journal article·2026-01-18Open access

Dental Implants Used for Orthodontic Anchorage in Patients with Treated Stage IV Periodontitis: A Retrospective Case–Control Study

Shing-Zeng Dung, I-Shiang Tzeng

Abstract

Little is known about the effects of orthodontic loading on dental implants used for orthodontic anchorage in patients with Stage IV periodontitis. This retrospective case–control study included 58 dental implants in 24 patients with treated Stage IV periodontitis. The dental implants were used for both chewing function and orthodontic anchorages. The outcome measures included peri-implant marginal bone loss and peri-implantitis. Pair t-test and Wilcoxon rank-sum test were used to analyze the impact of implants as orthodontic anchorage on marginal bone loss (MBL) and peri-implantitis. No implants were lost during the 17-year follow-up. There was no statistically significant difference in the MBL and incidence of peri-implantitis between implants used as orthodontic anchorage and non-anchorage controls. (p > 0.05). Poor oral hygiene (p = 0.05), one-piece implants (p = 0.05) and implants with a keratinized mucosa < 2 mm (p = 0.015) were associated with a higher risk of peri-implantitis. Results from the present long-term study indicated that dental implants could be successfully used as orthodontic anchorage in periodontal compromised patients.
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Research context

OpenAlex topics: Orthodontics and Dentofacial Orthopedics · Dental Implant Techniques and Outcomes · dental development and anomalies

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Dentistry, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Xindian Dist., New Taipei City 23142, Taiwan

Department of Surgery, College of Medicine, Tzu Chi University, Hualien 970374, Taiwan

College of Dentistry, National Yang Ming Chiao Tung University, Taipei 112304, Taiwan

Institute of Oral Medicine and Materials, College of Medicine, Tzu Chi University, Hualien 970374, Taiwan

Department of Research, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Xindian Dist., New Taipei City 23142, Taiwan

Funding

Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation

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