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Gadzo N, Ioannidis A, Naenni N, Hüsler J, Jung RE, Thoma DS. Survival and complication rates of two dental implant systems supporting fixed restorations: 10-year data of a randomized controlled clinical study. Clin Oral Investig 2023; 27:7327-7336. [PMID: 37906305 PMCID: PMC10713755 DOI: 10.1007/s00784-023-05323-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 10/10/2023] [Indexed: 11/02/2023]
Abstract
OBJECTIVES To compare clinical, radiographic, biological and technical long-term outcomes of two types of dental implants over a period of 10 years. MATERIALS AND METHODS Ninety-eight implants were placed in 64 patients, randomly allocated to one of two manufacturers (AST and STM). All implants were loaded with fixed restorations. Outcome measures were assessed at implant insertion (Ti), at baseline examination (TL), at 1, 3, 5, 8 and 10 (T10) years. Data analysis included survival, bone level changes, complications and clinical measures. RESULTS Re-examination was performed in 43 patients (23 AST and 20 STM) at 10 years. The implant level analysis was based on 37 (AST) and 32 (STM) implants. Survival rates of 100% were obtained for both groups. The median changes of the marginal bone levels between baseline and T10 (the primary endpoint) amounted to a loss of 0.07 mm for group AST and a gain of 0.37 mm for group STM (intergroup p = 0.008). Technical complications occurred in 27.0% of the implants in group AST and in 15.6% in group STM. The prevalence of peri-implant mucositis was 29.7% (AST) and 50.1% (STM). The prevalence of peri-implantitis amounted to 0% (AST) and 6.3% (STM). CONCLUSIONS Irrespective of the implant system used, the survival rates after 10 years were high. Minimal bone level changes were observed, statistically significant but clinically negligible in favor of STM. Technical complications were more frequently encountered in group AST, while group STM had a higher prevalence of peri-implant mucositis.
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Affiliation(s)
- Naida Gadzo
- Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, 8032, Zurich, CH, Switzerland
| | - Alexis Ioannidis
- Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, 8032, Zurich, CH, Switzerland
| | - Nadja Naenni
- Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, 8032, Zurich, CH, Switzerland
| | - Jürg Hüsler
- Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, 8032, Zurich, CH, Switzerland
| | - Ronald E Jung
- Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, 8032, Zurich, CH, Switzerland
| | - Daniel S Thoma
- Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, 8032, Zurich, CH, Switzerland.
- Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul, Korea.
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Walter P, Pirc M, Alexis I, Hüsler J, Jung RE, Hämmerle CH, Thoma DS. Randomized controlled clinical study comparing two types of two‐piece dental implants supporting fixed restorations – results at 8 years of loading. Clin Oral Implants Res 2022; 33:333-341. [PMID: 35060200 PMCID: PMC9303227 DOI: 10.1111/clr.13893] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 11/17/2021] [Accepted: 01/04/2022] [Indexed: 11/28/2022]
Abstract
Objectives To assess clinical, technical, biological, and radiographic outcomes of implants supporting fixed restorations using two types of dental implants with non‐matching implant–abutment junctions at 8 years. Materials and methods Sixty‐four patients were randomly assigned to receive one of two implant systems (S1 or S2) and eventually fixed restorations. Patients were examined at loading (TL), one (T1), three (T3), five (T5), and eight years (T8). Outcome measures included implant and restoration survival, technical and biological complications, and radiographic bone levels. All data were analyzed on the implant and patient level. Results Ninety‐eight implants were inserted in 64 patients and loaded with fixed restorations. At 8 years, 49 patients with 42 (S1) and 36 (S2) implants (25 in group S1 and 24 in group S2 on the patient level) were re‐examined. The survival rates on the patient level were 97.6% (S1) and 97.2% (S2). The marginal bone levels (the primary endpoint) amounted to a gain of 0.21 mm (Q1: −0.11 mm; Q3: 0.5 mm) (S1) (p = .007) and to a loss of 0.24 mm (Q1: −0.79 mm; Q3: 0.05 mm) (S2) (p = .001) between baseline (TL) and T8 (intergroup p < .001). The technical complication rates were 28% (S1) and 12.5% (S2) (intergroup p = .289). Peri‐implant mucositis was observed in 24% (S1) and 50% (S2) of the implants on the patient level (intergroup p = .792). The respective figures for peri‐implantitis were 0% (S1) and 12.5% (S2) (intergroup p = .11). Conclusions Dental implants with non‐matching implant–abutment junctions supporting fixed restorations resulted in high survival rates independent of the system used. Differences, mainly observed in terms of technical complications (in favor of S2), biological complications (in favor of S1), and marginal bone‐level changes (in favor of group S1), appear to be clinically negligible.
