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Resonance frequency analysis of implants subjected to immediate or early functional occlusal loading. Successful vs. failing implants


Glauser, R; Sennerby, L; Meredith, N; Rée, A; Lundgren, A; Gottlow, Jan; Hämmerle, C H F (2004). Resonance frequency analysis of implants subjected to immediate or early functional occlusal loading. Successful vs. failing implants. Clinical Oral Implants Research, 15(4):428-434.

Abstract

OBJECTIVES: The objective of this study was to analyze the development of implant stability by repeated resonance frequency analysis (RFA) measurements during 1 year in 23 patients treated according to an immediate/early-loading protocol. The objective was also to evaluate the possible differences between failing and successful implants. MATERIAL AND METHODS: Eighty-one Brånemark System implants were placed in 23 patients for immediate/early-occlusal loading in all jaw regions. Thirty of the implants were placed in extraction sockets and 62 were subjected to GBR procedures. Apart from clinical and radiographic examinations, the patients were followed with RFA at placement, prosthesis connection and after 1-3, 6 and 12 months. Statistical analyses were carried out to study the possible differences between implants that failed during the study period and implants that remained successful. RESULTS: Nine implants failed (11.2%) during the 1 year of loading. RFA showed a distinct different pattern between the implants that remained stable and the implants that were lost. The implants that failed during the course of the study showed a significantly lower stability already after 1 month. CONCLUSION: Within the limitations of this study, it is concluded that failing implants show a continuous decrease of stability until failure. Low RFA levels after 1 and 2 months seem to indicate an increased risk for future failure. This information may be used to avoid implant failure in the future by unloading implants with decreasing degree of stability with time as diagnosed with the RFA technique.

OBJECTIVES: The objective of this study was to analyze the development of implant stability by repeated resonance frequency analysis (RFA) measurements during 1 year in 23 patients treated according to an immediate/early-loading protocol. The objective was also to evaluate the possible differences between failing and successful implants. MATERIAL AND METHODS: Eighty-one Brånemark System implants were placed in 23 patients for immediate/early-occlusal loading in all jaw regions. Thirty of the implants were placed in extraction sockets and 62 were subjected to GBR procedures. Apart from clinical and radiographic examinations, the patients were followed with RFA at placement, prosthesis connection and after 1-3, 6 and 12 months. Statistical analyses were carried out to study the possible differences between implants that failed during the study period and implants that remained successful. RESULTS: Nine implants failed (11.2%) during the 1 year of loading. RFA showed a distinct different pattern between the implants that remained stable and the implants that were lost. The implants that failed during the course of the study showed a significantly lower stability already after 1 month. CONCLUSION: Within the limitations of this study, it is concluded that failing implants show a continuous decrease of stability until failure. Low RFA levels after 1 and 2 months seem to indicate an increased risk for future failure. This information may be used to avoid implant failure in the future by unloading implants with decreasing degree of stability with time as diagnosed with the RFA technique.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Fixed and Removable Prosthodontics
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:1 August 2004
Deposited On:11 Feb 2008 12:23
Last Modified:05 Apr 2016 12:18
Publisher:Wiley-Blackwell
ISSN:0905-7161
Publisher DOI:10.1111/j.1600-0501.2004.01036.x
PubMed ID:15248877
Permanent URL: http://doi.org/10.5167/uzh-1457

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