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Longitudinal Studies of Various Dental Implant Systems Dental Implant Fellowship  Program  (DIFP)   Fellow’s Topic Presentation
Dental Implant Designs ,[object Object],[object Object],[object Object]
Endosseous Dental Implants ,[object Object]
Scientific Literature ,[object Object]
Scientific Literature ,[object Object],[object Object],[object Object]
Scientific Literature 2.  Boerrigter et al   Oral RehabiI1997 Controlled clinical trial (60 patients),  comparing  the effect of mandibular overdentures on two different implant systems “Brånemark system and the IMZ-system” in edentulous patients were compared one year after insertion of the new dentures.  Evaluation included peri-implant and radiographical parameters . During the osseointegration period, five Brånemark and one IMZ-implants were lost.  The results were less favorable for the Brånemark group than for the IMZ-group; however, these differences were not significant .
Scientific Literature ,[object Object],[object Object]
Scientific Literature ,[object Object],[object Object]
Scientific Literature ,[object Object],[object Object]
Scientific Literature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scientific Literature ,[object Object],[object Object]
Scientific Literature ,[object Object],[object Object]
Scientific Literature ,[object Object],[object Object]
Scientific Literature ,[object Object],[object Object]
Scientific Literature ,[object Object],Geertman et al Data of 2 different RCTs were combined. No separate data. Esposito et al lnt J Oral Maxillofac Implants 2005
Scientific Literature ,[object Object],Boerrigter et al Number of enrolled patients unclear.  Esposito et al lnt J Oral Maxillofac Implants 2005
Scientific Literature ,[object Object],Jones et al Study not classified as a RCT. Esposito et al lnt J Oral Maxillofac Implants 2005
Scientific Literature ,[object Object],Karlsson et al Not all patients were participating in a split  Mouth study. Esposito et al lnt J Oral Maxillofac Implants 2005
Scientific Literature ,[object Object],Geurs et al Unclear which implant type(s) failed. Number of dropouts also unclear.  Esposito et al lnt J Oral Maxillofac Implants 2005
Scientific Literature ,[object Object],Mau et al Unusual high dropout rate (only data of  189 of the 313 patients admitted in the trial were presented). Dropouts often classified as such for questionable reasons. Early failures  counted as dropouts. Esposito et al lnt J Oral Maxillofac Implants 2005
Scientific Literature ,[object Object],. 1.  Meijer et al   J Clin Periodontol 2004 prospective  comparative  study was to evaluate the survival rate and the condition of the peri-implant tissues of the IMZ implant system (two-stage cylindertype), the Brånemark implant system (two-stage screwtype) and the ITI implant system (one-stage screwtype) supporting a mandibular overdenture during a 5-year follow-up period.  After 5 years no clinically relevant and statistically significant radiographic changes had developed between the three implant systems.
Scientific Literature . 2.  Engquist et al .  Clin Oral Implants Res 2002 Follow up for Astrand   et al 1999  which demonstrated high survival rates and small marginal bone changes for Astra Tech when compared with  Brånemark System implants. Result : There was no significant marginal bone change between baseline and the 1-year examination or between the 1- and 3-year examinations.  The survival rate of Astra Tech implants was significantly higher (98.9%) than for Brånemark System implants
Scientific Literature 3.  Astrand et al   Clin Oral Implants Res 2004 Follow up for Astrand et al 1999  which demonstrated high survival rates and small marginal bone changes for Astra Tech when compared with  Brånemark System implants. Result : Between baseline and the 5-year examination, the marginal bone level changes were small, with no difference between the implant systems. At the 5-year examination, the survival rate for Astra Tech implants was 98.4% and for the Brånemark implants it was 94.6%. The difference was not statistically significant.
Comparative Analysis of Various Dental Implant Systems ,[object Object],Astra versus Branemark Implants Astrand et al   compared submerged Astra screw-type implants and  submerged Branemark screw-type implants using a parallel group design in totally edentulous patients. Thirty-three fully edentulous patients (17 maxillae and 16 mandibles)
Comparative Analysis of Various Dental Implant Systems ,[object Object],Considering the patient as the unit for the analysis, there was no  statistically significant difference between the implant systems in regard to either failure or marginal bone level change after 5 years of function.
