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Implant Success according to the Albrektsson Criteria One or more parameters explantation, radiolucency, dysesthesia, vertical bone loss, and infection led to the failure of 18 implants.
Thus, the implant success rate according to the Albrektsson criteria was The Kaplan—Meier curve for these data Figure 5 shows that 18 of implants failed during the month Figure 5: Cumulative success rate according to the Albrektsson criteria.
Discussion This study considered patients who had received dental implants due to dental aplasia, regardless of whether the condition was hypodontia, oligodontia, ectodermal dysplasia, or cleft lip or palate. This relatively small sample is not representative of a larger population.
Due to the rareness of dental aplasia, smaller numbers of patients and implants were included in previous studies [ 27 , 33 , 34 ]. The sex distribution in this study was Similar distributions have been reported in the literature [ 8 , 9 ]. Patient age at the time of implantation in this study ranged from 17 to 44 years mean, 20 years , and Other studies have included similarly young patient groups [ 35 , 36 ].
A possible explanation for the predominance of young patients is that early implant treatment planning commences at the age of 17—21 years, when cranial growth is complete. The most frequently absent teeth replaced with dental implants in this study were the maxillary lateral incisors and maxillary and mandibular second premolars. This prevalence distribution is comparable to results from the literature [ 7 , 9 ].
The implant loss rate in this study was 1. One implant was lost after 34 months due to osseointegration failure, and another was lost after 6 months due to peri-implantitis. Notably, the latter was a mini-implant with a diameter of 2. Becelli et al reported a survival rate of In a review and meta-analysis of 19 articles on this topic, survival rates ranged from Comparable results were recorded in the present study. Implant Success Criteria The survival of dental implants is not necessarily equivalent to their success.
The assessment of implant success in addition to survival is very important in the evaluation of treatment outcomes. Many similar studies of dental implants in patients with dental aplasia did not involve the use of implant success criteria [ 37 ]. In studies assessing implant success, self-defined criteria or the sole criterion of the marginal bone level had been applied [ 38 — 40 ]. Therefore, comparison of implant success rates between this study and previous studies is not meaningful.
In this study, implant success was evaluated using the criteria of Buser et al. Two sets of criteria were used to enable the consideration of differences in implant success in an identical patient sample resulting from the use of different measures.
Depending on the criteria used, the implant success rate in the same patient sample may vary. According to the Buser criteria, five implants in this study were considered to have failed two due to radiolucency and one due to paresthesia. Unlike the Buser criteria, the Albrektsson criteria include vertical bone loss and the presence of infection peri-implantitis.
As a result, the peri-implant hard and soft tissues were evaluated more stringently, which explains the lower success rate. However, neither of these criteria includes subjective assessment of dental implants. Buch et al. For this reason, patient satisfaction should be taken into consideration in the future establishment of success criteria. The Buser and Albrektsson criteria also neglect the assessment of prosthetic outcome, which should be considered in future development of success criteria.
A new implant success assessment tool could also employ score calculation in which criteria clinical and radiological parameters, prosthetic outcome, and patient satisfaction are differentially weighted statistically.
The classification of implant success should be graded e. Conclusion In this retrospective study, implants were inserted in patients with dental aplasia risk group and examined during a median observation period of The survival rate Patient satisfaction parameters are planned to be acquired, addressed, and discussed in a future manuscript. In this study, two sets of criteria were used to measure implant success.
The implant success rate was higher according to the Buser criteria The main reason for the lower Albrektsson implant success rate is the assessment of marginal bone loss. Further development of a complex implant success scoring system might be useful for standardized follow-up evaluation of dental implants. Data Availability The data used to support the findings of this study are available from the corresponding author upon request.
Conflicts of Interest The authors declare no conflicts of interest. Acknowledgments The authors extend their thanks to PD. References S.
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