Clinical Evaluation of Small Diameter Straumann Implants in Partially Edentulous Patients: A 5-Year Retrospective Study
Identifieur interne : 003935 ( Ncbi/Merge ); précédent : 003934; suivant : 003936Clinical Evaluation of Small Diameter Straumann Implants in Partially Edentulous Patients: A 5-Year Retrospective Study
Auteurs : M. Yaltirik ; B. Gökçen-Röhlig ; S. Ozer ; G. EvliogluSource :
- Journal of Dentistry (Tehran, Iran) [ 1735-2150 ] ; 2011.
Abstract
The aim of the present study was to retrospectively evaluate small-diameter (3.3 mm) Straumann® dental implants placed in the maxilla or the mandible over a period of 5 years in function.
Twenty-eight partially edentulous patients received a total of 48 implants over a 5-year period. After the standard healing period (3 to 6 months), the implants were restored with single-tooth prostheses or fixed partial dentures. All patients were followed according to a strict maintenance program with regular recalls. The cumulative survival rates of implants were analyzed and prosthetic complications were assessed.
After 5 years of function, one single 10-mm-long implant in the maxillary premolar region was lost because of recurrent peri-implant infection in a female patient. Two single 10-mm-long maxillary implants placed in the posterior region were lost due to body fracture. The cumulative 5-year survival rate of the implants was 93.75 %. The most common prosthetic complication was loosening of the occlusal screw.
Within the limited observation period and the number of patients included in this study, it may be concluded that the use of small-diameter implants appears to be predictable if clinical guidelines are followed and appropriate prosthetic restorations are provided. However, it should be noted that fatigue fracture may occur.
Url:
PubMed: 21998812
PubMed Central: 3184735
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Clinical Evaluation of Small Diameter Straumann Implants in Partially Edentulous Patients: A 5-Year Retrospective Study</title>
<author><name sortKey="Yaltirik, M" sort="Yaltirik, M" uniqKey="Yaltirik M" first="M." last="Yaltirik">M. Yaltirik</name>
<affiliation><nlm:aff id="af1-jod-8-2-075">Associate Professor, Department of Oral Surgery, Faculty of Dentistry, Istanbul University</nlm:aff>
<wicri:noCountry code="subfield">Istanbul University</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Gokcen Rohlig, B" sort="Gokcen Rohlig, B" uniqKey="Gokcen Rohlig B" first="B." last="Gökçen-Röhlig">B. Gökçen-Röhlig</name>
<affiliation><nlm:aff id="af2-jod-8-2-075"> Assistant Professor, Department of Maxillofacial Prosthodontics, Faculty of Dentistry, Istanbul University</nlm:aff>
<wicri:noCountry code="subfield">Istanbul University</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Ozer, S" sort="Ozer, S" uniqKey="Ozer S" first="S." last="Ozer">S. Ozer</name>
<affiliation><nlm:aff id="af3-jod-8-2-075"> Resident, Department of Oral Surgery, Faculty of Dentistry, Istanbul University</nlm:aff>
<wicri:noCountry code="subfield">Istanbul University</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Evlioglu, G" sort="Evlioglu, G" uniqKey="Evlioglu G" first="G." last="Evlioglu">G. Evlioglu</name>
<affiliation><nlm:aff id="af4-jod-8-2-075"> Professor, Department of Maxillofacial Prosthodontics, Faculty of Dentistry, Istanbul University</nlm:aff>
<wicri:noCountry code="subfield">Istanbul University</wicri:noCountry>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Clinical Evaluation of Small Diameter Straumann Implants in Partially Edentulous Patients: A 5-Year Retrospective Study</title>
<author><name sortKey="Yaltirik, M" sort="Yaltirik, M" uniqKey="Yaltirik M" first="M." last="Yaltirik">M. Yaltirik</name>
<affiliation><nlm:aff id="af1-jod-8-2-075">Associate Professor, Department of Oral Surgery, Faculty of Dentistry, Istanbul University</nlm:aff>
