Survival rate of dental implants in the anterior mandible: a retrospective study

• 발행기관: 대한구강악안면외과학회
• 저자명: Su-Yeon Kim Yu-Lee Kim Hyun-Jun Kong
• 간행물 정보: 『대한구강악안면외과학회지』제51권 제3호, 141~150쪽, 전체 10쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2025.06.30

국문 초록

Objectives: The purpose of this study was to analyze the survival rate of implants placed in the anterior mandible to evaluate the impact of various prosthetic restoration parameters, including loading protocols, opposing teeth type, prosthesis type, retention type, and cantilever, on implant survival and to evaluate potential risk factors, including systemic disease, associated with implant failure. Patients and Methods: Here, 604 implants installed in the anterior lower jaws of 326 patients that had at least one follow-up visit after prosthetic restoration were included. Implant failure was defined as removal of the implant from the oral cavity. For survival rate analysis, the survival period was defined from the date of implantation to the date of failure or last examination. Survival analysis was conducted using Kaplan-Meier survival curves. Cox regression analysis was performed to identify factors affecting implant survival. Results: Of the 604 implants placed in the mandibular anterior region, 14 failed, a cumulative survival rate of 97.68%. The survival curve varied according to loading method, with immediate loading demonstrating a significantly lower cumulative survival rate compared to early and conventional loading. Survival curves also differed according to retention type, with screw-retained implants having significantly lower cumulative survival than cement-retained and attachment-retained implants. Cantilevered designs also showed significantly reduced cumulative survival compared to noncantilevered designs. Conventional loading was significantly less likely to fail compared to immediate loading. Conclusion: The design of implant-supported prostheses affects the survival of implants placed in the mandibular anterior region. Immediate loading is a risk factor associated with failure of implants in the anterior mandible.

목차

I. Introduction

II. Patients and Methods

III. Results

IV. Discussion

V. Conclusion

References

키워드

Dental prosthesis design Mandible Dental implants Survival rate Risk factors