Dynamics of the state of supporting implants of covering and fixed prostheses in the complete absence of teeth

Abstract

BACKGROUND: The functional duration of implant prostheses in the complete absence of teeth is insufficiently represented in the special literature. Hence, the experience of using such prostheses of various designs over 20 years is summarized.

AIM: To analyze the effectiveness of implant prostheses in the complete absence of teeth in terms of peri-implant tissue status

MATERIAL AND METHODS: This study examined 23 patients with fixed dentures on 4 implants after 5 years and 30 patients with fixed dentures on 6 implants after 10 years from the manufacture date. Overdentures on 4 implants with rigid attachments were analyzed in 24 patients after 10 years and with elastic attachments in 28 patients after 20 years. Additionally, 20 years ago, 73 patients received overdentures with bar fixation on 2 implants. The evaluation criteria include the detection of mucositis, peri-implantitis with 1/3 and 1/2 bone resorption, and implant removal.

RESULTS: When summarizing the state of implants over 20 years, the following results were obtained: removable dentures are more effective with rigid attachments on a bar and 4 implants and less effective on 2 implants (47.9% and 65.2% of implant removals, respectively); fixed prostheses with complete absence of teeth (experience of 10 years of use) are preferred with support for 6 implants (28.3% of removals vs. 42.4% with support for 4 implants).

CONCLUSIONS: In conclusion, the proportion of removed implants is >50% of the installed ones. The functional average period of fixed prostheses on 6 implants in the absence of teeth is 10 years (on 4 implants is 5 years) and removable prostheses on 2–4 implants with elastic and rigid attachments is 5 years.

Keywords

dental implants / complete absence of teeth / removable dentures / fixed dentures / bone resorption

References

[1] Put VA, Solodkiy VG, Morozov PV, et al. Nine years of experience in social social events on dental implantation. Russian bulletin of dental implantology 2019;(3–4):75–81. (In Russ).

[2] Путь В.А., Солодкий В.Г., Морозов П.В., и др. Девятилетний опыт проведения социальных общественных мероприятий по дентальной имплантации // Российский вестник дентальной имплантологии. 2019. № 3–4. С. 75–81.

[3] Zaslavskiy RS, Olesova VN, Shmatov KV, et al. The structure of clinical indications and prosthetic techniques applied in practical implantology. Stomatologiya dlya vsekh. 2018;(3):30–33. (In Russ).

[4] Заславский Р.С., Олесова В.Н., Шматов К.В., и др. Структура клинических условий и используемых методов протезирования в практической имплантологии // Стоматология для всех. 2018. № 3. С. 30–33.

[5] French D, Kokran D, Ofek R. Retrospektivnoe kogortnoe issledovanie 4591 implantata sistemy Straumann, ustanovlennykh u 2060 patsientov v chastnoi praktike, s nablyudeniem do 10 let: vzaimosvyaz’ urovnya kosti al’veolyarnogo grebnya i sostoyaniya myagkikh tkanei. Perio iQ. 2017;(28):22–42. (In Russ).

[6] Френч Д., Кокран Д., Офек Р. Ретроспективное когортное исследование 4591 имплантата системы Straumann, установленных у 2060 пациентов в частной практике, с наблюдением до 10 лет: взаимосвязь уровня кости альвеолярного гребня и состояния мягких тканей // Perio iQ. 2017. № 28. С. 22–42.

[7] Sakaeva ZU, Zaslavskiy RS, Remizova AA, et al. Сlinical and microbiological justification of the periodicity of professional oral hygiene during implant treatment. Russian Bulletin of Dental Implantology. 2020;(3–4):79–83. (In Russ).

[8] Сакаева З.У., Заславский Р.С., Ремизова А.А., и др. Клинико-микробиологическое обоснование периодичности профессиональной гигиены рта на протяжении имплантологического лечения // Российский вестник дентальной имплантологии. 2020. № 3–4. С. 79–83.

[9] Zucchelli G, Tavelli L, Stefanini M, et al. Classification of facial peri implant soft tissue dehiscence/deficiencies at single implant sites in the esthetic zone. Journal of Periodontology. 2019;90(10):1116–1124. doi: 10.1002/jper.18-0616

[10] Zucchelli G., Tavelli L., Stefanini M., et al. Classification of facial peri-implant soft tissue dehiscence/deficiencies at single implant sites in the esthetic zone // Journal of Periodontology. 2019. Vol. 90, N 10. P. 1116–1124. doi: 10.1002/jper.18-0616

[11] Shi JY, Xu FY, Zhuang LF, et al. Long-term outcomes of narrow diameter implants in posterior jaws: A retrospective study with at least 8-year follow-up. Clinical Oral Implants Research. 2018;29(1):76–81. doi: 10.1111/clr.13046

