| 1. |
- Friberg, Bertil, 1950, et al.
(författare)
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Early failures in 4,641 consecutively placed Brånemark dental implants: a study from stage 1 surgery to the connection of completed prostheses.
- 1991
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Ingår i: The International journal of oral & maxillofacial implants. - 0882-2786. ; 6:2, s. 142-6
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Tidskriftsartikel (refereegranskat)abstract
- This study comprised 4,641 Brånemark dental implants, which were retrospectively followed from stage 1 surgery to completion of the prosthetic restorations. The implants were placed during a 3-year period (1986 to 1988) in 943 jaws, representing 889 patients with complete and partial edentulism. The jaw and sex distribution revealed a predominance of mandibles (564/943) and females (534/943). The mean age of the patients was 57.5 years (range 13 to 88 years) at implant placement. Only 69 (1.5%) fixtures failed to integrate, and most losses were seen in completely edentulous maxillae (46/69), in which the jaw bone exhibited soft quality and severe resorption. A preponderance of failures could also be seen among the shortest fixtures (7 mm). A majority of the mobile implants were recorded at the abutment connection (stage 2) operation (48/69).
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| 2. |
- Henry, Patric, et al.
(författare)
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Osseointegrated implants for single-tooth replacement: a prospective 5-year multicenter study.
- 1996
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Ingår i: The International journal of oral & maxillofacial implants. - 0882-2786. ; 11:4, s. 450-5
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Tidskriftsartikel (refereegranskat)abstract
- One hundred seven Brånemark implants were placed in 92 patients participating in an international multicenter trial on single-implant restorations at seven centers. The patients were followed for 5 years in a prospective study focusing on implant success and crown function. Plaque and gingival indexes, as well as probing depths, were recorded around teeth and implants. The marginal bone level at implants was determined from intraoral radiographs. Only three implants (2.8%) had been lost at the final annual checkup. During the follow-up period, a total of 17 patients dropped out or were excluded because of nonconformity with the protocol. Based on the remaining patients, a total of 86 implants were clinically and radiographically evaluated at the 5-year follow-up period, resulting in a cumulative success rate of 96.6% (71 implants) in the maxillae and 100% (15 implants) in the mandibles. Plaque and gingival indexes showed a similar pattern of good health around both natural teeth and titanium abutments. The marginal bone loss during the 5-year period did not exceed 1 mm as a mean for all implants analyzed. The most frequent complication recorded during the follow-up was loosening of the abutment fixation screw. The outcome of this study indicated that safe and highly predictable results can be obtained for 5 years when Brånemark implants are used to support single-tooth restorations.
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| 3. |
- Jemt, Torsten, 1950, et al.
(författare)
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A 5-year prospective multicenter follow-up report on overdentures supported by osseointegrated implants.
- 1996
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Ingår i: The International journal of oral & maxillofacial implants. - 0882-2786. ; 11:3, s. 291-8
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Tidskriftsartikel (refereegranskat)abstract
- This report presents the results of a 5-year prospective multicenter study including nine centers worldwide. A total of 30 patients received 117 Brånemark implants in the maxillae, and 103 patients received 393 implants in the mandibles. According to the protocol, all integrated maxillary implants were to be loaded; however, only two of four mandibular implants were planned for support of the overdentures, leaving the remaining implants covered by mucosa as backup for possible implant failures. Thirty-five patients (26.3%) who were provided with 127 implants (24.9%) were withdrawn from the study. Six patients treated in the maxilla lost all their implants and resumed wearing complete dentures. The cumulative success rates for implants and for overdentures supported by two implants in the edentulous mandible were 94.5% and 100%, respectively. The corresponding cumulative success rates for implants and for overdentures supported by an optimal number of implants in the maxilla were 72.4% and 77.9%, respectively. Significantly better jawbone characteristics at the time of implant surgery were considered to contribute to the better cumulative success rates in the mandibles. Mean marginal bone loss was 0.8 mm (SD 0.8) and 0.5 mm (SD 0.8) for loaded implants during a 5-year period of time in the maxillae and mandibles, respectively. Measurements of the clinical height of the abutment cylinders indicated a mean recession (0.2 mm) of peri-implant mucosa during the follow-up period in the mandibles. Conversely, hyperplasia was observed in the maxillae.
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| 4. |
- Jemt, Torsten, 1950, et al.
