1D2 Dental Student, School of Dentistry

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1D2 Dental Student, School of Dentistry Factors associated with longevity of dental implants placed at the University of Louisville School of Dentistry: A retrospective review from 2008-2013. Tomasz Czechura, MPH1, Theresa Mayfield, DMD2 , Weishao Lin, DDS3 and Michael J. Metz, DMD, MSD, MS, MBA2 1D2 Dental Student, School of Dentistry 2Department of General Dentistry and Oral Medicine, School of Dentistry 3Department of Oral Health and Rehabilitation, School of Dentistry Introduction Results Table 2: Patient characteristics associated with implant success Dental osseointegrated implants are prostheses for the replacement of missing teeth. Implants are permanent titanium posts that are anchored to the maxilla and mandible and are further topped with an individual crown or bridge. After implants are placed, a 4 to 8 month osseointegration period occurs between the implant and the bone of the mandible or maxilla. Osseointegration of dental implants is dependent on a multitude of conditions such as implant design, patient related medical risk factor, and surgery related factors. Although 5 year dental implant success rates have been shown to be between 90 and 95% high risk groups for dental implant failure have to be established to guide the practitioner in the appropriate treatment planning process. Table 1: Patient characteristics Characteristic Failure Success Age 20-29 10 30-39 17 40-49 35 50-59 2 55 60-69 77 70-79 1 47 80-89 4 Diabetes No 5 227 Yes 18 Gender Female 125 Male 120 Implant Manufacturer Straumann 203 Nobel Bio-Horizons 11 ITI 14 Co-Morbidities None 32 1 to 3 3 118 4 to 6 65 7 to 9 25 >10 Characteristic Number of Patients Age Mean Age 58.28 Minimum 23 Maximum 87 Gender Male 121 Female 129 Implant Manufacturer Straumann 207 Nobel 1 Bio-Horizons 11 ITI 14 Implant Outcome Success 245 Failure 5 Figure 1: Success rates based on site of implant placement Objective The objective of the study was to evaluate the rate and determine the factors associated with dental implant failure. Conclusion Female patients older than 50 years old who obtained Straumann dental implants were at highest risk of dental implant failure. Methods 250 patients were analyzed in a retrospective review to determine the rate of dental implant failure and the factors associated with dental implant failure for dental implants placed at the University of Louisville between 2008 to 2013. Patient data such as patient age, gender, co-morbidities, diabetes, placement in mandible or maxilla, placement in anterior or posterior teeth, dental implant manufacturer, bone graft placement, and implant success was collected. A chi-square and logistic regression analysis was performed to determine which factors were statistically significantly associated with dental implant failure. References Rocchietta I, Nisand D. A review assessing the quality of reporting of risk factor research in implant dentistry using smoking, diabetes and periodontitis and implant loss as an outcome: critical aspects in design and outcome assessment. J Clin Periodontol 2012; 39 (12): 114–121. Gaetti-Jardim EC, Santiago-Junior JF, Goiato MC, Pellizer EP, Mafro-Filho O, et al. Dental implants in patients with osteoporosis: a clinical reality? J Craniofac Surg 2011; 22: 1111–1113. Porter JA, von Fraunhofer JA. Success or failure of dental implants? A literature review with treatment considerations. Gen Dent 2005; 53(6): 423-432. Klokkevold PR, Han TJ. How do smoking, diabetes, and periodontitis affect outcomes of implant treatment? Int J Oral Maxillofac Implants 2007; 22: 173–202. Naert I, Koutsikakis G, Quirynen M, Duyck J, van Steenberghe D, et al. Biologic outcome of implant-supported restorations in the treatment of partial edentulism. Part 2: a longitudinal radiographic study. Clin Oral Implants Res 2002; 13: 390–395.