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Affiliation(s)
- Prisca Walter
- Clinic of Reconstructive Dentistry Center for Dental Medicine University of Zurich Zurich Switzerland
| | - Miha Pirc
- Clinic of Reconstructive Dentistry Center for Dental Medicine University of Zurich Zurich Switzerland
| | - Ioannidis Alexis
- Clinic of Reconstructive Dentistry Center for Dental Medicine University of Zurich Zurich Switzerland
| | - Jürg Hüsler
- Clinic of Reconstructive Dentistry Center for Dental Medicine University of Zurich Zurich Switzerland
| | - Ronald E. Jung
- Clinic of Reconstructive Dentistry Center for Dental Medicine University of Zurich Zurich Switzerland
| | - Christoph H.F. Hämmerle
- Clinic of Reconstructive Dentistry Center for Dental Medicine University of Zurich Zurich Switzerland
| | - Daniel S. Thoma
- Clinic of Reconstructive Dentistry Center for Dental Medicine University of Zurich Zurich Switzerland
- Department of Periodontology Research Institute for Periodontal Regeneration College of Dentistry Yonsei University Seoul Korea
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USLU MÖ, BOZKURT E. Dental İmplant Uygulamalarının Demografik Ve Klinik Özelliklerinin Değerlendirilmesi. DÜZCE ÜNIVERSITESI SAĞLIK BILIMLERI ENSTITÜSÜ DERGISI 2021. [DOI: 10.33631/duzcesbed.694643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Li J, Yin X, Huang L, Mouraret S, Brunski JB, Cordova L, Salmon B, Helms JA. Relationships among Bone Quality, Implant Osseointegration, and Wnt Signaling. J Dent Res 2017; 96:822-831. [PMID: 28571512 DOI: 10.1177/0022034517700131] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
A variety of clinical classification schemes have been proposed as a means to identify sites in the oral cavity where implant osseointegration is likely to be successful. Most schemes are based on structural characteristics of the bone, for example, the relative proportion of densely compact, homogenous (type I) bone versus more trabeculated, cancellous (type III) bone. None of these schemes, however, consider potential biological characteristics of the bone. Here, we employed multiscale analyses to identify and characterize type I and type III bones in murine jaws. We then combined these analytical tools with in vivo models of osteotomy healing and implant osseointegration to determine if one type of bone healed faster and supported osseointegration better than another. Collectively, these studies revealed a strong positive correlation between bone remodeling rates, mitotic activity, and osteotomy site healing in type III bone and high endogenous Wnt signaling. This positive correlation was strengthened by observations showing that the osteoid matrix that is responsible for implant osseointegration originates from Wnt-responsive cells and their progeny. The potential application of this knowledge to clinical practice is discussed, along with a theory unifying the role that biology and mechanics play in implant osseointegration.
