Daniele De Santis1, Alessandro Cucchi2, Giovanni Rigoni3, Carlo Longhi4. 1. Department of Surgery, Section of Dentistry and Maxillofacial Surgery, University of Verona, Verona, Italy. 2. Department of Biomedical and Neuromotorial Science, University of Bologna, Bologna, Italy. 3. Department of Oral Surgery and Dentistry, University of Milan, Milan, Italy. 4. Private Practice, Mantua, Italy.
Abstract
BACKGROUND: The loss of one or more teeth has always been a reason for bone resorption and it can lead to a condition of "alveolar atrophy" that could make implant rehabilitation difficult. PURPOSE: The aim of this prospective study was to observe crestal bone loss and implant success of short implants with oxidized surfaces in patients with partially edentulous jaws after a 3- to 5-year follow-up. MATERIALS AND METHODS: Forty-six patients with single or partial edentulism were treated consecutively from 2006 to 2008 using 107 short implants with oxidized surfaces, which were restored with a single crown or a partial fixed denture. Clinical and radiographic examinations were scheduled after functional loading of implants according to a well-established protocol generally applied to determine implant success rates and crestal bone levels. Statistical analysis was used to determine significant differences or correlations between variables (p = .05). RESULTS: After a 3- to 5-year follow-up, 44 patients with 102 implants were still followed up according to previously established study protocol, because two patients with five implants dropped out. Ninety-eight out of 102 implants are still functioning: four implants have been lost, with a survival rate of 96.1%. Moreover, a total of seven implants failed to meet the success criteria, resulting in a success rate of 93.1%. The mean bone loss was 0.9 ± 0.6 mm. CONCLUSIONS: Many authors had recently demonstrated the predictability of short implants in different clinical conditions after a short-term follow-up. After 3 to 5 years of functional loading, short implants used to restore posterior teeth seems to be a viable solution in order to simplify and shorten the treatment of patients with partial edentulous jaws. Long-term follow-up is recommended to definitively establish the predictability and efficiency of this kind of implant-supported rehabilitation.
BACKGROUND: The loss of one or more teeth has always been a reason for bone resorption and it can lead to a condition of "alveolar atrophy" that could make implant rehabilitation difficult. PURPOSE: The aim of this prospective study was to observe crestal bone loss and implant success of short implants with oxidized surfaces in patients with partially edentulous jaws after a 3- to 5-year follow-up. MATERIALS AND METHODS: Forty-six patients with single or partial edentulism were treated consecutively from 2006 to 2008 using 107 short implants with oxidized surfaces, which were restored with a single crown or a partial fixed denture. Clinical and radiographic examinations were scheduled after functional loading of implants according to a well-established protocol generally applied to determine implant success rates and crestal bone levels. Statistical analysis was used to determine significant differences or correlations between variables (p = .05). RESULTS: After a 3- to 5-year follow-up, 44 patients with 102 implants were still followed up according to previously established study protocol, because two patients with five implants dropped out. Ninety-eight out of 102 implants are still functioning: four implants have been lost, with a survival rate of 96.1%. Moreover, a total of seven implants failed to meet the success criteria, resulting in a success rate of 93.1%. The mean bone loss was 0.9 ± 0.6 mm. CONCLUSIONS: Many authors had recently demonstrated the predictability of short implants in different clinical conditions after a short-term follow-up. After 3 to 5 years of functional loading, short implants used to restore posterior teeth seems to be a viable solution in order to simplify and shorten the treatment of patients with partial edentulous jaws. Long-term follow-up is recommended to definitively establish the predictability and efficiency of this kind of implant-supported rehabilitation.
Authors: Alessandro Cucchi; Alessandro Bianchi; Paolo Calamai; Lisa Rinaldi; Francesco Mangano; Elisabetta Vignudelli; Giuseppe Corinaldesi Journal: BMC Oral Health Date: 2020-08-05 Impact factor: 2.757