anadolu klin

Anatolian Clinic the Journal of Medical Sciences

2149-5254 2458-8849

Hayat Sağlık ve Sosyal Hizmetler Vakfı

10.21673/anadoluklin.466020

Health Care Administration

Sağlık Kurumları Yönetimi

An Evaluation of Success Factors in Dental Implant Treatment

Dental İmplant Tedavisinde Başarı Faktörlerinin Değerlendirilmesi

Atala

Mustafa Hayati

PROTETİK DİŞ TEDAVİSİ ANABİLİM DALI Ustaoğlu

Gülbahar

PERİODONTOLOJİ ANABİLİM DALI Çetin

Hülya

PROTETİK DİŞ TEDAVİSİ ANABİLİM DALI

01 30 2019

24 1 26 31 10 01 2018 11 20 2018

1933

Anadolu Kliniği Tıp Bilimleri Dergisi

Aim: The aim of this study is to prevent failures that may occur by examiningimplant treatment success rate in relation to age, gender, systemic condition, typeof prosthetic treatment and applied surgical technique.Materials and Methods: A total of 877 patients who had undergone dental implanttreatment between 2011-2017 were evaluated retrospectively by reviewing 3033dental implant archive records and radiographs of patients at Abant IzzetBaysal University Faculty of Dentistry.Results: There was statistically significant difference in implantloss rates according to age distribution (p = 0,000) but not between genders (p= 0,157). When patients are evaluated for systemic condition, themost common diseases are; hypertension, diabetes mellitus, cardiovasculardiseases, thyroid diseases and osteoporosis. 2905 were bone level, 128 weretissue level, 952 were in maxilla posterior, 398 maxilla anterior, 1042mandibular posterior and 641 mandibular anterior of the 3033 implants placed inthe jawbone. Dental implants were restoredwith 513 single crown, 700 crown-bridge restoration and 260 removableprosthesis planning. Overdenture prostheseswere as 50 bar connected and 210 locator attachments.According to the analysis result, there was a statistically significantdifference between prosthesis type and implant loss rates (p = 0.007) Spss (18 vers.) Program and Pearson Chi-Squaretest were used to analyze statistical data in the study.Conclusion: Careful assessment of the systemic and local factors of the patient andcorrect prosthetic planning are crucial in the success of the implanttreatment.

AmaçBu çalışmanın amacı, implant tedavisinde başarının, yaş, cinsiyet, sistemik durum, protetiktedavi çeşidi ve cerrahi teknik ile ilişkisini inceleyerek oluşabilecek başarısızlıkların önüne geçilmesini sağlamaktır.Gereç ve Yöntemler: Çalışmaya 2011–2017 döneminde Bolu Abant İzzet Baysal Üniversitesi DişHekimliği Fakültesi’nde dental implant tedavisi görmüş toplam 877 hasta dahil edildi. Toplam 3033 adet dental implanta dair arşiv kayıtları ve radyografiler retrospektif olarak değerlendirildi.BulgularYaşa göre implant kaybetme oranları arasında istatistiksel olarak anlamlı fark bulunurken(p=0,0001), implant kaybı açısından iki cinsiyet arasında anlamlı fark bulunmadı (p=0,157). Hastalar sistemik rahatsızlıkları açısından değerlendirildiğinde en yaygın görülen hastalıklar hipertansiyon, diyabet, kardiyovasküler hastalıklar, tiroit hastalıkları ve osteoporoz idi. 3033 implantın 2905’i kemik-seviyesi, 128’i doku-seviyesi implant olup, 952’si posteriyor maksilla, 398’i anteriyor maksilla, 1042’si posteriyor mandibula, 641’i anteriyor mandibulaya yerleştirilmişti. İmplant lokasyonu ile kaybedilen implant sayısı arasındaki fark istatistiksel olarak anlamlı bulunmadı. Dental implantlar 513 adet tek kron, 700 köprü ve 260 hareketli protez ile restore edildi. Overdenture protezlerin 50 adeti bar bağlantılı, 210 adeti de Locator ataçman şeklindeydi. Protez tipi ve implant kayıp oranları arasında istatistiksel olarak anlamlı farkbulundu (p=0,007).Tartışma ve Sonuç: İmplant tedavisinin başarısında hastanın sistemik ve lokal açıdan dikkatlicedeğerlendirilmesi ve doğru bir protetik planlama büyük önem taşımaktadır.

dental implantlar mplant destekli protez; osseointegrasyon peri-implantitis

dental implants implant-supported denture osseointegration peri-implantitis

1. Branemark PI, Adell R, Breine U, Hansson BO, Lindstrom J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969;3(2):81-100.

2. Linder L, Albrektsson T, Branemark PI, Hansson HA, Ivarsson B, Jonsson U, et al. Electron microscopic analysis of the bone-titanium interface. Acta Orthop Scand. 1983;54(1):45-52.

3. Weber HP, Cochran DL. The soft tissue response to osseointegrated dental implants. The Journal of prosthetic dentistry. 1998;79(1):79-89.

4. Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T. Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants. 1990;5(4):347-59.

5. Albrektsson T, Wennerberg A. The impact of oral implants - past and future, 1966-2042. Journal. 2005;71(5):327.

6. Sennerby L, Roos J. Surgical determinants of clinical success of osseointegrated oral implants: a review of the literature. Int J Prosthodont. 1998;11(5):408-20.

7. Davarpanah M, Martinez H, Etienne D, Zabalegui I, Mattout P, Chiche F, et al. A prospective multicenter evaluation of 1,583 3i implants: 1- to 5-year data. Int J Oral Maxillofac Implants. 2002;17(6):820-8.

