scholarly journals Retrospective analysis of 2,244 implants and the importance of follow-up in implantology

2015 ◽  
Vol 2 (6) ◽  
pp. 555
Author(s):  
Ivete Aparecida de Mattias Sartori ◽  
Roseli Trevisan Latenek ◽  
Lucimara Aguiar Budel ◽  
Geninho Thomé ◽  
Sérgio Rocha Bernardes ◽  
...  
Keyword(s):  
Survival Rate ◽  
Soft Tissues ◽  
Clinical Analysis ◽  
Joint Stability ◽  
Implant Survival ◽  
Essential Information ◽  
Restorative Treatment ◽  
Implant Survival Rate ◽  
Bone Level

AIM: A retrospective clinical analysis evaluated the clinical behavior of the prosthetic restorations, screw joint stability, peri-implant bone level and soft tissues, implant survival rate and patient satisfaction. MATERIAL AND METHODS: Data was collected from follow-up visits of 444 patients, aged from 26 to 88 years, that were rehabilitated with 2,244 implants placed between 2005 and 2010. RESULTS: The implant survival rate was 99.73%, 94.78% for prosthetic screws, and 96.70% for abutment screws. Peri-implant bone levels remained stable (bone loss equal or less than 1 mm) in 96.21% of the implants. Plaque accumulation was present in 275 patients and was associated with gingival bleeding in 66 patients. Three hundred and thirty patients were satisfied, 103 were somewhat satisfied, 7 patients expected more from their restorative treatment, and 4 patients were dissatisfied. CONCLUSION: Continuous follow-up of patients with implant restorations provides essential information on the behavior of implants and prosthetic components, enbling the early intervention in minor prosthetic complications (e.g. screw loosening) to avoid future major complications (e.g. implant failure).

scholarly journals Short (6 mm) and Regular Dental Implants in the Posterior Maxilla–7-Years Follow-up Study

2021 ◽  
Vol 10 (5) ◽  
pp. 940
Author(s):  
Jakub Hadzik ◽  
Paweł Kubasiewicz-Ross ◽  
Izabela Nawrot-Hadzik ◽  
Tomasz Gedrange ◽  
Artur Pitułaj ◽  
...  
Keyword(s):  
Survival Rate ◽  
Dental Implants ◽  
Clinical Results ◽  
Implant Survival ◽  
Implant Survival Rate ◽  
Short Implants ◽  
Posterior Maxilla ◽  
Patient Reported ◽  
Bone Level

Short 6 mm dental implants are considered as an alternative to the maxillary sinus elevation and bone augmentation procedure where there is a reduced alveolar ridge height. The aim of this study was to compare the implant survival rate between short dental implants (6 mm) and regular length implants (11–13 mm) when placed in combination with bone grafting and loaded with a single non splinted crown, seven years after placing the implant. It was conducted as a controlled clinical study of 30 patients with partial edentulism in the posterior maxilla. The protocol included radiological and clinical evaluation of the C/I ratio (length of the superstructure divided by the length of the implant crestal part), marginal bone level (MBL), ultrasonography measurement of soft tissue surrounding implant (STT), patient-reported outcomes, and biological and technical complications. A total number of 28 implants (93%) remained integrated during follow-up period. MBL of 0.50 and 0.52 mm was observed for short implants and regular implants, respectively. MBL was checked for correlation with STT, and a negative correlation was found between MBL: STT. Our study has demonstrated a significantly lower implant survival rate for short implants compared to regular implants (87% compared to 100%). Despite the loss of several implants, good clinical results were achieved in the remaining implants in both groups. It is, therefore, worth considering short implants as an alternative to regular implants with a sinus lift surgery.

scholarly journals Five-Year Prospective Study on Implant Failure and Marginal Bone Remodeling Expected Using Bone Level Implants with Sandblasted/Acid-Etched Surface and Conical Connection

2022 ◽  
Author(s):  
Marco Tallarico ◽  
Aurea Maria Immacolata Lumbau ◽  
Silvio Mario Meloni ◽  
Irene Ieria ◽  
Chang-Joo Park ◽  
...  
Keyword(s):  
Survival Rate ◽  
Bone Remodeling ◽  
Case Series ◽  
Insertion Torque ◽  
Implant Survival ◽  
Bone Level ◽  
The Mean ◽  
Prospective Case Series ◽  
Gingival Biotype

