Impact of local and systemic factors on the incidence of oral implant failures, up to abutment connection
Identifieur interne : 000276 ( PascalFrancis/Curation ); précédent : 000275; suivant : 000277Impact of local and systemic factors on the incidence of oral implant failures, up to abutment connection
Auteurs : Ghada Alsaadi [Belgique] ; Marc Quirynen [Belgique] ; Arnost Komarek [Belgique] ; Daniel Van Steenberghe [Belgique]Source :
- Journal of clinical periodontology [ 0303-6979 ] ; 2007.
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Abstract
Aim: The aim of this retrospective study was to assess the influence of systemic and local bone and intra-oral factors on the occurrence of early implant failures, i.e. up to the abutment connection. Material and Methods: The surgical records of 2004 consecutive patients from the total patient population who had been treated in the period 1982-2003 (with a total of 6946 Br?nemark systems® implants) at the Department of Periodontology of the Catholic University Leuven were evaluated. For each patient the medical history was carefully checked. Data collection and analysis mainly focused on endogenous factors such as hypertension, coagulation problems, osteoporosis, hypo-hyperthyroidy, chemotherapy, diabetes type I or II, Crohn's disease, some local factors [e.g. bone quality and quantity, implant (length, diameter, location), type of edentulism, Periotest® value at implant insertion, radiotherapy], smoking habits and breach of sterility during surgery. Results: A global failure rate of 3.6% was recorded. Osteoporosis, Crohn's disease, smoking habits, implant (length, diameter and location) and vicinity with the natural dentition were all significantly associated with early implant failures (p<0.05). Conclusion: The indication for the use of oral implants should sometimes be reconsidered when alternative prosthetic treatments are available in the presence of possibly interfering systemic or local factors.
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Leuven</s1><s2>Leuven</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Belgique</country></affiliation></author><author><name sortKey="Komarek, Arnost" sort="Komarek, Arnost" uniqKey="Komarek A" first="Arnost" last="Komarek">Arnost Komarek</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Biostaistical centre, School of Public Health, Catholic University of Leuven</s1><s2>Leuven</s2><s3>BEL</s3><sZ>3 aut.</sZ></inist:fA14><country>Belgique</country></affiliation></author><author><name sortKey="Van Steenberghe, Daniel" sort="Van Steenberghe, Daniel" uniqKey="Van Steenberghe D" first="Daniel" last="Van Steenberghe">Daniel Van Steenberghe</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Periodontology, Faculty of Medicine, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Catholic University of Leuven</s1><s2>Leuven</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Belgique</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">07-0321565</idno><date when="2007">2007</date><idno type="stanalyst">PASCAL 07-0321565 INIST</idno><idno type="RBID">Pascal:07-0321565</idno><idno type="wicri:Area/PascalFrancis/Corpus">000427</idno><idno type="wicri:Area/PascalFrancis/Curation">000276</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Impact of local and systemic factors on the incidence of oral implant failures, up to abutment connection</title><author><name sortKey="Alsaadi, Ghada" sort="Alsaadi, Ghada" uniqKey="Alsaadi G" first="Ghada" last="Alsaadi">Ghada Alsaadi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Periodontology, Faculty of Medicine, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Catholic University of Leuven</s1><s2>Leuven</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Belgique</country></affiliation></author><author><name sortKey="Quirynen, Marc" sort="Quirynen, Marc" uniqKey="Quirynen M" first="Marc" last="Quirynen">Marc Quirynen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Periodontology, Faculty of Medicine, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Catholic University of Leuven</s1><s2>Leuven</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Belgique</country></affiliation></author><author><name sortKey="Komarek, Arnost" sort="Komarek, Arnost" uniqKey="Komarek A" first="Arnost" last="Komarek">Arnost Komarek</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Biostaistical centre, School of Public Health, Catholic University of Leuven</s1><s2>Leuven</s2><s3>BEL</s3><sZ>3 aut.</sZ></inist:fA14><country>Belgique</country></affiliation></author><author><name sortKey="Van Steenberghe, Daniel" sort="Van Steenberghe, Daniel" uniqKey="Van Steenberghe D" first="Daniel" last="Van Steenberghe">Daniel Van Steenberghe</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Periodontology, Faculty of Medicine, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Catholic University of Leuven</s1><s2>Leuven</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Belgique</country></affiliation></author></analytic><series><title level="j" type="main">Journal of clinical periodontology</title><title level="j" type="abbreviated">J. clin. periodontol.</title><idno type="ISSN">0303-6979</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of clinical periodontology</title><title level="j" type="abbreviated">J. clin. periodontol.</title><idno type="ISSN">0303-6979</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bone</term><term>Connection</term><term>Dentistry</term><term>Disseminated</term><term>Failure</term><term>Implant</term><term>Incidence</term><term>Quality</term><term>Systemic disease</term><term>Tooth</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Disséminé</term><term>Incidence</term><term>Implant</term><term>Echec</term><term>Raccordement</term><term>Os</term><term>Qualité</term><term>Dent</term><term>Maladie système</term><term>Dentisterie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aim: The aim of this retrospective study was to assess the influence of systemic and local bone and intra-oral factors on the occurrence of early implant failures, i.e. up to the abutment connection. Material and Methods: The surgical records of 2004 consecutive patients from the total patient population who had been treated in the period 1982-2003 (with a total of 6946 Br?nemark systems® implants) at the Department of Periodontology of the Catholic University Leuven were evaluated. For each patient the medical history was carefully checked. Data collection and analysis mainly focused on endogenous factors such as hypertension, coagulation problems, osteoporosis, hypo-hyperthyroidy, chemotherapy, diabetes type I or II, Crohn's disease, some local factors [e.g. bone quality and quantity, implant (length, diameter, location), type of edentulism, Periotest® value at implant insertion, radiotherapy], smoking habits and breach of sterility during surgery. Results: A global failure rate of 3.6% was recorded. Osteoporosis, Crohn's disease, smoking habits, implant (length, diameter and location) and vicinity with the natural dentition were all significantly associated with early implant failures (p<0.05). Conclusion: The indication for the use of oral implants should sometimes be reconsidered when alternative prosthetic treatments are available in the presence of possibly interfering systemic or local factors.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0303-6979</s0></fA01><fA03 i2="1"><s0>J. clin. periodontol.</s0></fA03><fA05><s2>34</s2></fA05><fA06><s2>7</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Impact of local and systemic factors on the incidence of oral implant failures, up to abutment connection</s1></fA08><fA11 i1="01" i2="1"><s1>ALSAADI (Ghada)</s1></fA11><fA11 i1="02" i2="1"><s1>QUIRYNEN (Marc)</s1></fA11><fA11 i1="03" i2="1"><s1>KOMAREK (Arnost)</s1></fA11><fA11 i1="04" i2="1"><s1>VAN STEENBERGHE (Daniel)</s1></fA11><fA14 i1="01"><s1>Department of Periodontology, Faculty of Medicine, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Catholic University of Leuven</s1><s2>Leuven</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></fA14><fA14 i1="02"><s1>Biostaistical centre, School of Public Health, Catholic University of Leuven</s1><s2>Leuven</s2><s3>BEL</s3><sZ>3 aut.</sZ></fA14><fA20><s1>610-617</s1></fA20><fA21><s1>2007</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>16273</s2><s5>354000146778930090</s5></fA43><fA44><s0>0000</s0><s1>© 2007 INIST-CNRS. 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