Demographics of implant placement and complications of a patient subgroup in a dental hospital population.
BACKGROUND
Little has been reported about the demographics of implant placement in the Irish population and the complications that occur. This is important in terms of service planning and providing patient information.


OBJECTIVE
The purpose of this study was to construct a database of patients who had implants placed in the Dublin Dental School et Hospital from 2000 to 2006. Also, we wanted to compare the complications that occurred in patients who had overdentures to those with a fixed prosthesis.


METHODS
Hospital records were searched for all patients who had implants placed over a seven-year period and we recorded demographic information, as well as details of the implant site, implant type and restoration. Patients who had four or more implants placed for an implant-supported overdenture or fixed prosthesis were invited to attend for a clinical examination.


RESULTS
A total of 1,111 implants were placed in 452 patients over the study period--half of the implants supported single crowns, while the other half supported mainly overdentures and full arch fixed prostheses, with few fixed partial dentures. The 40- to 60-year-olds had the greatest number of implants placed of any age group and most implants were placed in the anterior region. Patients with implant-supported overdentures recorded more complications (52%) compared to those with fixed prostheses (32%). The most common complications associated with both treatments were gingival inflammation and peri-implant mucositis. Overdentures additionally had a significant number of retentive clip fractures.


CONCLUSIONS
Implant-supported overdentures and fixed prostheses were both clinically successful. However, patients and clinicians should be aware that soft tissue and mechanical complications are common.
Brennan
Maire
M
Department of Restorative Dentistry, University Dental School and Hospital, Wilton, Cork.
Houston
Frank
F
O'Sullivan
Michael
M
O'Connell
Brian
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016301:Alveolar Bone Loss / Q000209:etiology; D003442:Crowns / Q000009:adverse effects / Q000706:statistics & numerical data; D016208:Databases, Factual; D003758:Dental Implantation, Endosseous / Q000009:adverse effects* / Q000706:statistics & numerical data*; D015921:Dental Implants / Q000009:adverse effects / Q000706:statistics & numerical data*; D019094:Dental Prosthesis, Implant-Supported / Q000009:adverse effects* / Q000706:statistics & numerical data*; D019232:Dental Restoration Failure; D003824:Denture, Complete / Q000009:adverse effects / Q000706:statistics & numerical data; D003828:Denture, Overlay / Q000009:adverse effects / Q000706:statistics & numerical data; D003830:Denture, Partial, Fixed / Q000009:adverse effects / Q000706:statistics & numerical data; D005260:Female; D005891:Gingivitis / Q000209:etiology; D006801:Humans; D007494:Ireland; D008297:Male; D008875:Middle Aged; D052016:Mucositis / Q000209:etiology; D012189:Retrospective Studies; D013280:Stomatitis / Q000209:etiology
D015921:Dental Implants