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Licensed Unlicensed Requires Authentication Published by De Gruyter April 16, 2013

No influence of simultaneous bone-substitute application on the success of immediately loaded dental implants: a retrospective cohort study

  • Sigmar Kopp EMAIL logo , Detlef Behrend , Günther Kundt , Peter Ottl , Bernhard Frerich and Mareike Warkentin

Abstract

Purpose: To examine the influence of bone-substitute application during implantation on the success of immediately placed and loaded dental implants.

Materials and methods: A total of 147 consecutive patients (age, 16.5–80.4 years) were provided with 696 immediately loaded implants. The mean follow-up time was 34.1 months. Of these implants, 50.4% (n=351) were immediately placed into extraction sockets. A total of 119 implants were added by simultaneous bone-substitute application (NanoBone, Artoss GmbH, Rostock Germany), whereas the other implants were placed in healed bone. Univariate and multivariate analysis was performed using IBM SPSS V.20.

Results: The overall implant success rate was 96.1%. Implants with simultaneous bone replacement had a hazard ratio of 0.877 (p=0.837); 95% CI, 0.253–3.04). Factors found to be statistically significant modifiers of success on multivariate analysis (p<0.05) included type of superstructure (p<0.001), implant-abutment connection (p<0.001), membrane use (p=0.010), and jaw (p=0.026). None of the other factors investigated were significant modifiers.

Conclusions: The present study demonstrates high success rates for immediately loaded implants and their superstructures independent of the simultaneous application of bone substitute. The declared aim of socket preservation, the prevention avoiding bone loss, is achieved in the immediate implant placement scenario under immediate-loading conditions.


Corresponding author: Dr. Sigmar Kopp, Niklotstraße 39, 18273 Güstrow, Germany

References

[1] Albrektsson T, Sennerby L. State of the art in oral implants. J Clin Periodontol 1991; 18: 474–481.10.1111/j.1600-051X.1991.tb02319.xSearch in Google Scholar

[2] Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986; 1: 11–25.Search in Google Scholar

[3] Cardaropoli D, Tamagnone L, Roffredo A, Gaveglio L, Cardaropoli G. Socket preservation using bovine bone mineral and collagen membrane: a randomized controlled clinical trial with histologic analysis. Int J Periodontics Restorative Dent 2012; 32: 421–430.Search in Google Scholar

[4] Donsimoni JM, Bermot P, Bahm P, Salama JP. L’implantologie basale: une reponse en un seul temps a tous les problemes dentaires, y compris les cas inimplantables n’ayant pas d’os et refusant les greffes. Implantodontie 2000; 37: 35–44.Search in Google Scholar

[5] Donsimoni JM, Gabrieleff P, Bernot T, Dohan D. Les implants maxillofaciaux à plateaux d’assise; concepts et technologies orthopediques, rehabilitations maxillomandibulaires, reconstructions maxillo-faciales, rehabilitations dentaires partielles, techniques de reintervention, meta-analyse. 6e partie: une meta-analyse? Implantodontie 2004; 13: 217–228.Search in Google Scholar

[6] Gholami GA, Aghaloo M, Ghanavati F, Amid R, Kadkhodazadeh M. Three dimensional socket preservation: a technique for soft tissue augmentation along with socket grafting. Ann Surg Innov Res 2012; 6: 3.10.1186/1750-1164-6-3Search in Google Scholar PubMed PubMed Central

[7] Gholami GA, Najafi B, Mashhadiabbas F, Goetz W, Najafi S. Clinical, histologic and histomorphometric evaluation of socket preservation using a synthetic nanocrystalline hydroxyapatite in comparison with a bovine xenograft: a randomized clinical trial. Clin Oral Implants Res 2012; 23: 1198–1204.10.1111/j.1600-0501.2011.02288.xSearch in Google Scholar PubMed

[8] Henry PJ, Liddelow GJ. Immediate loading of dental implants. Aust Dent J 2008; 53(Suppl 1): S69–S81.10.1111/j.1834-7819.2008.00044.xSearch in Google Scholar PubMed

[9] Horwitz J, Machtei EE. Immediate and delayed restoration of dental implants in patients with a history of periodontitis: a prospective evaluation up to 5 years. Int J Oral Maxillofac Implants 2012; 27: 1137–1143.Search in Google Scholar

[10] Ihde S. Principles of BOI. 1st ed. Heidelberg: Springer 2005.10.1007/3-540-26987-8_1Search in Google Scholar

[11] Kammerer PW, Palarie V, Schiegnitz E, Nacu V, Draenert FG, Al-Nawas B. Influence of a collagen membrane and recombinant platelet-derived growth factor on vertical bone augmentation in implant-fixed deproteinized bovine bone – animal pilot study. Clin Oral Implants Res 2012 July 4. doi: 10.1111/j.1600-0501.2012.02534.x. [Epub ahead of print]10.1111/j.1600-0501.2012.02534.xSearch in Google Scholar PubMed

