10-year follow-up of immediately loaded implants with TiUnite porous anodized surface.

BACKGROUND The immediate loading of implants with a porous anodized surface is a well-described technique. Few data are however available on the long-term outcomes. PURPOSE The aim of this prospective study was to assess the 10-year performance of TiUnite implants supporting fixed prostheses placed with an immediate loading approach in both postextractive and healed sites. MATERIALS AND METHODS All patients received a fixed provisional restoration supported by immediately loaded parallel design, self-tapping implants with a porous anodized TiUnite surface, and an external-hexagonal connection. Both healed and postextractive cases were included. Success and survival rate for restorations and implants, changes in marginal peri-implant bone level, probing depth measurements, biological or technical complications, and any other adverse event were recorded at yearly follow-up up to 10 years after surgery. RESULTS A total of 210 implants fulfilled the inclusion criteria and were consecutively placed in 59 patients. Forty-seven (22.38%) implants were lost because of the recalled patient refused to attend the planned 10-year follow-up. Five over 210 (2.38%) implants were lost. At the final follow-up, the accumulated mean marginal bone loss and probing depth were, respectively, 1.93 mm (SD 0.40) and 2.54 mm (SD 0.44) for the implants placed in healed sites (n = 84); 1.98 mm (SD 0.37) and 2.63 mm (SD 0.39) for the implants placed in postextractive sites (n = 74). The restorations examined achieved a cumulative 65.26% success rate and 97.96% survival rate. The implants placed in healed and postextractive sites, respectively, achieved a 98.05% and a 96.52% cumulative survival rate. CONCLUSIONS Positive results in terms of bone maintenance in the long-term perspective are to be expected using immediately loaded implants with a TiUnite porous anodized surface in both postextractive and healed sites when adequate levels of oral hygiene are kept.

[1]  P. Mura.  Immediate loading of tapered implants placed in postextraction sockets: retrospective analysis of the 5-year clinical outcome. , 2012, Clinical implant dentistry and related research.

[2]  B. Al-Nawas,et al.  Ten-year retrospective follow-up study of the TiOblast dental implant. , 2012, Clinical implant dentistry and related research.

[3]  R. Calandriello,et al.  Immediate occlusal loading of single lower molars using Brånemark System® Wide Platform TiUnite™ implants: a 5-year follow-up report of a prospective clinical multicenter study. , 2011, Clinical implant dentistry and related research.

[4]  Alberto Turri,et al.  Outcome of surgical treatment of peri-implantitis: results from a 2-year prospective clinical study in humans. , 2011, Clinical oral implants research.

[5]  P. Eickholz,et al.  Prevalence of periimplant disease in partially edentulous patients: a practice-based cross-sectional study. , 2011, Clinical oral implants research.

[6]  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.

[7]  J. Wennström,et al.  Survival and complication rates of implant-supported fixed partial dentures with cantilevers: a systematic review. , 2009, Clinical oral implants research.

[8]  Hans Nilson,et al.  Digitally planned, immediately loaded dental implants with prefabricated prostheses in the reconstruction of edentulous maxillae: a 1-year prospective, multicenter study. , 2009, Clinical implant dentistry and related research.

[9]  L. Sennerby,et al.  Immediate and early loading of oxidized tapered implants in the partially edentulous maxilla: a 1-year prospective clinical, radiographic, and resonance frequency analysis study. , 2009, Clinical implant dentistry and related research.

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

[11]  L. Sennerby,et al.  Immediate occlusal loading of implants in the partially edentate mandible: a prospective 1-year radiographic and 4-year clinical study. , 2008, The International journal of oral & maxillofacial implants.

[12]  R. Glauser,et al.  Five-year results of implants with an oxidized surface placed predominantly in soft quality bone and subjected to immediate occlusal loading. , 2007, The Journal of prosthetic dentistry.

[13]  A. Piattelli,et al.  Immediately loaded titanium implants with a porous anodized surface with at least 36 months of follow-up. , 2006, Clinical implant dentistry and related research.

[14]  S. Balshi,et al.  Analysis of 164 titanium oxide-surface implants in completely edentulous arches for fixed prosthesis anchorage using the pterygomaxillary region. , 2005, The International journal of oral & maxillofacial implants.

[15]  T. Albrektsson,et al.  Oral implant surfaces: Part 2--review focusing on clinical knowledge of different surfaces. , 2004, The International journal of prosthodontics.

[16]  S. Heo,et al.  Microarray-based expression analysis of human osteoblast-like cell response to anodized titanium surface , 2004, Biotechnology Letters.

[17]  N. Lang,et al.  Association between periodontal and peri-implant conditions: a 10-year prospective study. , 2004, Clinical oral implants research.

[18]  A. Wennerberg,et al.  Histologic evaluation of bone response to oxidized and turned titanium micro-implants in human jawbone. , 2003, The International journal of oral & maxillofacial implants.

[19]  G. Mailath,et al.  Osseous healing characteristics of three different implant types. , 2003, Clinical oral implants research.

[20]  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.

[21]  A. Piattelli,et al.  Histologic evaluation of a human immediately loaded titanium implant with a porous anodized surface. , 2002, Clinical implant dentistry and related research.

[22]  H. Spiekermann,et al.  Clinical and microbial findings on osseo-integrated implants; comparisons between partially dentate and edentulous subjects. , 1998, The European journal of prosthodontics and restorative dentistry.

[23]  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.

[24]  U. Lekholm,et al.  Patient selection and preparation , 1985 .