Non-Cochrane · prognostic · PM42645497

Is Baseline Vertical Implant Positioning Relative to Adjacent Teeth Associated with Peri-Implant Outcomes? A Systematic Review and Meta-Analysis.

De Angelis Paolo, De Rosa Giuseppe, Cioccoloni Iacopo, et al. · Dentistry journal · 2026 · PubMed · doi:10.3390/dj14080523

Findings

8 findings

Population
Partially edentulous patients with implant-supported prosthesesBaseline vertical implant position: IP-CEJ distanceDifferent baseline values analyzed as a continuous variableBaseline IP-CEJ distance (mm)
Baseline
Pooled mean 4.69 [2.05, 7.32]
GRADE not reported
3 studies
Partially edentulous patients with implant-supported prosthesesBaseline vertical implant position: IP-ABL distanceDifferent baseline values analyzed as a continuous variableBaseline IP-ABL distance (mm)
Baseline
Pooled mean 2.13 [1.29, 2.98]
GRADE not reported
4 studies · 267 participants
Partially edentulous patients with implant-supported prosthesesBaseline IP-ABL distance (meta-regression moderator)Per 1 mm increase in baseline IP-ABLPeri-implant marginal bone loss (mm)
At least 12 months · Meta-regression
Meta-regression slope 0.18
GRADE not reported
3 studies
Partially edentulous patients with implant-supported prosthesesBaseline vertical implant position relative to adjacent teeth (IP-CEJ, IP-ABL)Different baseline values analyzed as a continuous variablePeri-implant marginal bone loss (mm)
At least 12 months (1-year data used)
Pooled mean 0.21 [-0.28, 0.70]
Very low
Downgraded: risk of bias, imprecision, inconsistency
3 studies
Partially edentulous patients with implant-supported prostheses (retrospective clinical studies)Baseline vertical implant position relative to adjacent teeth (IP-CEJ and IP-ABL distances)Different baseline vertical position values analyzed as continuous variablesImplant survival
At least 12 months · Clinical studies of implants in partially edentulous patients
no estimate extracted
No studies found
0 studies
Partially edentulous patients with implant-supported prostheses (retrospective clinical studies)Baseline vertical implant position relative to adjacent teeth (IP-CEJ and IP-ABL distances)Different baseline vertical position values analyzed as continuous variablesImplant success rate
At least 12 months · Clinical studies of implants in partially edentulous patients
no estimate extracted
No studies found
0 studies
Partially edentulous patients with implant-supported prostheses (retrospective clinical studies)Baseline vertical implant position relative to adjacent teeth (IP-CEJ and IP-ABL distances)Different baseline vertical position values analyzed as continuous variablesPrevalence of peri-implant mucositis
At least 12 months · Clinical studies of implants in partially edentulous patients
no estimate extracted
No studies found
0 studies
Partially edentulous patients with implant-supported prostheses (retrospective clinical studies)Baseline vertical implant position relative to adjacent teeth (IP-CEJ and IP-ABL distances)Different baseline vertical position values analyzed as continuous variablesPrevalence of peri-implantitis
At least 12 months · Clinical studies of implants in partially edentulous patients
no estimate extracted
No studies found
0 studies

Included primary studies 4

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Cardaropoli 2003
Peri-implant bone alterations in relation to inter-unit distances. A 3-year retrospective study.
PMID:12869005
2003this review onlynot statednot extracted yet
Chang 2012
Longitudinal changes in tooth/single-implant relationship and bone topography: an 8-year retrospective analysis.
PMID:20156225
2012this review onlynot statednot extracted yet
Lin 2023
Depth of mucosal tunnel in peri-implant health during 12-month follow-up in patients with controlled periodontitis.
PMID:35661355
2023this review onlynot statednot extracted yet
Mailoa 2015
The Effect of Vertical Implant Position in Relation to Adjacent Teeth on Marginal Bone Loss in Posterior Arches: A Retrospective Study.
PMID:26252046
2015this review onlynot statednot extracted yet

Review question

ElementPlanned (methods)Found (results)
PopulationPartially edentulous patients rehabilitated with implant-supported prosthesesPartially edentulous patients with implants (n=267 implants; 4 retrospective clinical studies)
InterventionExposure: baseline vertical implant positioning relative to adjacent teeth (IP-CEJ and IP-ABL distances, radiographic)Baseline IP-CEJ (3 studies) and IP-ABL (4 studies) vertical distances
ComparisonDifferent baseline values of vertical implant positioning analyzed as a continuous variableBaseline values analyzed as continuous variables; no categorical comparison
OutcomesPrimary: peri-implant marginal bone loss between baseline and at least 12 months; secondary: implant survival and success, prevalence of mucositis and peri-implantitisBaseline IP-CEJ pooled mean 4.69 mm; baseline IP-ABL pooled mean 2.13 mm; marginal bone loss at 12 months pooled mean 0.21 mm (3 studies); secondary outcomes not reported
Study designsClinical human studies including RCTs, prospective and retrospective studies with at least 10 participantsFour retrospective clinical studies (n=4)
TimingRadiographic marginal bone loss after at least 12 months of follow-upFollow-up 12 to 96 months across studies; 1-year data used for marginal bone loss pooling