Factors associated with the survival and marginal bone loss of dental implants: a 5-year retrospective study
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Purpose: The purpose of this study was to compare the long-term survival rate and peri-implant marginal bone loss related to multiple risk factors including the clinician’s experience. Materials and Methods: Four hundred twenty implants in 146 patients, who had involved a supportive periodontal therapy program every 3 to 6 months and had follow up data for at least 5 years, were selected as the study group. Peri-implant marginal bone loss, data of demographic, implant and surgical characteristics were collected from peri-apical radiographs and chart review. Implant survival was regarded as the remaining with radiographic marginal bone level in excess of 50% of the fixture length for any reason. Results: The cumulative survival rate after 5 years of loading was 94.9%. In binary logistic regression analysis, smoking status (P = 0.033) and presence of spontaneous cover screw exposure (P < 0.001) were significantly related to 5-year survival of implants. In stepwise multiple regression analysis, smoking status (P < 0.001), type of abutment connection (P < 0.001) and implant surface (P = 0.033) were significantly related to peri-implant marginal bone level. And the year of resident was not statistically related to 5-year implant survival in simple logistic regression analysis (P = 0.171). Conclusion: Smoking status, spontaneous cover screw exposure, type of abutment connection and implant surface might influence the implant success. There was no significant correlation between the year of resident and implant failure.
Abstract
Purpose: The purpose of this study was to compare the long-term survival rate and peri-implant marginal bone loss related to multiple risk factors including the clinician’s experience. Materials and Methods: Four hundred twenty implants in 146 patients, who had involved a supportive periodontal therapy program every 3 to 6 months and had follow up data for at least 5 years, were selected as the study group. Peri-implant marginal bone loss, data of demographic, implant and surgical characteristics were collected from peri-apical radiographs and chart review. Implant survival was regarded as the remaining with radiographic marginal bone level in excess of 50% of the fixture length for any reason. Results: The cumulative survival rate after 5 years of loading was 94.9%. In binary logistic regression analysis, smoking status (P = 0.033) and presence of spontaneous cover screw exposure (P < 0.001) were significantly related to 5-year survival of implants. In stepwise multiple regression analysis, smoking status (P < 0.001), type of abutment connection (P < 0.001) and implant surface (P = 0.033) were significantly related to peri-implant marginal bone level. And the year of resident was not statistically related to 5-year implant survival in simple logistic regression analysis (P = 0.171). Conclusion: Smoking status, spontaneous cover screw exposure, type of abutment connection and implant surface might influence the implant success. There was no significant correlation between the year of resident and implant failure.
참고문헌 (37)
- Pjetursson BE, "Quality of reporting of clinical studies to assess and compare performance of implant-supported restorations", J Clin Periodontol, 39, pp.139~159 (2012)
- Pjetursson BE, "A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5years", Clin Oral Implants Res, 15, pp.667~676 (2004)
- Vandeweghe S, "The effect of smoking on early bone remodeling on surface modified Southern Implants®", Clin Implant Dent Relat Res, 13, pp.206~214 (2011)
- Rosen P, "Peri-implant mucositis and peri-implantitis: a current understanding of their diagnoses and clinical implications", J Periodontol, 84, pp.436~443 (2013)
- Costa FO, "Peri-implant disease in subjects with and without preventive maintenance: a 5-year follow-up", J Clin Periodontol, 39, pp.173~181 (2012)
- Pjetursson BE, "Peri-implantitis susceptibility as it relates to periodontal therapy and supportive care", Clin Oral Implants Res, 23, pp.888~894 (2012)
- Bain CA, "Implant installation in the smoking patient", Periodontol 2000, 33, pp.185~193 (2003)
- Hinode D, "Influence of smoking on osseointegrated implant failure: a meta-analysis", Clin Oral Implants Res, 17, pp.473~478 (2006)
- Klokkevold PR, "How do smoking, diabetes, and periodontitis affect outcomes of implant treatment?", Int J Oral Maxillofac Implants, 22(Suppl), pp.173~202 (2007)