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Affiliation(s)
- J Li
- 1 State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.,2 Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
| | - X Yin
- 1 State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.,2 Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
| | - L Huang
- 2 Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.,3 Department of Orthodontics, Stomatological Hospital of Chongqing Medical University, Chongqing, China
| | - S Mouraret
- 2 Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
| | - J B Brunski
- 2 Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
| | - L Cordova
- 2 Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.,4 Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Chile, Santiago, Chile
| | - B Salmon
- 5 EA 2496, Orofacial Pathologies, Imaging and Biothérapies Laboratoire, L'Université Paris Descartes, Sorbonne Paris Cité, Montrouge, France.,6 Le Service d'Odontologie de Bretonneau, Hôpitaux Universitaires Paris Nord Val de Seine, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - J A Helms
- 2 Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA
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Salem D, Natto Z, Elangovan S, Karimbux N. Usage of Bone Replacement Grafts in Periodontics and Oral Implantology and Their Current Levels of Clinical Evidence — A Systematic Assessment. J Periodontol 2016; 87:872-9. [DOI: 10.1902/jop.2016.150512] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Jafarian M, Bayat M, Pakravan AH, Emadi N. Analysis of the Factors Affecting Surgical Success of Implants Placed in Iranian Warfare Victims. Med Princ Pract 2016; 25:449-54. [PMID: 27322534 PMCID: PMC5588444 DOI: 10.1159/000447696] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2015] [Accepted: 06/19/2016] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE The aim was to evaluate the survival time and success rates of dental implants in warfare victims and factors that affect implant success. SUBJECTS AND METHODS This retrospective study involved 250 Iranian warfare victims who received dental implants from 2003 to 2013. Patients' demographic characteristics, as well as the brand, diameter, length, location and failure rate of the implants were retrieved from patients' dental records and radiographs. The associations between these data and the survival rate were analyzed. Statistical analysis was carried out with χ2 and log-rank tests. RESULTS Overall, out of the 1,533 dental implants, 61 (4%) failed. The maxillary canine area had the highest failure rate [9 of 132 implants (6.8%)], while the mandibular incisor region had the least number of failures [3 of 147 implants (2.0%)] and the longest survival time (approximately 3,182 days). Maxillary canine areas had the shortest survival (about 2,996 days). The longest survival time was observed in implants with 11 mm length (3,179.72 ± 30.139 days) and 3.75-4 mm diameter (3,131.161 ± 35.96 days), and the shortest survival was found in implants with 11.5 mm length (2,317.79 ± 18.71 days) and 6.5 mm diameter (2,241.45 ± 182.21 days). Moreover, implants with 10 mm length (10.7%) and 5.5-6 mm diameter (22.2%) had the highest failure rate; however, the least failure rate occurred when the implants were 11.5 mm in length (1.9%) and 3-3.5 mm in diameter (3.1%). CONCLUSIONS The brand, length and diameter of implants affected the survival time, failure rate and time to failure. The location of the implant was not statistically significant regarding the mentioned factors, although it has clinical significance.
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Affiliation(s)
- Mohammad Jafarian
- Department of Oral and Maxillofacial Surgery, Dental Research Center, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Bayat
- Department of Oral and Maxillofacial Surgery, Dental School, Tehran University of Medical Sciences, Tehran, Iran
| | - Amir-Hossein Pakravan
- Department of Oral and Maxillofacial Surgery, Dental School, Mazandaran University of Medical Sciences, Sari, Tehran, Iran
| | - Naghmeh Emadi
- Department of Dental Research Center, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- *Naghmeh Emadi, Department of Dental Research Center, Dental School, Shahid Beheshti University of Medical Sciences, Evin, 1983963113 Tehran (Iran), E-Mail
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Lee JS, Kim HM, Kim CS, Choi SH, Chai JK, Jung UW. Long-term retrospective study of narrow implants for fixed dental prostheses. Clin Oral Implants Res 2012; 24:847-52. [DOI: 10.1111/j.1600-0501.2012.02472.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/25/2012] [Indexed: 11/26/2022]
Affiliation(s)
- Jung-Seok Lee
- Department of Periodontology; Research Institute for Periodontal Regeneration; College of Dentistry; Yonsei University; Seoul; Korea
| | - Hyun-Min Kim
- Department of Periodontology; Research Institute for Periodontal Regeneration; College of Dentistry; Yonsei University; Seoul; Korea
| | - Chang-Sung Kim
- Department of Periodontology; Research Institute for Periodontal Regeneration; College of Dentistry; Yonsei University; Seoul; Korea
| | - Seong-Ho Choi
- Department of Periodontology; Research Institute for Periodontal Regeneration; College of Dentistry; Yonsei University; Seoul; Korea
| | - Jung-Kiu Chai
- Department of Periodontology; Research Institute for Periodontal Regeneration; College of Dentistry; Yonsei University; Seoul; Korea
| | - Ui-Won Jung
- Department of Periodontology; Research Institute for Periodontal Regeneration; College of Dentistry; Yonsei University; Seoul; Korea
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