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Implants in regenerated bone: long-term survival

M Nevins1, J T Mellonig, D S Clem

  • 1Institute for Advanced Dental Studies, Swampscott, Massachusetts 01907, USA.

The International Journal of Periodontics & Restorative Dentistry
|April 29, 1998
PubMed
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Dental implants in regenerated bone show high success rates. Bone graft type and surgical approach did not impact implant survival, indicating regenerated bone is a viable option for dental implant placement.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Periodontology
  • Dental Implantology

Background:

  • Bone regeneration techniques are crucial for dental implant placement in atrophic jaws.
  • Autogenous and allogeneic bone grafts combined with barrier membranes are commonly used for bone reconstruction.
  • Assessing the long-term clinical success of dental implants in regenerated bone is essential.

Purpose of the Study:

  • To evaluate the clinical success rate of dental implants placed in bone regenerated with autogenous or allogeneic grafts.
  • To determine if graft material type, surgical approach (simultaneous vs. staged), or implant type (submerged vs. nonsubmerged) influences implant survival.

Main Methods:

  • Retrospective analysis of 526 dental implants placed in regenerated bone across multiple centers.

Related Experiment Videos

  • Bone reconstruction utilized autogenous or allogeneic grafts with barrier membranes.
  • Implants were followed for 6 to over 74 months postloading.

    • Main Results:

    • A high implant success rate of 97.5% was observed (8 out of 526 implants lost).
    • No statistically significant difference in clinical success was found based on graft material (autogenous vs. allogeneic).
    • Surgical approach (simultaneous vs. staged) and implant type (submerged vs. nonsubmerged) did not affect implant outcomes.

    Conclusions:

    • Dental implants placed in regenerated bone demonstrate clinical success rates comparable to those in native bone.
    • Regenerated bone provides a stable and predictable substrate for dental implant osseointegration.
    • The choice of graft material or surgical timing does not appear to compromise implant survival in this cohort.