ABSTRACT
AIM: To investigate the clinical and radiographic outcome of a one-piece zirconia oral implant for single tooth replacement after 1 year. MATERIALS AND METHODS: A total of 65 patients received a one-stage implant surgery with immediate temporization. Standardized radiographs were taken at implant insertion and after 1 year to monitor peri-implant bone loss. A univariate analysis of the influence of different baseline parameters on marginal bone loss from implant insertion to 12 months was performed. Soft tissue parameters were evaluated at prosthesis insertion and at the 1-year follow-up. RESULTS: After 1 year, three implants were lost, giving a cumulative survival rate of 95.4%. The marginal bone loss after 1 year was 1.31 mm. Thirty-four per cent of the implants lost at least 2 mm bone, and 14% more than 3 mm. The univariate analysis could not depict any parameter influencing marginal bone loss. Probing depth, Clinical Attachment Level, Bleeding and Plaque Index decreased over 1 year. CONCLUSIONS: The cumulative survival rate of the presented ceramic implant was comparable to the reported survival rate of titanium implants when immediately restored. However, the frequency of increased radiographic bone loss (>2 mm) after 1 year was considerably higher as compared to conventional two-piece titanium implants. The presented zirconia implant can therefore not be recommended for clinical usage.
Subject(s)
Alveolar Bone Loss/etiology , Dental Implants, Single-Tooth/adverse effects , Dental Porcelain/adverse effects , Yttrium/adverse effects , Zirconium/adverse effects , Analysis of Variance , Cohort Studies , Dental Prosthesis Design , Dental Restoration Failure , Female , Gingival Recession/etiology , Humans , Life Tables , Male , Prospective Studies , Statistics, NonparametricABSTRACT
STATEMENT OF PROBLEM: A tapered implant with continuously changing threads purported to provide stable tissue support and allow immediate function has been developed. Treatment success and stabilization of supporting tissues over time require documentation. PURPOSE: The purpose of this prospective, randomized, controlled, multicenter study was to evaluate changes in bone level and soft tissue behavior between the novel implant (NobelActive/NA) and a standard tapered implant (NobelReplace Tapered Groovy/NR) with regard to immediate function. MATERIAL AND METHODS: A total of 177 patients randomly allocated to 3 treatment groups (2 different test implant groups: NA Internal (n=117; internal connection) and External (n=82), and 1 standard treatment group, NR (n=126)) received 325 implants. Implants were placed into healed sites, and all but 6 implants were immediately nonocclusally loaded. Clinical and radiographic evaluations of treatment success, crestal bone levels, and soft tissue changes were performed at the time of placement and after 3, 6, and 12 months. Log-Rank test was used to analyze the differences in survival rate. Marginal bone level was compared using the Kruskal-Wallis test and Mann-Whitney U-test (alpha=.05). RESULTS: One-year cumulative survival rates were comparable (96.6% for NA Internal; 96.3% for NA External; 97.6% for NR; P=.852; Log-Rank). Mean (SD) change in bone level was -0.95 mm (1.37) for NA Internal, -0.64 mm (0.97) for NA External, and -0.63 mm (1.18) for NR (P=.589; Kruskal-Wallis). Stable soft tissues and significantly increased papilla scores (P<.001; Wilcoxon signed-rank) were observed for all implant types. CONCLUSIONS: The novel implants showed high survival rates as well as stable bone and soft tissue levels after 1 year, and may be recommended for clinical use, even under immediate function.
Subject(s)
Bone Remodeling , Dental Implants, Single-Tooth , Dental Prosthesis Design , Dental Prosthesis, Implant-Supported , Mouth Mucosa/anatomy & histology , Adolescent , Adult , Aged , Alveolar Process/diagnostic imaging , Bone Density , Crowns , Dental Implantation, Endosseous , Dental Restoration Failure , Denture, Complete, Immediate , Denture, Partial, Immediate , Female , Humans , Male , Middle Aged , Prospective Studies , Radiography , Treatment Outcome , Young AdultABSTRACT
OBJECTIVE: To evaluate the long-term performance of machined screw implants placed in partially edentulous patients. METHOD AND MATERIALS: Eighty-six patients received a total of 214 machined implants (3i Implant Innovations). Seventy-six patients received 112 crowns and fixed partial dentures. The implants were placed in both the maxilla and the mandible. Using standardized radiographs, the peri-implant bone level was evaluated at the time of delivery of the final restorations and at up to 8 follow-up examinations. RESULTS: Nine implants failed before and 6 implants during functional loading. Further, 30 implants were classified as biologically unsuccessful. The estimated survival rate of the implants was 93% after 84 months (confidence interval 88% to 97%). The estimated success rate was 83.3% after 84 months (confidence interval 76.4% to 90.2%). CONCLUSION: Machined 3i implants can be used for the replacement of missing teeth in partially edentulous patients.