Comparative Analysis of Various Dental Implant Systems ,[object Object],Branemark versus IMZ Implants . Batenburg et al compared 2 submerged Branemark implants used to  support mandibular overdentures with 2 IMZ submerged implants used  to support mandibular overdentures using a parallel group design.  Thirty patients were included in each group.
Comparative Analysis of Various Dental Implant Systems ,[object Object],Considering the patient as the unit for the analysis, there was no  statistically significant difference between the implant systems in regard to either failure or marginal bone level change .
Comparative Analysis of Various Dental Implant Systems ,[object Object],Branemark versus ITI Implants . Batenburg et al compared 2 submerged Branemark MKII screw-type  implants used  to support mandibular overdentures with 2 ITI TPS hollow screw-type implants used to support mandibular overdentures.Thirty  patients were included in each group .
Comparative Analysis of Various Dental Implant Systems ,[object Object],Considering the patient as the unit for the analysis, there was no  statistically significant difference between the implant systems in regard to either failure or marginal bone level change .
Comparative Analysis of Various Dental Implant Systems ,[object Object],IMZ versus ITI Implants Batenburg et al compared 2 submerged IMZ TPS cylinders supporting  mandibular overdentures with 2 nonsubmerged ITI TPS hollow screws  Supporting mandibular overdentures on parallel group design. Thirty patients were included in each group.
Comparative Analysis of Various Dental Implant Systems ,[object Object],Considering the patient as the unit for the analysis, there was no  statistically significant difference between the implant systems in regard to either failure or marginal bone level change .
Comparative Analysis of Various Dental Implant Systems ,[object Object],Southern versus Steri-Oss Implants Tawse-Smith et al  in Two trials with a parallel group design compared the  use of 2 nonsubmerged, unsplinted Southern implants to support an  Overdenture with the use of 2 nonsubmerged, unsplinted Steri-Oss screws. The design of  the 2 trials was identical, except that in 1 trial the implants were conventionally loaded at 12 weeks, whereas in the other, the  implants were loaded early, at 6 weeks.
Comparative Analysis of Various Dental Implant Systems ,[object Object],Meta-analyses were done of the 2 above studies. Considering the patient as the unit for the analysis, there were no  statistically significant differences in regard to failures and marginal bone level changes between the implant systems after 5 years of function.
Comparative Analysis of Various Dental Implant Systems ,[object Object],A meta-analysis comparing early implant failures between various implants with turned and roughened surfaces .Two trials were included  “ Astrand et al & Batenburg et al “
Comparative Analysis of Various Dental Implant Systems ,[object Object],Considering the patient as the unit for the analysis, no statistically  significant differences were observed between the implants with turned surfaces and those with roughened surfaces in regard to  number of early failures .
Comparative Analysis of Various Dental Implant Systems ,[object Object],Only 1 trial “Astrand et al “ was available that compared the occurrence of  peri-implantitis between various implants with turned and roughened surfaces at 5 years. .
Comparative Analysis of Various Dental Implant Systems ,[object Object],Considering the patient as the unit for the analysis, there was no  statistically significant difference in regard to occurrence of  peri-implantitis between implants with turned surfaces and those with roughened surfaces.
