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Volume 20 , Issue 2
March/April 2005

Pages 220230

Evaluation of Patient and Implant Characteristics as Potential Prognostic Factors for Oral Implant Failures

Irene Herrmann, LDS, Odont Lic/Ulf Lekholm, LDS, Odont Dr/Sture Holm, PhD/Christina Kultje, MSc

PMID: 15839115

Purpose: The purpose of this study was to evaluate patient, implant, and treatment characteristics to identify possible prognostic factors for implant failure. Materials and Methods: Out of a database with different dental implant treatment protocols, a research database of 1 randomly selected implant per patient was created. The database consisted of 487 implants. Of these, 80 were withdrawn, 36 failed, and 371 remained successful during a 5-year follow-up period. Potential risk factors were evaluated by chi-square tests and post hoc analyses. Results: Significant or strongly significant differences were found regarding implant failures as a result of jawbone quality, jaw shape, implant length, treatment protocol, and combinations of jawbone-related characteristics. Responsible clinics and number of implants supporting the restoration were factors that could not be associated with implant failure. Discussion: Implant failures in this study were more often seen when negative patient-related factors were present. Approximately 65% of the patients with a combination of the 2 most negative bone-related factors (jawbone quality 4 and jaw shape D or E) experienced implant failure. However, only 3% of the patients had this combination. Implant length, the only implant-related factor evaluated, was also significantly correlated with the success rate, but implant length could also be regarded as a result of the jawbone volume available. Another negative patient-related factor was the treatment protocol; however, in most cases this was also indirectly or partly related to the status of the jawbone available for implant placement. Conclusion: Patient selection appears to be of importance for increasing implant success rates. Int J Oral Maxillofac Implants 2005;20:220230

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