<wicri:noCountry code="subfield">Istanbul University</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Gokcen Rohlig, B" sort="Gokcen Rohlig, B" uniqKey="Gokcen Rohlig B" first="B." last="Gökçen-Röhlig">B. Gökçen-Röhlig</name>
<affiliation><nlm:aff id="af2-jod-8-2-075"> Assistant Professor, Department of Maxillofacial Prosthodontics, Faculty of Dentistry, Istanbul University</nlm:aff>
<wicri:noCountry code="subfield">Istanbul University</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Ozer, S" sort="Ozer, S" uniqKey="Ozer S" first="S." last="Ozer">S. Ozer</name>
<affiliation><nlm:aff id="af3-jod-8-2-075"> Resident, Department of Oral Surgery, Faculty of Dentistry, Istanbul University</nlm:aff>
<wicri:noCountry code="subfield">Istanbul University</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Evlioglu, G" sort="Evlioglu, G" uniqKey="Evlioglu G" first="G." last="Evlioglu">G. Evlioglu</name>
<affiliation><nlm:aff id="af4-jod-8-2-075"> Professor, Department of Maxillofacial Prosthodontics, Faculty of Dentistry, Istanbul University</nlm:aff>
<wicri:noCountry code="subfield">Istanbul University</wicri:noCountry>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of Dentistry (Tehran, Iran)</title>
<idno type="ISSN">1735-2150</idno>
<idno type="eISSN">2008-2185</idno>
<imprint><date when="2011">2011</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective:</title>
<p>The aim of the present study was to retrospectively evaluate small-diameter (3.3 mm) Straumann® dental implants placed in the maxilla or the mandible over a period of 5 years in function.</p>
</sec>
<sec><title>Materials and Methods:</title>
<p>Twenty-eight partially edentulous patients received a total of 48 implants over a 5-year period. After the standard healing period (3 to 6 months), the implants were restored with single-tooth prostheses or fixed partial dentures. All patients were followed according to a strict maintenance program with regular recalls. The cumulative survival rates of implants were analyzed and prosthetic complications were assessed.</p>
</sec>
<sec><title>Results:</title>
<p>After 5 years of function, one single 10-mm-long implant in the maxillary premolar region was lost because of recurrent peri-implant infection in a female patient. Two single 10-mm-long maxillary implants placed in the posterior region were lost due to body fracture. The cumulative 5-year survival rate of the implants was 93.75 %. The most common prosthetic complication was loosening of the occlusal screw.</p>
</sec>
<sec><title>Conclusion:</title>
<p>Within the limited observation period and the number of patients included in this study, it may be concluded that the use of small-diameter implants appears to be predictable if clinical guidelines are followed and appropriate prosthetic restorations are provided. However, it should be noted that fatigue fracture may occur.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Dent (Tehran)</journal-id>
<journal-title-group><journal-title>Journal of Dentistry (Tehran, Iran)</journal-title>
</journal-title-group>
<issn pub-type="ppub">1735-2150</issn>
<issn pub-type="epub">2008-2185</issn>
<publisher><publisher-name>Tehran University of Medical Sciences</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21998812</article-id>
<article-id pub-id-type="pmc">3184735</article-id>
<article-id pub-id-type="publisher-id">jod-8-075</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Clinical Evaluation of Small Diameter Straumann Implants in Partially Edentulous Patients: A 5-Year Retrospective Study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Yaltirik</surname>
<given-names>M.</given-names>
</name>
<xref ref-type="aff" rid="af1-jod-8-2-075"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c1-jod-8-2-075"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>GÖKÇEN-RÖHLIG</surname>
<given-names>B.</given-names>
</name>
<xref ref-type="aff" rid="af2-jod-8-2-075"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>OZER</surname>
<given-names>S.</given-names>
</name>