(författare)
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Bone Loss Before and After Peri-implantitis Surgery: A 7-Year Retrospective Observational Study
- 2021
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Ingår i: International Journal of Oral & Maxillofacial Implants. - : Quintessence Publishing. - 0882-2786. ; 36:6, s. 1199-1210
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This study aimed to report changes in implant bone levels before and after peri-implantitis surgery (P-IS). Materials and Methods: Patients were treated with P-IS from 2003 to 2010 and thereafter followed up until the last available radiographic examination (study termination: October 2018). Bone loss was measured before and after P-IS, and the numbers of clinical examinations post-P-IS were determined. The Student t test was used to compare the bone loss between examinations and reference populations, and correlations between different variables were calculated using the Pearson correlation coefficient (r). Results: One hundred thirty-four consecutive patients (137 arches) underwent P-IS during the inclusion period (2.3%). A total of 122 patients (125 arches) were followed up fora mean period of 6.9 (SD: 5.54) and 7.3 (SD: 3.39) years from the first annual examination to before P-IS, and from the time of P-IS to after P-IS, respectively. The mean bone loss during the aforementioned durations was 0.18 (SD: 0.23) and 0.26 (SD: 0.28) mm/year, respectively (P < .05). Bone loss per year was also greater for unaffected implants after (0.29 [0.34] mm/year) compared with before P-IS (0.06 [0.10] mm/year; P < .05). No difference in bone loss was observed between peri-implantitis affected and unaffected implants or between implants with a turned or moderately rough surface after P-IS. A greater amount of bone loss was associated with increasing numbers of clinical examinations and shorter follow-up times after P-IS (P < .05). Conclusion: Average bone levels decreased from the time of prosthesis placement to termination of the study. Bone loss increased after P-IS in the total and unaffected group, and edentulous patients compared unfavorably with partially and single implant conditions. Increased bone loss was associated with higher numbers of clinical examinations per year of followup after P-IS (P < .05).
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| 5. |
- Jemt, Torsten, 1950, et al.
(författare)
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Could Age at Surgery Be Associated with Early Mortality After Implant Surgery? A Retrospective Study of 3,877 Edentulous Patients
- 2022
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Ingår i: International Journal of Oral & Maxillofacial Implants. - : Quintessence Publishing. - 0882-2786. ; 37:1, s. 128-134
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Knowledge of the early mortality patterns in edentulous implant patients is limited. This study aimed to report patient mortality within the first year after surgery and compare the cause of death with preexisting conditions reported before surgery. Materials and Methods: In this retrospective cohort study, data from the Swedish National Death Register on patients, consecutively treated in the edentulous arch between 1986 and 2013, were compared with information from the patient files regarding the preexisting health conditions of the deceased patients. One-year survival rates were calculated and compared with expected mortality in a Swedish reference population based on three age groups: young ( 45 years of age), middle-aged (45 to 64 years of age), and old patients ( 64 years of age). Proportions of mortality between study groups and reference populations were tested by means of a log-rank test, and agreement between diagnoses before surgery and cause of death was tested by means of kappa test. Results: Altogether, 3,877 patients were included, of whom 60 patients died within 1 year after implant surgery (1.5%). The expected mortality in the Swedish reference population was 2.1% (P < .05). Mortality was higher for middle-aged (P = .02) but lower for old patients (P = .0001) compared with the Swedish reference populations. Eight of the deceased patients (13%) had no preexisting conditions, while 48 patients reported a health diagnosis before implant surgery. The most common of these were related to the circulatory system (ICD 10-I), which was the cause of death for 30 patients. A "none to slight agreement" between presurgical diagnoses and cause of death was observed in the population (kappa: 0.152). Conclusion: Edentulous implant patients presented overall lower mortality than expected in the general population during the first year after surgery. However, middle-aged patients showed a higher proportion of deceased patients compared with control people of the same age. Cardiovascular diseases were the cause of death in 50% of the group, and the agreement between presurgical and cause of death diagnoses was poor.
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| 6. |
- Jemt, Torsten, 1950, et al.
(författare)
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Could Future Implant Failures be Predicted Based on Observed Bone Levels and Bone Loss After 5 Years? A Retrospective Investigation on Patients Presented in Previous Studies
- 2023
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Ingår i: International Journal of Oral & Maxillofacial Implants. - 0882-2786. ; 38:2, s. 259-267
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To evaluate the diagnostic accuracy of bone loss/bone levels, as detected after 5 years of implant function, in identifying patients who suffered implant failures in the following 5 years. Materials and Methods: Data on radiographic measurements of marginal bone levels at prosthesis placement and after 5 years of function were retrospectively retrieved from 11 previous publications. Included patients were allocated into different subgroups with regard to bone loss/bone level during/after 5 years in function, respectively. A diagnostic test was used to estimate the accuracy of finding patients/jaws/implants at risk for a future implant failure by calculating sensitivity, specificity, positive predictive values (PPVs), and negative predictive values (NPVs) in different subgroups, respectively. Results: Altogether, 749 treated jaws (723 patients/3,363 implants) were included in the study group. Treated jaws in the high-level subgroups presented an overall higher risk of implant failures from 5 to 10 years in function (P < .05). Many treated jaws/implants were allocated into the high-level groups, but the proportions of implant failures were low in these groups. The diagnostic test comparing high-and low-level groups with and without implant failures showed low accuracy to predict implant failures; the PPV ranged from 4% to 33%. Lower PPVs were observed for diagnostic tests for individual implants (range: 4% to 6%). Conclusion: More severe bone loss was associated with higher risk of future implant failure. However, many patients/ implants with obvious bone loss in the study group and low prevalence of implant failures at the 10-year examination resulted in poor accuracy in identifying individual patients or implants at risk for failure. This suggests that it is difficult to predict future implant failures based only on radiographic measurements. Int J Oral Maxillofac Implants 2023;38:259-267. doi: 10.11607/jomi.10042
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| 7. |
- Jemt, Torsten, 1950, et al.
