J Periodontal Implant Sci.  2024 Apr;54(2):122-135. 10.5051/jpis.2301440072.

The cumulative survival rate of sandblasted, large-grit, acid-etched dental implants: a retrospective analysisThe cumulative survival rate of sandblasted, large-grit, acid-etched dental implants: a retrospective analysis

Affiliations
  • 1Department of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, KoreaDepartment of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Korea
  • 2Department of Molecular Genetics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Korea

Abstract

Purpose
This retrospective study aimed to assess the long-term cumulative survival rate of titanium, sandblasted, large-grit, acid-etched implants over a 10-year follow-up period and investigate the factors affecting the survival rate and change in marginal bone loss (MBL).
Methods
The study included 400 patients who underwent dental implant placement at the Department of Periodontology of Seoul National University Dental Hospital (SNUDH) between 2005 and 2015. Panoramic radiographic images and dental records of patients were collected and examined using Kaplan-Meier analysis, Cox proportional hazards regression analysis, and multiple regression analysis to determine the survival rates and identify any factors related to implant failure and MBL.
Results
A total of 782 implants were placed with a follow-up period ranging from 0 to 16 years (mean: 8.21±3.75 years). Overall, 25 implants were lost, resulting in a cumulative survival rate of 96.8%. Comparisons of the research variables regarding cumulative survival rate mostly yielded insignificant results. The mean mesial and distal MBLs were 1.85±2.31 mm and 1.59±2.03 mm, respectively. Factors influencing these values included age, diabetes mellitus (DM), jaw location, implant diameter, bone augmentation surgery, and prosthetic unit.
Conclusions
This study found that the implant survival rates at SNUDH fell within the acceptable published criteria. The patients’ sex, age, DM status, implant location, implant design, implant size, surgical type, bone augmentation, and prosthetic unit had no discernible influence on long-term implant survival. Sandblasted, large-grit, acid-etched implants might offer advantages in terms of implant longevity and consistent clinical outcomes.

Keyword

Alveolar bone loss; Dental implant; Risk factor; Survival analysis
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