Impact of local and systemic factors on the incidence of oral implant failures, up to abutment connection

Authors

  • Ghada Alsaadi,

    1. Department of Periodontology, Faculty of Medicine, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Catholic University of Leuven, Leuven, Belgium
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  • Marc Quirynen,

    1. Department of Periodontology, Faculty of Medicine, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Catholic University of Leuven, Leuven, Belgium
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  • Arnošt Komárek,

    1. Biostaistical centre, School of Public Health, Catholic University of Leuven, Leuven, Belgium
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  • Daniel Van Steenberghe

    1. Department of Periodontology, Faculty of Medicine, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Catholic University of Leuven, Leuven, Belgium
    2. Holder of P-I Brånemark Chair in Osseointegration
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  • Conflict of interest and source of funding statement
    The authors declare that they have no conflict of interests.

Address:
Prof. D. van Steenberghe
Department of Periodontology
Faculty of Medicine
K.U.Leuven, Kapucijnenvoer
7, B-3000 Leuven
Belgium
E-mail: Daniel.vanSteenberghe@med.kuleuven.be

Abstract

Aim: The aim of this retrospective study was to assess the influence of systemic and local bone and intra-oral factors on the occurrence of early implant failures, i.e. up to the abutment connection.

Material and Methods: The surgical records of 2004 consecutive patients from the total patient population who had been treated in the period 1982–2003 (with a total of 6946 Brånemark system® implants) at the Department of Periodontology of the Catholic University Leuven were evaluated. For each patient the medical history was carefully checked. Data collection and analysis mainly focused on endogenous factors such as hypertension, coagulation problems, osteoporosis, hypo-hyperthyroidy, chemotherapy, diabetes type I or II, Crohn's disease, some local factors [e.g. bone quality and quantity, implant (length, diameter, location), type of edentulism, Periotest® value at implant insertion, radiotherapy], smoking habits and breach of sterility during surgery.

Results: A global failure rate of 3.6% was recorded. Osteoporosis, Crohn's disease, smoking habits, implant (length, diameter and location) and vicinity with the natural dentition were all significantly associated with early implant failures (p<0.05).

Conclusion: The indication for the use of oral implants should sometimes be reconsidered when alternative prosthetic treatments are available in the presence of possibly interfering systemic or local factors.

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