(författare)
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Failures and complications in 127 consecutively placed fixed partial prostheses supported by Brånemark implants: from prosthetic treatment to first annual checkup.
- 1992
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Ingår i: The International journal of oral & maxillofacial implants. - 0882-2786. ; 7:1, s. 40-4
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Tidskriftsartikel (refereegranskat)abstract
- Ninety-six partially edentulous maxillae and mandibles were consecutively treated with 127 freestanding fixed prostheses supported by 354 implants. The patients were followed for 1 year and the overall success rate was 98.6% for the examined implants. None of the inserted prostheses was lost during the observation period. The most commonly reported problems during the first year of function were related to loose gold screws and esthetic complaints, complications that were easily resolved. Furthermore, the total number of complications was low and was less than has been reported for routine full-arch fixed prostheses.
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| 8. |
- Jemt, Torsten, 1950
(författare)
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Failures and complications in 391 consecutively inserted fixed prostheses supported by Brånemark implants in edentulous jaws: a study of treatment from the time of prosthesis placement to the first annual checkup.
- 1991
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Ingår i: The International journal of oral & maxillofacial implants. - 0882-2786. ; 6:3, s. 270-6
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Tidskriftsartikel (refereegranskat)abstract
- A total of 391 edentulous maxillae and mandibles was consecutively treated with routine fixed prostheses, supported by 2,199 implants. The patients were followed for 1 year; the overall success rate was 99.5% and 98.1% for the prostheses and implants, respectively. The number of severe complications was low, but it was possible to identify a significantly higher ratio of problems in the maxillae throughout the observation period than for the mandibles. While many problems occurred in both the maxillae and mandibles, there were also problems more typical for each jaw. Diction and fractures of resin teeth were more common problems in maxillae; cheek and lip biting was a more frequent postinsertion complication in the treatment of mandibles. Most problems were easily resolved, and the retrievability of the prostheses was of great advantage.
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| 9. |
- Jemt, Torsten, 1950, et al.
(författare)
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Implant treatment in edentulous maxillae: a 5-year follow-up report on patients with different degrees of jaw resorption.
- 1995
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Ingår i: The International journal of oral & maxillofacial implants. - 0882-2786. ; 10:3, s. 303-11
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Tidskriftsartikel (refereegranskat)abstract
- In a retrospective study, 150 patients with edentulous maxillae were selected for treatment with Brånemark implants. The patients were arranged into four different groups, based on jaw shape prior to implant placement. After second-stage surgery, they were provided with either fixed prostheses, removable overdentures followed by fixed prostheses after at least 1 year, or overdentures for the whole period. Patients were followed up for 5 years, with implant and prosthesis survival, annual visits, marginal bone loss, and complications recorded. Results of the study indicated that treatment outcome in edentulous maxillae might be predicted by careful presurgical evaluation of jaw shape. Five-year cumulative implant failure rates varied from 7.9% for patients considered to have enough bone to be provided with fixed prostheses immediately after second-stage surgery to 28.8% for those with severely resorbed jaws receiving an overdenture. The corresponding cumulative prosthesis failure rates were 3.0% and 18.9%, respectively. Patients provided with autogenous bone grafts compared favorably to the group presenting severely resorbed jaws and provided with overdentures, but showed a compromised result compared to the group with the least resorption. Failure of implant treatment correlated significantly with bone quality and ratio of 7-mm implants. All groups, except those treated with bone grafts, showed an average marginal bone level of 1.2 mm after 5 years, irrespective of type of prosthesis. The bone-grafted group showed a corresponding mean level of 2.3 mm after 5 years of function. Regarding clinical complications, a different pattern, mainly related to the type of prosthetic construction used, was observed between the groups. The number of visits clearly indicated that severely resorbed jaws provided with overdentures were the most demanding.
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| 10. |
- Jemt, Torsten, 1950, et al.
(författare)
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Oral implant treatment in posterior partially edentulous jaws: a 5-year follow-up report.
- 1993
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Ingår i: The International journal of oral & maxillofacial implants. - 0882-2786. ; 8:6, s. 635-40
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Tidskriftsartikel (refereegranskat)abstract
- Sixty-seven partially edentulous patients with Applegate-Kennedy Class I or II situations were consecutively treated with freestanding implant-supported prostheses and followed up for 5 years. A total of 70 jaws were provided with 94 prostheses supported by 259 implants. During the report period, seven patients were lost to follow-up. Seven implants were found to be loose and were subsequently removed, which did not influence prosthesis stability. Thus, the overall cumulative survival rate was 97.2% and 100% for implants and prostheses, respectively. On average, 0.8 mm of marginal bone was lost around implants in maxillae, as compared to 0.6 mm in mandibles. The major clinical problem was related to fatigue fractures of the resin veneer material. Loose gold alloy screws were also observed.
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