Factors Associated with Failure of Surface‐Modified Implants up to Four Years of Function
Identifieur interne : 002F02 ( Istex/Corpus ); précédent : 002F01; suivant : 002F03Factors Associated with Failure of Surface‐Modified Implants up to Four Years of Function
Auteurs : Jan Cosyn ; Edward Vandenbulcke ; Hilde Browaeys ; Georges Van Maele ; Hugo De BruynSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2012-06.
English descriptors
- KwdEn :
- Bruyn, Clin, Clin implant dent relat, Clin periodontol, Clinical implant dentistry, Clinician, Covariates, Dent, Dental implants, Dentistry, Early loading, Edentulous, Edentulous jaws, Edentulous mandibles, Edentulous patients, Frequency distribution, Ghent, Health sciences, Immediate loading, Implant, Implant failure, Implant failure fisher, Implant length, Implant location, Implant placement, Implant survival, Implant therapy, Lekholm, Loading, Loading protocol, Mandible, Mandibular, Maxilla, Maxillofac, Multivariate, Multivariate analysis, Oral implantology, Oral maxillofac implants, Oral maxillofac surg, Oral surgeons, Periodontist, Periodontol, Posterior mandible, Predictor, Proportional hazards regression, Prospective study, Prosthesis, Protocol, Relat, Retrospective, Retrospective study, Surgical, Surgical approach, Surgical protocol, Survival functions, Systematic review, Tooth loss, Univariate, Univariate analyses.
- Teeft :
- Bruyn, Clin, Clin implant dent relat, Clin periodontol, Clinical implant dentistry, Clinician, Covariates, Dent, Dental implants, Dentistry, Early loading, Edentulous, Edentulous jaws, Edentulous mandibles, Edentulous patients, Frequency distribution, Ghent, Health sciences, Immediate loading, Implant, Implant failure, Implant failure fisher, Implant length, Implant location, Implant placement, Implant survival, Implant therapy, Lekholm, Loading, Loading protocol, Mandible, Mandibular, Maxilla, Maxillofac, Multivariate, Multivariate analysis, Oral implantology, Oral maxillofac implants, Oral maxillofac surg, Oral surgeons, Periodontist, Periodontol, Posterior mandible, Predictor, Proportional hazards regression, Prospective study, Prosthesis, Protocol, Relat, Retrospective, Retrospective study, Surgical, Surgical approach, Surgical protocol, Survival functions, Systematic review, Tooth loss, Univariate, Univariate analyses.
Abstract
Objectives: The relative impact of innovative treatment concepts on the failure of surface‐modified implants is not well understood. This retrospective study aimed to explore this using data obtained in a university postgraduate training center.
Url:
DOI: 10.1111/j.1708-8208.2010.00282.x
Links to Exploration step
ISTEX:5FC5C6A6B87C7FD37E2D4199EE0B4D1C24BA33EFLe document en format XML
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Belgium;</mods:affiliation></affiliation></author><author><name sortKey="Browaeys, Hilde" sort="Browaeys, Hilde" uniqKey="Browaeys H" first="Hilde" last="Browaeys">Hilde Browaeys</name><affiliation><mods:affiliation>maxillofacial surgeon, Department of Maxillofacial Surgery, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;</mods:affiliation></affiliation></author><author><name sortKey="Van Maele, Georges" sort="Van Maele, Georges" uniqKey="Van Maele G" first="Georges" last="Van Maele">Georges Van Maele</name><affiliation><mods:affiliation>professor, Department of Medical Statistics, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;</mods:affiliation></affiliation></author><author><name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name><affiliation><mods:affiliation>periodontist, professor, Department of Periodontology and Oral Implantology, University of Ghent, 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implants is not well understood. This retrospective study aimed to explore this using data obtained in a university postgraduate training center.</abstract><qualityIndicators><score>7.408</score><pdfWordCount>6156</pdfWordCount><pdfCharCount>41636</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>12</pdfPageCount><pdfPageSize>585 x 783 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>34</abstractWordCount><abstractCharCount>245</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>Factors Associated with Failure of Surface‐Modified Implants up to Four Years of Function</title><pmid><json:string>20491819</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Implant Dentistry and Related 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Function</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2010 Wiley Periodicals, Inc.