Publication:
Group 1 ITI Consensus Report: The influence of implant length and design and medications on clinical and patient-reported outcomes

Issued Date

2018-10-01

Resource Type

Review

ISSN

16000501
09057161

DOI

10.1111/clr.13342

Other identifier(s)

2-s2.0-85055052227

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

Clinical Oral Implants Research. Vol.29, (2018), 69-77

Suggested Citation

Ronald E. Jung, Bilal Al-Nawas, Mauricio Araujo, Gustavo Avila-Ortiz, Stephen Barter, Nadine Brodala, Vivianne Chappuis, Bo Chen, Andre De Souza, Ricardo Faria Almeida, Stefan Fickl, Gary Finelle, Jeffrey Ganeles, Hadi Gholami, Christoph Hammerle, Simon Jensen, Asbjørn Jokstad, Hideaki Katsuyama, Johannes Kleinheinz, Chatchai Kunavisarut, Nikos Mardas, Alberto Monje, Panos Papaspyridakos, Michael Payer, Eik Schiegnitz, Ralf Smeets, Martina Stefanini, Christiaan ten Bruggenkate, Konstantinos Vazouras, Hans Peter Weber, Dieter Weingart, Péter Windisch Group 1 ITI Consensus Report: The influence of implant length and design and medications on clinical and patient-reported outcomes. Clinical Oral Implants Research. Vol.29, (2018), 69-77. doi:10.1111/clr.13342 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/45699

Research Projects

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Thesis

Title

Group 1 ITI Consensus Report: The influence of implant length and design and medications on clinical and patient-reported outcomes

Author(s)

Ronald E. Jung
 Bilal Al-Nawas
 Mauricio Araujo
 Gustavo Avila-Ortiz
 Stephen Barter
 Nadine Brodala
 Vivianne Chappuis
 Bo Chen
 Andre De Souza
 Ricardo Faria Almeida
 Stefan Fickl
 Gary Finelle
 Jeffrey Ganeles
 Hadi Gholami
 Christoph Hammerle
 Simon Jensen
 Asbjørn Jokstad
 Hideaki Katsuyama
 Johannes Kleinheinz
 Chatchai Kunavisarut
 Nikos Mardas
 Alberto Monje
 Panos Papaspyridakos
 Michael Payer
 Eik Schiegnitz
 Ralf Smeets
 Martina Stefanini
 Christiaan ten Bruggenkate
 Konstantinos Vazouras
 Hans Peter Weber
 Dieter Weingart
 Péter Windisch

Other Contributor(s)

Klinikum Stuttgart Katharinenhospital
 Universitat Internacional de Catalunya
 Tufts University School of Dental Medicine
 Johannes Gutenberg Universität Mainz
 Universidade Estadual de Maringa
 Alma Mater Studiorum Università di Bologna
 Universidad Complutense de Madrid
 Semmelweis Egyetem
 Barts and The London School of Medicine and Dentistry
 UiT The Arctic University of Norway
 University of Bern
 Nova Southeastern University
 University of Toronto
 Copenhagen University Hospital
 Peking University
 Mahidol University
 Julius-Maximilians-Universität Würzburg
 University of Zurich
 Universidade do Porto
 Universitätsklinikum Münster
 Medizinische Universität Graz
 University of Iowa College of Dentistry
 Universitätsklinikum Hamburg-Eppendorf und Medizinische Fakultät
 Tokyo Medical and Dental University
 Amsterdam UMC - Vrije Universiteit Amsterdam
 Gary Finelle
 Private Practice
 Florida Institute for Periodontics and Dental Implants
 Private Practice

Abstract

© 2018 The Authors. Clinical Oral Implants Research Published by John Wiley & Sons Ltd. Objectives: The aim of Working Group 1 was to address the influence of different local (implant length, diameter, and design) and systemic (medications) factors on clinical, radiographic, and patient-reported outcomes in implant dentistry. Focused questions on (a) short posterior dental implants (≤6 mm), (b) narrow diameter implants, (c) implant design (tapered compared to a non-tapered implant design), and (d) medication-related dental implant failures were addressed. Materials and methods: Four systematic reviews were prepared in advance of the Consensus Conference and were discussed among the participants of Group 1. Consensus statements, clinical recommendations, and recommendations for future research were based on structured group discussions until consensus was reached among the entire expert Group 1. The statements were then presented and accepted following further discussion and modifications as required by the plenary. Results: Short implants (≤6 mm) revealed a survival rate ranging from 86.7% to 100%, whereas standard implant survival rate ranged from 95% to 100% with a follow-up from 1 to 5 years. Short implants demonstrated a higher variability and a higher Risk Ratio [RR: 1.24 (95% CI: 0.63, 2.44, p = 0.54)] for failure compared to standard implants. Narrow diameter implants (NDI) have been classified into three categories: Category 1: Implants with a diameter of <2.5 mm (“Mini-implants”); Category 2: Implants with a diameter of 2.5 mm to <3.3 mm; Category 3: Implants with a diameter of 3.3 mm to 3.5 mm. Mean survival rates were 94.7 ± 5%, 97.3 ± 5% and 97.7 ± 2.3% for category 1, 2 and 3. Tapered versus non-tapered implants demonstrated only insignificant differences regarding clinical, radiographic, and patient-reported outcomes. The intake of certain selective serotonin reuptake inhibitors and proton pump inhibitors is associated with a statistically significant increased implant failure rate. The intake of bisphosphonates related to the treatment of osteoporosis was not associated with an increased implant failure rate. Conclusions: It is concluded that short implants (≤6 mm) are a valid option in situations of reduced bone height to avoid possible morbidity associated with augmentation procedures; however, they reveal a higher variability and lower predictability in survival rates. Narrow diameter implants with diameters of 2.5 mm and more demonstrated no difference in implant survival rates compared to standard diameter implants. In contrast, it is concluded that narrow diameter implants with diameters of less than 2.5 mm exhibited lower survival rates compared to standard diameter implants. It is further concluded that there are no differences between tapered versus non-tapered dental implants. Certain medications such as selective serotonin reuptake inhibitors and proton pump inhibitors showed an association with a higher implant failure rate.

Keyword(s)

Dentistry

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/45699

Collections

Scopus 2018