8. Olmedo-Gaya MV, Manzano-Moreno FJ, Canaveral-Cavero E, de Dios Luna-del Castillo J, Vallecillo-Capilla M. Risk factors associated with early implant failure: A 5-year retrospective clinical study. The Journal of prosthetic dentistry. 2016;115(2):150-5.

9. Bornstein MM, Halbritter S, Harnisch H, Weber HP, Buser D. A retrospective analysis of patients referred for implant placement to a specialty clinic: indications, surgical procedures, and early failures. Int J Oral Maxillofac Implants. 2008;23(6):1109-16.

10. Haas R, Mensdorff-Pouilly N, Mailath G, Watzek G. Survival of 1,920 IMZ implants followed for up to 100 months. Int J Oral Maxillofac Implants. 1996;11(5):581-8.

11. Cune MS, de Putter C, Hoogstraten J. Treatment outcome with implant-retained overdentures: Part II--Patient satisfaction and predictability of subjective treatment outcome. The Journal of prosthetic dentistry. 1994;72(2):152-8.

12. Herrmann I, Lekholm U, Holm S, Kultje C. Evaluation of patient and implant characteristics as potential prognostic factors for oral implant failures. Int J Oral Max Impl. 2005;20(2):220-30.

13. Garg AK, Winkler S, Bakaeen LG, Mekayarajjananonth T. Dental implants and the geriatric patient. Implant dentistry. 1997;6(3):168-73.

14. Raikar S, Talukdar P, Kumari S, Panda SK, Oommen VM, Prasad A. Factors Affecting the Survival Rate of Dental Implants: A Retrospective Study. J Int Soc Prev Community Dent. 2017;7(6):351-5.

15. Cappuccio FP, Meilahn E, Zmuda JM, Cauley JA. High blood pressure and bone-mineral loss in elderly white women: a prospective study. Study of Osteoporotic Fractures Research Group. Lancet. 1999;354(9183):971-5.

16. Strazzullo P, Nunziata V, Cirillo M, Giannattasio R, Ferrara LA, Mattioli PL, et al. Abnormalities of calcium metabolism in essential hypertension. Clinical science (London, England : 1979). 1983;65(2):137-41.

17. Wu X, Al-Abedalla K, Eimar H, Arekunnath Madathil S, Abi-Nader S, Daniel NG, et al. Antihypertensive Medications and the Survival Rate of Osseointegrated Dental Implants: A Cohort Study. Clinical implant dentistry and related research. 2016;18(6):1171-82.

18. Pierroz DD, Bonnet N, Bianchi EN, Bouxsein ML, Baldock PA, Rizzoli R, et al. Deletion of beta-adrenergic receptor 1, 2, or both leads to different bone phenotypes and response to mechanical stimulation. Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research. 2012;27(6):1252-62.

19. Alsaadi G, Quirynen M, Komarek A, van Steenberghe D. Impact of local and systemic factors on the incidence of oral implant failures, up to abutment connection. Journal of clinical periodontology. 2007;34(7):610-7.

20. Anner R, Grossmann Y, Anner Y, Levin L. Smoking, diabetes mellitus, periodontitis, and supportive periodontal treatment as factors associated with dental implant survival: a long-term retrospective evaluation of patients followed for up to 10 years. Implant dentistry. 2010;19(1):57-64.

21. Dowell S, Oates TW, Robinson M. Implant success in people with type 2 diabetes mellitus with varying glycemic control: a pilot study. J Am Dent Assoc. 2007;138(3):355-61; quiz 97-8.

22. Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants. 2005;20(4):569-77.

23. Zupnik J, Kim SW, Ravens D, Karimbux N, Guze K. Factors associated with dental implant survival: a 4-year retrospective analysis. Journal of periodontology. 2011;82(10):1390-5.

24. Daubert DM, Weinstein BF, Bordin S, Leroux BG, Flemming TF. Prevalence and predictive factors for peri-implant disease and implant failure: a cross-sectional analysis. Journal of periodontology. 2015;86(3):337-47.

25. Ferreira SD, Silva GL, Cortelli JR, Costa JE, Costa FO. Prevalence and risk variables for peri-implant disease in Brazilian subjects. Journal of clinical periodontology. 2006;33(12):929-35.

26. Oates TW, Jr., Galloway P, Alexander P, Vargas Green A, Huynh-Ba G, Feine J, et al. The effects of elevated hemoglobin A(1c) in patients with type 2 diabetes mellitus on dental implants: Survival and stability at one year. J Am Dent Assoc. 2014;145(12):1218-26.

27. Oates TW, Dowell S, Robinson M, McMahan CA. Glycemic control and implant stabilization in type 2 diabetes mellitus. Journal of dental research. 2009;88(4):367-71.

28. Tallarico M, Meloni SM. Retrospective Analysis on Survival Rate, Template-Related Complications, and Prevalence of Peri-implantitis of 694 Anodized Implants Placed Using Computer-Guided Surgery: Results Between 1 and 10 Years of Follow-Up. Int J Oral Maxillofac Implants. 2017;32(5):1162-71.

29. Geckili O, Bilhan H, Geckili E, Cilingir A, Mumcu E, Bural C. Evaluation of possible prognostic factors for the success, survival, and failure of dental implants. Implant dentistry. 2014;23(1):44-50.

30. Jang HW, Kang JK, Lee K, Lee YS, Park PK. A retrospective study on related factors affecting the survival rate of dental implants. The journal of advanced prosthodontics. 2011;3(4):204-15.