Biological factors contributing to failures of osseointegrated oral implants. (I). Success criteria and epidemiology.
Identifieur interne : 003C01 ( PubMed/Corpus ); précédent : 003C00; suivant : 003C02Biological factors contributing to failures of osseointegrated oral implants. (I). Success criteria and epidemiology.
Auteurs : M. Esposito ; J M Hirsch ; U. Lekholm ; P. ThomsenSource :
- European journal of oral sciences [ 0909-8836 ] ; 1998.
English descriptors
- KwdEn :
- Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (epidemiology), Biology, Bone Transplantation, Dental Implantation, Endosseous (adverse effects), Dental Implantation, Endosseous (statistics & numerical data), Dental Implants (adverse effects), Dental Implants (statistics & numerical data), Dental Prosthesis Design, Dental Prosthesis Retention, Dental Restoration Failure, Epidemiologic Methods, Follow-Up Studies, Forecasting, Humans, Intraoperative Complications (epidemiology), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Mandible (surgery), Maxilla (surgery), Osseointegration, Periodontitis (epidemiology), Prevalence, Prognosis, Radiography, Reproducibility of Results, Stress, Mechanical, Surface Properties, Time Factors, Treatment Outcome.
- MESH :
- chemical , adverse effects : Dental Implants.
- adverse effects : Dental Implantation, Endosseous.
- diagnostic imaging : Alveolar Bone Loss.
- epidemiology : Alveolar Bone Loss, Intraoperative Complications, Periodontitis.
- rehabilitation : Jaw, Edentulous, Jaw, Edentulous, Partially.
- statistics & numerical data : Dental Implantation, Endosseous, Dental Implants.
- surgery : Jaw, Edentulous, Jaw, Edentulous, Partially, Mandible, Maxilla.
- Biology, Bone Transplantation, Dental Prosthesis Design, Dental Prosthesis Retention, Dental Restoration Failure, Epidemiologic Methods, Follow-Up Studies, Forecasting, Humans, Osseointegration, Prevalence, Prognosis, Radiography, Reproducibility of Results, Stress, Mechanical, Surface Properties, Time Factors, Treatment Outcome.
Abstract
The aim of this review was to offer a critical evaluation of the literature and to provide the clinician with scientifically-based diagnostic criteria for monitoring the implant condition. The review presents the current opinions on definitions of osseointegration and implant failure. Further, distinctions between failed and failing implants are discussed together with the presently used parameters to assess the implant status. Radiographic examinations together with implant mobility tests seem to be the most reliable parameters in the assessment of the prognosis for osseointegrated implants. On the basis of 73 published articles, the rates of early and late failures of Brånemark implants, used in various anatomical locations and clinical situations, were analyzed using a metanalytic approach. Biologically related implant failures calculated on a sample of 2,812 implants were relatively rare: 7.7% over a 5-year period (bone graft excluded). The predictability of implant treatment was remarkable, particularly for partially edentulous patients, who showed failure rates about half those of totally edentulous subjects. Our analysis also confirmed (for both early and late failures) the general trend of maxillas, having almost 3 times more implant losses than mandibles, with the exception of the partially edentulous situation which displayed similar failure rates both in upper and lower jaws. Surgical trauma together with anatomical conditions are believed to be the most important etiological factors for early implant losses (3.60% of 16,935 implants). The low prevalence of failures attributable to peri-implantitis found in the literature together with the fact that, in general, partially edentulous patients have less resorbed jaws, speak in favour of jaw volume, bone quality, and overload as the three major determinants for late implant failures in the Brånemark system. Conversely, the ITI system seemed to be characterized by a higher prevalence of losses due to peri-implantitis. These differences may be attributed to the different implant designs and surface characteristics. On the basis of the published literature, there appears to be a number of scientific issues which are yet not fully understood. Therefore, it is concluded that further clinical follow-up and retrieval studies are required in order to achieve a better understanding of the mechanisms for failure of osseointegrated implants.
