Retrospective cohort study of rough-surface titanium implants with at least 25 years’ function
Identifieur interne : 000083 ( Main/Exploration ); précédent : 000082; suivant : 000084Retrospective cohort study of rough-surface titanium implants with at least 25 years’ function
Auteurs : Tadashi Horikawa [Japon] ; Tetsurou Odatsu [Japon] ; Takatoshi Itoh [Japon] ; Yoshiki Soejima [Japon] ; Hutoshi Morinaga [Japon] ; Naruyoshi Abe [Japon] ; Naoyuki Tsuchiya [Japon] ; Toshikazu Iijima [Japon] ; Takashi Sawase [Japon]Source :
- International Journal of Implant Dentistry [ 2198-4034 ] ; 2017.
Abstract
The longitudinal clinical outcomes over decades contribute to know potential factors leading to implant failure or complications and help in the decision of treatment alternatives.
The cases of all patients who received dental implants treated with titanium plasma-sprayed surfaces and whose prostheses were set in the period 1984–1990 at seven private practices were retrospectively analyzed. The cumulative survival rate, the cumulative incidence of peri-implantitis, and the complication-free prosthesis rate were calculated with Kaplan-Meier survival curves, and the factors’ influence on implant survival rate and the incidence of peri-implantitis were determined by a single factor in univariate analyses and multivariate analyses.
A total of 223 implants and 106 prostheses were applied to 92 patients, and approx. 62% of the implants and patients dropped out over the 25 years following their treatment. The cumulative survival rates of the implants at 10, 15, and 25 years were 97.4, 95.4, and 89.8%, respectively. A significant difference was observed in the implant position. The cumulative incidences of peri-implantitis at 10, 15, and 25 years were 15.3, 21.0, and 27.9%, respectively. Significant differences were observed in the gender, implant type, and width of keratinized mucosa around the implant. The cumulative survival rates of mechanical complication-free prostheses at 10, 15, and 25 years were 74.9, 68.8, and 56.4%, respectively. The difference in the type of prosthesis resulted in significant differences.
The high rate of dropout during follow-up indicates the difficulty of determining long-term (> 25 years) prognoses. The gender, location, and width of keratinized mucosa affected the development of peri-implantitis, resulting in late failures. Implant-supported overdentures were frequently repaired. Tooth implant-supported prostheses are not recommended for long-term survival.
Url:
DOI: 10.1186/s40729-017-0101-7
PubMed: 28875460
PubMed Central: 5585117
Affiliations:
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last="Iijima">Toshikazu Iijima</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto, 860-0851 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Sawase, Takashi" sort="Sawase, Takashi" uniqKey="Sawase T" first="Takashi" last="Sawase">Takashi Sawase</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto, 860-0851 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8902 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Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Odatsu, Tetsurou" sort="Odatsu, Tetsurou" uniqKey="Odatsu T" first="Tetsurou" last="Odatsu">Tetsurou Odatsu</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8902 2273</institution-id><institution-id institution-id-type="GRID">grid.174567.6</institution-id><institution>Department of Applied Prosthodontics, Graduate School of Biomedical Sciences,</institution><institution>Nagasaki University,</institution></institution-wrap>1-7-1 Sakamoto, Nagasaki, 852-8588 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>1-7-1 Sakamoto, Nagasaki</wicri:regionArea><wicri:noRegion>Nagasaki</wicri:noRegion></affiliation></author><author><name sortKey="Itoh, Takatoshi" sort="Itoh, Takatoshi" uniqKey="Itoh T" first="Takatoshi" last="Itoh">Takatoshi Itoh</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto, 860-0851 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Soejima, Yoshiki" sort="Soejima, Yoshiki" uniqKey="Soejima Y" first="Yoshiki" last="Soejima">Yoshiki Soejima</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto, 860-0851 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Morinaga, Hutoshi" sort="Morinaga, Hutoshi" uniqKey="Morinaga H" first="Hutoshi" last="Morinaga">Hutoshi Morinaga</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto, 860-0851 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Abe, Naruyoshi" sort="Abe, Naruyoshi" uniqKey="Abe N" first="Naruyoshi" last="Abe">Naruyoshi Abe</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto, 860-0851 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Tsuchiya, Naoyuki" sort="Tsuchiya, Naoyuki" uniqKey="Tsuchiya N" first="Naoyuki" last="Tsuchiya">Naoyuki Tsuchiya</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto, 860-0851 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Iijima, Toshikazu" sort="Iijima, Toshikazu" uniqKey="Iijima T" first="Toshikazu" last="Iijima">Toshikazu Iijima</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto, 860-0851 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Sawase, Takashi" sort="Sawase, Takashi" uniqKey="Sawase T" first="Takashi" last="Sawase">Takashi Sawase</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto, 