[12] Kopp S. “All on four” – basal implants as solid base for circular bridges in high periodontal risk patients. CMF Impl Dir 2007; 2: 105–108.Search in Google Scholar

[13] Kopp S. Sterile Osteolysen? – Klinik und FEA im MKG-Bereich. Osteologie 2010; 19: 19.Search in Google Scholar

[14] Kopp S, Kopp W. Comparison of immediate vs. delayed basal implants. J Maxillofac Oral Surg 2008; 7: 116–122.Search in Google Scholar

[15] Kopp S, Bienengräber V, Ihde S. Basal implants as a solid base for immediately loaded full arch bridges. Dental Forum 2009; 37: 51–60.Search in Google Scholar

[16] Kopp S, Kuzelka J, Goldmann T, Himmlova L, Ihde S. Modeling of load transmission and distribution of deformation energy before and after healing of basal dental implants in the human mandible. Biomed Tech (Berl) 2011; 56: 53–58.10.1515/bmt.2010.053Search in Google Scholar

[17] Kopp S, Warkentin M, Öri F, Ottl P, Kundt G, Frerich B. Section plane selection influences the results of histomorphometric studies: the example of dental implants. Biomed Tech (Berl) 2012; 57: 365–370.10.1515/bmt-2012-0015Search in Google Scholar PubMed

[18] Kutkut A, Andreana S, Kim HL, Monaco E Jr. Extraction socket preservation graft before implant placement with calcium sulfate hemihydrate and platelet-rich plasma: a clinical and histomorphometric study in humans. J Periodontol 2012; 83: 401–409.10.1902/jop.2011.110237Search in Google Scholar PubMed

[19] Mangano C, Piattelli A, Mangano F, Perrotti V, Iezzi G. Immediate loading of modified acid etched dental implants in postextraction sockets: a histological and histomorphometrical comparative study in nonhuman primate Papio ursinus. Implant Dent 2009; 18: 142–150.10.1097/ID.0b013e318192cbe5Search in Google Scholar PubMed

[20] Mankoo T. Restoration of failing single teeth in compromised anterior sites with immediate or delayed implant placement combined with socket preservation – a report of two cases. Eur J Esthet Dent 2007; 2: 352–368.Search in Google Scholar

[21] Meningaud JP, Donsimoni JM, Lantieri L. [Facial allograft transplantation and basal implantology(cortically anchored disk-design implants)]. Rev Stomatol Chir Maxillofac 2009; 110: 353–358.10.1016/j.stomax.2009.09.008Search in Google Scholar

[22] Mesa F, Munoz R, Noguerol B, de Dios Luna J, Galindo P, O’Valle F. Multivariate study of factors influencing primary dental implant stability. Clin Oral Implants Res 2008; 19: 196–200.10.1111/j.1600-0501.2007.01450.xSearch in Google Scholar

[23] Penarrocha-Oltra D, Demarchi CL, Maestre-Ferrin L, Penarrocha-Diago M. Comparison of immediate and delayed implants in the maxillary molar region: a retrospective study of 123 implants. Int J Oral Maxillofac Implants 2012; 27: 604–610.Search in Google Scholar

[24] Perelman-Karmon M, Kozlovsky A, Liloy R, Artzi Z. Socket site preservation using bovine bone mineral with and without a bioresorbable collagen membrane. Int J Periodontics Restorative Dent 2012; 32: 459–465.Search in Google Scholar

[25] Scortecci G. Immediate function of cortically anchored disk-design implants without bone augmentation in moderately to severely resorbed completely edentulous maxillae. J Oral Implantol 1999; 25: 70–79.10.1563/1548-1336(1999)025<0070:IFOCAD>2.3.CO;2Search in Google Scholar

[26] Scortecci G, Misch C, Benner K. Implants and restorative dentistry. London: Dunitz 2001.Search in Google Scholar

[27] Scortecci G, Misch C, Odin G. Implantologie basale: une approche therapeutique fondeee sur la preuve. Implantodontie 2003; 12: 35–47.10.1016/j.implan.2003.10.007Search in Google Scholar

[28] Silva NR, Nourian P, Coelho PG, Rekow ED, Thompson VP. Impact fracture resistance of two titanium-abutment systems versus a single-piece ceramic implant. Clin Implant Dent Relat Res 2011; 13: 168–173.10.1111/j.1708-8208.2009.00187.xSearch in Google Scholar

[29] von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. [The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting of observational studies]. Internist (Berl) 2008; 49: 688–693.10.1007/s00108-008-2138-4Search in Google Scholar

Received: 2012-12-6
Accepted: 2013-3-26
Published Online: 2013-04-16
Published in Print: 2013-06-01

©2013 by Walter de Gruyter Berlin Boston

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