of emergence profile angle on mean marginal bone loss will be evaluated using regression analysis. Emergence profile angle will be recorded in degrees when applicable. Mean marginal bone loss will be calculated by averaging mesial and distal marginal bone loss measurements for each implant.

    Time frame: Up to 60 months after prosthetic loading.

  7. Mean marginal bone loss according to implant placement level

    Mean marginal bone loss will be compared according to implant placement level. Implant placement level will be categorized as crestal, subcrestal, or supracrestal according to the vertical position of the implant platform relative to the crestal bone level. Mean marginal bone loss will be calculated by averaging mesial and distal marginal bone loss measurements for each implant.

    Time frame: Up to 60 months after prosthetic loading.

  8. Mean marginal bone loss according to prosthetic restoration type

    Mean marginal bone loss will be compared according to prosthetic restoration type. Prosthetic restoration type will be categorized according to the type of implant-supported prosthetic rehabilitation, including single crown, fixed partial prosthesis, splinted crowns, full-arch fixed restoration, or removable prosthesis. Mean marginal bone loss will be calculated by averaging mesial and distal marginal bone loss measurements for each implant.

    Time frame: Up to 60 months after prosthetic loading.

  9. Mean marginal bone loss according to opposing arch condition

    Mean marginal bone loss will be compared according to opposing arch condition. Opposing arch condition will be categorized according to the dentition or prosthetic status of the opposing arch. Mean marginal bone loss will be calculated by averaging mesial and distal marginal bone loss measurements for each implant.

    Time frame: Up to 60 months after prosthetic loading.

07

Study locations

1 site
  • Faculty of Dentistry, Bolu Abant İzzet Baysal University, Department of Periodontics
    Bolu, Central 14100, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07625813
Lead sponsor
Abant Izzet Baysal University
Responsible party
Zeynep AKGÜL (Assist Prof, Abant Izzet Baysal University) — Principal investigator
First posted
Jun 4, 2026
Start date
Jan 15, 2025
Primary completion
Jan 15, 2026
Completion
Feb 15, 2026
Last update
Jun 4, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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