Survival and success of sandblasted, large-grit, acid-etched and titanium plasma-sprayed implants: a retrospective study.
OBJECTIVE
The primary objective of this open, retrospective, nonrandomized study was to evaluate survival and success rates for sandblasted, large-grit, acid-etched (SLA) and titanium plasma-sprayed (TPS) implants placed by a single practitioner. The secondary objectives included evaluation of crestal bone loss and adverse events.


METHODS
Implants were placed by a single practitioner between April 1994 and December 2005. All clinical data, including information about adverse events, were entered into an electronic database. Outcomes were evaluated with Kaplan-Meier survival and life table analyses.


RESULTS
Over the study period, 342 patients received a total of 836 implants, comprising 533 SLA and 303 TPS implants. Maximum and median follow-up times were 7.2 and 0.8 years, respectively, for patients with SLA implants and 9.7 and 4.6 years, respectively, for those with TPS implants. A greater proportion of SLA implants than TPS implants were placed in type IV bone. Overall, 807 (96.5%) of the implants met the survival criteria, and 795 (95.1%) were classified as successful. Failure rates were 2.6% (14/533) for SLA implants and 5.0% (15/303) for TPS implants. Early failure rates (less than 1 year after implantation) were 2.1% (11/533) for SLA implants and 3.0% (9/303) for TPS implants. Kaplan-Meier survival and life table analyses showed similar cumulative survival rates for the 2 types of implants at up to 5 years. Crestal bone loss was more common with TPS implants than with SLA implants, affecting 27 (8.9%) of the TPS implants and 14 (2.6%) of the SLA implants. Complication rates were 7.7% (41/533) for the SLA implants and 13.5% (41/303) for the TPS implants.


CONCLUSIONS
SLA and TPS implants had similarly good clinical outcomes in this retrospective study, but the frequency of crestal bone loss was lower among the SLA implants. Continued observation of SLA implants is required to confirm these findings over the long term.
Arlin
Murray L
ML
murray.arlin@utoronto.ca
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016301:Alveolar Bone Loss / Q000209:etiology; D020099:Coated Materials, Biocompatible; D045662:Dental Etching / Q000379:methods; D003758:Dental Implantation, Endosseous; D015921:Dental Implants / Q000009:adverse effects; D017267:Dental Prosthesis Design; D019232:Dental Restoration Failure; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D015993:Life Tables; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013499:Surface Properties; D014025:Titanium
D020099:Coated Materials, Biocompatible; D015921:Dental Implants; D014025:Titanium