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Related Experiment Videos

Interventions for replacing missing teeth: different types of dental implants.

M Esposito1, H V Worthington, P Thomsen

  • 1Department of Biomaterials and Department of Prosthetic Dentistry/Dental Material Sciences, The Sahlgrenska Academy at Goteborg University, PO Box 412, Medicinaregatan 8B, Goteborg, Sweden, SE-40530.

The Cochrane Database of Systematic Reviews
|August 15, 2003
PubMed
Summary

No significant clinical performance differences were found between various dental implant types in this review. Further research with longer follow-up periods is recommended for definitive conclusions on implant systems.

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Area of Science:

  • Biomaterials Science
  • Dental Implantology
  • Clinical Research

Background:

  • Dental implants utilize diverse materials, shapes, and surface modifications to optimize clinical outcomes.
  • Numerous surface modifications aim to enhance the performance of dental implants.

Purpose of the Study:

  • To evaluate the clinical performance of different root-formed osseointegrated dental implant types.
  • To test the hypothesis that no difference exists in clinical performance among various dental implant designs.

Main Methods:

  • Comprehensive literature search of multiple databases (Cochrane, MEDLINE, EMBASE) and handsearching of journals.
  • Inclusion of randomized controlled trials (RCTs) comparing osseintegrated implants with at least a 1-year follow-up.
  • Quality assessment of RCTs, data extraction, and adherence to Cochrane Oral Health Group guidelines.

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Main Results:

  • Ten RCTs involving 428 patients compared nine different titanium implant types with varying shapes and surface preparations.
  • No statistically significant differences were observed in implant failures, marginal bone loss, or peri-implantitis among the evaluated implant systems.
  • Comparisons were made on a per-patient basis, with follow-up durations ranging from 1 to 3 years.

Conclusions:

  • Current evidence does not indicate superiority of any specific implant system evaluated.
  • Findings are limited by the small number of RCTs and short follow-up periods.
  • Further high-quality RCTs with longer follow-up (≥5 years) and adequate patient numbers are needed to detect potential differences.