Clinical evaluation of implant survival based on size and site of placement: A retrospective study of immediate implants at single rooted teeth sites

Objectives: This retrospective clinical study sought to evaluate the survival of immediate implants placed at maxillary and mandibular single-rooted tooth extraction sites and to determine the relationship among implant size, placement site, and implant survival. Methods: Between January 2010 and Ju...

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Main Authors: Sundar Ramalingam, Maryam Al-Hindi, Raniah Abdullah Al-Eid, Nasser Nooh
Format: Article
Language:English
Published: Springer 2015-04-01
Series:Saudi Dental Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905215000036
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author Sundar Ramalingam
Maryam Al-Hindi
Raniah Abdullah Al-Eid
Nasser Nooh
author_facet Sundar Ramalingam
Maryam Al-Hindi
Raniah Abdullah Al-Eid
Nasser Nooh
author_sort Sundar Ramalingam
collection DOAJ
description Objectives: This retrospective clinical study sought to evaluate the survival of immediate implants placed at maxillary and mandibular single-rooted tooth extraction sites and to determine the relationship among implant size, placement site, and implant survival. Methods: Between January 2010 and June 2011, 85 patients (33 males, 52 females; mean age: 45 years) underwent immediate implant placement after extraction of single-rooted teeth. All implants were restored between 12 and 14 weeks after implant placement. The implant survival and its relationship with implant size and implantation site were evaluated by odds ratios (ORs). Results: Implants were placed at the following sites: upper central incisor (UCI, n = 35), upper lateral incisor (ULI, n = 27), upper second premolar (U2ndP, n = 36), lower incisor (LI, n = 53), and lower premolar (LP, n = 22). Implants of the following sizes were used: 5 × 10 mm (n = 24), 5 × 8 mm (n = 21), 4.3 × 10 mm (n = 77), 4.3 × 8 mm (n = 36), 3.5 × 10 mm (n = 12), and 3.5 × 8 mm (n = 3). After a mean follow-up time of 47 months, the overall implant survival rate was 96%. Survival rate was highest at the LI site (98.1%) and lowest at the ULI site (92.6%). All of the 5-mm implants survived (100%), as did most of the 4.3 × 10 mm implants (96.1%). Implants of 4.3 × 8 mm and 3.5 × 10 mm were the least successful (91.7%). Mandibular implants had a better survival rate (97.3%) than maxillary implants (94.9%). There was no significant OR of increased survival for any particular implant size or site. Conclusions: Immediate implant placement in fresh extraction sockets can give predictable clinical outcomes, regardless of the implant size and site of placement. Keywords: Immediate implants, Dental implants, Implant survival, Osseointegration, Implant site, Implant size
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spelling doaj-art-bad987abfeb34d02be3b48ce55ba241c2025-08-20T03:52:06ZengSpringerSaudi Dental Journal1013-90522015-04-0127210511110.1016/j.sdentj.2014.11.003Clinical evaluation of implant survival based on size and site of placement: A retrospective study of immediate implants at single rooted teeth sitesSundar Ramalingam0Maryam Al-Hindi1Raniah Abdullah Al-Eid2Nasser Nooh3Corresponding author at: Department of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia. Tel.: +966 532 092 386.; Department of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, Saudi ArabiaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, Saudi ArabiaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, Saudi ArabiaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, Saudi ArabiaObjectives: This retrospective clinical study sought to evaluate the survival of immediate implants placed at maxillary and mandibular single-rooted tooth extraction sites and to determine the relationship among implant size, placement site, and implant survival. Methods: Between January 2010 and June 2011, 85 patients (33 males, 52 females; mean age: 45 years) underwent immediate implant placement after extraction of single-rooted teeth. All implants were restored between 12 and 14 weeks after implant placement. The implant survival and its relationship with implant size and implantation site were evaluated by odds ratios (ORs). Results: Implants were placed at the following sites: upper central incisor (UCI, n = 35), upper lateral incisor (ULI, n = 27), upper second premolar (U2ndP, n = 36), lower incisor (LI, n = 53), and lower premolar (LP, n = 22). Implants of the following sizes were used: 5 × 10 mm (n = 24), 5 × 8 mm (n = 21), 4.3 × 10 mm (n = 77), 4.3 × 8 mm (n = 36), 3.5 × 10 mm (n = 12), and 3.5 × 8 mm (n = 3). After a mean follow-up time of 47 months, the overall implant survival rate was 96%. Survival rate was highest at the LI site (98.1%) and lowest at the ULI site (92.6%). All of the 5-mm implants survived (100%), as did most of the 4.3 × 10 mm implants (96.1%). Implants of 4.3 × 8 mm and 3.5 × 10 mm were the least successful (91.7%). Mandibular implants had a better survival rate (97.3%) than maxillary implants (94.9%). There was no significant OR of increased survival for any particular implant size or site. Conclusions: Immediate implant placement in fresh extraction sockets can give predictable clinical outcomes, regardless of the implant size and site of placement. Keywords: Immediate implants, Dental implants, Implant survival, Osseointegration, Implant site, Implant sizehttp://www.sciencedirect.com/science/article/pii/S1013905215000036
spellingShingle Sundar Ramalingam
Maryam Al-Hindi
Raniah Abdullah Al-Eid
Nasser Nooh
Clinical evaluation of implant survival based on size and site of placement: A retrospective study of immediate implants at single rooted teeth sites
Saudi Dental Journal
title Clinical evaluation of implant survival based on size and site of placement: A retrospective study of immediate implants at single rooted teeth sites
title_full Clinical evaluation of implant survival based on size and site of placement: A retrospective study of immediate implants at single rooted teeth sites
title_fullStr Clinical evaluation of implant survival based on size and site of placement: A retrospective study of immediate implants at single rooted teeth sites
title_full_unstemmed Clinical evaluation of implant survival based on size and site of placement: A retrospective study of immediate implants at single rooted teeth sites
title_short Clinical evaluation of implant survival based on size and site of placement: A retrospective study of immediate implants at single rooted teeth sites
title_sort clinical evaluation of implant survival based on size and site of placement a retrospective study of immediate implants at single rooted teeth sites
url http://www.sciencedirect.com/science/article/pii/S1013905215000036
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AT raniahabdullahaleid clinicalevaluationofimplantsurvivalbasedonsizeandsiteofplacementaretrospectivestudyofimmediateimplantsatsinglerootedteethsites
AT nassernooh clinicalevaluationofimplantsurvivalbasedonsizeandsiteofplacementaretrospectivestudyofimmediateimplantsatsinglerootedteethsites