</licence></availability><date type="published" when="2012-06"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Factors Associated with Failure of Surface‐Modified Implants up to Four Years of Function</title><title level="a" type="short">Factors Associated with Implant Failure</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Jan</forename><surname>Cosyn</surname><roleName type="degree">DDS, MSc, PhD</roleName></persName><affiliation>Periodontist, doctor assistant, Department of Periodontology and Oral Implantology, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;<address><country key="BE"></country></address></affiliation><affiliation>Dr. Jan Cosyn, University of Ghent, Faculty of Medicine and Health Sciences, Department of Periodontology and Oral Implantology, De Pintelaan 185, B‐9000 Ghent, Belgium; e‐mail: jan.cosyn@ugent.be</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Edward</forename><surname>Vandenbulcke</surname><roleName type="degree">DDS, MSc</roleName></persName><affiliation>periodontist, Department of Periodontology and Oral Implantology, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;<address><country key="BE"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Hilde</forename><surname>Browaeys</surname><roleName type="degree">MD, DDS</roleName></persName><affiliation>maxillofacial surgeon, Department of Maxillofacial Surgery, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;<address><country key="BE"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Georges</forename><surname>Van Maele</surname><roleName type="degree">PhD</roleName></persName><affiliation>professor, Department of Medical Statistics, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;<address><country key="BE"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Hugo</forename><surname>De Bruyn</surname><roleName type="degree">DDS, MSc, PhD</roleName></persName><affiliation>periodontist, professor, Department of Periodontology and Oral Implantology, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium<address><country key="BE"></country></address></affiliation></author><idno type="istex">5FC5C6A6B87C7FD37E2D4199EE0B4D1C24BA33EF</idno><idno type="ark">ark:/67375/WNG-2ZM33W05-J</idno><idno type="DOI">10.1111/j.1708-8208.2010.00282.x</idno><idno type="unit">CID282</idno><idno type="toTypesetVersion">file:CID.CID282.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2012.14.issue-3</idno><idno type="product">CID</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">14</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="347">347</biblScope><biblScope unit="page" to="358">358</biblScope><biblScope unit="page-count">12</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-06"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p><hi rend="bold">Objectives:</hi> The relative impact of innovative treatment concepts on the failure of surface‐modified implants is not well understood. This retrospective study aimed to explore this using data obtained in a university postgraduate training center.</p><p><hi rend="bold">Material and Methods:</hi> Patients treated with implants for a variety of indications over a 3‐year period were included. All implants had been at least 1 year in function. Clinical records were evaluated for implant failure and in reference to implant length/diameter/location, time from tooth loss to implant placement, bone condition (native/grafted), surgical protocol (two‐/one‐stage), loading protocol (delayed/early/immediate), type of prosthesis (removable/fixed), surgeon's experience level (resident/trainee) and specialty (periodontist/oral surgeon). The impact of each covariate on failure was tested using the Fisher's exact test. Kaplan‐Meier survival functions were constructed and Mantel‐Cox log–rank tests were used to compare survival functions. To correct for possible interaction, Cox proportional Hazards regression was adopted.</p><p><hi rend="bold">Results:</hi> Forty‐one of 1,180 (3.5%) implants were lost in 34/461 (7.4%) patients (245 ♀, 216 ♂; mean age 51, range 18–90). Factors showing significant impact on failure on the basis of univariate analyses were implant location (<hi rend="italic">p</hi> = .015), surgical protocol (<hi rend="italic">p</hi> = .002), loading protocol (<hi rend="italic">p</hi> = .002), surgeon's experience level (<hi rend="italic">p</hi> = .035) and specialty (<hi rend="italic">p</hi> = .001). When controlling for other covariates, only the loading protocol had a significant influence (<hi rend="italic">p</hi> = .049) with early loading more prone to failure (<hi rend="italic">p</hi> = .014) when compared with delayed loading. Immediate loading and delayed loading showed comparable implant survival (<hi rend="italic">p</hi> = .311).</p><p><hi rend="bold">Conclusions:</hi> Implant therapy may be highly successful in a training center where inexperienced clinicians are strictly monitored and personally guided. Implant specific variables do not affect implant survival but early loading is a risk indicator for implant failure, whereas immediate loading is not.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">implant characteristics</term><term xml:id="k2">implant failure</term><term xml:id="k3">loading protocol</term><term xml:id="k4">postgraduate training</term><term xml:id="k5">risk indicators</term><term xml:id="k6">surgical experience</term></keywords><keywords rend="tocHeading1"><term>ARTICLES</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/5FC5C6A6B87C7FD37E2D4199EE0B4D1C24BA33EF/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL IMPLANT DENTISTRY RELATED RESEARCH">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="06103"><doi origin="wiley">10.1111/cid.2012.14.issue-3</doi><numberingGroup><numbering type="journalVolume" number="14">14</numbering><numbering type="journalIssue" number="3">3</numbering></numberingGroup><coverDate startDate="2012-06">June 2012</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="4" status="forIssue"><doi origin="wiley">10.1111/j.1708-8208.2010.00282.x</doi><idGroup><id type="unit" value="CID282"></id></idGroup><countGroup><count type="pageTotal" number="12"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title></titleGroup><copyright>© 2010 Wiley Periodicals, Inc.