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- Title
Posterior Implant Single-Tooth Replacement and Status of Adjacent Teeth During a 10-Year Period: A Retrospective Report.
- Authors
Misch, Carl E.; Misch-Dietsh, Francine; Silc, Jennifer; Barboza, Eliane; Cianciola, Louis J.; Kazor, Christopher
- Abstract
Background: The purpose of this case series study was to evaluate posterior single-tooth implant survival and the long-term conditions of the adjacent teeth. Methods: A retrospective evaluation of 1,162 consecutive patients with a single missing posterior tooth treated with 1,377 external hex implants supporting 1,365 restorations surrounded by natural teeth over a 1- to 10-year period was reviewed from four private offices. Implant survival data were collected relative to stage I to stage II healing, stage II to prosthesis delivery, and prosthesis delivery to up to 10 years of follow-up. Long-term adjacent tooth conditions were assessed, including decay, endodontic therapy (root canal therapy [RCT]), and/or extraction during the follow-up period. Results: Of the 1,377 implants inserted, there were 11 surgical failures from stage I to stage II healing. There was one failure from stage II healing to prosthesis delivery. There were two prosthetic-phase failures. The surgical success rate was 99.2%, whereas the overall survival rate was 98.9% at an average of 61 months of follow-up (range, 12 to 125 months). A total of 2,889 adjacent teeth were followed during the study, No natural adjacent tooth was lost during this period. Interproximal decay developed in 129 adjacent teeth (5%), and nine adjacent teeth required RCT (0.4%) as a result of decay or restoration. Conclusions: The use of single-tooth implants as replacements for posterior missing teeth is a viable long-term treatment. Adjacent natural teeth complications are minimal for as long as 10 years after implant insertion.
- Subjects
DENTAL implant complications; TOOTH loss; DENTAL pathology; ROOT canal treatment; DENTAL therapeutics
- Publication
Journal of Periodontology, 2008, Vol 79, Issue 12, p2378
- ISSN
0022-3492
- Publication type
Article
- DOI
10.1902/jop.2008.080188