Diş Çekimini Takiben İmmediat Olarak Yerleştirilen İmplantların Sağ Kalımını Etkileyen Faktörlerin Değerlendirilmesi: Retrospektif Çalışma

Year 2024, Volume: 11 Issue: 2, 128 - 131, 19.08.2024

İrem Asya Kafadar Gürbüz , Fulya Elgün , Gözde Işık , Tayfun Günbay

https://doi.org/10.15311/selcukdentj.1323461

Abstract

Amaç: Bu çalışmanın amacı, diş çekimini takiben immediat olarak yerleştirilen implantların sağ kalımının ve sağ kalımı etkileyen olası risk faktörlerinin retrospektif olarak değerlendirilmesiydi.

Gereç ve Yöntemler: Çalışmaya, 2015 Ocak ve 2021 Haziran tarihleri arasında, en az bir adet diş çekimi yapılmış ve çekim soketine eş zamanlı olarak implant yerleştirilmiş hastalar dahil edilmiştir. Demografik özellikler (yaş, cinsiyet ve sistemik hastalık) ve ameliyat verileri (dişin çekilme nedeni, implantın yerleştirildiği diş bölgesi, implantın yüzey özelliği, boy ve çapı, yerleştirme tork değeri, implant sayısı, kemik doku greftleme ve flep elevasyonu) kaydedilmiştir. İmplant sağ kalım oranı, toplam yerleştirilen implant sayısına göre yüzdelik olarak hesaplanmış ve risk grupları üzerindeki etkileri belirlemek için Multivariate analizi yapılmıştır. İstatistiksel olarak anlamlılık p<0,01 ve p<0,05 düzeylerinde değerlendirilmiştir.

Bulgular: Toplam 69 hasta (41 kadın ve 28 erkek; yaş aralığı 20 ile 84; yaş ortalaması 51,33±15,49) ve 109 implant değerlendirmeye alınmıştır. İmplant sağ kalım oranı %90,8 olarak hesaplanmış ve implantlar, ameliyat sonrası 12 aylık dönemde kaybedilmiştir. İmplant kaybı ile implantın yerleştirildiği diş bölgesi, flep elevasyonu ve yerleştirme tork değeri arasında istatistiksel olarak anlamlı bir fark bulunmuştur (sırasıyla p=0,004, p=0,001 ve p=0,001).

Sonuçlar:Tedavi planlamasının olası risk faktörleri dikkate alınarak yapılması, immediat olarak yerleştirilen implantların klinik başarısının arttırılması için oldukça önemlidir.

Anahtar Kelimeler: İmplant, immediat, başarısızlık

Keywords

İmplant, İmmediat, Başarısızlık

Evaluation of the Factors Affecting the Survival of Implants Placed Immediately Following Tooth Extraction: A Retrospective Study

Abstract

Background: The purpose of this study was to retrospectively evaluate the survival and its affecting factors for implants placed immediately following tooth extraction.

Methods: This study was conducted in patients who underwent at least one tooth extraction and implant placement at the same time, between January 2015 and June 2021. Demographic (age, gender, and co-morbid conditions) and surgical data (reasons for tooth extraction, site of placed implant, surface characteristics, length and diameter of the implant, insertion torque, number of implants, bone grafting and flap elevation) were recorded. Implant survival rate was calculated as a percentage of the total implant number and multivariate analysis was performed to determine the effects on risk groups. Statistical significance was set at p<0.01 and p<0.05.

Results:A total of 69 patients (41 women and 28 men; mean age 51.33±15.49 years) and 109 implants were enrolled. The survival rate of implants was calculated as 90.8%, and the implant failure was observed at the 12-months of follow-up. There was a statistically significant difference between the implant failure and the site of placed implant, flap elevation and insertion torque (p=0.004, p=0.001 ve p=0.001, respectively).

Conclusion:It is important that treatment plan is consider with the possible risk factors to increase the clinical success of the implants placed immediately.

