Search PubMed⌕ Search

Biomedical subjects

J Roos

Publications and source records attributed to J Roos.

168 records · Page 10Linked to original sources

Soft tissue and marginal bone conditions at osseointegrated implants that have exposed threads: a 5-year retrospective study.

The purpose of this retrospective clinical investigation was to study possible soft tissue complications and marginal bone resorption related to exposed threads of osseointegrated Brånemark oral implants during a 5-year period. Group 1 comprised 27 patients with 38 test implants that had not become completely covered with bone at implant placement. Thirty control implants in 25 of the patients were each next to a test implant and had no exposed threads initially. Group 2 comprised 51 patients with 107 test implants that had developed marginal bone loss beyond the second thread, as judged radiographically at the first annual checkup. Forty-eight control implants showed no or minor marginal bone resorption up to the first thread. Initial marginal defects and fenestrations at Brånemark implants (group 1) did not lead to mucosal problems or progressive marginal bone resorption during the first 5 years of function. Moreover, bone resorption, seen after the first year of loading at initially completely bone-covered implants, did not lead to any specific soft tissue problems, nor did it result in any further progressive bone resorption during a subsequent 4-year period. Based on the observed low incidence of soft tissue pathology at implants with exposed threads, it is suggested that bone augmentation techniques in the situations studied be used with restriction.

Adolescent↗

A qualitative and quantitative method for evaluating implant success: a 5-year retrospective analysis of the Brånemark implant.

A proposed protocol and differentiated success criteria for long-term evaluation of oral implants are presented. The protocol and criteria were applied to a retrospective patient material treated during a 1-year period and followed for 5 years. The protocol comprised a two-stage analysis of the collected clinical data. First, a quantitative analysis of the outcome was made using a life table. Based on the information obtained during the follow-up, each implant was categorized into one of three groups: unaccounted for, failure, or survival. A qualitative analysis of the survival group was then performed by active testing against defined criteria. Depending on the modes of clinical and radiographic examinations and their results, surviving implants were either further assigned to one of three success grades or remained in the survival group. The data are presented in a four-field table at one level of success. Strict success criteria together with individual stability testing and radiographic examination of each consecutive implant should be used when a new implant system is evaluated or when a new application is explored. Radiography alone and more moderate success criteria may be used to document routine treatments, provided that an already well-documented implant system is studied.

Adult↗

Surgical determinants of clinical success of osseointegrated oral implants: a review of the literature.

PURPOSE: This article reviews the current knowledge about the influence of surgical factors on implant failure in routine cases and in those where implants have been used in conjunction with bone augmentation procedures. MATERIALS AND METHODS: Clinical reports published in major scientific journals served as the basis for this review. RESULTS: With few exceptions, most clinical reports were on screw-shaped titanium implants. High failure rates are associated with poor bone quality and the use of short implants in the athrophic maxilla, irradiation, and bone-grafting procedures of the athrophic maxilla. Evidence for high long-term failure rates of press-fit cylinders was found. Moreover, limited clinical experience, lack of preoperative antibiotics, and smoking may lead to higher failure rates. CONCLUSION: There is a need for further research to increase the success rates in the severely resorbed maxilla. Because of a lack of proper documentation with respect to the great majority of currently used oral implant designs, the influence of different factors and their long-term results remain unknown.

Alveolar Bone Loss↗