Clinical and radiographic assessment of narrow-diameter and regular-diameter implants in the anterior and posterior jaw: 2 to 6 years of follow-up
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: The present retrospective clinical study aimed to evaluate and compare the clinical and radiographic parameters, complications, and satisfaction in patients who received fixed prostheses supported by narrow-diameter implants (NDIs) in the anterior and posterior jaw. Methods: Patients aged ≥30 years who had NDI-supported fixed prostheses in the anterior or posterior region of either jaw for at least 2 years were included. Complications such as chipping of the crown; loosening or fracture of the screw, crown abutment, or implant; and loss of retention were recorded. Clinical peri-implant outcomes and crestal bone loss (CBL) were measured. A questionnaire was used to record responses regarding the aesthetics and function of the fixed restorations. Analysis of variance was used to assess the significance of between-group mean comparisons. The log-rank test was performed to analyze the influence of location and prosthesis type on technical complications. Results: Seventy-one patients (mean age: 39.6 years) provided informed consent with a mean follow-up duration of 53 months. Only bleeding on probing showed a statistically significant difference between NDIs in the anterior and posterior regions. The complication rate for NDIs in the posterior region was significantly higher than that for NDIs in the anterior region ( P =0.041). For NDIs, CBL was significantly higher around splinted crowns than single crowns ( P =0.022). Overall mean patient satisfaction was 10.34±3.65 on a visual analogue scale. Conclusions: NDIs in the anterior and posterior jaws functioned equally well in terms of periimplant soft and hard tissue health and offered acceptable patient satisfaction and reasonable complication rates.
Abstract
Purpose: The present retrospective clinical study aimed to evaluate and compare the clinical and radiographic parameters, complications, and satisfaction in patients who received fixed prostheses supported by narrow-diameter implants (NDIs) in the anterior and posterior jaw. Methods: Patients aged ≥30 years who had NDI-supported fixed prostheses in the anterior or posterior region of either jaw for at least 2 years were included. Complications such as chipping of the crown; loosening or fracture of the screw, crown abutment, or implant; and loss of retention were recorded. Clinical peri-implant outcomes and crestal bone loss (CBL) were measured. A questionnaire was used to record responses regarding the aesthetics and function of the fixed restorations. Analysis of variance was used to assess the significance of between-group mean comparisons. The log-rank test was performed to analyze the influence of location and prosthesis type on technical complications. Results: Seventy-one patients (mean age: 39.6 years) provided informed consent with a mean follow-up duration of 53 months. Only bleeding on probing showed a statistically significant difference between NDIs in the anterior and posterior regions. The complication rate for NDIs in the posterior region was significantly higher than that for NDIs in the anterior region ( P =0.041). For NDIs, CBL was significantly higher around splinted crowns than single crowns ( P =0.022). Overall mean patient satisfaction was 10.34±3.65 on a visual analogue scale. Conclusions: NDIs in the anterior and posterior jaws functioned equally well in terms of periimplant soft and hard tissue health and offered acceptable patient satisfaction and reasonable complication rates.
참고문헌 (30)
- Nisand D, "Short implant in limited bone volume", Periodontol 2000, 66, pp.72~96 (2014)
- Bozkaya S, "Use of alveolar distraction osteogenesis for implant placement : a case report with eight-year follow-up", Aust Dent J, 61, pp.252~256 (2016)
- Jung RE, "A randomized controlled clinical trial comparing small buccal dehiscence defects around dental implants treated with guided bone regeneration or left for spontaneous healing", Clin Oral Implants Res, 28, pp.348~354 (2017)
- Gehrke SA, "Stability and crestal bone behavior following simultaneous placement of multiple dental implants(two or more)with the bone splitting technique : a clinical and radiographic evaluation", Clin Implant Dent Relat Res, 19, pp.123~130 (2017)
- Chiapasco M, "Clinical outcomes of GBR procedures to correct peri-implant dehiscences and fenestrations : a systematic review", Clin Oral Implants Res, 20(Suppl 4), pp.113~123 (2009)
