Long-term evaluation of osseointegrated dental implants in the treatment of partly edentulous patients

Aim: The aim of this study was to evaluate the clinical, radiographic and microbiological status of implants after 10 years of functional load in patients treated for partial edentulism. Method: 15 patients, each successfully treated with 2–6 implants ad modum Brånemark placed in free‐standing fixed...

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Bibliographic Details
Published in:	Journal of clinical periodontology Vol. 27; no. 2; pp. 128 - 133
Main Authors:	Hultin, Margareta, Gustafsson, Anders, Karolinska, Björn Klinge
Format:	Journal Article
Language:	English
Published:	Copenhagen Munksgaard International Publishers 01-02-2000
Subjects:	Adult Aged bone loss clinical evaluation Colony Count, Microbial - statistics & numerical data Dental Implantation, Endosseous - microbiology Dental Implantation, Endosseous - statistics & numerical data dental implants Dentistry Female Follow-Up Studies Humans Jaw, Edentulous, Partially - diagnostic imaging Jaw, Edentulous, Partially - microbiology Jaw, Edentulous, Partially - surgery longitudinal study Male Mandible Maxilla Medicin och hälsovetenskap microbiota Middle Aged partially edentulous Prospective Studies Radiography, Dental - statistics & numerical data Sweden Time Factors
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Summary:	Aim: The aim of this study was to evaluate the clinical, radiographic and microbiological status of implants after 10 years of functional load in patients treated for partial edentulism. Method: 15 patients, each successfully treated with 2–6 implants ad modum Brånemark placed in free‐standing fixed prostheses, were included in the study. Results: Clinical evaluation revealed similar degrees of inflammation around teeth and implants. The probing pocket depth (PPD) was significantly greater around implants than around teeth. The mean marginal bone loss during 10 years of functional load was comparable to that found at the time of the 5‐year follow‐up. 74% of the implants remained free of marginal bone loss exceeding 1 mm. Marginal bone loss exceeding 2 mm, was found at only 5 sites. No marked differences in bacteria were present between teeth and implants. T. denticola, S. intermedia and P. micros were the commonest organisms detected around teeth and implants. The periodontal pathogens A. actinomycetemcomitans, P. gingivalis, P. intermedia, B. forsythus, and T. denticola, were found at implants with a marginal bone loss of more than 2 mm. Conclusion: Our study shows that the long‐term results with implants in partially dentate patients are similar to those seen in edentulous patients and that no significant change occurred after 5‐year follow‐up over an additional period of 5 years.
Bibliography:	istex:511206396AC7F53B9576653EB32F7C1B6B2669A6 ArticleID:JCPE270209 ark:/67375/WNG-7301DCH8-4 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0303-6979 1600-051X
DOI:	10.1034/j.1600-051x.2000.027002128.x