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http://dx.doi.org/10.5051/jpis.2015.45.6.210

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)
Publication Information
Journal of Periodontal and Implant Science / v.45, no.6, 2015 , pp. 210-215 More about this Journal
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.
Keywords
Bone resorption; Dental implants; Dental restoration failure; Implant-supported dental prosthesis; Peri-implantitis;
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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.   DOI
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.   DOI
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.   DOI
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.   DOI
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.   DOI
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.   DOI
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.   DOI
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.   DOI
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.   DOI
17 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.   DOI
18 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.   DOI
19 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.   DOI
20 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.
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.   DOI
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.   DOI
24 Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975;25:229-35.
25 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.
26 Kim JS, Dailey RJ. Biostatistics for oral healthcare. 1st ed. Oxford: Blackwell Munksgaard; 2008.
27 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.   DOI
28 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.
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.   DOI
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.   DOI
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.   DOI
32 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.   DOI
33 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.   DOI
34 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.   DOI