Implant failures and age at the time of surgery: A retrospective study on implant treatment in 2915 partially edentulous jaws.

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Abstrakt

Tytuł:: Implant failures and age at the time of surgery: A retrospective study on implant treatment in 2915 partially edentulous jaws.
Autorzy:: Jemt T; Department of Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.; Prosthodontist, Brånemark Clinic, Public Dental Health Service, Västra Götaland, Sweden.
Źródło:: Clinical implant dentistry and related research [Clin Implant Dent Relat Res] 2019 Aug; Vol. 21 (4), pp. 686-692. Date of Electronic Publication: 2019 Jun 17.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: [2013-] : Malden, MA : John Wiley & Sons, Inc
Original Publication: Hamilton, Ont. : B.C. Decker, c1999-
MeSH Terms:: Dental Implants*
Jaw, Edentulous, Partially*
Adult ; Aged ; Dental Prosthesis, Implant-Supported ; Dental Restoration Failure ; Follow-Up Studies ; Humans ; Jaw, Edentulous ; Middle Aged ; Retrospective Studies ; Treatment Outcome
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Grant Information:: #2017-1548 Nobel Biocare Service AG, Zurich
Contributed Indexing:: Keywords: age; complication; failure; follow-up; implants; methodology; multivariable
Substance Nomenclature:: 0 (Dental Implants)
Entry Date(s):: Date Created: 20190618 Date Completed: 20191202 Latest Revision: 20200108
Update Code:: 20240104
DOI:: 10.1111/cid.12812
PMID:: 31207029
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Purpose: To further report and analyze data on the prevalence of implant failures related to age at surgery in partially edentulous jaws.
Materials and Methods: Altogether, 2915 partially edentulous jaws (Kennedy Class I and II) were consecutively treated with 9167 implants over a 30-year period (1986-2015) in one referral clinic. All implant failures were consecutively recorded and the first event of implant failure was analyzed in relation to patient age at implant surgery.
Results: A total of 2453 patients participated in the study. The main observations were a nonlinear, normal distribution association between risk of implant failure and age at surgery with the highest risk in middle-aged patients. The risk for implant failures was significantly higher for middle-aged patients (45-64 years) than for old patients at the time of surgery (P < .05). The overall cumulative survival rates for treated jaws increased consistently from the age group of 40 to 49 years to that of >79 years. However, younger age groups (<40 years) presented a different pattern. Partially edentulous patients included late in the study (2003-2015) presented a more pronounced nonlinear, normal distribution, and the highest risk of implant failure in patients between 50 and 55 years of age at surgery.
Conclusions: An overall nonlinear risk pattern of implant failure was observed, with the highest risk in the middle-aged group at implant surgery. Overall cumulative survival rates were highest in the youngest and oldest age groups at implant surgery, and this pattern became more pronounced in patients included late in the study.
(© 2019 Wiley Periodicals, Inc.)

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