Analysis of implant-failure predictors in the posterior maxilla: a retrospective study of 1395 implants.
Identifieur interne : 001432 ( Main/Exploration ); précédent : 001431; suivant : 001433Analysis of implant-failure predictors in the posterior maxilla: a retrospective study of 1395 implants.
Auteurs : Andreas Max Pabst [Allemagne] ; Christian Walter [Allemagne] ; Sebastian Ehbauer [Allemagne] ; Isabella Zwiener [Allemagne] ; Thomas Ziebart [Allemagne] ; Bilal Al-Nawas [Allemagne] ; Marcus Oliver Klein [Allemagne]Source :
- Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [ 1878-4119 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Alvéole dentaire (), Analyse de survie, Arcade dentaire (), Conception de prothèse dentaire (), Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Implants dentaires (), Jeune adulte, Maxillaire (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâchoire édentée (rééducation et réadaptation), Mâle, Pose d'implant dentaire endo-osseux (), Prévision, Rehaussement du plancher du sinus (), Substituts osseux (usage thérapeutique), Sujet âgé, Sujet âgé de 80 ans ou plus, Transplantation osseuse (), Échec de restauration dentaire (), Études de suivi, Études rétrospectives.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée, Mâchoire édentée.
- usage thérapeutique : Substituts osseux.
- Adolescent, Adulte, Adulte d'âge moyen, Alvéole dentaire, Analyse de survie, Arcade dentaire, Conception de prothèse dentaire, Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Implants dentaires, Jeune adulte, Maxillaire, Mâle, Pose d'implant dentaire endo-osseux, Prévision, Rehaussement du plancher du sinus, Sujet âgé, Sujet âgé de 80 ans ou plus, Transplantation osseuse, Échec de restauration dentaire, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Bone Substitutes (therapeutic use), Bone Transplantation (statistics & numerical data), Dental Arch (surgery), Dental Implantation, Endosseous (statistics & numerical data), Dental Implants (statistics & numerical data), Dental Prosthesis Design (statistics & numerical data), Dental Restoration Failure (statistics & numerical data), Female, Follow-Up Studies, Forecasting, Humans, Jaw, Edentulous (rehabilitation), Jaw, Edentulous, Partially (rehabilitation), Male, Maxilla (surgery), Middle Aged, Retrospective Studies, Sex Factors, Sinus Floor Augmentation (statistics & numerical data), Survival Analysis, Tooth Socket (surgery), Young Adult.
- MESH :
- chemical , statistics & numerical data : Dental Implants.
- chemical , therapeutic use : Bone Substitutes.
- rehabilitation : Jaw, Edentulous, Jaw, Edentulous, Partially.
- statistics & numerical data : Bone Transplantation, Dental Implantation, Endosseous, Dental Prosthesis Design, Dental Restoration Failure, Sinus Floor Augmentation.
- surgery : Dental Arch, Maxilla, Tooth Socket.
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Female, Follow-Up Studies, Forecasting, Humans, Male, Middle Aged, Retrospective Studies, Sex Factors, Survival Analysis, Young Adult.
Abstract
The aim of this study was to analyze predictors for dental implant failure in the posterior maxilla. A database was created to include patients being treated with dental implants posterior to the maxillary cuspids. Independent variables thought to be predictive of potential implant failure included (1) sinus elevation, (2) implant length, (3) implant diameter, (4) indication, (5) implant region, (6) timepoint of implant placement, (7) one-vs. two-stage augmentation, and (8) healing mode. Cox regression analysis was used to evaluate the influence of predictors 1-3 on implant failure as dependent variable. The predictors 4-9 were analyzed strictly descriptively. The final database included 592 patients with 1395 implants. The overall 1- and 5-year implant survival rates were 94.8% and 88.6%, respectively. The survival rates for sinus elevation vs. placement into native bone were 94.4% and 95.4%, respectively (p = 0.33). The survival rates for the short (<10 mm), the middle (10-13 mm) and the long implants (>13 mm) were 100%, 89% and 76.8%, respectively (middle-vs. long implants p = 0.62). The implant survival rates for the small- (<3.6 mm), the middle- (3.6-4.5 mm) and the wide diameter implants (>4.5 mm) were 92.5%, 87.9% and 89.6%, respectively (p = 0.0425). None of the parameters evaluated were identified as predictor of implant failure in the posterior maxilla.
