Prospective evaluation of 2,549 Morse taper connection implants: 1- to 6-year data.

BACKGROUND The aim of this study is to evaluate the implant survival, the implant-crown success, and the prosthetic complications of 2,549 Morse taper interference-fit connection implants. METHODS A total of 2,549 Morse taper connection implants were inserted in 893 patients from January 2003 until December 2008. At each annual recall, clinical, radiographic, and prosthetic parameters were assessed. The implant-crown success criteria included the absence of pain, suppuration, and clinical mobility; an average distance between the implant shoulder and the first visible bone contact <2 mm from initial surgery; and the absence of prosthetic complications at the implant-abutment interface. Prosthetic restorations were fixed partial prostheses (462 units); fixed full-arch prostheses (60 units); single crowns (531 units); and overdentures (93 units). RESULTS The cumulative implant survival rate was 98.23% (97.25% maxilla, 99.05% mandible). The implant-crown success was 92.49%. A few prosthetic complications at implant-abutment interface were reported (0.37%). After 6 years, distance between the implant shoulder and the first visible bone contact was 1.10 mm (± 0.30 mm). CONCLUSION The use of Morse taper connection implants represents a successful procedure for the rehabilitation of partially and completely edentulous arches.

[1]  Giovanna Iezzi,et al.  Prospective clinical evaluation of 307 single-tooth morse taper-connection implants: a multicenter study. , 2010, The International journal of oral & maxillofacial implants.

[2]  V. Pedrazzi,et al.  Influence of repeated screw tightening on bacterial leakage along the implant-abutment interface. , 2009, Clinical oral implants research.

[3]  K. Akca,et al.  Biomechanical Aspects of Bone-Level Diameter Shifting at Implant-Abutment Interface , 2009, Implant dentistry.

[4]  A Piattelli,et al.  Prospective clinical evaluation of 1920 Morse taper connection implants: results after 4 years of functional loading. , 2009, Clinical oral implants research.

[5]  Fernando Zarone,et al.  A randomized prospective multicenter trial evaluating the platform-switching technique for the prevention of postrestorative crestal bone loss. , 2009, The International journal of oral & maxillofacial implants.

[6]  K. Ludwig,et al.  Implant-abutment interface design affects fatigue and fracture strength of implants. , 2008, Clinical oral implants research.

[7]  E. Richter,et al.  Influence of microgap location and configuration on the periimplant bone morphology in submerged implants. An experimental study in dogs. , 2008, Clinical oral implants research.

[8]  Morton L Perel,et al.  Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. , 2008, Implant dentistry.

[9]  Bjarni E Pjetursson,et al.  A systematic review of the survival and complication rates of resin-bonded bridges after an observation period of at least 5 years , 2008, BDJ.

[10]  Henriette Lerner,et al.  Factors Influencing the Preservation of the Periimplant Marginal Bone , 2007, Implant dentistry.

[11]  H. Weber,et al.  Stress and Inflammation as a Detrimental Combination for Peri-implant Bone Loss , 2006, Journal of dental research.

[12]  Richard J Lazzara,et al.  Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels. , 2006, The International journal of periodontics & restorative dentistry.

[13]  S. Dibart,et al.  In vitro evaluation of the implant-abutment bacterial seal: the locking taper system. , 2005, The International journal of oral & maxillofacial implants.

[14]  M. Zwahlen,et al.  A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. , 2004, Clinical oral implants research.

[15]  Hans-Peter Weber,et al.  Mandibular two-implant telescopic overdentures. , 2004, Clinical oral implants research.

[16]  H. Iplikçioğlu,et al.  Dynamic fatigue resistance of implant-abutment junction in an internally notched morse-taper oral implant: influence of abutment design. , 2004, Clinical oral implants research.

[17]  Paul Weigl,et al.  New prosthetic restorative features of Ankylos implant system. , 2004, The Journal of oral implantology.

[18]  Michael Stiller,et al.  Functional and esthetic considerations for single-tooth Ankylos implant-crowns: 8 years of clinical performance. , 2004, The Journal of oral implantology.

[19]  Stig Hansson,et al.  A conical implant-abutment interface at the level of the marginal bone improves the distribution of stresses in the supporting bone. An axisymmetric finite element analysis. , 2003, Clinical oral implants research.

[20]  D Buser,et al.  Persistent Acute Inflammation at the Implant-Abutment Interface , 2003, Journal of dental research.

[21]  A. Piattelli,et al.  Role of the microgap between implant and abutment: a retrospective histologic evaluation in monkeys. , 2003, Journal of periodontology.

[22]  J. Michel,et al.  A prospective multicenter evaluation of 1,583 3i implants: 1- to 5-year data. , 2002, The International journal of oral & maxillofacial implants.

[23]  D. Cochran,et al.  Influence of the size of the microgap on crestal bone levels in non-submerged dental implants: a radiographic study in the canine mandible. , 2002, Journal of periodontology.

[24]  T. Albrektsson,et al.  Influence of the microgap in the peri-implant hard and soft tissues: a histomorphometric study in dogs. , 2002, The International journal of oral & maxillofacial implants.

[25]  C. Misch,et al.  The causes of early implant bone loss: myth or science? , 2002, Journal of periodontology.

[26]  D. Cochran,et al.  Biologic Width around one- and two-piece titanium implants. , 2001, Clinical oral implants research.

