Long-term follow-up of severely atrophic edentulous mandibles reconstructed with short Brånemark implants.

• BACKGROUND: Oral implant treatment (Brånemark System) of edentulous mandibles has been presented in numerous studies. However, with regard to the severely atrophic lower jaw, no long-term follow-up studies with solely short implants are available. PURPOSE: The purpose of the present investigation was to retrospectively follow the long-term treatment outcome of patients with severely resorbed edentulous mandibles being subjected to oral implant placement with short (6-7 mm) Brånemark implants. MATERIALS AND METHODS: A total of 247 standard (7 mm long, Ø 3.75 mm) and 13 wide (6 mm long, Ø 5 mm) implants were inserted in 49 patients, all of whom exhibited severe resorption of edentate mandibles. Fixed implant-supported prostheses were manufactured for 45 patients, whereas 4 patients received overdentures. The patients were followed for a mean period of 8 years (range, 1-14 yr). RESULTS: Seventeen implants failed during the study period (cumulative implant survival rate 95.5% at 5-yr and 92.3% at 10-yr follow-up). Implant-supported constructions were worn continuously throughout the investigation by all study subjects. Marginal bone loss, measured after 1, 5, and 10 years of function, concurred with studies of Brånemark implants placed in more voluminous mandibles. No major clinical or construction complications occurred in the followed patients. CONCLUSIONS: The outcome of the present study showed that placement of short Brånemark implants without the use of bone grafting procedures for reconstruction of severely atrophic edentulous mandibles is a highly predictable treatment procedure.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)

Nyckelord

Adult

Aged

Aged

80 and over

Atrophy

Bone Resorption

radiography

surgery

Dental Abutments

Dental Implants

Dental Prosthesis Design

Dental Prosthesis Retention

Dental Prosthesis

Implant-Supported

Dental Restoration Failure

Denture

Overlay

Female

Follow-Up Studies

Humans

Jaw

Edentulous

radiography

rehabilitation

surgery

Longitudinal Studies

Male

Mandible

pathology

radiography

surgery

Middle Aged

Retrospective Studies

Surface Properties

Survival Analysis

Treatment Outcome

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)