- Zhang G, "A three-dimensional finite element study on the biomechanical simulation of various structured dental implants and their surrounding bone tissues", Int J Dent, 2016, pp.4867402~ (2016)
- Iegami CM, "Survival rate of titanium-zirconium narrow diameter dental implants versus commercially pure titanium narrow diameter dental implants : a systematic review", Clin Implant Dent Relat Res, 19, pp.1015~1022 (2017)
- Alsahhaf A, "Clinical and radiographic indices around narrow diameter implants placed in different glycemic-level patients", Clin Implant Dent Relat Res, 21, pp.621~626 (2019)
- Alshiddi IF, "Clinical, radiographic, and restorative peri-implant measurements of narrow and standard diameter implants in obese and nonobese patients: a 3-year retrospective follow-up study", Clin Implant Dent Relat Res, 21, pp.656~661 (2019)
- Alasqah MN, "Longitudinal assessment of clinical and radiographic periimplant status around narrow and regular diameter implants placed in cigarette-smokers and nonsmokers", Clin Implant Dent Relat Res, 21, pp.910~915 (2019)
- Al-Johany SS, "Dental implant length and diameter : a proposed classification scheme", J Prosthodont, 26, pp.252~260 (2017)
- Trbakovic A, "A clinical and radiological long-term follow-up study of narrow diameter implants in the aesthetic area", Clin Implant Dent Relat Res, 20, pp.598~605 (2018)
- Galindo-Moreno P, "Clinical and radiographic evaluation of early loaded narrow-diameter implants: 5-year follow-up of a multicenter prospective clinical study", Clin Oral Implants Res, 28, pp.1584~1591 (2017)
- de Souza AB, "Narrow-and regular-diameter implants in the posterior region of the jaws to support single crowns : a 3-year split-mouth randomized clinical trial", Clin Oral Implants Res, 29, pp.100~107 (2018)
- Pieri F, "Narrow- (3.0 mm) versus standard-diameter (4.0 and 4.5 mm) implants for splinted partial fixed restoration of posterior mandibular and maxillary jaws: a 5-year retrospective cohort study", J Periodontol, 88, pp.338~347 (2017)
- Tolentino L, "One-year follow-up of titanium", zirconium alloy X commercially pure titanium narrow-diameter implants placed in the molar region of the mandible : a randomized controlled trial, 2016, pp.27, 393~398
- Maló P, "Implants (3.3 mm diameter) for the rehabilitation of edentulous posterior regions: a retrospective clinical study with up to 11 years of follow-up", Clin Implant Dent Relat Res, 13, pp.95~103 (2011)
- Schiegnitz E, "Narrow-diameter implants: a systematic review and meta-analysis", Clin Oral Implants Res, 29(Suppl 16), pp.21~40 (2018)
- Lee JS, "Long-term retrospective study of narrow implants for fixed dental prostheses", Clin Oral Implants Res, 24, pp.847~852 (2013)
- von Elm E, "The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies", Int J Surg, 12, pp.1495~1499 (2014)
- Akram Z, "Clinical and radiographic peri-implant parameters and proinflammatory cytokine levels among cigarette smokers, smokeless tobacco users, and nontobacco users", Clin Implant Dent Relat Res, 20, pp.76~81 (2018)
- Galgut P, "A comparison of different indices used in the clinical assessment of plaque and gingival bleeding", Clin Oral Investig, 3, pp.96~99 (1999)
- Tonetti MS, "Primary and secondary prevention of periodontal and peri-implant diseases: introduction to, and objectives of the 11th European Workshop on Periodontology consensus conference", J Clin Periodontol, 42(Suppl 16), pp.S1~S4 (2015)
- Alkhudhairy F, "Comparison of clinical and radiographic peri-implant parameters among obese and non-obese patients : a 5-year study", Clin Implant Dent Relat Res, 20, pp.756~762 (2018)
- Alasqah MN, "Clinical indices and local levels of inflammatory biomarkers in per-implant health of obese and nonobese individuals", Clin Implant Dent Relat Res, 21, pp.80~84 (2019)
- Tecco S, "The association between three attitude-related indexes of oral hygiene and secondary implant failures : a retrospective longitudinal study", Int J Dent Hyg, 16, pp.372~379 (2018)
- Lin CY, "The effect of supportive care in preventing peri-implant diseases and implant loss : a systematic review and meta-analysis", Clin Oral Implants Res, 30, pp.714~724 (2019)
- Shi JY, "Long-term outcomes of narrow diameter implants in posterior jaws : a retrospective study with at least 8-year follow-up", Clin Oral Implants Res, 29, pp.76~81 (2018)
- Al-Aali KA, "Clinical and radiographic peri-implant health status around narrow diameter implant-supported single and splinted crowns", Clin Implant Dent Relat Res, 21, pp.386~390 (2019)
- Isidor F, "Influence of forces on peri-implant bone", Clin Oral Implants Res, 17(Suppl 2), pp.8~18 (2006)