Factors associated with soft- and hard-tissue compromise of endosseous implants.
This prospective analysis identifies factors associated with endosseous implant removal as well as factors associated with implant morbidity resulting in nonscheduled patient visits. Treatment of the latter conditions is discussed. The most important factors identified for implant success were surgery without compromise in technique, placing implants into sound bone, avoiding thin bone or implant dehiscence at the time of implant placement, avoiding premature implant exposure during the healing period, establishing a balanced restoration, and insuring appropriate follow-up hygiene care. In the posterior mandible, the presence of keratinized gingiva was strongly correlated with optimal soft- and hard-tissue health.
Block
M S
MS
Department of Oral and Maxillofacial Surgery, Louisiana State University School of Dentistry, New Orleans 70119.
Kent
J N
JN
D000539:Alveolar Process / Q000033:anatomy & histology / Q000502:physiology; D001862:Bone Resorption / Q000453:epidemiology; D003758:Dental Implantation, Endosseous / Q000009:adverse effects / Q000706:statistics & numerical data*; D015921:Dental Implants / Q000706:statistics & numerical data*; D005500:Follow-Up Studies; D005881:Gingiva / Q000033:anatomy & histology / Q000502:physiology*; D005882:Gingival Diseases / Q000453:epidemiology; D006801:Humans; D007431:Intraoperative Complications; D007568:Jaw / Q000033:anatomy & histology / Q000502:physiology*; D007571:Jaw Diseases / Q000453:epidemiology; D008334:Mandible / Q000033:anatomy & histology / Q000502:physiology; D008338:Mandibular Injuries / Q000453:epidemiology; D008443:Maxillary Sinus / Q000293:injuries; D011183:Postoperative Complications; D011446:Prospective Studies; D011475:Prosthesis Failure; D012307:Risk Factors
D015921:Dental Implants