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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
Published on: November 6, 2015
Multicenter retrospective study of ITI implant-supported posterior partial prosthesis in Jordan
Sami E Jebreen1, Ameen Khraisat
1Dental Department, King Hussein Medical Center, Royal Medical Services, Amman, Jordan.
Purpose:
The aim of this multicenter study was to evaluate success and restorative problems of ITI (ITI Dental Implant System, Straumann AG, Basel, Switzerland) implant-supported posterior partial prostheses in Jordan.
Materials And Methods:
One-hundred forty-one ITI implants were placed in the posterior region of the mandible or the maxilla in 66 patients at multiple clinical practices in Jordan. The age of the patients ranged from 17 to 85 years. The implants were retrospectively analyzed from the first date of placement in September 1999 until May 2006. Eighty-three implants (58.87%) were placed in the mandible, and 58 (41.13%) in the maxilla. The implants were loaded with either cement-retained single- or multiple-tooth replacements.
Results:
Three maxillary implants of two male patients have been lost (2.13% of the total and 5.12% of the maxillary implants). Failed implants were of wide-neck type with 6-mm lengths. Moreover, in another two male patients, two single implants at the maxillary premolar region exhibited significant bone loss from the buccal side of the implant surface (2-mm bone resorption). Those two implants are still functioning and were included in calculating the survival rate but not the success rate. Therefore, the cumulative survival rate for both arches and genders was 97.87% and that for male patients in the maxillary region was 94.88%. The cumulative success rate for both arches and genders was 96.45% and that for the maxillary region was 86.21%. The corresponding rates concerning implants in female patients and the posterior mandible of both genders were 100% for both survival and success rates. Only one crown (mandibular) and another two abutment bridge (maxillary) were decemented in different patients (2.13%).
Conclusions:
The survival and success rates of implants placed in male patients and in the maxilla were lower than that of implants placed in female patients and in the mandible. Cement-retained restorations showed minimal complications.
