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Discussion and conclusions: Implant success and survival rates (1)

author: Sven Marcus Beschnidt,Claudio Cacaci,Kerem Dedeoglu,Detlef Hildebrand,Helfried Hulla,Gerhard Iglhaut,Gerald Krennmair,Markus Sch | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

Discussion and conclusions

This large, multicenter study provides real-life long-term data on 285 implants placed in 196 patients. The results show that the placement of CAMLOG SCREW-LINE implants with platform-matching or platform-switching abutments results in high survival and success in the long term. The overall success rate for implants was 97.1% at 5-year post-loading, and 97.4% and 96.2% for implants with platform-switching and platform-matching abutments, respectively, according to Albrektsson et al. [30]; the overall survival rate was 98.6%. For comparability to other studies, the success rates were assessed post hoc according to Buser et al. [29], revealing a 5-year overall success rate of 98.0%, and 100% and 97.4% for implants with platform-matching and platform-switching abutments, respectively.

These results compare positively with the results achieved for the CAMLOG SCREW-LINE implants in an RCT [23]. Here, the 3-year success rates—according to Buser et al. [29]—were 97.3% for platform-switching and 97.1% for platform-matching implants. In contrast, the present study achieved better 3-year success rates—according to Buser et al. [29]—for both platform-matching (100%) and platform-switching (99.4%) implants. Other private practice studies achieved similar results to our study, with success rates at 3 years of 93.5% for SLActive implants [4] and 99.12% and 97.58% at 3 and 5 years, respectively, for comparable SLA surface implants [5]. These studies [4, 5] also applied the success criteria, according to Buser et al. [29], namely absence of pain, infection, neuropathies or paresthesia, peri-implant infection with suppuration, mobility, and continuous radiolucency around the implant. Slight differences in success rates are seen with the two criteria [29, 30]. In our study, the success rates are lower at 5-year follow-up, according to Albrektsson et al., because bone level changes were measured to fulfill the first criterion (< 0.2 mm bone loss annually after the first year of loading). 

 

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