Dental Implant Systems ,[object Object],3i Implant Innovations USA ICE Super Self-Tapping  Osseotite TG  Osseotite  Osseotite Xp  Osseotite  NT  Osseotite Certain
Dental Implant Systems ,[object Object],Astra Tech Sweden AstraTech  AstraTech ST  Fixture MicroThread
Dental Implant Systems ,[object Object],Centerpulse Dental USA Taper Lock  Swiss-Plus  Swiss-Plus + taper  Screw-Vent  Screw-Vent + taper  AdVent  Spline
Dental Implant Systems ,[object Object],Dentsply Friadent Germany ANKYLOS implant system  FRIALlT-2 stepped cylinder, HA  FRIALlT-2 stepped screw, TPS  FRIALlT-2 stepped screw Synchro,TPS  FRIALlT®-2 stepped screw, Tiefstruktur  FRIALlT®-2 stepped screw, Synchro Tiefstruktur  XiVE  XiVE TG IMZ- TwinPlus implant system  Friadent CELL plus
Dental Implant Systems ,[object Object],Innova LifeSciences Canada Endopore  Entegra
Dental Implant Systems ,[object Object],Institut Straumann AG Switzerland Screw  Screw Esthetic Plus  Hollow Cylinder  Hollow Cylinder, Esthetic Plu  ITI Narrow Neck (NNI)  ITI Wide Neck (WNI)  ITI TE
Dental Implant Systems ,[object Object],Lifecore Biomedical USA Restore, Threaded, RBM  Restore, Threaded, TPS  Restore, Threaded, Ti  Restore, Threaded, HA  Restore, Cylinder, RBM  Restore, Cylinder, TPS  Restore, Cylinder, Ti  Restore, Cylinder, HA Stage-l , RBM, regular & wide,+/- Esthetic Collar Stage-l , TPS, regular & wide,+/- Esthetic Collar SuperCAT Super Self-Tapping  Sustain, HA coated (MC) cylinder
Dental Implant Systems ,[object Object],Nobel Biocare Sweden Branemark system® Mklll  Branemark system® Mklll, TiUnite  Branemark system® MkIV Branemark system® MkIV, TiUnite  Replace® Select, Straight, NP, RP,WP  Replace® Select, Tapered, NP, RP,WP Replace® Select, Straight, NP, RP,WP,TiUnite  Replace® Select, Tapered, NP, RP,WP,TiUnite  Replace® Select, Straight, NP, RP,WP, HA  Replace® Select, Tapered, NP, RP,WP,HA  NobelPerfect
Dental Implant Systems ,[object Object],Sterngold Implamed Dental Implant System USA Implamed Turned, TPS, Regular, Wide & Narrow  Implamed Turned Partial TPS, Regular,Wide & Narrow Implamed Turned Regular, Wide & Narrow  lmplamed HA, Regular, Wide & Narrow ERA Implant System
Conclusions ,[object Object],[object Object],[object Object]
[object Object]

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Longitudinal Studies Of Dental Implant Systems 1

  • 1. Longitudinal Studies of Various Dental Implant Systems Dental Implant Fellowship Program (DIFP) Fellow’s Topic Presentation
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  • 6. Scientific Literature 2. Boerrigter et al Oral RehabiI1997 Controlled clinical trial (60 patients), comparing the effect of mandibular overdentures on two different implant systems “Brånemark system and the IMZ-system” in edentulous patients were compared one year after insertion of the new dentures. Evaluation included peri-implant and radiographical parameters . During the osseointegration period, five Brånemark and one IMZ-implants were lost. The results were less favorable for the Brånemark group than for the IMZ-group; however, these differences were not significant .
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  • 22. Scientific Literature . 2. Engquist et al . Clin Oral Implants Res 2002 Follow up for Astrand et al 1999 which demonstrated high survival rates and small marginal bone changes for Astra Tech when compared with Brånemark System implants. Result : There was no significant marginal bone change between baseline and the 1-year examination or between the 1- and 3-year examinations. The survival rate of Astra Tech implants was significantly higher (98.9%) than for Brånemark System implants
  • 23. Scientific Literature 3. Astrand et al Clin Oral Implants Res 2004 Follow up for Astrand et al 1999 which demonstrated high survival rates and small marginal bone changes for Astra Tech when compared with Brånemark System implants. Result : Between baseline and the 5-year examination, the marginal bone level changes were small, with no difference between the implant systems. At the 5-year examination, the survival rate for Astra Tech implants was 98.4% and for the Brånemark implants it was 94.6%. The difference was not statistically significant.
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