Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
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Implant success rates in full-arch rehabilitations supported by upright and tilted implants: a retrospective investigation with up to five years of follow-up

  • Francetti, Luca (Universita degli Studi di Milano, Department of Biomedical, Surgical and Dental Sciences, Research Centre in Oral Implantology) ;
  • Rodolfi, Andrea (Universita degli Studi di Milano, Department of Biomedical, Surgical and Dental Sciences, Research Centre in Oral Implantology) ;
  • Barbaro, Bruno (Universita degli Studi di Milano, Department of Biomedical, Surgical and Dental Sciences, Research Centre in Oral Implantology) ;
  • Taschieri, Silvio (Universita degli Studi di Milano, Department of Biomedical, Surgical and Dental Sciences, Research Centre in Oral Implantology) ;
  • Cavalli, Nicolo (Universita degli Studi di Milano, Department of Biomedical, Surgical and Dental Sciences, Research Centre in Oral Implantology) ;
  • Corbella, Stefano (Universita degli Studi di Milano, Department of Biomedical, Surgical and Dental Sciences, Research Centre in Oral Implantology)
  • Received : 2015.10.15
  • Accepted : 2015.11.30
  • Published : 2015.12.31
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Abstract

Purpose: The aim of this retrospective study was to investigate the cumulative success rate, the implant survival rate, and the occurrence of biological complications in implants supporting full-arch immediately loaded rehabilitations supported by upright and tilted implants. Methods: The clinical records and periapical radiographs of patients who attended follow-up visits were collected, and information was recorded regarding marginal bone loss resorption, the occurrence of peri-implant infectious diseases, and the implant survival rate. Implants were classified as successful or not successful according to two distinct classifications for implant success. Results: A total of 53 maxillary and mandibular restorations including 212 implants were analysed, of which 56 implants were studied over the full five-year follow-up period. After five years, the cumulative success rate was 76.04% according to the Misch classification and 56.34% according to the Albrektsson classification. The cumulative implant survival rate was 100%, although one implant was found to be affected by peri-implantitis at the second follow-up visit. Conclusions: The cumulative success rate of the implants dropped over time, corresponding to the progression of marginal bone resorption. The prevalence of peri-implantitis was very low, and the implant survival rate was not found to be related to the cumulative success rate.

