A 3-Year Prospective Multicenter Follow-up Report on the Immediate and Delayed-Immediate Placement of Implants
Ueli Grunder, DDS, Giovanni Polizzi, DDS, MD, Ronnie Goené, DDS, Naoki Hatano, DDS, Patrick Henry, BDSc, MSD, William J. Jackson, MDS, Kunio Kawamura, DDS, Steffen Köhler, DDS, MS, Franck Renouard, DDS Private Practice, Ruben Rosenberg, DDS, B.O.C., Gilbert Triplett, DDS, PhD, Marvin Werbitt, DDS, MScD, Berit Lithner.
A total of 264 implants was placed in 143 patients using different immediate or delayed-immediate implant placement techniques in 12 different centers participating in a prospective multicenter study. The reason for tooth extraction was evaluated; bone quality and quantity were classified; socket depths were registered; and data on implant type, size, and position were collected. One hundred thirty-nine suprastructures were placed on 228 implants in 126 patients. A follow-up evaluation was done on 125 patients after 1 year of loading and on 107 patients after 3 years of loading. Clinical parameters (bleeding or not bleeding, pocket depth, and implant mobility) were evaluated after 1 and 3 years, and the marginal bone level after 1 year of loading was measured on radiographs. Clinical comparisons were performed to evaluate implant loss in relation to implant type, size, position, bone quality and quantity, socket depth, reason for tooth extraction, and placement method. In addition, life table analysis was done for cumulative implant survival rates. There was no clinical difference with respect to socket depth or when comparing the different placement methods. A higher failure rate was found for short implants in the posterior region of the maxilla and when periodontitis was cited as a reason for tooth extraction. Mean marginal bone resorption from the time of loading to the 1-year follow-up was 0.8 mm in the maxilla and 0.5 mm in the mandible. Over a period of 3 years, the implant survival rate was 92.4% in the maxilla and 94.7% in the mandible. (Int J Oral Maxillofac Implants 1999;14:210–216) Key words: Brånemark system, delayed immediate implant placement, immediate implant placement, long-term multicenter investigation