</copyright><eventGroup><event type="firstOnline" date="2010-05-11"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2010-05-11"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.1.5 mode:FullText" date="2012-06-01"></event><event type="publishedOnlineFinalForm" date="2012-06-01"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-15"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="347">347</numbering><numbering type="pageLast" number="358">358</numbering></numberingGroup><correspondenceTo>Dr. Jan Cosyn, University of Ghent, Faculty of Medicine and Health Sciences, Department of Periodontology and Oral Implantology, De Pintelaan 185, B‐9000 Ghent, Belgium; e‐mail: <email>jan.cosyn@ugent.be</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CID.CID282.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="8"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="91"></count><count type="wordTotal" number="7481"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Factors Associated with Failure of Surface‐Modified Implants up to Four Years of Function</title><title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume *, Number *, 2010</title><title type="short">Factors Associated with Implant Failure</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Jan</givenNames><familyName>Cosyn</familyName><degrees>DDS, MSc, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Edward</givenNames><familyName>Vandenbulcke</familyName><degrees>DDS, MSc</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Hilde</givenNames><familyName>Browaeys</familyName><degrees>MD, DDS</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a4"><personName><givenNames>Georges</givenNames><familyName>Van Maele</familyName><degrees>PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a5"><personName><givenNames>Hugo</givenNames><familyName>De Bruyn</familyName><degrees>DDS, MSc, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="BE"><unparsedAffiliation>Periodontist, doctor assistant, Department of Periodontology and Oral Implantology, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="BE"><unparsedAffiliation>periodontist, Department of Periodontology and Oral Implantology, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="BE"><unparsedAffiliation>maxillofacial surgeon, Department of Maxillofacial Surgery, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="BE"><unparsedAffiliation>professor, Department of Medical Statistics, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;</unparsedAffiliation></affiliation><affiliation xml:id="a5" countryCode="BE"><unparsedAffiliation>periodontist, professor, Department of Periodontology and Oral Implantology, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">implant characteristics</keyword><keyword xml:id="k2">implant failure</keyword><keyword xml:id="k3">loading protocol</keyword><keyword xml:id="k4">postgraduate training</keyword><keyword xml:id="k5">risk indicators</keyword><keyword xml:id="k6">surgical experience</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p><b>Objectives:</b> The relative impact of innovative treatment concepts on the failure of surface‐modified implants is not well understood. This retrospective study aimed to explore this using data obtained in a university postgraduate training center.</p><p><b>Material and Methods:</b> Patients treated with implants for a variety of indications over a 3‐year period were included. All implants had been at least 1 year in function. Clinical records were evaluated for implant failure and in reference to implant length/diameter/location, time from tooth loss to implant placement, bone condition (native/grafted), surgical protocol (two‐/one‐stage), loading protocol (delayed/early/immediate), type of prosthesis (removable/fixed), surgeon's experience level (resident/trainee) and specialty (periodontist/oral surgeon). The impact of each covariate on failure was tested using the Fisher's exact test. Kaplan‐Meier survival functions were constructed and Mantel‐Cox log–rank tests were used to compare survival functions. To correct for possible interaction, Cox proportional Hazards regression was adopted.</p><p><b>Results:</b> Forty‐one of 1,180 (3.5%) implants were lost in 34/461 (7.4%) patients (245 ♀, 216 ♂; mean age 51, range 18–90). Factors showing significant impact on failure on the basis of univariate analyses were implant location (<i>p</i> = .015), surgical protocol (<i>p</i> = .002), loading protocol (<i>p</i> = .002), surgeon's experience level (<i>p</i> = .035) and specialty (<i>p</i> = .001). When controlling for other covariates, only the loading protocol had a significant influence (<i>p</i> = .049) with early loading more prone to failure (<i>p</i> = .014) when compared with delayed loading. Immediate loading and delayed loading showed comparable implant survival (<i>p</i> = .311).