Maxillofacial Plastic and Reconstructive Surgery

  • Volume 42
  • /
  • Pages.10.1-10.9
  • /
  • 2020
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지
DOI QR코드

DOI QR Code

The long-term evaluation of the prognosis of implants with acid-etched surfaces sandblasted with alumina: a retrospective clinical study

  • Kim, Min-Joong (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Yun, Pil-Young (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Chang, Na-Hee (Department of Biomedical Research Institute, Seoul National University Bundang Hospital) ;
  • Kim, Young-Kyun (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital)
  • Received : 2020.02.23
  • Accepted : 2020.03.24
  • Published : 2020.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The aim of this study was to evaluate the long-term clinical stability of implants with acid-etched surfaces sandblasted with alumina using retrospective analyses of the survival rate, success rate, primary and secondary stability, complications, and marginal bone loss of the implants. Methods: Patients who had implants placed (TS III SA, SS II SA, SS III SA, and U III SA) with SA surfaces from Osstem (Osstem Implant Co., Busan, Korea) at the Seoul National University Bundang Hospital, from January 2008 to December 2010 were selected for the study. Patients' medical records and radiographs (panorama, periapical view) were retrospectively analyzed to investigate sex, age, location of implantation, diameter, and length of the implants, initial and secondary stability, presence of bone grafting, types of bone grafting and membranes, early and delayed complications, marginal bone loss, and implant survival rate. Results: Ninety-six implants were placed in 45 patients. Five implants were removed during the follow-up period for a total survival rate of 94.8%. There were 14 cases of complications, including 6 cases of early complications and 8 cases of delayed complications. All five implants that failed to survive were included in the early complications. The survival of implants was significantly associated with the occurrence of complications and the absorption of bone greater than 1 mm within 1 year after prosthetic completion. In addition, the absorption of bone greater than 1 mm within 1 year after prosthetic completion was significantly associated with the occurrence of complications, primary stability, and implant placement method. Five cases that failed to survive were all included in the early complications criteria such as infection, failure of initial osseointegration, and early exposure of the fixture. Conclusions: Of the 96 cases, 5 implants failed resulting in a 94.8% survival rate. The failed implants were all cases of early complications such as infection, failure of initial osseointegration, and early exposure of the fixtures. Periimplantitis was mostly addressed through conservative and/or surgical treatment and resulted in very low prosthetic complications. Therefore, if preventive measures are taken to minimize initial complications, the results can be very stable.

