#Education 10. Jul 2026

Fully tapered implants with one-time abutment protocol (3 year follow up)

A selected scientific recommendation by Dr. Marcin Maj: "Three-Year Outcomes of a Fully Tapered Implant With the One-Time Abutment Protocol Placed in Healed Ridges: A Prospective Case Series" by Yago Leira, Gustavo Manfredi, María Vázquez-Reza, Hon Jin-Tan, Paula Ruiz-Henao, Antonio Liñares, Juan Blanco.

STUDY OBJECTIVES AND METHODS

The aim of this study is to evaluate bone level changes three years after loading of a fully tapered implant with platform switching, using the one-abutment-one-time protocol. Twenty-eight patients (11 females, 17 males) received 28 BLX implants (Straumann, SLActive Roxolid). Interproximal bone level changes were measured radiographically. Clinical parameters including probing pocket depth (PPD), bleeding on probing (BoP), keratinized mucosa width (KMW), and modified plaque index (MPI) as well as esthetic outcomes using the Pink Esthetic Score (PES) were assessed at prosthetic loading, 1 year, and 3 years. Implant survival and success were recorded.


RESULTS

  • Minimal increases in PPD (0.64-1.46 mm) and BoP were observed;
  • KMW and crown length remained stable.
  • No marginal bone loss was observed over the follow-up (mesial: 0.06 ± 0.47 mm; distal: 0.08 ± 0.38 mm).
  • PES improved significantly from baseline to 3 years (9.39 ± 1.47 to 11.57 ± 1.34, p < 0.001).
  • Implant survival and success were 100%.

CONCLUSIONS


The one-abutment one-time protocol with fully tapered, platform-switched implants provide stable peri-implant bone, excellent clinical and esthetic outcomes, and high survival over 3 years 

Adapted from Yago Leira et al., Int J Oral Maxillofac Implants. 2026 May 6;0(0):1-18, for more info about this publication, click HERE

This review is part of the Straumann "Scientific Highlights Newsletter 3/26".


More studies:

  • Three-Year Outcomes of a Fully Tapered Implant With the One-Time Abutment Protocol Placed in Healed Ridges: A Prospective Case Series
  • Accuracy of Static Computer-Aided Implant Surgery: A Clinical Comparison of Tooth-, Bone-, and Mucosa-Supported Surgical Guides
  • Effect of Implant Surface Decontamination Procedures on Surface Morphology-In Vitro Study
  • Trueness of fully guided static computer-assisted implant surgery for immediate implant placement in premolar and molar sites, an observational analysis
  • Scientific evaluation of design and surface advances in Straumann implants