Abstract Objective The purpose of the present prospective, case-series study was to report implant survival rate and marginal bone remodeling expected 5 years after loading using dental implants placed in daily practice. Materials and Methods This research was designed as an open-cohort, prospective, case-series evaluation. Any partially or completely edentulous patient, scheduled to receive at least one bone level implant, was considered eligible for this study. Primary outcome measurements were: implant and prosthetic cumulative survival rate and any complications experienced up to the 5-year follow-up. Secondary outcome measures were: thickness of gingival biotype, implant insertion torque, implant stability quotient, and marginal bone loss (MBL). Results Ninety consecutive patients (34 males and 56 females, aged between 24 and 81 years old [mean: 53.2 ± 15.4]) with 243 inserted implants were followed for at least 5 years after loading (mean: 65.4 ± 3.1 months; range from 60 to 72). At the 1-year follow-up, no drop-outs were recorded, but 17 patients (18.9%) with 18 restorations (12.6%) delivered on 34 implants (14%) were lost at the 5-year examination. At the 5-year follow-up examination, six implants lost osseointegration (97.5%). In the same period, four prostheses failed (97.2%). Five complications were reported in five different patients (prosthetic success rate was 96.5%, at patient level). Five years after loading, the mean MBL was 0.41 ± 0.30 mm. The difference from the 1-year data was 0.04 ± 0.19 mm. A statistically significant higher MBL was found for smokers, and patients with thin gingival biotype. The mean implant insertion torque was 42.9 ± 4.8 Ncm (range from 15 to 45 Ncm). Two-hundred and three implants (83.5%) were inserted with an insertion torque ≥35 and ≤45 Ncm. Conclusions High implant survival and success rate could be expected with stable marginal bone remodeling up to 5 years after loading. Smoking and thin tissue biotype were the most important variabilities associated with higher MBL. Further research studies are needed to confirm these results.

scholarly journals Prefabricated Bar System for Immediate Loading in Edentulous Patients: A 5-Year Follow-Up Prospective Longitudinal Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Enrico F. Gherlone ◽  
Gianpaolo Sannino ◽  
Andrea Rapanelli ◽  
Roberto Crespi ◽  
Giorgio Gastaldi ◽  
...  
Keyword(s):  
Survival Rate ◽  
Survival Rates ◽  
Implant Survival ◽  
Marginal Bone Loss ◽  
Prospective Longitudinal Study ◽  
Bone Level ◽  
New Type ◽  
Edentulous Patients ◽  
Prospective Longitudinal

Objectives. The aim of this clinical study was to evaluate a new type of prefabricated bar system, supported by axial and tilted implants at 5-year follow-up. Materials and Methods. Twenty-nine consecutive participants (19 females, 10 males) (mean age 61.4 years), edentulous in one or both jaws, with severe atrophy of the posterior regions, were treated according to the All-on-four® protocol with immediately loaded axial (64) and tilted (64) implants supporting complete-arch screw-retained prostheses (12 maxillary, 20 mandibular) featuring a prefabricated bar as framework. Follow-up visits were performed at 3, 6, 12, 24, 48, and 60 months after implant insertion. Radiographic assessments were made using panoramic radiographs obtained immediately after surgery and at each follow-up visit. Bone level measurements around the axial and tilted implants were compared by means of the Student’s t-test. Results. One axial implant failed in the lower jaw and did not compromise prosthetic function. The 60-month overall implant survival rate was 100% for axially positioned implants and 98.44% for tilted implants. The implant survival rates were 100% in the maxilla and 98.75% in the mandible. None of the 32 fixed prostheses were lost during the observation period, representing a prosthetic survival rate of 100%. No statistically significant differences (P>0.05) in marginal bone loss between tilted and axial implants were detected in either jaw over time. Conclusions. The use of the evaluated prefabricated bar for immediately loaded implants placed according to the All-on-four concept may significantly reduce implant failures; however, more long-term prospective clinical trials are needed to affirm the effectiveness of the surgical-prosthetic protocol.

scholarly journals Tilted Implants for Full-Arch Rehabilitations in Completely Edentulous Maxilla: A Retrospective Study

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Nicolò Cavalli ◽  
Bruno Barbaro ◽  
Davide Spasari ◽  
Francesco Azzola ◽  
Alberto Ciatti ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Retrospective Study ◽  
Survival Rate ◽  
Joint Pain ◽  
Implant Survival ◽  
Temporomandibular Joint Pain ◽  
Implant Survival Rate ◽  
Prosthetic Complications ◽  
Viable Treatment

