The longitudinal clinical effectiveness of ITI solid-screw implants in partially edentulous patients: a 5-year follow-up report
Autor: | A, Behneke, N, Behneke, B, d'Hoedt |
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Rok vydání: | 2000 |
Předmět: |
Adult
Aged 80 and over Dental Implants Male Adolescent Jaw Edentulous Partially Dental Implantation Endosseous Dental Plaque Index Alveolar Bone Loss Middle Aged Statistics Nonparametric Radiography Treatment Outcome Dental Prosthesis Design Osseointegration Humans Female Dental Prosthesis Implant-Supported Dental Restoration Failure Prospective Studies Periodontal Index Aged Follow-Up Studies |
Zdroj: | The International journal of oralmaxillofacial implants. 15(5) |
ISSN: | 0882-2786 |
Popis: | A total of 114 ITI solid-screw implants was consecutively placed in 55 partially edentulous patients and restored with 68 fixed prostheses. The patients were followed for at least 5 years in a prospective study that focused on implant success and longitudinal reactions of the peri-implant hard and soft tissues. During the study period, 5 implants failed and 15 implants were lost to follow-up, resulting in a cumulative survival rate of 95.3% after 5 years of loading. The success analysis included additional strictly defined events ("first occurrence of marginal bone lossor = 4 mm," "first occurrence of pocket depthor = 4 mm," and "first occurrence of crevicular fluid volumeor = 2.5 mm") and resulted in a cumulative 5-year success rate of 89.0%. Median loss of marginal bone, as observed on radiographs, was 0.7 mm between implant placement and prosthetic treatment and 0.5 mm between prosthesis placement and the 5-year evaluation. Compared to the previous year's value, the annual increase in marginal bone loss did not reach a level of statistical significance between 1 and 5 years of function, so that a steady state prevailed. The incidence of lingual-palatal surfaces affected with remarkable plaque deposits increased from 13% after prosthesis placement to 23% after 5 years. Sulcus Bleeding index, probing depth, attachment level, and crevicular fluid volume were used to describe the health of the peri-implant soft tissues. The research parameters remained almost unchanged and indicated a soft tissue response within physiologic levels. Most mechanical complications were experienced during the first year of loading and were related to loosening of occlusal screws, which occurred in 8 (12%) of 68 restorations. |
Databáze: | OpenAIRE |
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