PubMed: 9527353
Links to Exploration step
pubmed:9527353Le document en format XML
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Thomsen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:9527353</idno><idno type="pmid">9527353</idno><idno type="wicri:Area/PubMed/Corpus">003C01</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003C01</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Biological factors contributing to failures of osseointegrated oral implants. (I). Success criteria and epidemiology.</title><author><name sortKey="Esposito, M" sort="Esposito, M" uniqKey="Esposito M" first="M" last="Esposito">M. Esposito</name><affiliation><nlm:affiliation>Institute of Anatomy and Cell Biology, Göteborg University, Sweden. marco.esposito@anatcell.gu.se</nlm:affiliation></affiliation></author><author><name sortKey="Hirsch, J M" sort="Hirsch, J M" uniqKey="Hirsch J" first="J M" last="Hirsch">J M Hirsch</name></author><author><name sortKey="Lekholm, U" sort="Lekholm, U" uniqKey="Lekholm U" first="U" last="Lekholm">U. Lekholm</name></author><author><name sortKey="Thomsen, P" sort="Thomsen, P" uniqKey="Thomsen P" first="P" last="Thomsen">P. Thomsen</name></author></analytic><series><title level="j">European journal of oral sciences</title><idno type="ISSN">0909-8836</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Bone Loss (diagnostic imaging)</term><term>Alveolar Bone Loss (epidemiology)</term><term>Biology</term><term>Bone Transplantation</term><term>Dental Implantation, Endosseous (adverse effects)</term><term>Dental Implantation, Endosseous (statistics & numerical data)</term><term>Dental Implants (adverse effects)</term><term>Dental Implants (statistics & numerical data)</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis Retention</term><term>Dental Restoration Failure</term><term>Epidemiologic Methods</term><term>Follow-Up Studies</term><term>Forecasting</term><term>Humans</term><term>Intraoperative Complications (epidemiology)</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Mandible (surgery)</term><term>Maxilla (surgery)</term><term>Osseointegration</term><term>Periodontitis (epidemiology)</term><term>Prevalence</term><term>Prognosis</term><term>Radiography</term><term>Reproducibility of Results</term><term>Stress, Mechanical</term><term>Surface Properties</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alveolar Bone Loss</term><term>Intraoperative Complications</term><term>Periodontitis</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Jaw, Edentulous, Partially</term><term>Mandible</term><term>Maxilla</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Biology</term><term>Bone Transplantation</term><term>Dental Prosthesis Design</term><term>Dental Prosthesis Retention</term><term>Dental Restoration Failure</term><term>Epidemiologic Methods</term><term>Follow-Up Studies</term><term>Forecasting</term><term>Humans</term><term>Osseointegration</term><term>Prevalence</term><term>Prognosis</term><term>Radiography</term><term>Reproducibility of Results</term><term>Stress, Mechanical</term><term>Surface Properties</term><term>Time Factors</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this review was to offer a critical evaluation of the literature and to provide the clinician with scientifically-based diagnostic criteria for monitoring the implant condition. The review presents the current opinions on definitions of osseointegration and implant failure. Further, distinctions between failed and failing implants are discussed together with the presently used parameters to assess the implant status. Radiographic examinations together with implant mobility tests seem to be the most reliable parameters in the assessment of the prognosis for osseointegrated implants. On the basis of 73 published articles, the rates of early and late failures of Brånemark implants, used in various anatomical locations and clinical situations, were analyzed using a metanalytic approach. Biologically related implant failures calculated on a sample of 2,812 implants were relatively rare: 7.7% over a 5-year period (bone graft excluded). The predictability of implant treatment was remarkable, particularly for partially edentulous patients, who showed failure rates about half those of totally edentulous subjects. Our analysis also confirmed (for both early and late failures) the general trend of maxillas, having almost 3 times more implant losses than mandibles, with the exception of the partially edentulous situation which displayed similar failure rates both in upper and lower jaws. Surgical trauma together with anatomical conditions are believed to be the most important etiological factors for early implant losses (3.60% of 16,935 implants). The low prevalence of failures attributable to peri-implantitis found in the literature together with the fact that, in general, partially edentulous patients have less resorbed jaws, speak in favour of jaw volume, bone quality, and overload as the three major determinants for late implant failures in the Brånemark system. Conversely, the ITI system seemed to be characterized by a higher prevalence of losses due to peri-implantitis. These differences may be attributed to the different implant designs and surface characteristics. On the basis of the published literature, there appears to be a number of scientific issues which are yet not fully understood. Therefore, it is concluded that further clinical follow-up and retrieval studies are required in order to achieve a better understanding of the mechanisms for failure of osseointegrated implants.