<xref ref-type="aff" rid="af3-jod-8-2-075"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>EVLIOGLU</surname>
<given-names>G.</given-names>
</name>
<xref ref-type="aff" rid="af4-jod-8-2-075"><sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-jod-8-2-075"><label>1</label>
Associate Professor, Department of Oral Surgery, Faculty of Dentistry, Istanbul University</aff>
<aff id="af2-jod-8-2-075"><label>2</label>
Assistant Professor, Department of Maxillofacial Prosthodontics, Faculty of Dentistry, Istanbul University</aff>
<aff id="af3-jod-8-2-075"><label>3</label>
Resident, Department of Oral Surgery, Faculty of Dentistry, Istanbul University</aff>
<aff id="af4-jod-8-2-075"><label>4</label>
Professor, Department of Maxillofacial Prosthodontics, Faculty of Dentistry, Istanbul University</aff>
<author-notes><corresp id="c1-jod-8-2-075">Corresponding author: M. Yaltirik, Department of Oral Surgery, Istanbul University, Faculty of Dentistry, Istanbul, Turkey, <email>myaltrk@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Spring</season>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>30</day>
<month>6</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="collection"><year>2011</year>
</pub-date>
<volume>8</volume>
<issue>2</issue>
<fpage>75</fpage>
<lpage>80</lpage>
<history><date date-type="received"><day>29</day>
<month>12</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>23</day>
<month>3</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>Copyright © Dental Research Center, Tehran University of Medical Sciences</copyright-statement>
<copyright-year>2011</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.</license-p>
</license>
</permissions>
<abstract><sec><title>Objective:</title>
<p>The aim of the present study was to retrospectively evaluate small-diameter (3.3 mm) Straumann® dental implants placed in the maxilla or the mandible over a period of 5 years in function.</p>
</sec>
<sec><title>Materials and Methods:</title>
<p>Twenty-eight partially edentulous patients received a total of 48 implants over a 5-year period. After the standard healing period (3 to 6 months), the implants were restored with single-tooth prostheses or fixed partial dentures. All patients were followed according to a strict maintenance program with regular recalls. The cumulative survival rates of implants were analyzed and prosthetic complications were assessed.</p>
</sec>
<sec><title>Results:</title>
<p>After 5 years of function, one single 10-mm-long implant in the maxillary premolar region was lost because of recurrent peri-implant infection in a female patient. Two single 10-mm-long maxillary implants placed in the posterior region were lost due to body fracture. The cumulative 5-year survival rate of the implants was 93.75 %. The most common prosthetic complication was loosening of the occlusal screw.</p>
</sec>
<sec><title>Conclusion:</title>
<p>Within the limited observation period and the number of patients included in this study, it may be concluded that the use of small-diameter implants appears to be predictable if clinical guidelines are followed and appropriate prosthetic restorations are provided. However, it should be noted that fatigue fracture may occur.</p>
</sec>
</abstract>
<kwd-group><kwd>Small Diameter Implants</kwd>
<kwd>Complications</kwd>
<kwd>Follow-Up</kwd>
<kwd>Partial Fixed Prosthesis</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><table-wrap id="t1-jod-8-2-075" position="float"><label>Table 1</label>
<caption><p>Distribution of Failing Implants by Site and Survival Rates</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th align="center" valign="middle" rowspan="2" colspan="1">Interval (years)</th>
<th align="center" valign="middle" rowspan="2" colspan="1">Site</th>
<th align="center" valign="middle" rowspan="2" colspan="1">No. placed</th>
<th colspan="2" align="center" valign="middle" rowspan="1">Gender
<hr></hr>
</th>
<th align="center" valign="middle" rowspan="2" colspan="1">No. failed</th>