</p><p><b>Conclusions:</b> Implant therapy may be highly successful in a training center where inexperienced clinicians are strictly monitored and personally guided. Implant specific variables do not affect implant survival but early loading is a risk indicator for implant failure, whereas immediate loading is not.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Factors Associated with Failure of Surface‐Modified Implants up to Four Years of Function</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Factors Associated with Implant Failure</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Factors Associated with Failure of Surface‐Modified Implants up to Four Years of Function</title></titleInfo><name type="personal"><namePart type="given">Jan</namePart><namePart type="family">Cosyn</namePart><namePart type="termsOfAddress">DDS, MSc, PhD</namePart><affiliation>Periodontist, doctor assistant, Department of Periodontology and Oral Implantology, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;</affiliation><affiliation>E-mail: jan.cosyn@ugent.be</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Edward</namePart><namePart type="family">Vandenbulcke</namePart><namePart type="termsOfAddress">DDS, MSc</namePart><affiliation>periodontist, Department of Periodontology and Oral Implantology, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hilde</namePart><namePart type="family">Browaeys</namePart><namePart type="termsOfAddress">MD, DDS</namePart><affiliation>maxillofacial surgeon, Department of Maxillofacial Surgery, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Georges</namePart><namePart type="family">Van Maele</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>professor, Department of Medical Statistics, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hugo</namePart><namePart type="family">De Bruyn</namePart><namePart type="termsOfAddress">DDS, MSc, PhD</namePart><affiliation>periodontist, professor, Department of Periodontology and Oral Implantology, University of Ghent, Faculty of Medicine and Health Sciences, Ghent, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2012-06</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">1</extent><extent unit="tables">8</extent><extent unit="formulas">0</extent><extent unit="references">91</extent><extent unit="linksCrossRef">0</extent><extent unit="words">7481</extent></physicalDescription><abstract>Objectives: The relative impact of innovative treatment concepts on the failure of surface‐modified implants is not well understood. This retrospective study aimed to explore this using data obtained in a university postgraduate training center.</abstract><abstract>Material and Methods: Patients treated with implants for a variety of indications over a 3‐year period were included. All implants had been at least 1 year in function. Clinical records were evaluated for implant failure and in reference to implant length/diameter/location, time from tooth loss to implant placement, bone condition (native/grafted), surgical protocol (two‐/one‐stage), loading protocol (delayed/early/immediate), type of prosthesis (removable/fixed), surgeon's experience level (resident/trainee) and specialty (periodontist/oral surgeon). The impact of each covariate on failure was tested using the Fisher's exact test. Kaplan‐Meier survival functions were constructed and Mantel‐Cox log–rank tests were used to compare survival functions. To correct for possible interaction, Cox proportional Hazards regression was adopted.</abstract><abstract>Results: Forty‐one of 1,180 (3.5%) implants were lost in 34/461 (7.4%) patients (245 ♀, 216 ♂; mean age 51, range 18–90). Factors showing significant impact on failure on the basis of univariate analyses were implant location (p = .015), surgical protocol (p = .002), loading protocol (p = .002), surgeon's experience level (p = .035) and specialty (p = .001). When controlling for other covariates, only the loading protocol had a significant influence (p = .049) with early loading more prone to failure (p = .014) when compared with delayed loading. Immediate loading and delayed loading showed comparable implant survival (p = .311).</abstract><abstract>Conclusions: Implant therapy may be highly successful in a training center where inexperienced clinicians are strictly monitored and personally guided. Implant specific variables do not affect implant survival but early loading is a risk indicator for implant failure, whereas immediate loading is not.</abstract><subject lang="en"><genre>keywords</genre><topic>implant characteristics</topic><topic>implant failure</topic><topic>loading protocol</topic><topic>postgraduate training</topic><topic>risk indicators</topic><topic>surgical experience</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>14</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>347</start><end>358</end><total>12</total></extent></part></relatedItem><identifier type="istex">5FC5C6A6B87C7FD37E2D4199EE0B4D1C24BA33EF</identifier><identifier type="ark">ark:/67375/WNG-2ZM33W05-J</identifier><identifier type="DOI">10.1111/j.1708-8208.2010.00282.x</identifier><identifier type="ArticleID">CID282</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2010 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/5FC5C6A6B87C7FD37E2D4199EE0B4D1C24BA33EF/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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