- Strietzel FP, "Smoking interferes with the prognosis of dental implant treatment: a systematic review and meta-analysis", J Clin Periodontol, 34, pp.523~544 (2007)
- Lambert PM, "The influence of smoking on 3-year clinical success of osseointegrated dental implants", Ann Periodontol, 5, pp.79~89 (2000)
- Kumar A, "The effect of smoking on achieving osseointegration of surfacemodified implants: a clinical report", Int J Oral Maxillofac Implants, 17, pp.816~819 (2002)
- Mellado-Valero A, "Effects of diabetes on the osseointegration of dental implants", Med Oral Patol Oral Cir Bucal, 12, pp.E38~E43 (2007)
- Salvi GE, "Effects of diabetes mellitus on periodontal and peri-implant conditions: update on associations and risks", J Clin Periodontol, 35, pp.398~409 (2008)
- Enkling N, "Open or submerged healing of implants with platform switching: a randomized, controlled clinical trial", J Clin Periodontol, 38, pp.374~384 (2011)
- Haas R, "Jahrbuch für Orale Implantologie", pp.213~225 (1994), Quintessenz
- Preiskel HW, "Treatment outcomes in implant therapy: the influence of surgical and prosthodontic experience", Int J Prosthodont, 8, pp.273~279 (1995)
- Zoghbi SA, "Surgical experience influences 2-stage implant os-seointegration", J Oral Maxillofac Surg, 69, pp.2771~2776 (2011)
- Kohavi D, "Retrospective clinical review of dental implants placed in a university training program", J Oral Implantol, 30, pp.23~29 (2004)
- Melo MD, "Implant survival rates for oral and maxillofacial surgery residents: a retrospective clinical review with analysis of resident level of training on implant survival", J Oral Maxillofac Surg, 64, pp.1185~1189 (2006)
- Zupnik J, "Factors associated with dental implant survival:a 4-year retrospective analysis", J Periodontol, 82, pp.1390~1395 (2011)
- Chang M, "Implant supported single-tooth replacements compared to contralateral natural teeth. Crown and soft tissue dimensions", Clin Oral Implants Res, 10, pp.185~194 (1999)
- Reddy MS, "A comparison of the diagnostic advantages of panoramic radiography and computed tomography scanning for placement of root form dental implants", Clin Oral Implants Res, 5, pp.229~238 (1994)
- De Bruyn H, "Radiographic evaluation of modern oral implants with emphasis on crestal bone level and relevance to peri-implant health", Periodontol 2000, 62, pp.256~270 (2013)
- Cardaropoli G, "Tissue alterations at implant-supported single-tooth replacements:a 1-year prospective clinical study", Clin Oral Implants Res, 17, pp.165~171 (2006)
- Manz MC, "Factors associated with radiographic vertical bone loss around implants placed in a clinical study", Ann Periodontol, 5, pp.137~151 (2000)
- Roos J, "A qualitative and quantitative method for evaluating implant success: a 5-year retrospective analysis of the Brånemark implant", Int J Oral Maxillofac Implants, 12, pp.504~514 (1997)
- Heitz-Mayfield LJ, "History of treated periodontitis and smoking as risks for implant therapy", Int J Oral Maxillofac Implants, 24(Suppl), pp.39~68 (2009)
- Bain CA, "The association between the failure of dental implants and cigarette smoking", Int J Oral Maxillofac Implants, 8, pp.609~615 (1993)
- Wennström JL, "Consensus report of session C", Proceedings of the 3rd European Workshop on Periodontology, pp.255~259 (1999), Quintessenz Verlags
- Berglundh T, "A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years", J Clin Periodontol, 29, pp.197~212 (2002)
- Ekfeldt A, "A retrospective analysis of factors associated with multiple implant failures in maxillae", Clin Oral Implants Res, 12, pp.462~467 (2001)
- Schwartz-Arad D, "The challenge of endosseous implants placed in the posterior partially edentulous maxilla: a clinical report", Int J Oral Maxillofac Implants, 15, pp.261~264 (2000)
- Koo KT, "The effect of internal versus external abutment connection modes on crestal bone changes around dental implants:a radiographic analysis", J Periodontol, 83, pp.1104~1109 (2012)
- Peñarrocha-Diago MA, "Influence of implant neck design and implant-abutment connection type on peri-implant health. Radiological study", Clin Oral Implants Res, 24, pp.1192~1200 (2013)
- Vázquez Álvarez R, "Factors affecting peri-implant bone loss: a post-five-year retrospective study", Clin Oral Implants Res, 26, pp.1006~1014 (2015)
- Abrahamsson I, "Effects of different implant surfaces and designs on marginal bone level alterations: a review", Clin Oral Implants Res, 20, pp.207~215 (2009)