Purpose. The aims of this study were to assess the treatment outcome of immediately loaded full-arch fixed bridges anchored to both tilted and axially placed implants in the edentulous maxilla and to evaluate the incidence of biological and prosthetic complications.Materials and Methods. Thirty-four patients (18 women and 16 men) were included in the study. Each patient received a maxillary full-arch fixed bridge supported by two axial implants and two distal tilted implants. A total of 136 implants were inserted. Loading was applied within 48 hours of surgery and definitive restorations were placed 4 to 6 months later. Patients were scheduled for followup at 6, 12, 18, and 24 months and annually up to 5 years. At each followup plaque level and bleeding scores were assessed and every complication was recorded.Results. The overall follow-up range was 12 to 73 months (mean 38.8 months). No implant failures were recorded to date, leading to a cumulative implant survival rate of 100%. Biological complications were recorded such as alveolar mucositis (11.8% patients), peri-implantitis (5.9% patients), and temporomandibular joint pain (5.9% patients). The most common prosthetic complications were the fracture or detachment of one or multiple acrylic teeth in both the temporary (20.6% patients) and definitive (17.7% patients) prosthesis and the minor acrylic fractures in the temporary (14.7% patients) and definitive (2.9% patients) prosthesis. Hygienic complications occurred in 38.2% patients. No patients’ dissatisfactions were recorded.Conclusions. The high cumulative implant survival rate indicates that this technique could be considered a viable treatment option. An effective recall program is important to early intercept and correct prosthetic and biologic complications in order to avoid implant and prosthetic failures.

scholarly journals Oral Rehabilitation of Oncology Patients With Microvascular Free Flaps With a Follow-Up of 2 to 6 Years

2021 ◽  
Author(s):  
Funda Goker ◽  
Alessandro Baj ◽  
Alessandro Remigio Bolzoni ◽  
Carlo Maiorana ◽  
Giada Beltramini ◽  
...  
Keyword(s):  
Survival Rate ◽  
Dental Implants ◽  
Free Flaps ◽  
Secondary Outcome ◽  
Implant Survival ◽  
Oral Rehabilitation ◽  
Implant Survival Rate ◽  
Maxillofacial Reconstruction ◽  
Microvascular Free Flaps

Abstract BACKGROUND: Reconstruction with free flaps after radical cancer surgery in terms of function and esthetics can be quite demanding. The aim of this study was to evaluate retrospectively oral rehabilitation with microvascular free flaps and dental implants for maxillofacial reconstruction in oncologic patients with a minimum follow-up of 2 years after implant insertions.METHODS: The study consisted of 17 patients diagnosed with either squamous cell carcinoma, fusocellular carcinoma, or mucoepidermoid carcinoma. The reconstruction of the maxillofacial defects was done with microvascular free flaps (free fibular flap, antero-lateral thigh flap, or radial forearm flap). Implants were inserted on the average 30.2±15.5 months after reconstructive operations. A total of 74 implants were inserted. Mean follow up after maxillo-facial surgery was 6.16 years (mean 73.93±14.48 months). Mean follow up after implant insertions was 3.61 years (mean 43.50±12.96). Primary outcome was implant survival. Secondary outcome was evaluation of post-surgical complications.RESULTS: There were surgical revisions in seven patients after reconstructive surgery with flaps, mainly due to tumor relapse. Complications were seen in 11 patients. 1 implant was lost in a female patient 15 months after placement. Overall implant survival rate was 97.5%. No relations were found between implant survival rate and gender, type of tumor, type of microvascular free flap, radiation therapy, chemotherapy, and prosthesis type.CONCLUSION: According to the results of this study, oral rehabilitation with dental implants inserted in free flaps for maxillofacial reconstruction after ablative oncologic surgery can be considered as a safe treatment modality with successful outcomes.

scholarly journals Clinical Comparation of Extra-Short (4 mm) and Long (>8 mm) Dental Implants Placed in Mandibular Bone: A Systematic Review and Metanalysis

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 315
Author(s):  
Vittorio Moraschini ◽  
Carlos Fernando de Almeida Barros Mourão ◽  
Pietro Montemezzi ◽  
Ingrid Chaves Cavalcante Kischinhevsky ◽  
Daniel Costa Ferreira de Almeida ◽  
...  
Keyword(s):  
Systematic Review ◽  
Survival Rate ◽  
Bone Loss ◽  
Dental Implants ◽  
Implant Survival ◽  
Marginal Bone Loss ◽  
Implant Survival Rate ◽  
Short Implants ◽  
Prosthetic Complications

This systematic review (SR) aimed to evaluate implant survival rate, marginal bone loss (MBL), and biological/prosthetic complications of extra-short 4 mm dental implants. An electronic search without language or date restrictions was performed in five databases and in gray literature for articles published until August 2020. Prospective cohort studies and randomized clinical trials (RCTs) that evaluated the clinical performance of extra-short 4 mm dental implants were included. Studies were independently assessed for risk of bias using the Cochrane Collaboration’s tool. The protocol of this SR was registered in the PROSPERO database under number CRD42019139709. Four studies were included in the present SR. There was no significant difference in implant survival rate (p = 0.75) between extra-short 4 mm and long implants. After 12 months of function, the extra-short implants had a significantly (p = 0.003) lower marginal bone loss (MBL) rate when compared to long implants. Extra-short implants had a lower number of biological and prosthetic complications when compared to long implants. After 12 months of follow-up, extra-short 4 mm dental implants placed in the mandible exhibit satisfactory clinical outcomes concerning implant survival rate and MBL when compared to longer implants, with a low number of biological and prosthetic complications. A higher number of RCTs with longer follow-up is necessary for the future.