[12] Shi J.Y., Xu F.Y., Zhuang L.F., et al. Long-term outcomes of narrow diameter implants in posterior jaws: A retrospective study with at least 8-year follow-up // Clinical Oral Implants Research. 2018. Vol. 29, N 1. P. 76–81. doi: 10.1111/clr.13046

[13] Ma M, Qi M, Zhang D, Liu H. The Clinical Performance of Narrow Diameter Implants Versus Regular Diameter Implants: A Meta-Analysis. Journal of Oral Implantology. 2019;45(6):503–508. doi: 10.1563/aaid-joi-D-19-00025

[14] Ma M., Qi M., Zhang D., Liu H. The Clinical Performance of Narrow Diameter Implants Versus Regular Diameter Implants: A Meta-Analysis // Journal of Oral Implantology. 2019. Vol. 45, N 6. P. 503–508. doi: 10.1563/aaid-joi-D-19-00025

[15] Long L, Alqarni H, Masri R. Influence of implant abutment fabrication method on clinical outcomes: a systematic review. European Journal of Oral Implantology. 2017;10(1):67–77.

[16] Long L., Alqarni H., Masri R. Influence of implant abutment fabrication method on clinical outcomes: a systematic review // European Journal of Oral Implantology. 2017. Vol. 10, N 1. P. 67–77.

[17] Heitz-Mayfield LJA, Salvi GE. Peri-implant mucositis. Journal of Clinical Periodontology. 2018;45(Suppl. 20)S237–S245. doi: 10.1111/jcpe.12953

[18] Heitz-Mayfield L.J.A., Salvi G.E. Peri-implant mucositis // Journal of Clinical Periodontology. 2018. Vol. 45, Suppl. 20. S237–S245. doi: 10.1111/jcpe.12953

[19] Tsitsiashvili AM, Panin AM, Volosova EV. The success of treatment and survival of dental implants in different approaches to the treatment of patients using dental implants in conditions of limited bone volume. Russian dental journal. 2020;24(1):32–38. (In Russ). doi: 10.18821/1728-2802-2020-24-1-32-38

[20] Цициашвили А.М., Панин А.М., Волосова Е.В. Успешность лечения и выживаемость дентальных имплантатов при различных подходах к лечению пациентов с использованием дентальных имплантатов в условиях ограниченного объема костной ткани // Российский стоматологический журнал. 2020. Т. 24, № 1. С. 32–38. doi: 10.18821/1728-2802-2020-24-1-32-38

[21] Bulycheva EA, Trezubov VV. Predvaritel’noe zubnoe protezirovanie. Rukovodstvo dlya vrachei-stomatologov. Saint Petersburg: Chelovek; 2019. (In Russ).

[22] Булычева Е.А., Трезубов В.В. Предварительное зубное протезирование: руководство для врачей-стоматологов. Санкт-Петербург: Человек, 2019.

[23] Trezubov VN, Arutyunov SD, editors. Klinicheskaya stomatologiya. Gospital’nyi kurs. Moscow: Practical medicine; 2020. (In Russ).

[24] Клиническая стоматология. Госпитальный курс / под ред. В.Н. Трезубова, С.Д. Арутюнова. Москва: Практическая медицина, 2020.

[25] Kulakov AA, editor. Khirurgicheskaya stomatologiya i chelyustno-litsevaya khirurgiya. Natsional’noe rukovodstvo. Moscow: GEOTAR-Media; 2015. (In Russ).

[26] Хирургическая стоматология и челюстно-лицевая хирургия. Национальное руководство / под ред. А.А. Кулакова. Москва: ГЭОТАР-Медиа, 2015.

[27] Kulakov AA, editor. Dental’naya implantatsiya. Natsional’noe rukovodstvo. Moscow: GEOTAR-Media; 2018. (In Russ).

[28] Дентальная имплантация. Национальное руководство / под ред. А.А. Кулакова. Москва: ГЭОТАР-Медиа, 2018.

[29] Lebedenko IYu, Arutyunov SD, Ryakhovskiy AN, editors. Ortopedicheskaya stomatologiya. Natsional’noe rukovodstvo. Moscow: GEOTAR-Media; 2016. (In Russ).

[30] Ортопедическая стоматология. Национальное руководство / под ред. И.Ю. Лебеденко, С.Д. Арутюнова, А.Н. Ряховского. Москва: ГЭОТАР-Медиа, 2016.

RIGHTS & PERMISSIONS

Zaslavsky R.S., Olesov E.E., Ragulin A.V., Romanov A.S., Ivanov A.S., Movsesyan V.G.