Short dental implants success rates at two years

iStock_000014314701XSmall dental implant

Dental implants have been in general use for many years.  This review sets out to consider the success rates for implants of <10mm in partially edentulous patients.

Searches were conducted in the Medline and Embase databases with two reviewers independently assessing methodological quality using specific study design-related quality assessment forms.  Randomized-controlled trials and prospective cohort studies with a follow-up of more than 1 year were included.  Twenty nine studies involving 2,611 implants between 5-9.5mm in length met the criteria with two-year survival proportions being calculated.

They found

  • Increase in implant length was associated with an increase in implant survival (from 93.1% to 98.6%)
  • The cumulative estimated failure rate  in the maxilla was 0.010 implants/year, compared with 0.003 found in the studies in the mandible.
  • In studies including smokers, the failure rate was 0.008 compared with 0.004  in studies that excluded smokers.
  • Surface topography and augmentation procedure were not sources of heterogeneity.

They concluded

there is fair evidence that short (<10 mm) implants can be placed successfully in the partially edentulous patient, although with a tendency towards an increasing survival rate per implant length, and the prognosis may be better in the mandible of non smoking patients.

Telleman G, Raghoebar GM, Vissink A, den Hartog L, Huddleston Slater JJR, Meijer HJA. A systematic review of the prognosis of short (<10 mm) dental implants placed in the partially edentulous patient. J Clin Periodontol 2011; 38: 667–676. doi: 10.1111/j.1600-051X.2011.01736.x.

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Derek Richards

Derek Richards is the Director of the Centre for Evidence-based Dentistry, Editor of the Evidence-based Dentistry Journal, Consultant in Dental Public Health with Forth Valley Health Board and Honorary Senior Lecturer at Dundee & Glasgow Dental Schools. He helped to establish both the Centre for Evidence-based Dentistry and the Evidence-based Dentistry Journal. He has been involved with teaching EBD and a wide range of evidence-based initiatives both nationally and internationally since 1994.

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