<th colspan="2" align="center" valign="middle" rowspan="1">Gender
<hr></hr>
</th>
<th align="center" valign="middle" rowspan="2" colspan="1">Survival rates(%)</th>
</tr>
<tr><th align="center" valign="middle" rowspan="1" colspan="1">F</th>
<th align="center" valign="middle" rowspan="1" colspan="1">M</th>
<th align="center" valign="middle" rowspan="1" colspan="1">F</th>
<th align="center" valign="middle" rowspan="1" colspan="1">M</th>
</tr>
</thead>
<tbody><tr><td align="center" valign="middle" rowspan="1" colspan="1">0–5</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Maxillary anterior<xref ref-type="table-fn" rid="tfn1-jod-8-2-075">*</xref>
</td>
<td align="center" valign="middle" rowspan="1" colspan="1">4</td>
<td align="center" valign="middle" rowspan="1" colspan="1">2</td>
<td align="center" valign="middle" rowspan="1" colspan="1">2</td>
<td align="center" valign="middle" rowspan="1" colspan="1">2</td>
<td align="center" valign="middle" rowspan="1" colspan="1">1</td>
<td align="center" valign="middle" rowspan="1" colspan="1">1</td>
<td align="center" valign="middle" rowspan="3" colspan="1">80.0%</td>
</tr>
<tr><td align="center" valign="middle" colspan="8" rowspan="1"><hr></hr>
</td>
</tr>
<tr><td align="center" valign="middle" rowspan="1" colspan="1">0–5</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Maxillary posterior<xref ref-type="table-fn" rid="tfn2-jod-8-2-075">**</xref>
</td>
<td align="center" valign="middle" rowspan="1" colspan="1">11</td>
<td align="center" valign="middle" rowspan="1" colspan="1">5</td>
<td align="center" valign="middle" rowspan="1" colspan="1">6</td>
<td align="center" valign="middle" rowspan="1" colspan="1">1</td>
<td align="center" valign="middle" rowspan="1" colspan="1">1</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
</tr>
<tr><td align="center" valign="middle" colspan="9" rowspan="1"><hr></hr>
</td>
</tr>
<tr><td align="center" valign="middle" rowspan="1" colspan="1">0–5</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Mandibular anterior<xref ref-type="table-fn" rid="tfn1-jod-8-2-075">*</xref>
</td>
<td align="center" valign="middle" rowspan="1" colspan="1">11</td>
<td align="center" valign="middle" rowspan="1" colspan="1">7</td>
<td align="center" valign="middle" rowspan="1" colspan="1">4</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
<td align="center" valign="middle" rowspan="3" colspan="1">100%</td>
</tr>
<tr><td align="center" valign="middle" colspan="8" rowspan="1"><hr></hr>
</td>
</tr>
<tr><td align="center" valign="middle" rowspan="1" colspan="1">0–5</td>
<td align="center" valign="middle" rowspan="1" colspan="1">Mandibular posterior<xref ref-type="table-fn" rid="tfn2-jod-8-2-075">**</xref>
</td>
<td align="center" valign="middle" rowspan="1" colspan="1">22</td>
<td align="center" valign="middle" rowspan="1" colspan="1">10</td>
<td align="center" valign="middle" rowspan="1" colspan="1">12</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
<td align="center" valign="middle" rowspan="1" colspan="1">0</td>
</tr>
</tbody>
</table>
<table-wrap-foot><fn id="tfn1-jod-8-2-075"><label>*</label>
<p>Anterior region including the canine and incisive districts</p>
</fn>
<fn id="tfn2-jod-8-2-075"><label>**</label>
<p>Posterior region including premolar and molar districts</p>
</fn>
<fn id="tfn3-jod-8-2-075"><p>F: Female</p>
</fn>
<fn id="tfn4-jod-8-2-075"><p>M: Male</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Evlioglu, G" sort="Evlioglu, G" uniqKey="Evlioglu G" first="G." last="Evlioglu">G. Evlioglu</name>
<name sortKey="Gokcen Rohlig, B" sort="Gokcen Rohlig, B" uniqKey="Gokcen Rohlig B" first="B." last="Gökçen-Röhlig">B. Gökçen-Röhlig</name>
<name sortKey="Ozer, S" sort="Ozer, S" uniqKey="Ozer S" first="S." last="Ozer">S. Ozer</name>
<name sortKey="Yaltirik, M" sort="Yaltirik, M" uniqKey="Yaltirik M" first="M." last="Yaltirik">M. Yaltirik</name>
</noCountry>
</tree>
</affiliations>
</record>
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