Influence of Periodontal Status and Prosthetic Treatment on Survival and Success Rates in Implant Therapy: A 5-Year Retrospective Follow-Up Study

The objective of the present study was to evaluate the 5-year outcome of dental implant therapy and assess the survival, success, and biological and technical complications. A periodontal and prosthetic-oriented evaluation was conducted on the variables that can influence the long-term predictability of implant therapy. A total of 615 patients and 1427 dental implants from a private clinic (MedArtis Dent, Cluj-Napoca, Romania) were enrolled in the study. The study was a longitudinal cohort with data collected retrospectively from physical/digital dental records in combination with a cross-sectional clinical/radiological examination. Results showed that periodontal diagnosis at baseline had a significant impact on the marginal bone loss prediction. Data showed that the cylindrical implant with an internal 45° medium taper connection experienced a higher rate of bone resorption compared to the tapered implant with the 5° internal connection. Screw-retained restorations and overdentures showed a statistical decrease in the marginal bone level height when compared to the cemented restorations. Data from our study suggest that not only is there a powerful association between recall visits and the rate of complications in dental implant treatment, but a lack of professional maintenance predicts a higher bone level loss during the 5-year interval.

[1]  A. Alwala,et al.  Cylindrical Implant Versus Tapered Implant: A Comparative Study , 2022, Cureus.

[2]  F. Pera,et al.  One‐stage versus two‐stage technique using two splinted extra‐short implants: A multicentric split‐mouth study with a one‐year follow‐up , 2022, Clinical implant dentistry and related research.

[3]  A. Ramanauskaite,et al.  It is all about peri-implant tissue health. , 2022, Periodontology 2000.

[4]  N. Lang,et al.  Oral health‐related quality of life of patients rehabilitated with fixed and removable implant‐supported dental prostheses , 2022, Periodontology 2000.

[5]  B. Pjetursson,et al.  Prosthetic failures in dental implant therapy , 2022, Periodontology 2000.

[6]  C. Feng,et al.  Pink Esthetic Score Immediate Impressed ImplantsClinical Evaluation of Pink Esthetic Score of Immediately Impressed Posterior Dental Implants. , 2022, Journal of Prosthodontics.

[7]  B. Chrcanovic,et al.  Smoking and Dental Implants: A Systematic Review and Meta-Analysis , 2021, Medicina.

[8]  B. Sinjari,et al.  The added benefit of L-PRF to autogenous bone grafts in the treatment of degree II furcation involvement in mandibular molars. , 2021, The Journal of Periodontology.

[9]  Esther Gonzalo,et al.  What is the prevalence of peri-implantitis? A systematic review and meta-analysis , 2021, BMC Oral Health.

[10]  João Caramês,et al.  Is the timing of implant placement and loading influencing esthetic outcomes in single-tooth implants?-A systematic review. , 2021, Clinical oral implants research.

[11]  J. Nart,et al.  Bone level changes around implants with one- or three-millimeters high abutments and its relation to crestal mucosal thickness. A one year randomized clinical trial. , 2021, Journal of Clinical Periodontology.

[12]  B. Sinjari,et al.  Efficacy of inorganic bovine bone combined with leukocyte and platelet-rich fibrin or collagen membranes for treating unfavorable periodontal infrabony defects: Randomized non-inferiority trial. , 2021, Journal of periodontology.

[13]  M. Sanz,et al.  Prevalence and risk/protective indicators of peri-implant diseases: a university-representative cross-sectional study , 2020, medRxiv.

[14]  I. Chapple,et al.  Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline , 2020, Journal of clinical periodontology.

[15]  B. D'avanzo,et al.  A 4 Year Human, Randomized, Radiographic Study of Scalloped versus Non-Scalloped Cemented Implants , 2020, Materials.

[16]  Hom-lay Wang,et al.  Effect of different implant placement depths on crestal bone levels and soft tissue behavior: A 5-year randomized clinical trial. , 2019, Clinical oral implants research.

[17]  D. Zaffe,et al.  Biological width establishment around dental implants is influenced by abutment height irrespective of vertical mucosal thickness: A cluster randomized controlled trial. , 2019, Clinical oral implants research.

[18]  H. M. Grandin,et al.  Retrospective cohort study of 4,591 dental implants: Analysis of risk indicators for bone loss and prevalence of peri‐implant mucositis and peri‐implantitis , 2019, Journal of periodontology.

[19]  Z. Ali,et al.  Oral health-related quality of life after prosthodontic treatment for patients with partial edentulism: A systematic review and meta-analysis. , 2019, The Journal of prosthetic dentistry.

[20]  André B Souza,et al.  Influence of the keratinized mucosa on the stability of peri‐implant tissues and brushing discomfort: A 4‐year follow‐up study , 2018, Clinical oral implants research.

[21]  B. Pjetursson,et al.  Dental implants – are they better than natural teeth? , 2018, European journal of oral sciences.

[22]  A. Cucchi,et al.  The influence of implant‐abutment connection to peri‐implant bone loss: A systematic review and meta‐analysis , 2018, Clinical implant dentistry and related research.

[23]  J. Lindhe,et al.  Peri‐implant health , 2018, Journal of clinical periodontology.

[24]  P. Papapanou,et al.  Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. , 2018, Journal of periodontology.

[25]  P. Papapanou,et al.  A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification , 2018, Journal of clinical periodontology.

[26]  G. Huynh-Ba,et al.  Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. , 2018, Journal of clinical periodontology.