Keywords: Implant, immediate, failure

Keywords

Implant, Immediate, Failure

References

• 1. Bassir SH, El Kholy K, Chen CY, Lee KH, Intini G. Outcome of early dental implant placement versus other dental implant placement protocols: A systematic review and meta-analysis. J Periodontol. 2019;90(5):493-506.
• 2. Canellas JVDS, Medeiros PJD, Figueredo CMDS, Fischer RG, Ritto FG. Which is the best choice after tooth extraction, immediate implant placement or delayed placement with alveolar ridge preservation? A systematic review and meta-analysis. J Craniomaxillofac Surg. 2019;47(11):1793-1802.
• 3. Hammerle CH, Chen ST, Wilson TG Jr. Consensus statements and recommended clinical procedures regarding the placement of implants in extraction sockets. Int J Oral Maxillofac Implants. 2004;19(Suppl):26–28.
• 4. Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants. 2009;24(suppl):186–217.
• 5. Ketabi M, Deporter D, Atenafu EG. A Systematic Review of Outcomes Following Immediate Molar Implant Placement Based on Recently Published Studies. Clin Implant Dent Relat Res. 2016;18(6):1084-1094.
• 6. Yu X, Teng F, Zhao A, Wu Y, Yu D. Effects of post-extraction alveolar ridge preservation versus immediate implant placement: a systematıc review and meta-analysis. J Evid Based Dent Pract. 2022;22(3):101734.
• 7. Zaki J, Yusuf N, El-Khadem A, Scholten RJPM, Jenniskens K. Efficacy of bone-substitute materials use in immediate dental implant placement: A systematic review and meta-analysis. Clin Implant Dent Relat Res. 2021;23(4):506-519.
• 8. Amid R, Kadkhodazadeh M, Moscowchi A. Immediate implant placement in compromised sockets: A systematic review and meta-analysis. J Prosthet Dent. 2021;9:S0022-3913(21)00525-4.
• 9. Francisco H, Marques D, Pinto C, Aiquel L, Caramês J. Is the timing of implant placement and loading influencing esthetic outcomes in single-tooth implants?-A systematic review. Clin Oral Implants Res. 2021;32 Suppl 21:28-55.
• 10. Lang NP, Pun L, Lau KY, Li KY, Wong MC. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Implants Res. 2012;23(suppl 5):39–66.
• 11. Esposito M, Grusovin MG, Polyzos IP, Felice P, Worthington HV. Timing of implant placement after tooth extraction: immediate, immediate-delayed or delayed implants? A Cochrane systematic review. Eur J Oral Implantol. 2010;3(3):189–205.
• 12. Blanco J, Carral C, Argibay O, Liñares A. Implant placement in fresh extraction sockets. Periodontol 2000. 2019;79(1):151-167.
• 13. Chrcanovic BR, Martins MD, Wennerberg A. Immediate placement of implants into infected sites: a systematic review. Clin Implant Dent Relat Res. 2015;17 Suppl 1:e1-e16.
• 14. Quirynen M, Gijbels F, Jacobs R. An infected jawbone site compromising successful osseointegration. Periodontology 2000. 2003;33:129–144.
• 15. Polizzi G, Grunder U, Goené R, Hatano N, Henry P, Jackson WJ et al. Immediate and delayed implant placement into extraction sockets: a 5-year report. Clin Implant Dent Relat Res, 2000;2:93-99
• 16. Ayangco L, Sheridan PJ. Development and treatment of retrograde peri-implantitis involving a site with a history of failed endodontic and apicoectomy procedures: a series of reports. Int J Oral Maxillofac Implants 2001;16:412–417.
• 17. Kakar A, Kakar K, Leventis MD, Jain G. Immediate Implant Placement in Infected Sockets: A Consecutive Cohort Study. J Lasers Med Sci. 2020;11(2):167-173.
• 18. Annibali S, Bignozzi I, Iacovazzi L, La Monaca G, Cristalli MP. Immediate, early, and late implant placement in first-molar sites: a retrospective case series. Int J Oral Maxillofac Implants. 2011;26(5):1108-22.
• 19. Ferrus J, Cecchinato D, Pjetursson EB, Lang NP, Sanz M, Lindhe J. Factors influencing ridge alterations following immediate implant placement into extraction sockets. Clin Oral Implants Res. 2010;21(1):22-9.
• 20. Wagenberg B, Froum SJ. A retrospective study of 1925 consecutively placed immediate implants from 1988 to 2004. Int J Oral Maxillofac Implants. 2006;21:71-80.
• 21. Christiaens V, Pitman J, Glibert M, Hommez G, Atashkadeh M, De Bruyn H. Rationale for a reverse tapered body shift implant for immediate placement. Int J Oral Maxillofac Surg. 2020;49(12):1630-1636.
• 22. Naji BM, Abdelsameaa SS, Alqutaibi AY, Said Ahmed WM. Immediate dental implant placement with a horizontal gap more than two millimetres: a randomized clinical trial. Int J Oral Maxillofac Surg. 2021;50(5):683-690.
• 23. Pitman J, Christiaens V, Callens J, Glibert M, Seyssens L, Blanco J, Cosyn J. Immediate implant placement with flap or flapless surgery: A systematic review and meta-analysis. J Clin Periodontol. 2023;50(6):755-764.
• 24. Yang C, Azzouz K, Almasri R, Emadi T. Immediate Implant Placement and Provisionalization in the Esthetic Zone Using Flapless Technique. Compend Contin Educ Dent. 2021;42(7):g1-g4.
• 25. Di Giacomo GA, da Silva JV, da Silva AM, Paschoal GH, Cury PR, Szarf G. Accuracy and complications of computer-designed selective laser sintering surgical guides for flapless dental implant placement and immediate definitive prosthesis installation. J Periodontol. 2012;83(4):410-9.
• 26. Chu SJ, Sarnachiaro GO, Hochman MN, Tarnow DP. Subclassification and clinical management of extraction sockets with labial dentoalveolar dehiscence defects. Compend Contin Educ Dent. 2015;36:516–522
• 27. Atieh MA, Alsabeeha NH, Payne AG, Schwass DR, Duncan WJ. Insertion torque of immediate wide-diameter implants: a finite element analysis. Quintessence Int. 2012 Oct;43(9):e115-26. PMID: 23041998.Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981;10:387-416.
• 28. Raina DB, Larsson D, Sezgin EA, Isaksson H, Tägil M, Lidgren L. Biomodulation of an implant for enhanced bone-implant anchorage. Acta Biomater. 2019;96:619-630.
• 29. Carr BR, Jeon-Slaughter H, Neal TW, Gulko JA, Kolar NC, Finn RA. Low Insertional Torque and Early Dental Implant Failure. J Oral Maxillofac Surg. 2022;80(6):1069-1077.
• 30. Liu Q, Yang J, Wang R, Yuan L, Yu K. Dental implant failure rates with low insertion torque with a nonsubmerged surgical approach: A retrospective clinical study. Clin Implant Dent Relat Res. 2023;25(1):118-123.
• 31. Eckert SE, Hueler G, Sandler N, Elkattah R, McNeil DC. Immediately Loaded Fixed Full-Arch Implant-Retained Prosthesis: Clinical Analysis When Using a Moderate Insertion Torque. Int J Oral Maxillofac Implants. 2019;34(3):737–744.