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A systematic review of survival of single implants as presented in longitudinal studies with a follow-up of at least 10 years

Review article
Authors Lars Hjalmarsson
Maryam Gheisarifar
Torsten Jemt
Published in European Journal of Oral Implantology
Volume 9
Issue 2
Pages S155-S162
ISSN 1756-2406
Publication year 2016
Published at Institute of Odontology
Pages S155-S162
Language en
Keywords 10-year follow-up, single implants, survival, systematic review, crowns, complications, Dentistry, Oral Surgery & Medicine
Subject categories Dentistry

Abstract

Background: Placement of single implants is one of the most common applications for implant treatment. Millions of patients have been treated worldwide with osseointegrated implants and many of these patients are treated at a young age with a long expected remaining lifetime. Therefore long-term evidence for such treatment is important. Aim: To report patient treatment, implant and implant-supported single crown survival over at least a 10-year period of follow-up. Material and methods: After reviewing long-term publications, included by Jung et al (2012), a complementary PubMed search was performed using the same search strategy for the period September 2011 to November 2014. Data on implant and single implant crown treatment survival were compiled from included studies. Results: Four new publications were identified from the 731 new titles. They were added to an earlier list of five manuscripts by Jung et al (2012), which were already included. Accordingly, nine publications formed the database of available long-term evaluations. The database consisted of 421 patients altogether, provided with 527 implants and 522 single crowns. From the 367 patients that were followed-up for at least 10 years (87%), altogether 502 implants were still in function at the completion of the studies (95.3%), supporting 432 original and 33 remade single implant crowns. Based on patient level and implant level data, implant survival reached 93.8% and 95.0%, respectively. The corresponding survival rate for original crown restorations was 89.5%. Conclusions: Single implant treatment is a predicable treatment over a 10-year period of time, with no indication of obvious changes in implant failure rate between 5 and 10 years. However, replacement of new single crowns must be considered during the follow-up as part of regular maintenance. Compared to the number of treated patients worldwide, the available numbers with a follow-up of 10 years was low.

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