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9527353</PMID><DateCompleted><Year>1998</Year><Month>05</Month><Day>19</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0909-8836</ISSN><JournalIssue CitedMedium="Print"><Volume>106</Volume><Issue>1</Issue><PubDate><Year>1998</Year><Month>Feb</Month></PubDate></JournalIssue><Title>European journal of oral sciences</Title><ISOAbbreviation>Eur. J. Oral Sci.</ISOAbbreviation></Journal><ArticleTitle>Biological factors contributing to failures of osseointegrated oral implants. (I). Success criteria and epidemiology.</ArticleTitle><Pagination><MedlinePgn>527-51</MedlinePgn></Pagination><Abstract><AbstractText>The aim of this review was to offer a critical evaluation of the literature and to provide the clinician with scientifically-based diagnostic criteria for monitoring the implant condition. The review presents the current opinions on definitions of osseointegration and implant failure. Further, distinctions between failed and failing implants are discussed together with the presently used parameters to assess the implant status. Radiographic examinations together with implant mobility tests seem to be the most reliable parameters in the assessment of the prognosis for osseointegrated implants. On the basis of 73 published articles, the rates of early and late failures of Brånemark implants, used in various anatomical locations and clinical situations, were analyzed using a metanalytic approach. Biologically related implant failures calculated on a sample of 2,812 implants were relatively rare: 7.7% over a 5-year period (bone graft excluded). The predictability of implant treatment was remarkable, particularly for partially edentulous patients, who showed failure rates about half those of totally edentulous subjects. Our analysis also confirmed (for both early and late failures) the general trend of maxillas, having almost 3 times more implant losses than mandibles, with the exception of the partially edentulous situation which displayed similar failure rates both in upper and lower jaws. Surgical trauma together with anatomical conditions are believed to be the most important etiological factors for early implant losses (3.60% of 16,935 implants). The low prevalence of failures attributable to peri-implantitis found in the literature together with the fact that, in general, partially edentulous patients have less resorbed jaws, speak in favour of jaw volume, bone quality, and overload as the three major determinants for late implant failures in the Brånemark system. Conversely, the ITI system seemed to be characterized by a higher prevalence of losses due to peri-implantitis. These differences may be attributed to the different implant designs and surface characteristics. On the basis of the published literature, there appears to be a number of scientific issues which are yet not fully understood. Therefore, it is concluded that further clinical follow-up and retrieval studies are required in order to achieve a better understanding of the mechanisms for failure of osseointegrated implants.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Esposito</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Institute of Anatomy and Cell Biology, Göteborg University, Sweden. marco.esposito@anatcell.gu.se</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hirsch</LastName><ForeName>J M</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Lekholm</LastName><ForeName>U</ForeName><Initials>U</Initials></Author><Author ValidYN="Y"><LastName>Thomsen</LastName><ForeName>P</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Oral Sci</MedlineTA><NlmUniqueID>9504563</NlmUniqueID><ISSNLinking>0909-8836</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001695" MajorTopicYN="N">Biology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016025" MajorTopicYN="N">Bone Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003758" MajorTopicYN="Y">Dental Implantation, Endosseous</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017267" MajorTopicYN="N">Dental Prosthesis Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017268" MajorTopicYN="N">Dental Prosthesis Retention</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019232" MajorTopicYN="Y">Dental Restoration Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004812" MajorTopicYN="N">Epidemiologic Methods</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005544" MajorTopicYN="N">Forecasting</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007431" MajorTopicYN="N">Intraoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016348" MajorTopicYN="Y">Osseointegration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010518" MajorTopicYN="N">Periodontitis</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011859" 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PubStatus="entrez"><Year>1998</Year><Month>4</Month><Day>4</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9527353</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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