Long-Term Outcome of Dental Implants in Immediate Function Inserted on Autogenous Grafted Bone

Overview

Journal J Clin Med

Specialty General Medicine

Date 2023 Jan 8

PMID 36615061

Authors

Miguel de Araujo Nobre

Francisco Salvado

Joao Andre Correia

Maria Cristina Faria Teixeira

Francisco Azevedo Coutinho

Affiliations

Soon will be listed here.

Abstract

Background: There is a need for long-term evidence of immediate function dental implants inserted in grafted bone. The aim of this retrospective study was to investigate the outcome of full-arch rehabilitations supported by implants in grafted bone. Methods: Thirty-six patients (women: 24; men: 12; average age: 53.5 years) were included (225 implants). Primary outcome measure: to assess implant cumulative success rates evaluated through life tables. Secondary outcome measures: to evaluate implant and prosthetic survival, marginal bone loss, and the incidence of both biological and mechanical complications. Results: Twenty-five implants were unsuccessful giving a dental implant CS rate of 88.1% at 14 years and a 76.8% survival estimation (Kaplan−Meier) using the patient as the unit of analysis. No prosthesis was lost. Average MBL at 10 years was 2.01 mm. The incidence of biological complications was 36%, with smoking affecting it significantly (p < 0.001). The incidence of mechanical complications was 86.1% (45.2% and 54.8% in provisional and definitive prosthesis, respectively. Conclusions: The rehabilitation of atrophic maxillae through dental implants in immediate function inserted in grafted bone is a valid treatment alternative, despite the relevant rate of implant failures and incidence of complications.

References

Malo P, de Araujo Nobre M, Lopes A, Ferro A, Nunes M . The All-on-4 concept for full-arch rehabilitation of the edentulous maxillae: A longitudinal study with 5-13 years of follow-up. Clin Implant Dent Relat Res. 2019; 21(4):538-549. DOI: 10.1111/cid.12771. View

Moraschini V, Porto Barboza E . Success of dental implants in smokers and non-smokers: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2015; 45(2):205-15. DOI: 10.1016/j.ijom.2015.08.996. View

Trbakovic A, Toljanic J, Kumar V, Thor A . Eight to eleven-year follow-up of immediately loaded implants placed in edentulous maxillae with compromised bone volume and poor bone quality: A prospective cohort study. Clin Implant Dent Relat Res. 2019; 22(1):69-76. DOI: 10.1111/cid.12874. View

Cassetta M . Immediate loading of implants inserted in edentulous arches using multiple mucosa-supported stereolithographic surgical templates: a 10-year prospective cohort study. Int J Oral Maxillofac Surg. 2016; 45(4):526-34. DOI: 10.1016/j.ijom.2015.12.001. View

Fuglsig J, Thorn J, Ingerslev J, Wenzel A, Spin-Neto R . Long term follow-up of titanium implants installed in block-grafted areas: A systematic review. Clin Implant Dent Relat Res. 2018; 20(6):1036-1046. DOI: 10.1111/cid.12678. View

Fretwurst T, Nack C, Al-Ghrairi M, Raguse J, Stricker A, Schmelzeisen R . Long-term retrospective evaluation of the peri-implant bone level in onlay grafted patients with iliac bone from the anterior superior iliac crest. J Craniomaxillofac Surg. 2015; 43(6):956-60. DOI: 10.1016/j.jcms.2015.03.037. View

Raghoebar G, Onclin P, Boven G, Vissink A, Meijer H . Long-term effectiveness of maxillary sinus floor augmentation: A systematic review and meta-analysis. J Clin Periodontol. 2019; 46 Suppl 21:307-318. DOI: 10.1111/jcpe.13055. View

Ma G, Wu C, Shao M . Simultaneous implant placement with autogenous onlay bone grafts: a systematic review and meta-analysis. Int J Implant Dent. 2021; 7(1):61. PMC: 8085156. DOI: 10.1186/s40729-021-00311-4. View

Kinsel R, Lin D . Retrospective analysis of porcelain failures of metal ceramic crowns and fixed partial dentures supported by 729 implants in 152 patients: patient-specific and implant-specific predictors of ceramic failure. J Prosthet Dent. 2009; 101(6):388-94. DOI: 10.1016/S0022-3913(09)60083-4. View

10.

Mordenfeld A, Albrektsson T, Hallman M . A 10-year clinical and radiographic study of implants placed after maxillary sinus floor augmentation with an 80:20 mixture of deproteinized bovine bone and autogenous bone. Clin Implant Dent Relat Res. 2012; 16(3):435-46. DOI: 10.1111/cid.12008. View

11.

Naert I, Quirynen M, van Steenberghe D, Darius P . A six-year prosthodontic study of 509 consecutively inserted implants for the treatment of partial edentulism. J Prosthet Dent. 1992; 67(2):236-45. DOI: 10.1016/0022-3913(92)90461-i. View

12.

Chrcanovic B, Albrektsson T, Wennerberg A . Smoking and dental implants: A systematic review and meta-analysis. J Dent. 2015; 43(5):487-98. DOI: 10.1016/j.jdent.2015.03.003. View

13.

Strietzel F, Reichart P, Kale A, Kulkarni M, Wegner B, Kuchler I . Smoking interferes with the prognosis of dental implant treatment: a systematic review and meta-analysis. J Clin Periodontol. 2007; 34(6):523-44. DOI: 10.1111/j.1600-051X.2007.01083.x. View

14.

Malo P, de Araujo Nobre M . A new approach for maxilla reconstruction. Eur J Oral Implantol. 2010; 2(2):101-14. View

15.

Buser D, Dula K, Hess D, Hirt H, Belser U . Localized ridge augmentation with autografts and barrier membranes. Periodontol 2000. 1999; 19:151-63. DOI: 10.1111/j.1600-0757.1999.tb00153.x. View

16.

Malo P, de Araujo Nobre M, Ferro A, Parreira G . Five-year outcome of a retrospective cohort study comparing smokers vs. nonsmokers with full-arch mandibular implant-supported rehabilitation using the All-on-4 concept. J Oral Sci. 2018; 60(2):177-186. DOI: 10.2334/josnusd.16-0890. View

17.

de Araujo Nobre M, Azul A, Rocha E, Malo P, Salvado F . Attributable fractions, modifiable risk factors and risk stratification using a risk score for peri-implant pathology. J Prosthodont Res. 2016; 61(1):43-53. DOI: 10.1016/j.jpor.2016.03.004. View

18.

Kassebaum N, Smith A, Bernabe E, Fleming T, Reynolds A, Vos T . Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990-2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors. J Dent Res. 2017; 96(4):380-387. PMC: 5912207. DOI: 10.1177/0022034517693566. View

19.

Kim Y, Oh T, Misch C, Wang H . Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale. Clin Oral Implants Res. 2005; 16(1):26-35. DOI: 10.1111/j.1600-0501.2004.01067.x. View

20.

de Moraes P, Olate S, Lauria A, Asprino L, de Moraes M, Albergaria-Barbosa J . 8-10 year follow-up survival of dental implants in maxillae with or without autogenous bone graft reconstruction. Int J Clin Exp Med. 2016; 8(10):19282-9. PMC: 4694465. View