Demiralp Kemal Özgür, Akbulut Nihat, Kursun Sebnem, Argun Didem, Bagis Nilsun, Orhan Kaan
Ministry of Health, Public Hospitals Agency of Turkey, 06520 Ankara, Turkey.
Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Gaziosmanpaşa University, 60150 Tokat, Turkey.
Biomed Res Int. 2015;2015:197451. doi: 10.1155/2015/197451. Epub 2015 Apr 16.
Short implants have become popular in the reconstruction of jaws, especially in cases with limited bone height. Shorter implants, those with locking tapers and plateau root shapes, tend to have longer survival times. We retrospectively investigated the cumulative survival rates of Bicon short implants (<8 mm) according to patient variables over a 5-year period.
This study included 111 consecutively treated patients with 371 implants supporting fixed or removable prosthetics. Data were evaluated to acquire cumulative survival rates according to gender, age, tobacco use, surgical procedure, bone quality, and restoration type. Statistics were performed using chi-square, Mann-Whitney, and Kruskal Wallis H tests.
The survival rate was 97.3% with, on average, 22.8 months of follow-up. Patients older than 60 years had higher failure rate than the other age groups (P < 0.05). Placed region, age, and bone quality had adverse effects on survival rate in the <8 mm implant group with statistically significant difference (P < 0.05).
Approximately 23-month follow-up data indicate that short implants with locking tapers and plateau-type roots have comparable survival rates as other types of dental implants. However, due to limitations of study, these issues remain to be further investigated in future randomized controlled clinical trials.
短种植体在颌骨重建中已变得流行,尤其是在骨高度有限的病例中。较短的种植体,即具有锁定锥度和平台根形状的种植体,往往具有更长的存活时间。我们回顾性研究了5年期间根据患者变量的Bicon短种植体(<8毫米)的累积存活率。
本研究纳入了111例连续接受治疗的患者,共植入371颗支持固定或可摘修复体的种植体。根据性别、年龄、吸烟情况、手术程序、骨质和修复类型对数据进行评估以获得累积存活率。使用卡方检验、曼-惠特尼检验和克鲁斯卡尔-沃利斯H检验进行统计分析。
平均随访22.8个月,存活率为97.3%。60岁以上患者的失败率高于其他年龄组(P<0.05)。在<8毫米种植体组中,植入部位、年龄和骨质对存活率有不利影响,差异有统计学意义(P<0.05)。
大约23个月的随访数据表明,具有锁定锥度和平台型根的短种植体与其他类型的牙种植体具有相当的存活率。然而,由于研究的局限性,这些问题仍有待未来的随机对照临床试验进一步研究。