[27]  T. Linkevicius,et al.  Influence of titanium base, lithium disilicate restoration and vertical soft tissue thickness on bone stability around triangular‐shaped implants: A prospective clinical trial , 2018, Clinical oral implants research.

[28]  H. De Bruyn,et al.  Adapting the vertical position of implants with a conical connection in relation to soft tissue thickness prevents early implant surface exposure: A 2‐year prospective intra‐subject comparison , 2018, Journal of clinical periodontology.

[29]  Joanna Coast,et al.  Guidelines for Inclusion of Patient-Reported Outcomes in Clinical Trial Protocols: The SPIRIT-PRO Extension , 2018, JAMA.

[30]  K. C. Lima,et al.  Frequency of peri‐implant diseases and associated factors , 2017, Clinical oral implants research.

[31]  J. Blanco,et al.  Influence of Abutment Height on Maintenance of Peri-implant Crestal Bone at Bone-Level Implants: A 3-Year Follow-up Study. , 2017, The International journal of periodontics & restorative dentistry.

[32]  H. Weber,et al.  Screw retained vs. cement retained implant‐supported fixed dental prosthesis , 2017, Periodontology 2000.

[33]  F. Alshehri,et al.  Influence of Implant Shape (Tapered vs Cylindrical) on the Survival of Dental Implants Placed in the Posterior Maxilla: A Systematic Review , 2016, Implant dentistry.

[34]  J. Derks,et al.  Effectiveness of Implant Therapy Analyzed in a Swedish Population , 2016, Journal of dental research.

[35]  E. Schulten,et al.  10-year survival rate and the incidence of peri-implant disease of 374 titanium dental implants with a SLA surface: a prospective cohort study in 177 fully and partially edentulous patients. , 2015, Clinical oral implants research.

[36]  H. De Bruyn,et al.  The current use of patient-centered/reported outcomes in implant dentistry: a systematic review. , 2015, Clinical oral implants research.

[37]  A. Monaco,et al.  Smoking and the risk of peri-implantitis. A systematic review and meta-analysis. , 2015, Clinical oral implants research.

[38]  D. Daubert,et al.  Prevalence and predictive factors for peri-implant disease and implant failure: a cross-sectional analysis. , 2015, Journal of periodontology.

[39]  V Moraschini,et al.  Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. , 2015, International journal of oral and maxillofacial surgery.

[40]  D. Buser,et al.  Long-term outcomes of dental implants with a titanium plasma-sprayed surface: a 20-year prospective case series study in partially edentulous patients. , 2013, Clinical implant dentistry and related research.

[41]  L. Chambrone,et al.  Predictors of peri-implant bone loss during long-term maintenance of patients treated with 10-mm implants and single crown restorations. , 2013, The International Journal of Oral and Maxillofacial Implants.

[42]  Ronald Jung,et al.  A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. , 2012, Clinical oral implants research.

[43]  Daniel S. Thoma,et al.  Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. , 2012, Clinical oral implants research.

[44]  F. Costa,et al.  Peri-implant disease in subjects with and without preventive maintenance: a 5-year follow-up. , 2012, Journal of clinical periodontology.

[45]  Hom-lay Wang,et al.  Influence of tissue biotype on implant esthetics. , 2011, The International journal of oral & maxillofacial implants.

[46]  T. Dufour,et al.  Long-term implant survival and success: a 10-16-year follow-up of non-submerged dental implants. , 2010, Clinical oral implants research.

[47]  M. Zwahlen,et al.  Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). , 2007, Clinical oral implants research.

[48]  A. Piattelli,et al.  Screw vs cement-implant-retained restorations: an experimental study in the beagle. Part 2. Immunohistochemical evaluation of the peri-implant tissues. , 2006, The Journal of oral implantology.

[49]  R. Haas,et al.  Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. , 2005, Clinical oral implants research.

[50]  B. Pjetursson,et al.  Technical and biological complications/failures with single crowns and fixed partial dentures on implants: a 10-year prospective cohort study. , 2005, Clinical oral implants research.

[51]  Björn Klinge,et al.  A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. , 2002, Journal of clinical periodontology.

[52]  T G Wilson,et al.  Biological complications with dental implants: their prevention, diagnosis and treatment. , 2000, Clinical oral implants research.

[53]  D P Tarnow,et al.  The effect of inter-implant distance on the height of inter-implant bone crest. , 2000, Journal of periodontology.

[54]  D Buser,et al.  Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. , 1997, Clinical oral implants research.

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

[56]  T. Linkevicius,et al.  One abutment one time vs. repeatable abutment disconnections in implants, restored with cemented / screw retained fixed partial dentures: Marginal bone level changes. A systematic review and meta-analysis. , 2021, Stomatologija.

[57]  K. Buhlin,et al.  Survival and complications: A 9- to 15-year retrospective follow-up of dental implant therapy. , 2019, Journal of oral rehabilitation.

[58]  M. Zwahlen,et al.  Improvements in implant dentistry over the last decade: comparison of survival and complication rates in older and newer publications. , 2014, The International journal of oral & maxillofacial implants.

[59]  R. Zhartybaev,et al.  Long-term dental implant success and survival--a clinical study after an observation period up to 6 years. , 2012, Swedish dental journal.

[60]  U. Brägger,et al.  Mechanical and technical risks in implant therapy. , 2009, The International journal of oral & maxillofacial implants.

[61]  G. Huynh-Ba,et al.  History of treated periodontitis and smoking as risks for implant therapy. , 2009, The International journal of oral & maxillofacial implants.

[62]  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.

[63]  P I Brånemark,et al.  A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. , 1981, International journal of oral surgery.