title: Success criteria in implant dentistry: a systematic review.
abstract: The purpose of this study was to examine the most frequently used criteria to define treatment success in implant dentistry. An electronic MEDLINE/PubMED search was conducted to identify randomized controlled trials and prospective studies reporting on outcomes of implant dentistry. Only studies conducted with roughened surface implants and at least five-year follow-up were included. Data were analyzed for success at the implant level, peri-implant soft tissue, prosthetics, and patient satisfaction. Most frequently reported criteria for success at the implant level were mobility, pain, radiolucency, and peri-implant bone loss (> 1.5 mm), and for success at the peri-implant soft-tissue level, suppuration, and bleeding. The criteria for success at the prosthetic level were the occurrence of technical complications/prosthetic maintenance, adequate function, and esthetics during the five-year period. The criteria at patient satisfaction level were discomfort and paresthesia, satisfaction with appearance, and ability to chew/taste. Success in implant dentistry should ideally evaluate a long-term primary outcome of an implant-prosthetic complex as a whole.
authors.affiliation: Harvard School of Dental Medicine, Department of Restorative Dentistry & Biomaterials Sciences, 188 Longwood Avenue, Boston 02115, USA. panpapaspyridakos@gmail.com
authors.forename: P
authors.initials: P
authors.lastname: Papaspyridakos
authors.forename: C-J
authors.initials: CJ
authors.lastname: Chen
authors.forename: M
authors.initials: M
authors.lastname: Singh
authors.forename: H-P
authors.initials: HP
authors.lastname: Weber
authors.forename: G O
authors.initials: GO
authors.lastname: Gallucci
mesh_terms: D019985:Benchmarking; D003758:Dental Implantation, Endosseous / Q000592:standards*; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported / Q000592:standards*; D006801:Humans; D016348:Osseointegration; D017063:Outcome Assessment, Health Care / Q000379:methods*; D017060:Patient Satisfaction