860-0851 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kyushu Implant Research Group, 4-14 Kokaihonmachi, Chuo-ku, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8902 2273</institution-id><institution-id institution-id-type="GRID">grid.174567.6</institution-id><institution>Department of Applied Prosthodontics, Graduate School of Biomedical Sciences,</institution><institution>Nagasaki University,</institution></institution-wrap>1-7-1 Sakamoto, Nagasaki, 852-8588 Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>1-7-1 Sakamoto, Nagasaki</wicri:regionArea><wicri:noRegion>Nagasaki</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Implant Dentistry</title><idno type="eISSN">2198-4034</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">The longitudinal clinical outcomes over decades contribute to know potential factors leading to implant failure or complications and help in the decision of treatment alternatives.</p></sec><sec><title>Methods</title><p id="Par2">The cases of all patients who received dental implants treated with titanium plasma-sprayed surfaces and whose prostheses were set in the period 1984–1990 at seven private practices were retrospectively analyzed. The cumulative survival rate, the cumulative incidence of peri-implantitis, and the complication-free prosthesis rate were calculated with Kaplan-Meier survival curves, and the factors’ influence on implant survival rate and the incidence of peri-implantitis were determined by a single factor in univariate analyses and multivariate analyses.</p></sec><sec><title>Results</title><p id="Par3">A total of 223 implants and 106 prostheses were applied to 92 patients, and approx. 62% of the implants and patients dropped out over the 25 years following their treatment. The cumulative survival rates of the implants at 10, 15, and 25 years were 97.4, 95.4, and 89.8%, respectively. A significant difference was observed in the implant position. The cumulative incidences of peri-implantitis at 10, 15, and 25 years were 15.3, 21.0, and 27.9%, respectively. Significant differences were observed in the gender, implant type, and width of keratinized mucosa around the implant. The cumulative survival rates of mechanical complication-free prostheses at 10, 15, and 25 years were 74.9, 68.8, and 56.4%, respectively. The difference in the type of prosthesis resulted in significant differences.</p></sec><sec><title>Conclusions</title><p id="Par4">The high rate of dropout during follow-up indicates the difficulty of determining long-term (> 25 years) prognoses. The gender, location, and width of keratinized mucosa affected the development of peri-implantitis, resulting in late failures. Implant-supported overdentures were frequently repaired. Tooth implant-supported prostheses are not recommended for long-term survival.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author><author><name sortKey="Breine, U" uniqKey="Breine U">U Breine</name></author><author><name sortKey="Hansson, Bo" uniqKey="Hansson B">BO Hansson</name></author><author><name sortKey="Lindstrom, J" uniqKey="Lindstrom J">J Lindström</name></author><author><name sortKey="Ohlsson, A" uniqKey="Ohlsson A">A Ohlsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author><author><name sortKey="Sennerby, L" uniqKey="Sennerby L">L Sennerby</name></author><author><name sortKey="De Bruyn, H" uniqKey="De Bruyn H">H De Bruyn</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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sortKey="Zeman, F" uniqKey="Zeman F">F Zeman</name></author><author><name sortKey="Koller, M" uniqKey="Koller M">M Koller</name></author><author><name sortKey="Lang, R" uniqKey="Lang R">R Lang</name></author><author><name sortKey="Handel, G" uniqKey="Handel G">G Handel</name></author><author><name sortKey="Behr, M" uniqKey="Behr M">M Behr</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Horikawa, Tadashi" sort="Horikawa, Tadashi" uniqKey="Horikawa T" first="Tadashi" last="Horikawa">Tadashi Horikawa</name></noRegion><name sortKey="Abe, Naruyoshi" sort="Abe, Naruyoshi" uniqKey="Abe N" first="Naruyoshi" last="Abe">Naruyoshi Abe</name><name sortKey="Iijima, Toshikazu" sort="Iijima, Toshikazu" uniqKey="Iijima T" first="Toshikazu" last="Iijima">Toshikazu Iijima</name><name sortKey="Itoh, Takatoshi" sort="Itoh, Takatoshi" uniqKey="Itoh T" first="Takatoshi" last="Itoh">Takatoshi Itoh</name><name sortKey="Morinaga, Hutoshi" sort="Morinaga, Hutoshi" uniqKey="Morinaga H" first="Hutoshi" last="Morinaga">Hutoshi Morinaga</name><name sortKey="Odatsu, Tetsurou" sort="Odatsu, Tetsurou" uniqKey="Odatsu T" first="Tetsurou" last="Odatsu">Tetsurou Odatsu</name><name sortKey="Sawase, Takashi" sort="Sawase, Takashi" uniqKey="Sawase T" first="Takashi" last="Sawase">Takashi Sawase</name><name sortKey="Sawase, Takashi" sort="Sawase, Takashi" uniqKey="Sawase T" first="Takashi" last="Sawase">Takashi Sawase</name><name sortKey="Soejima, Yoshiki" sort="Soejima, Yoshiki" uniqKey="Soejima Y" first="Yoshiki" last="Soejima">Yoshiki Soejima</name><name sortKey="Tsuchiya, Naoyuki" sort="Tsuchiya, Naoyuki" uniqKey="Tsuchiya N" first="Naoyuki" last="Tsuchiya">Naoyuki Tsuchiya</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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