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References

  1. Allen F, McMillan A. Food selection and perceptions of chewing ability following provision of implant and conventional prostheses in complete denture wearers. Clin Oral Implants Res 2002;13: 320-6. https://doi.org/10.1034/j.1600-0501.2002.130313.x
  2. Awad MA, Lund JP, Dufresne E, Feine JS. Comparing the efficacy of mandibular implant-retained overdentures and conventional dentures among middle-aged edentulous patients: satisfaction and functional assessment. Int J Prosthodont 2003;16:117-22.
  3. Awad MA, Lund JP, Shapiro SH, Locker D, Klemetti E, Chehade A, et al. Oral health status and treatment satisfaction with mandibular implant overdentures and conventional dentures: a randomized clinical trial in a senior population. Int J Prosthodont 2003; 16:390-6.
  4. Heydecke G, Thomason JM, Lund JP, Feine JS. The impact of conventional and implant supported prostheses on social and sexual activities in edentulous adults Results from a randomized trial 2 months after treatment. J Dent 2005;33:649-57. https://doi.org/10.1016/j.jdent.2005.01.003
  5. Chiapasco M, Casentini P, Zaniboni M. Bone augmentation procedures in implant dentistry. Int J Oral Maxillofac Implants 2009; 24 Suppl:237-59.
  6. Malo P, Rangert B, Nobre M. "All-on-Four" immediate-function concept with Branemark System implants for completely edentulous mandibles: a retrospective clinical study. Clin Implant Dent Relat Res 2003;5 Suppl 1:2-9. https://doi.org/10.1111/j.1708-8208.2003.tb00010.x
  7. Malo P, Rangert B, Nobre M. All-on-4 immediate-function concept with Branemark System implants for completely edentulous maxillae: a 1-year retrospective clinical study. Clin Implant Dent Relat Res 2005;7 Suppl 1:S88-94. https://doi.org/10.1111/j.1708-8208.2005.tb00080.x
  8. Taschieri S, Corbella S, Francetti L, Del Fabbro M. Horizontal bone augmentation in full-arch maxillary implant-supported restorations: a preliminary clinical report. Implant Dent 2014;23:753-9.
  9. Del Fabbro M, Ceresoli V. The fate of marginal bone around axial vs. tilted implants: a systematic review. Eur J Oral Implantol 2014; 7 Suppl 2:S171-89.
  10. Chrcanovic BR, Albrektsson T, Wennerberg A. Tilted versus axially placed dental implants: a meta-analysis. J Dent 2015;43:149-70. https://doi.org/10.1016/j.jdent.2014.09.002
  11. Patzelt SB, Bahat O, Reynolds MA, Strub JR. The all-on-four treatment concept: a systematic review. Clin Implant Dent Relat Res 2014;16:836-55. https://doi.org/10.1111/cid.12068
  12. Francetti L, Corbella S, Taschieri S, Cavalli N, Del Fabbro M. Medium- and long-term complications in full-arch rehabilitations supported by upright and tilted implants. Clin Implant Dent Relat Res 2015;17:758-64. https://doi.org/10.1111/cid.12180
  13. Papaspyridakos P, Chen CJ, Chuang SK, Weber HP, Gallucci GO. A systematic review of biologic and technical complications with fixed implant rehabilitations for edentulous patients. Int J Oral Maxillofac Implants 2012;27:102-10.
  14. Papaspyridakos P, Chen CJ, Singh M, Weber HP, Gallucci GO. Success criteria in implant dentistry: a systematic review. J Dent Res 2012;91:242-8. https://doi.org/10.1177/0022034511431252
  15. Francetti L, Agliardi E, Testori T, Romeo D, Taschieri S, Del Fabbro M. Immediate rehabilitation of the mandible with fixed full prosthesis supported by axial and tilted implants: interim results of a single cohort prospective study. Clin Implant Dent Relat Res 2008; 10:255-63.
  16. Kwon T, Bain PA, Levin L. Systematic review of short- (5-10 years) and long-term (10 years or more) survival and success of full-arch fixed dental hybrid prostheses and supporting implants. J Dent 2014;42:1228-41. https://doi.org/10.1016/j.jdent.2014.05.016
  17. Malo P, de Araujo Nobre M, Lopes A, Ferro A, Gravito I. All-on-4(R) treatment concept for the rehabilitation of the completely edentulous mandible: a 7-year clinical and 5-year radiographic retrospective case series with risk assessment for implant failure and marginal bone level. Clin Implant Dent Relat Res 2015;17 Suppl 2:e531-41. https://doi.org/10.1111/cid.12282
  18. Weinstein R, Agliardi E, Fabbro MD, Romeo D, Francetti L. Immediate rehabilitation of the extremely atrophic mandible with fixed full-prosthesis supported by four implants. Clin Implant Dent Relat Res 2012;14:434-41. https://doi.org/10.1111/j.1708-8208.2009.00265.x
  19. Chen ST, Buser D. Esthetic outcomes following immediate and early implant placement in the anterior maxilla--a systematic review. Int J Oral Maxillofac Implants 2014;29 Suppl:186-215.
  20. Martin WC, Pollini A, Morton D. The influence of restorative procedures on esthetic outcomes in implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2014;29 Suppl:142-54. https://doi.org/10.11607/jomi.2014suppl.g3.1
  21. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1: 11-25.
  22. Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent 2008;17:5-15. https://doi.org/10.1097/ID.0b013e3181676059
  23. Krekmanov L, Heimdahl A. Bone grafting to the maxillary sinus from the lateral side of the mandible. Br J Oral Maxillofac Surg 2000;38:617-9. https://doi.org/10.1054/bjom.2000.0475
  24. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975;25:229-35.
  25. Kim JS, Dailey RJ. Biostatistics for oral healthcare. 1st ed. Oxford: Blackwell Munksgaard; 2008.
  26. Malo P, de Araujo Nobre M, Lopes A. The use of computer-guided flapless implant surgery and four implants placed in immediate function to support a fixed denture: preliminary results after a mean follow-up period of thirteen months. J Prosthet Dent 2007; 97 Suppl:S26-34. https://doi.org/10.1016/S0022-3913(07)60005-5
  27. Agliardi E, Clerico M, Ciancio P, Massironi D. Immediate loading of full-arch fixed prostheses supported by axial and tilted implants for the treatment of edentulous atrophic mandibles. Quintessence Int 2010;41:285-93.
  28. Capelli M, Zuffetti F, Del Fabbro M, Testori T. Immediate rehabilitation of the completely edentulous jaw with fixed prostheses supported by either upright or tilted implants: a multicenter clinical study. Int J Oral Maxillofac Implants 2007;22:639-44.
  29. Francetti L, Romeo D, Corbella S, Taschieri S, Del Fabbro M. Bone level changes around axial and tilted implants in full-arch fixed immediate restorations. Interim results of a prospective study. Clin Implant Dent Relat Res 2012;14:646-54. https://doi.org/10.1111/j.1708-8208.2010.00304.x
  30. Landazuri-Del Barrio RA, Cosyn J, De Paula WN, De Bruyn H, Marcantonio E Jr. A prospective study on implants installed with flapless-guided surgery using the all-on-four concept in the mandible. Clin Oral Implants Res 2013;24:428-33. https://doi.org/10.1111/j.1600-0501.2011.02344.x
  31. Aparicio C, Perales P, Rangert B. Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study. Clin Implant Dent Relat Res 2001;3:39-49. https://doi.org/10.1111/j.1708-8208.2001.tb00127.x
  32. Browaeys H, Dierens M, Ruyffelaert C, Matthijs C, De Bruyn H, Vandeweghe S. Ongoing Crestal Bone Loss around Implants Subjected to Computer-Guided Flapless Surgery and Immediate Loading Using the All-on-4(R) Concept. Clin Implant Dent Relat Res 2015;17:831-43. https://doi.org/10.1111/cid.12197
  33. Calandriello R, Tomatis M. Simplified treatment of the atrophic posterior maxilla via immediate/early function and tilted implants: A prospective 1-year clinical study. Clin Implant Dent Relat Res 2005;7 Suppl 1:S1-12. https://doi.org/10.1111/j.1708-8208.2005.tb00069.x
  34. Moraschini V, Poubel LA, Ferreira VF, Barboza ES. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg 2015;44:377-88. https://doi.org/10.1016/j.ijom.2014.10.023

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