Endosseous implants and bone augmentation in the partially dentate maxilla: an analysis of 17 patients with a follow-up of 29 to 101 months.
OBJECTIVE
The aim of this study was to analyze the survival rate of endosseous implants placed in the partially dentate maxilla treated with sinus inlay block bone grafts.


METHODS
Seventeen patients were subjected to bone augmentation procedures prior to or in conjunction with implant placement. Bone volumes were regarded as insufficient for implant treatment unless a bone grafting procedure was performed. The patients were treated with sinus inlay block bone grafts and endosseous implants in a 1- or 2-stage procedure. A total of 69 implants were placed in the patients who were followed for 29 to 101 months (mean, 53.1 months). The retrospective patient group was also prospectively followed using a standardized clinical and radiographic study design.


RESULTS
The implant survival rate was 91.3% (63/69). All implants were lost during the period from abutment connection to connection of the definitive prosthesis. All bone grafts were stable. Bone grafts supported 48 implants, of which 5 failed (10.4%). In the residual bone, 21 implants were placed, of which 1 failed (4.8%). All patients received a fixed partial prosthesis, which was stable during the follow-up period.


CONCLUSIONS
The results of this investigation revealed a satisfactory clinical outcome of implant placement in grafted partially dentate maxillae after a mean follow-up of 53.1 months.
Becktor
Jonas P
JP
Division of Oral and Maxillofacial Surgery, Maxillofacial Unit, Specialisttandvården, Länssjukhuset, Halmstad, Sweden. jonas@becktor.dk
Isaksson
Sten
S
Sennerby
Lars
L
D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003781:Denture Retention; D003830:Denture, Partial, Fixed; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008443:Maxillary Sinus / Q000601:surgery; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome
D015921:Dental Implants