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Related Experiment Videos

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

M Esposito1, P Coulthard, P Thomsen

  • 1Department of Biomaterials and Department of Prosthetic Dentistry/Dental Material Sciences, Sahlgrenska Academy at Goteborg University, PO Box 412, Medicinaregatan 8B, Goteborg, Sweden, SE-405 30. marco.esposito@biomaterials.gu.se

The Cochrane Database of Systematic Reviews
|January 28, 2005
PubMed
Summary

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Dental implant surface characteristics influence outcomes, with smoother surfaces potentially reducing perimplantitis risk. However, no specific implant type shows superior long-term success, necessitating further research.

Area of Science:

  • Dental Implantology
  • Biomaterials Science
  • Clinical Dentistry

Background:

  • Dental implants vary in material, shape, and surface characteristics.
  • Numerous surface modifications aim to enhance dental implant clinical performance.

Purpose of the Study:

  • To evaluate the clinical performance of different root-formed osseointegrated dental implant types.
  • To test the hypothesis that no significant differences exist between various dental implant types.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) published up to June 2004.
  • Included RCTs compared osseointegrated implants with at least a 1-year follow-up.
  • Data extraction and quality assessment were performed independently by two reviewers.

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Main Results:

  • Twelve RCTs involving 512 patients compared 12 different titanium implant types.
  • No significant differences in implant failure rates were observed between implant types.
  • Smoother (turned) surfaces showed a 20% reduced risk of perimplantitis compared to rougher surfaces over 3 years.

Conclusions:

  • Limited evidence suggests smoother implant surfaces may reduce perimplantitis risk.
  • No specific dental implant type demonstrated superior long-term success.
  • Further high-quality RCTs with longer follow-up are needed.