Long-term evaluation of non-submerged ITI implants .1. 8-year life table analysis of a prospective multi-center study with 2359 implants

被引:1011
作者
Buser, D
MericskeStern, R
Bernard, JP
Behneke, A
Behneke, N
Hirt, HP
Belser, UC
Lang, NP
机构
[1] Department of Oral Surgery, School of Dental Medicine, University of Berne
[2] Dept. of Removable Prosthodontics, School of Dental Medicine, University of Berne
[3] Dept. of Oral Surg. and Stomatology, School of Dentistry, University of Geneva
[4] Department of Oral Surgery, University of Mainz
[5] Department of Prosthodontics, University of Mainz
[6] Department of Prosthetic Dentistry, School of Dentistry, University of Geneva
[7] Dept. Periodontol./Fixed P., School of Dental Medicine, University of Berne
[8] Department of Oral Surgery, Freiburgstrasse 7
关键词
ITI implants; life table analysis; long-term study; non-submerged implants; osseointegration; success rates; survival rates;
D O I
10.1034/j.1600-0501.1997.080302.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
In the present multi-center study, non-submerged ITI implants were prospectively followed to evaluate their long-term prognosis in fully and partially edentulous patients. In a total of 1003 patients, 2359 implants were consecutively inserted. Following a healing period of 3-6 months, the successfully integrated implants were restored with 393 removable and 758 fixed restorations. Subsequently, all consecutive implants were documented annually up to 8 years. At each examination, the clinical status of all implants was evaluated according to predefined criteria of success. Therefore, the data base allowed the evaluation of 8-year cumulative survival and success rates for 2359 implants. In addition, cumulative success rates were calculated for implant subgroups divided per implant type, implant length, and implant location. Furthermore, the actual 5-year survival and success rates could be determined for 488 implants. During the healing period, 13 implants did not successfully integrate, whereas 2346 implants fulfilled the predefined criteria of success. This corresponds with an early failure rate of 0.55%. During follow-up, 19 implants were classified as failures due to several reasons. In addition, 17 implants (approximate to 0.8%) demonstrated at the last annual examination a suppurative periimplant infection. Including 127 drop out implants (= 5.4% drop out rate) into the calculation, the 8-year cumulative survival and success rates resulted in 96.7% and 93.3%, respectively. The analysis of implant subgroups showed slightly more favorable cumulative success rates for screw type implants (> 95%) compared to hollow-cylinder implants (91.3%), and clearly better success rates for mandibular implants (approximate to 95%) when compared to maxillary implants (approximate to 87%). The actual 5-year survival and success rates of 488 implants with 98.2% and 97.3%, respectively, were slightly better than the estimated 5-year cumulative survival and success rates of 2359 implants indicating that the applied life table analysis is a reliable statistical method to evaluate the long-term prognosis of dental implants. It can be concluded that non-submerged ITI implants maintain success rates well above 90% in different clinical centers for observation periods up to 8 years.
引用
收藏
页码:161 / 172
页数:12
相关论文
共 44 条
  • [1] A 15-YEAR STUDY OF OSSEOINTEGRATED IMPLANTS IN THE TREATMENT OF THE EDENTULOUS JAW
    ADELL, R
    LEKHOLM, U
    ROCKLER, B
    BRANEMARK, PI
    [J]. INTERNATIONAL JOURNAL OF ORAL SURGERY, 1981, 10 (06): : 387 - 416
  • [2] ADELL R, 1990, International Journal of Oral and Maxillofacial Implants, V5, P347
  • [3] Albrektsson T, 1993, Int J Prosthodont, V6, P95
  • [4] [Anonymous], 1958, Journal of Chronic Disease
  • [5] TITANIUM PLASMA-SPRAYED (TPS) SCREW IMPLANTS FOR THE RECONSTRUCTION OF THE EDENTULOUS MANDIBLE
    BABBUSH, CA
    KENT, JN
    MISIEK, DJ
    [J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1986, 44 (04) : 274 - 282
  • [6] BEHNEKE A, 1996, IMPLANTOLOGIE PRAXIS, V13, P307
  • [7] BEHNEKE A, 1992, Z ZAHNARZTLICHE IMPL, V8, P97
  • [8] BRANEMARK P I, 1969, Scandinavian Journal of Plastic and Reconstructive Surgery, V3, P81
  • [9] BRANEMARK PI, 1977, J PLASTIC RECONS S16, V11
  • [10] Tissue integration of non-submerged implants 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants
    Buser, D.
    Weber, H-P
    Lang, N. P.
    [J]. CLINICAL ORAL IMPLANTS RESEARCH, 1990, 1 (01) : 33 - 40