DOI: 10.1016/j.jcms.2015.01.004
PubMed: 25697051
Affiliations:
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Electronic address: andreas.pabst@web.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz</wicri:regionArea><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion></affiliation></author><author><name sortKey="Walter, Christian" sort="Walter, Christian" uniqKey="Walter C" first="Christian" last="Walter">Christian Walter</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz</wicri:regionArea><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion></affiliation></author><author><name sortKey="Ehbauer, Sebastian" sort="Ehbauer, Sebastian" uniqKey="Ehbauer S" first="Sebastian" last="Ehbauer">Sebastian Ehbauer</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz</wicri:regionArea><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion></affiliation></author><author><name sortKey="Zwiener, Isabella" sort="Zwiener, Isabella" uniqKey="Zwiener I" first="Isabella" last="Zwiener">Isabella Zwiener</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center Mainz, Obere Zahlbacher Strasse 69, 55131 Mainz, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center Mainz, Obere Zahlbacher Strasse 69, 55131 Mainz</wicri:regionArea><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion></affiliation></author><author><name sortKey="Ziebart, Thomas" sort="Ziebart, Thomas" uniqKey="Ziebart T" first="Thomas" last="Ziebart">Thomas Ziebart</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz</wicri:regionArea><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion></affiliation></author><author><name sortKey="Al Nawas, Bilal" sort="Al Nawas, Bilal" uniqKey="Al Nawas B" first="Bilal" last="Al-Nawas">Bilal Al-Nawas</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz</wicri:regionArea><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion><wicri:noRegion>55131 Mainz</wicri:noRegion></affiliation></author><author><name sortKey="Klein, Marcus Oliver" sort="Klein, Marcus Oliver" uniqKey="Klein M" first="Marcus Oliver" last="Klein">Marcus Oliver Klein</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, Germany; Private Practice, Oral and Maxillofacial Surgery, Stresemannstrasse 7-9, 40210 Düsseldorf, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, Germany; Private Practice, Oral and Maxillofacial Surgery, Stresemannstrasse 7-9, 40210 Düsseldorf</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Düsseldorf</region><settlement type="city">Düsseldorf</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery</title><idno type="eISSN">1878-4119</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Bone Substitutes (therapeutic use)</term><term>Bone Transplantation (statistics & numerical data)</term><term>Dental Arch (surgery)</term><term>Dental Implantation, Endosseous (statistics & numerical data)</term><term>Dental Implants (statistics & numerical data)</term><term>Dental Prosthesis Design (statistics & numerical data)</term><term>Dental Restoration Failure (statistics & numerical data)</term><term>Female</term><term>Follow-Up Studies</term><term>Forecasting</term><term>Humans</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Male</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Sex Factors</term><term>Sinus Floor Augmentation (statistics & numerical data)</term><term>Survival Analysis</term><term>Tooth Socket (surgery)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Alvéole dentaire ()</term><term>Analyse de survie</term><term>Arcade dentaire ()</term><term>Conception de prothèse dentaire ()</term><term>Facteurs de l'âge</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Implants dentaires ()</term><term>Jeune adulte</term><term>Maxillaire ()</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Prévision</term><term>Rehaussement du plancher du sinus ()</term><term>Substituts osseux (usage thérapeutique)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Transplantation osseuse ()</term><term>Échec de restauration dentaire ()</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="chemical" qualifier="statistics & numerical data" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Bone Substitutes</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Bone Transplantation</term><term>Dental Implantation, Endosseous</term><term>Dental Prosthesis Design</term><term>Dental Restoration Failure</term><term>Sinus Floor Augmentation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Dental Arch</term><term>Maxilla</term><term>Tooth Socket</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Substituts osseux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Follow-Up Studies</term><term>Forecasting</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Sex Factors</term><term>Survival Analysis</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Alvéole dentaire</term><term>Analyse de survie</term><term>Arcade dentaire</term><term>Conception de prothèse dentaire</term><term>Facteurs de l'âge</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Jeune adulte</term><term>Maxillaire</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Prévision</term><term>Rehaussement du plancher du sinus</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Transplantation osseuse</term><term>Échec de restauration dentaire</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to analyze predictors for dental implant failure in the posterior maxilla. A database was created to include patients being treated with dental implants posterior to the maxillary cuspids. Independent variables thought to be predictive of potential implant failure included (1) sinus elevation, (2) implant length, (3) implant diameter, (4) indication, (5) implant region, (6) timepoint of implant placement, (7) one-vs. two-stage augmentation, and (8) healing mode. Cox regression analysis was used to evaluate the influence of predictors 1-3 on implant failure as dependent variable. The predictors 4-9 were analyzed strictly descriptively. The final database included 592 patients with 1395 implants. The overall 1- and 5-year implant survival rates were 94.8% and 88.6%, respectively. The survival rates for sinus elevation vs. placement into native bone were 94.4% and 95.4%, respectively (p = 0.33). The survival rates for the short (<10 mm), the middle (10-13 mm) and the long implants (>13 mm) were 100%, 89% and 76.8%, respectively (middle-vs. long implants p = 0.62). The implant survival rates for the small- (<3.6 mm), the middle- (3.6-4.5 mm) and the wide diameter implants (>4.5 mm) were 92.5%, 87.9% and 89.6%, respectively (p = 0.0425). None of the parameters evaluated were identified as predictor of implant failure in the posterior maxilla.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>District de Düsseldorf</li><li>Rhénanie-du-Nord-Westphalie</li></region><settlement><li>Düsseldorf</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Pabst, Andreas Max" sort="Pabst, Andreas Max" uniqKey="Pabst A" first="Andreas Max" last="Pabst">Andreas Max Pabst</name></noRegion><name sortKey="Al Nawas, Bilal" sort="Al Nawas, Bilal" uniqKey="Al Nawas B" first="Bilal" last="Al-Nawas">Bilal Al-Nawas</name><name sortKey="Ehbauer, Sebastian" sort="Ehbauer, Sebastian" uniqKey="Ehbauer S" first="Sebastian" last="Ehbauer">Sebastian Ehbauer</name><name sortKey="Klein, Marcus Oliver" sort="Klein, Marcus Oliver" uniqKey="Klein M" first="Marcus Oliver" last="Klein">Marcus Oliver Klein</name><name sortKey="Walter, Christian" sort="Walter, Christian" uniqKey="Walter C" first="Christian" last="Walter">Christian Walter</name><name sortKey="Ziebart, Thomas" sort="Ziebart, Thomas" uniqKey="Ziebart T" first="Thomas" last="Ziebart">Thomas Ziebart</name><name sortKey="Zwiener, Isabella" sort="Zwiener, Isabella" uniqKey="Zwiener I" first="Isabella" last="Zwiener">Isabella Zwiener</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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