[27]  C. Mangano,et al.  Single tooth replacement by Morse taper connection implants: a retrospective study of 80 implants. , 2001, The International journal of oral & maxillofacial implants.

[28]  M. Quirynen,et al.  Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients Part II: An up to 15-years radiographic evaluation. , 2001, Clinical oral implants research.

[29]  G. Romanos,et al.  Single molar replacement with a progressive thread design implant system: a retrospective clinical report. , 2000, The International journal of oral & maxillofacial implants.

[30]  M S Schwarz,et al.  Mechanical complications of dental implants. , 2000, Clinical oral implants research.

[31]  U. Belser,et al.  Mechanics of the implant-abutment connection: an 8-degree taper compared to a butt joint connection. , 2000, The International journal of oral & maxillofacial implants.

[32]  J. Fiorellini,et al.  A 5-year prospective clinical and radiographic study of non-submerged dental implants. , 2000, Clinical oral implants research.

[33]  A. Scarano,et al.  Tissue reactions, fluids, and bacterial infiltration in implants retrieved at autopsy: a case report. , 2000, The International journal of oral & maxillofacial implants.

[34]  K Wannfors,et al.  A prospective clinical evaluation of different single-tooth restoration designs on osseointegrated implants. A 3-year follow-up of Brånemark implants. , 1999, Clinical oral implants research.

[35]  F. Higginbottom,et al.  Multicenter retrospective analysis of the ITI implant system used for single-tooth replacements: results of loading for 2 or more years. , 1999, The International journal of oral & maxillofacial implants.

[36]  S. E. Keith,et al.  Marginal discrepancy of screw-retained and cemented metal-ceramic crowns on implants abutments. , 1999, The International journal of oral & maxillofacial implants.

[37]  C J Goodacre,et al.  Clinical complications of osseointegrated implants. , 1999, The Journal of prosthetic dentistry.

[38]  M. Norton Assessment of cold welding properties of the internal conical interface of two commercially available implant systems. , 1999, The Journal of prosthetic dentistry.

[39]  T Albrektsson,et al.  Consensus report: towards optimized treatment outcomes for dental implants. , 1998, The Journal of prosthetic dentistry.

[40]  T. Albrektsson,et al.  Editorial: Towards optimized treatment outcomes for dental implants , 1998 .

[41]  C. Hämmerle,et al.  Complication rate with prosthodontic reconstructions on ITI and IMZ dental implants , 1998 .

[42]  I Herrmann,et al.  Osseointegrated implants for single-tooth replacement: a prospective 5-year multicenter study. , 1996, The International journal of oral & maxillofacial implants.

[43]  B Rangert,et al.  A comparative study of one implant versus two replacing a single molar. , 1996, The International journal of oral & maxillofacial implants.

[44]  J. Fiorellini,et al.  Comparison of healed tissues adjacent to submerged and non-submerged unloaded titanium dental implants. A histometric study in beagle dogs , 1996 .

[45]  W Becker,et al.  Replacement of maxillary and mandibular molars with single endosseous implant restorations: a retrospective study. , 1995, The Journal of prosthetic dentistry.

[46]  G E Carlsson,et al.  Clinical evaluation of single-tooth restorations supported by osseointegrated implants: a retrospective study. , 1994, The International journal of oral & maxillofacial implants.

[47]  D. E. Smith,et al.  Criteria for success of osseointegrated endosseous implants. , 1989, The Journal of prosthetic dentistry.

[48]  T Albrektsson,et al.  A multicenter report on osseointegrated oral implants. , 1988, The Journal of prosthetic dentistry.

[49]  F. Ederer,et al.  Maximum utilization of the life table method in analyzing survival. , 1958, Journal of chronic diseases.

[50]  Paolo Vigolo,et al.  Platform-switched restorations on wide-diameter implants: a 5-year clinical prospective study. , 2009, The International journal of oral & maxillofacial implants.

[51]  J. L. Calvo Guirado,et al.  Immediate provisionalization on a new implant design for esthetic restoration and preserving crestal bone. , 2007, Implant dentistry.

[52]  M. Zwahlen,et al.  A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. , 2004, Clinical oral implants research.

[53]  Mehul H Gadhia,et al.  A New Implant Design For Optimal Esthetics and Retention of Interproximal Papillae , 2003, Implant dentistry.

[54]  D. van Steenberghe,et al.  Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients. Part I: An up to 15-years clinical evaluation. , 2001, Clinical oral implants research.

[55]  S. Hansson,et al.  Implant-abutment interface: biomechanical study of flat top versus conical. , 2000, Clinical implant dentistry and related research.

[56]  R L Sakaguchi,et al.  Elongation and preload stress in dental implant abutment screws. , 1995, The International journal of oral & maxillofacial implants.

[57]  I Herrmann,et al.  Osseointegrated implants for single tooth replacement: a 1-year report from a multicenter prospective study. , 1991, The International journal of oral & maxillofacial implants.

[58]  B Rangert,et al.  Forces and moments on Branemark implants. , 1989, The International journal of oral & maxillofacial implants.

[59]  G Zarb,et al.  The long-term efficacy of currently used dental implants: a review and proposed criteria of success. , 1986, The International journal of oral & maxillofacial implants.