Bruno Ramos Chrcanovic1, Jenö Kisch2, Tomas Albrektsson1,3, Ann Wennerberg4. 1. Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden. 2. Clinic for Prosthodontics, Centre of Dental Specialist Care, Malmö, Sweden. 3. Department of Biomaterials, Göteborg University, Göteborg, Sweden. 4. Department of Prosthodontics, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden.
Abstract
BACKGROUND: Implant fractures are rare but offer a challenging clinical situation. PURPOSE: To determine the prevalence of implant fracture and the possible risk factors predisposing an implant to a higher fracture risk. MATERIALS AND METHODS: This retrospective study is based on 2670 patients consecutively treated with implant-supported prostheses. Anatomical-, patient-, and implant-related factors were collected. Descriptive statistics and survival analyses were performed. Generalized estimating equations (GEE) evaluated the effect of explanatory variables on implant fracture. RESULTS: Forty-four implants (out of 10 099; 0.44%) fractured. The mean ± standard deviation time for fracture to occur was 95.1 ± 58.5 months (min-max, 3.8-294.7). Half of the occurrences of fracture happened between 2 and 8 years after implantation. Five factors had a statistically significant influence on the fracture of implants (increase/decrease in fracture probability): use of higher grades of titanium (decrease 72.9%), bruxism (increase 1819.5%), direct adjacency to cantilever (increase 247.6%), every 1 mm increase in implant length (increase 22.3%), every 1 mm increase in implant diameter (decrease 96.9%). CONCLUSIONS: It is suggested that 5 factors could influence the incidence of implant fractures: grade of titanium, implant diameter and length, cantilever, bruxism.
BACKGROUND: Implant fractures are rare but offer a challenging clinical situation. PURPOSE: To determine the prevalence of implant fracture and the possible risk factors predisposing an implant to a higher fracture risk. MATERIALS AND METHODS: This retrospective study is based on 2670 patients consecutively treated with implant-supported prostheses. Anatomical-, patient-, and implant-related factors were collected. Descriptive statistics and survival analyses were performed. Generalized estimating equations (GEE) evaluated the effect of explanatory variables on implant fracture. RESULTS: Forty-four implants (out of 10 099; 0.44%) fractured. The mean ± standard deviation time for fracture to occur was 95.1 ± 58.5 months (min-max, 3.8-294.7). Half of the occurrences of fracture happened between 2 and 8 years after implantation. Five factors had a statistically significant influence on the fracture of implants (increase/decrease in fracture probability): use of higher grades of titanium (decrease 72.9%), bruxism (increase 1819.5%), direct adjacency to cantilever (increase 247.6%), every 1 mm increase in implant length (increase 22.3%), every 1 mm increase in implant diameter (decrease 96.9%). CONCLUSIONS: It is suggested that 5 factors could influence the incidence of implant fractures: grade of titanium, implant diameter and length, cantilever, bruxism.
Authors: María Prados-Privado; Sérgio A Gehrke; Rosa Rojo; Juan Carlos Prados-Frutos Journal: Med Biol Eng Comput Date: 2018-06-11 Impact factor: 2.602
Authors: Noha H El-Shaheed; Hanadi A Lamfon; Rabab I Salama; Amira Mohammed Gomaa Faramawy; Aisha Zakaria Hashem Mostafa Journal: Int J Dent Date: 2022-06-16