Serveur d'exploration sur le patient édenté (maquette)

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Long-term implant success at the Academy for Oral Implantology: 8-year follow-up and risk factor analysis

Identifieur interne : 000632 ( Main/Exploration ); précédent : 000631; suivant : 000633

Long-term implant success at the Academy for Oral Implantology: 8-year follow-up and risk factor analysis

Auteurs : Dieter Busenlechner [Autriche] ; Rudolf Fürhauser [Autriche] ; Robert Haas [Autriche] ; Georg Watzek [Autriche] ; Georg Mailath [Autriche] ; Bernhard Pommer [Autriche]

Source :

RBID : PMC:4050226

Abstract

Purpose

Rehabilitation of the incomplete dentition by means of osseointegrated dental implants represents a highly predictable and widespread therapy; however, little is known about potential risk factors that may impair long-term implant success.

Methods

From 2004 to 2012, a total of 13,147 implants were placed in 4,316 patients at the Academy for Oral Implantology in Vienna. The survival rates after 8 years of follow-up were computed using the Kaplan-Meier method, and the impact of patient- and implant-related risk factors was assessed.

Results

Overall implant survival was 97% and was not associated with implant length (P=0.930), implant diameter (P=0.704), jaw location (P=0.545), implant position (P=0.450), local bone quality (P=0.398), previous bone augmentation surgery (P=0.617), or patient-related factors including osteoporosis (P=0.661), age (P=0.575), or diabetes mellitus (P=0.928). However, smoking increased the risk of implant failure by 3 folds (P<0.001) and a positive history of periodontal disease doubled the failure risk (P=0.001).

Conclusions

Summing up the long-term results of well over 10,000 implants at the Academy for Oral Implantology in Vienna it can be concluded that there is only a limited number of patients that do not qualify for implant therapy and may thus not benefit from improved quality of life associated with fixed implant-retained prostheses.

Graphical Abstract


Url:
DOI: 10.5051/jpis.2014.44.3.102
PubMed: 24921053
PubMed Central: 4050226


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<title>Purpose</title>
<p>Rehabilitation of the incomplete dentition by means of osseointegrated dental implants represents a highly predictable and widespread therapy; however, little is known about potential risk factors that may impair long-term implant success.</p>
</sec>
<sec>
<title>Methods</title>
<p>From 2004 to 2012, a total of 13,147 implants were placed in 4,316 patients at the Academy for Oral Implantology in Vienna. The survival rates after 8 years of follow-up were computed using the Kaplan-Meier method, and the impact of patient- and implant-related risk factors was assessed.</p>
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<sec>
<title>Results</title>
<p>Overall implant survival was 97% and was not associated with implant length (
<italic>P</italic>
=0.930), implant diameter (
<italic>P</italic>
=0.704), jaw location (
<italic>P</italic>
=0.545), implant position (
<italic>P</italic>
=0.450), local bone quality (
<italic>P</italic>
=0.398), previous bone augmentation surgery (
<italic>P</italic>
=0.617), or patient-related factors including osteoporosis (
<italic>P</italic>
=0.661), age (
<italic>P</italic>
=0.575), or diabetes mellitus (
<italic>P</italic>
=0.928). However, smoking increased the risk of implant failure by 3 folds (
<italic>P</italic>
<0.001) and a positive history of periodontal disease doubled the failure risk (
<italic>P</italic>
=0.001).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Summing up the long-term results of well over 10,000 implants at the Academy for Oral Implantology in Vienna it can be concluded that there is only a limited number of patients that do not qualify for implant therapy and may thus not benefit from improved quality of life associated with fixed implant-retained prostheses.</p>
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