J Adv Prosthodont.  2011 Dec;3(4):204-215. 10.4047/jap.2011.3.4.204.

A retrospective study on related factors affecting the survival rate of dental implants

Affiliations
  • 1Department of Prosthodontics, Dental Center, Seoul Veterans Hospital, Korea. cn807@lycos.co.kr

Abstract

PURPOSE
The aim of this retrospective study is to analyze the relationship between local factors and survival rate of dental implant which had been installed and restored in Seoul Veterans Hospital dental center for past 10 years. And when the relationship is found out, it could be helpful to predict the prognosis of dental implants.
MATERIALS AND METHODS
A retrospective study of patients receiving root-shaped screw-type dental implants placed from January 2000 to December 2009 was conducted. 6385 implants were placed in 3755 patients. The following data were collected from the dental records and radiographs: patient's age, gender, implant type and surface, length, diameter, location of implant placement, bone quality, prosthesis type. The correlations between these data and survival rate were analyzed. Statistical analysis was performed with the use of Kaplan-Meier analysis, Chi-square test and odds ratio.
RESULTS
In all, 6385 implants were placed in 3755 patients (3120 male, 635 female; mean age 65 +/- 10.58 years). 108 implants failed and the cumulative survival rate was 96.33%. There were significant differences in age, implant type and surface, length, location and prosthesis type (P<.05). No significant differences were found in relation to the following factors: gender, diameter and bone quality (P>.05).
CONCLUSION
Related factors such as age, implant type, length, location and prosthesis type had a significant effect on the implant survival.

Keyword

Dental implants; Implant survival; Implant type and surface; Length; Location; Prosthesis type

MeSH Terms

Dental Implants
Dental Records
Hospitals, Veterans
Humans
Kaplan-Meier Estimate
Male
Prognosis
Prostheses and Implants
Retrospective Studies
Survival Rate
Dental Implants

Figure

  • Fig. 1 A: The survival curve according to gender, B: The survival curve according to age.

  • Fig. 2 The survival curve according to implant type and surface.

  • Fig. 3 The survival curve according to implant diameter.

  • Fig. 4 The survival curve according to implant length.

  • Fig. 5 The survival curve according to location.

  • Fig. 6 The survival curve according to prosthesis type.

  • Fig. 7 The survival curve according to bone quality.


Cited by  1 articles

Marginal bone loss around crestal or subcrestal dental implants: prospective clinical study
Naser Sargolzaie, Hosein Hoseini Zarch, Hamidreza Arab, Tahereh Koohestani, Mahdiye Fasihi Ramandi
J Korean Assoc Oral Maxillofac Surg. 2022;48(3):159-166.    doi: 10.5125/jkaoms.2022.48.3.159.


