Occurrence and clustering of complications in implant dentistry

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Karlsson, Karolina,1975Gothenburg University,Göteborgs universitet,Institutionen för odontologi, sektion 2,Institute of Odontology, Section 2 (författare)

Occurrence and clustering of complications in implant dentistry

Artikel/kapitelEngelska2020

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2020-09-04
Wiley,2020

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LIBRIS-ID:oai:gup.ub.gu.se/296698
https://gup.ub.gu.se/publication/296698URI
https://doi.org/10.1111/clr.13647DOI

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Språk:engelska

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Objectives The aim was to evaluate the overall occurrence and potential clustering of biological and technical complications in implant dentistry. Material and Methods 596 patients provided with implant-supported reconstructions were evaluated for the occurrence of (a) technical complications, (b) peri-implantitis and (c) implant loss during a period of 9 years. Time and type of event were scored, and potential risk factors were explored through parametric modelling of survival and hazards. Clustering of complications was assessed at the patient level, and patient satisfaction was evaluated by questionnaire completed at the 9-year examination. Results 42% of patients were affected by technical and/or biological complications during the 9-year observation period. Extent of therapy (Hazard Ratio 2.5: patients with partial jaw restorations; HR 3.9: patients with full jaw restorations) and a history of periodontitis (HR 1.6) were identified as risk factors. While technical complications occurred mostly as isolated events, 41% of subjects identified with peri-implantitis and 52% of subjects with implant loss also presented with other complications. The hazard for technical complications and implant loss peaked at 0.7 years and 0.2 years, respectively, while the hazard for peri-implantitis was consistent throughout the observation period. The overall proportion of satisfied patients at 9 years was high (95%), and only minor differences between individuals with and without complications were noted. Conclusions Complications following implant-supported restorative therapy were common findings. Extent of therapy and periodontitis were identified as risk factors. While technical complications occurred in an isolated pattern, peri-implantitis and implant loss demonstrated clustering with other types of complications.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Odontologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Dentistry hsv//eng
biological complications
dental implants
patient-reported outcomes
technical complications
consensus report
prospective cohort
clinical-research
survival
therapy
rates
satisfaction
diseases
outcomes
models
Dentistry
Oral Surgery & Medicine
Engineering

Biuppslag (personer, institutioner, konferenser, titlar ...)

Derks, Jan,1977Gothenburg University,Göteborgs universitet,Institutionen för odontologi, sektion 2,Institute of Odontology, Section 2(Swepub:gu)xderja (författare)
Wennström, Jan,1947Gothenburg University,Göteborgs universitet,Institutionen för odontologi, sektion 2,Institute of Odontology, Section 2(Swepub:gu)xwenja (författare)
Petzold, Max,1973Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine(Swepub:gu)xpemax (författare)
Berglundh, Tord,1954Gothenburg University,Göteborgs universitet,Institutionen för odontologi, sektion 2,Institute of Odontology, Section 2(Swepub:gu)xbetor (författare)
Göteborgs universitetInstitutionen för odontologi, sektion 2 (creator_code:org_t)

Sammanhörande titlar

Ingår i:Clinical Oral Implants Research: Wiley31:10, s. 1002-10090905-71611600-0501

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Av författaren/redakt...: Karlsson, Karoli ...; Derks, Jan, 1977; Wennström, Jan, ...; Petzold, Max, 19 ...; Berglundh, Tord, ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Odontologi

Artiklar i publikationen: Clinical Oral Im ...

Av lärosätet: Göteborgs universitet

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