scholarly journals Implants Survival Rate in Regenerated Sites with Innovative Graft Biomaterials: 1 Year Follow-Up

Materials ◽  
2021 ◽  
Vol 14 (18) ◽  
pp. 5292
Author(s):  
Elio Minetti ◽  
Martin Celko ◽  
Marcello Contessi ◽  
Fabrizio Carini ◽  
Ugo Gambardella ◽  
...  
Keyword(s):  
Survival Rate ◽  
Bone Loss ◽  
Dental Implants ◽  
Dental Implant ◽  
Graft Material ◽  
Implant Survival ◽  
Socket Preservation ◽  
Implant Survival Rate ◽  
Bone Biopsies

In thirteen different dental clinics in Singapore, Spain, Czech Republic and Italy, 504 patients were selected, and 483 dental implants were placed in maxillary sites after alveolar socket preservation (ASP) procedures with an autologous demineralized tooth extracted as graft material from an innovative Tooth Transformer device was obtained. All procedures used were reported in n°638 Ethical Committee surgical protocol of University of Chieti and approved. After 4 months, at dental implant placing, bone biopsies were performed to evaluate the histologic outcomes, and 12 months after implant loading, global implant survival rate, failure percentage and peri-implant bone loss were detected. After ASP, only 27 post-operative complications were observed and after 4 months, bone biopsy histomorphometric analysis showed a high percentage of bone volume (BV) 43.58 (±12.09), and vital new bone (NB) 32.38 (±17.15) with an absence of inflammation or necrosis areas. Twelve months after loading, only 10 dental implants failed (2.3%), with a 98.2% overall implant survival rate, nine cases showed mucositis (1.8%) and eight showed peri-implantitis (1.6%). At mesial sites, 0.43 mm (±0.83) of bone loss around the implants was detected and 0.23 mm (±0.38) at the distal sites with an average value of 0.37 mm (±0.68) (p > 0.568). Several studies with a longer follow-up will be necessary to confirm the preliminary data observed. However, clinical results seem to suggest that the post-extraction socket preservation procedure using innovative demineralized autologous tooth-derived biomaterial may be a predictable procedure to produce new vital bone able to support dental implant rehabilitation of maxilla edentulous sites.

scholarly journals Surgical and Prosthetic Outcomes of 967 Implants Under Immediate or Delayed Loading in Full-Arch Rehabilitation: a Retrospective Study With up To 5 Years of Follow-Up

2021 ◽  
Vol 24 (3) ◽  
Author(s):  
Geninho Thome ◽  
Waleska Caldas ◽  
Camila Pereira Vianna ◽  
Carolina Accorsi Cartelli ◽  
Larissa Carvalho Trojan
Keyword(s):  
Retrospective Study ◽  
Survival Rate ◽  
Treatment Time ◽  
Survival Rates ◽  
Immediate Loading ◽  
Implant Survival ◽  
Prosthesis Survival ◽  
Implant Survival Rate ◽  
Clinical Records

Objective: The aim of this study was to evaluate implant and prosthesis survival rates in full-arch rehabilitation supported by implants with platform-switched Morse taper connection submitted to immediate or delayed loading, after up to 5 years of follow-up. Material and Methods: Data was retrospectively collected from clinical records of patients who were treated by means of implant-supported full-arch rehabilitation. Survival rates of implants and prostheses were evaluated according to immediate or delayed loading. Results: The sample comprised 967 implants. Of those, 627 were submitted to immediate loading (IL) while 340 to delayed loading (DL). After a follow-up period of up to 5 years, the implant survival rate for IL was of 99.7% (622/627 implants) and 97.2% (333/340 implants) for DL. The overall implant survival rate was 98.8% (955/967 implants). Prosthesis survival rate was 100% (N = 178) for both groups. Significantly more implants in the DL group presented bone loss (p > 0.01), either greater or lower than 2 mm, during the follow-up period. Conclusion: Within their limits, the present results suggest that full-arch rehabilitation with platform-switched Morse taper connection implants can lead to surgical and prosthetic predictable outcomes. Moreover, immediate loading protocol seems to be a good option for the rehabilitation of fully edentulous patients, as it involves a shorter treatment time, which may lead to greater patient satisfaction.   Keywords Dental implants; Rehabilitation; Survival rate; Retrospective study.

Sign in / Sign up

Export Citation Format

Share Document