Reference

1. Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969. 3:81–100.
2. Brånemark PI, Hansson BO, Adell R, Breine U, Lindström J, Hallén O, Ohman A. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977. 16:1–132.
3. Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981. 10:387–416.
4. Adell R, Eriksson B, Lekholm U, Brånemark PI, Jemt T. Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants. 1990. 5:347–359.
5. Buser D, Mericske-Stern R, Bernard JP, Behneke A, Behneke N, Hirt HP, Belser UC, Lang NP. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res. 1997. 8:161–172.
6. Esposito M, Grusovin MG, Coulthard P, Thomsen P, Worthington HV. A 5-year follow-up comparative analysis of the efficacy of various osseointegrated dental implant systems: a systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants. 2005. 20:557–568.
7. el Askary AS, Meffert RM, Griffin T. Why do dental implants fail? Part I. Implant Dent. 1999. 8:173–185.
8. el Askary AS, Meffert RM, Griffin T. Why do dental implants fail? Part II. Implant Dent. 1999. 8:265–277.
9. Albrektsson T, Brånemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand. 1981. 52:155–170.
10. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci. 1998. 106:721–764.
11. Tonetti MS, Schmid J. Pathogenesis of implant failures. Periodontol 2000. 1994. 4:127–138.
12. Albrektsson T, Dahl E, Enbom L, Engevall S, Engquist B, Eriksson AR, Feldmann G, Freiberg N, Glantz PO, Kjellman O, et al. Osseointegrated oral implants. A Swedish multicenter study of 8139 consecutively inserted Nobelpharma implants. J Periodontol. 1988. 59:287–296.
13. Lekholm U, Zarb G. Brånemark PI, Zarb GA, Albrektsson T, editors. Patient selection and preparation. Tissue integrated prosheses: Osseointegration in clinical Dentistry. 1985. Chicago: Quintessence Publishing Co;199–209.
14. Tricio J, Laohapand P, van Steenberghe D, Quirynen M, Naert I. Mechanical state assessment of the implant-bone continuum: a better understanding of the Periotest method. Int J Oral Maxillofac Implants. 1995. 10:43–49.
15. Cochran DL, Buser D, ten Bruggenkate CM, Weingart D, Taylor TM, Bernard JP, Peters F, Simpson JP. The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results from clinical trials on ITI SLA implants. Clin Oral Implants Res. 2002. 13:144–153.
16. Buser D, Weber HP, Lang NP. Tissue integration of non-submerged implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. Clin Oral Implants Res. 1990. 1:33–40.
17. Kim SH, Kim SJ, Lee KW, Han DH. The effects of local factors on the survival rate of dental implants: A 19 year retrospective study. J Korean Acad Prosthodont. 2010. 48:28–40.
18. Bryant SR. The effects of age, jaw site, and bone condition on oral implant outcomes. Int J Prosthodont. 1998. 11:470–490.
19. Shirota T, Ohno K, Suzuki K, Michi K. The effect of aging on the healing of hydroxylapatite implants. J Oral Maxillofac Surg. 1993. 51:51–56.
20. Smith RA, Berger R, Dodson TB. Risk factors associated with dental implants in healthy and medically compromised patients. Int J Oral Maxillofac Implants. 1992. 7:367–372.
21. Schwartz-Arad D, Laviv A, Levin L. Failure causes, timing, and cluster behavior: an 8-year study of dental implants. Implant Dent. 2008. 17:200–207.
22. Wagenberg B, Froum SJ. A retrospective study of 1925 consecutively placed immediate implants from 1988 to 2004. Int J Oral Maxillofac Implants. 2006. 21:71–80.
23. Renouard F, Nisand D. Impact of implant length and diameter on survival rates. Clin Oral Implants Res. 2006. 17:35–51.
24. Ivanoff CJ, Gröndahl K, Sennerby L, Bergström C, Lekholm U. Influence of variations in implant diameters: a 3- to 5-year retrospective clinical report. Int J Oral Maxillofac Implants. 1999. 14:173–180.
25. Mordenfeld MH, Johansson A, Hedin M, Billström C, Fyrberg KA. A retrospective clinical study of wide-diameter implants used in posterior edentulous areas. Int J Oral Maxillofac Implants. 2004. 19:387–392.
26. Shin SW, Bryant SR, Zarb GA. A retrospective study on the treatment outcome of wide-bodied implants. Int J Prosthodont. 2004. 17:52–58.
27. Misch CE. Short dental implants: a literature review and rationale for use. Dent Today. 2005. 24:64–66. 68
28. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent. 2003. 90:121–132.
29. Bryant SR, MacDonald-Jankowski D, Kim K. Does the type of implant prosthesis affect outcomes for the completely edentulous arch? Int J Oral Maxillofac Implants. 2007. 22:117–139.
30. Weber HP, Sukotjo C. Does the type of implant prosthesis affect outcomes in the partially edentulous patient? Int J Oral Maxillofac Implants. 2007. 22:140–172.
31. Meredith N, Shagaldi F, Alleyne D, Sennerby L, Cawley P. The application of resonance frequency measurements to study the stability of titanium implants during healing in the rabbit tibia. Clin Oral Implants Res. 1997. 8:234–243.
32. Huwiler MA, Pjetursson BE, Bosshardt DD, Salvi GE, Lang NP. Resonance frequency analysis in relation to jawbone characteristics and during early healing of implant installation. Clin Oral Implants Res. 2007. 18:275–280.
33. Rabel A, Köhler SG, Schmidt-Westhausen AM. Clinical study on the primary stability of two dental implant systems with resonance frequency analysis. Clin Oral Investig. 2007. 11:257–265.
34. O'Sullivan D, Sennerby L, Meredith N. Measurements comparing the initial stability of five designs of dental implants: a human cadaver study. Clin Implant Dent Relat Res. 2000. 2:85–92.
35. Alves CC, Neves M. Tapered implants: from indications to advantages. Int J Periodontics Restorative Dent. 2009. 29:161–167.
36. Iezzi G, Degidi M, Scarano A, Perrotti V, Piattelli A. Bone response to submerged, unloaded implants inserted in poor bone sites: a histological and histomorphometrical study of 8 titanium implants retrieved from man. J Oral Implantol. 2005. 31:225–233.
37. Cochran DL. The evidence for immediate loading of implants. J Evid Based Dent Pract. 2006. 6:155–163.
38. Esposito M, Hirsch J, Lekholm U, Thomsen P. Differential diagnosis and treatment strategies for biologic complications and failing oral implants: a review of the literature. Int J Oral Maxillofac Implants. 1999. 14:473–490.
39. Balshe AA, Eckert SE, Koka S, Assad DA, Weaver AL. The effects of smoking on the survival of smooth- and rough-surface dental implants. Int J Oral Maxillofac Implants. 2008. 23:1117–1122.
40. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factorscontributing to failures of osseointegrated oral Success criteria and epidemiology. Eur J Oral Sci. 1998. 106:527–551.
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