Keywords

References

  1. Albrektsson T, Branemark PI, Hansson HA, Lindstrom J (1981) Osseo-integrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 52:155-170
  2. Wennerberg A, Ektessabi A, Albrektsson T, Johansson C, Andersson B (1997) A 1-year follow-up of implants of differing surface roughness placed in rabbit bone. Int J Oral Maxillofac Implants 12:486-494
  3. Kim Y-K, Bae B-H (2010) Subject's subjective satisfaction and short-term clinical evaluation of Osstem TS III SA implant. Dental Clin 30(7):430-443
  4. Lee Y-J, Lee B-W, Kim Y-S (2003) Recent trends in research on implant surface treatment-from the viewpoint of bone healing. Implantology 12: 12-29
  5. Kim H-K, Lee E-Y, Kim J-J (2015) Five-year retrospective radiographic follow-up study of dental implants with sandblasting with large grit, and acid etching-treated surfaces. J Korean Assoc Oral Maxillofac Surg 41:317-321
  6. Buser D, Janner SF, Wittneben JG, Bragger U, Ramseier CA, SalviGE (2012) 10-year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res 14:839-851
  7. Lang NP, Berglundh T, Heitz-Mayfield LJ, Pjetursson BE, Salvi GE, Sanz M (2004) Consensus statements and recommended clinical procedures regarding implant survival and complications. Int J Oral Maxillofac Implants 19(Suppl):150-154
  8. Lian M, Zhao K, Wang F (2019) Stud vs bar attachments for maxillary four-implant-supported overdentures: 3- to 9-year results from a retrospective study. Int J Oral Maxillofac Implants 34:936-946
  9. Rosales-Leal JI, Rodriguez-Valverde MA, Mazzaglia G et al (2010) Effect of roughness, wettability and morphology of engineered titanium surfaces on osteoblast-like cell adhesion. Colloids and Surfaces A: Physicochemical and Engineering Aspects. Sciencedirect. Aug 5-365(1):222-229
  10. Ahmed E, Hyun LD, Wang Wendy CW, Choon CS (2014) The survival rate of RBM surface versus SLA surface in geometrically identical implant design. J Oral Bio 1(1):8
  11. Kim S-B, Yun P-Y, Kim S-Y, Yi Y-J, Kim J-Y, Kim Y-K (2016) Prospective randomized clinical trial of hydrophilic tapered implant placement at maxillary posterior area: 6 weeks and 12 weeks loading. J Adv Prosthodont 8:396-403
  12. Yu H-C, Kang D-W, Kim Y-K (2019) Long-term observation of immediately-installed implants after extraction: retrospective clinical study. Oral Biol Res 43(2):130-135
  13. Kim Y-K, Bae J-H (2010) Subjective satisfaction of clinician and short-term clinical evaluation of Osstem TSIII SA implant. J Korean Clin Implant 30(7): 430-443
  14. Rodrigo D, Aracil L, Martin C, Sanz M (2010) Diagnosis of implant stability and its impact on implant survival: a prospective case series study. Clin. Oral Impl. Res 21:255-261
  15. JAVED FAWAD, AHMED HAMEEDABASHIR, CRESPI ROBERTO, ROMANOS GEORGIOSE (2013) Role of primary stability for successful osseointegration of dental implants: factors of influence and evaluation. Interv Med Appl Sci 5(4):162-167
  16. Pejeva E, Papakoca K, Ambarkova V, Todorovska G (2018) Marginal bone resorption at dental implant - 12 clinical cases. J Dent Oral Health 4(10104):1-11
  17. Tae-Ju O, Yoon J, Misch CE, Wang H-L (2002) The causes of early implant bone loss: myth or science? J Peridontol 73:322-333
  18. Lindhe J, Berglundh T, Ericsson I, Liljenberg B, Marinello C (1992) Experimental breakdown of peri-implant and periodontal tissues - a study in the beagle dog. Clin Oral Implant Res 3:9-16
  19. Lang NP, Bragger U, Walther D, Beamer B, Kornman KS (1993) Ligature-induced peri-implant infection in cynomolgus monkeys (I). Clinical and radiographic findings. Clin Oral Implant Res 4:2-11
  20. Schou S, Holmstrup P, Stoltze K, Hjorting-Hansen E, Kornman KS (1993) Ligature-induced marginal inflammation around osseointegrated implants and ankylosed teeth. Clin Oral Implants Res 4:12-22
  21. Mombelli A, Van Oosten MA, Schurch E, Lang NP (1987) The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol 2:145-151
  22. Gheisari R, Eatemadi H, Alavian A (2017) Comparision of the marginal bone loss in one-stage versus two-stage implant surgery. J Dent Shiraz Univ Med Sci 18(4):272-276
  23. Siadat H, Panjnoosh M, Alikbasi M, Aliboseini M (2012) Does implant staging choice affect crestal bone loss? J Oral Maxillofac Surg 70:307-313
  24. Worthington P, Bolender CL, Taylor TD (1987) The Swedish system of osseointegrated implants: problems and complications encountered during a 4-year trial period. Int J Oral Maxillof Implants 2:77-84
  25. Esposito M, Hirsch JM, Lekholm U, Thomsen P (1998) Biological factors contributing to failures of osseointegrated oral implants: (II) Etiophatogenesis. Eur J Oral Sci 106:721-764
  26. Friberg B (1996) Sterile operating conditions for the placement of intraoral implants. J Oral Maxillofac Surg 54:1334-1336
  27. Esposito M, Thomsen P, Ericson L, Lekholm U (1999) Histopathologic observations on early oral implant failures. Int J Oral Maxillofac Implants 14: 798-810
  28. Esposito M, Thomsen P, Ericson LE, Sennerby L, Lekholm U (2000) Histopathologic observations on late oral implant failures. Clin Implant Dent Relat Res 2(1):18-32
  29. Esposito M, Thomsen P, Molne J, Gretzer C, Ericson LE, Lekholm U (1997) Immunohistochemistry of soft tissues surrounding late failures of Branemark implants. Clin Oral Implant Res 8:352-366

Cited by

  1. Effect of Ultraviolet Irradiation on Osseointegration of Dental Implants: A Comparative Histomorphometric Study in Canine Models vol.10, pp.12, 2020, https://doi.org/10.3390/app10124216
  2. The risk factors of early implant failure: A retrospective study of 6113 implants vol.23, pp.3, 2020, https://doi.org/10.1111/cid.12992
  3. The early loading of different surface-modified implants: a randomized clinical trial vol.21, pp.1, 2020, https://doi.org/10.1186/s12903-021-01498-z
  4. The effect of 4-hexylresorinol administration on NAD+ level and SIRT activity in Saos-2 cells vol.43, pp.1, 2020, https://doi.org/10.1186/s40902-021-00326-2