A prospective multicenter clinical trial of 3i machined-surface implants: results after 6 years of follow-up

Int J Oral Maxillofac Implants. 2003 May-Jun;18(3):417-23.

Abstract

Purpose: In this prospective multicenter clinical study, 1,179 3i standard threaded and self-tapping implants were followed for up to 6 years and monitored according to established success criteria.

Materials and methods: A total of 493 patients (240 men and 253 women) with a mean age of 45.1 years at implant surgery were enrolled at 6 research centers after being screened for exclusion criteria. Implants were placed according to a 2-stage surgical protocol with a minimum of 4 months of submerged healing in the mandible and 6 months in the maxilla. Restorations included 633 prostheses, the majority of which were fixed partial dentures in the posterior mandible or maxilla or single-tooth replacements in the anterior maxilla.

Results: One hundred four implants (8.8%) did not meet success criteria and were designated as failures, and 222 implants (18.8%) were lost to follow-up. The cumulative success rate according to life table methods was 91.1% at 6 years.

Discussion: Sixty percent of the failed implants were short (< or = 10 mm long), and their cumulative success rate as a group at 6 years was 89.0%, compared to 93.1% for longer implants (P < .05). Thirty-three percent of all failures were implants placed in the posterior maxilla, for a 5-year cumulative success rate of 87.4%.

Conclusion: It appears that limited bone dimensions and poor-quality bone have an impact on the performance of these machined-surface implants.

Publication types

  • Clinical Trial
  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone Density
  • Dental Implantation, Endosseous / methods
  • Dental Implants*
  • Dental Implants, Single-Tooth
  • Dental Prosthesis Design*
  • Dental Prosthesis, Implant-Supported
  • Dental Restoration Failure
  • Denture, Partial, Fixed
  • Female
  • Follow-Up Studies
  • Humans
  • Life Tables
  • Male
  • Mandible / surgery
  • Maxilla / surgery
  • Middle Aged
  • Periodontal Index
  • Prospective Studies
  • Surface Properties
  • Survival Analysis
  • Treatment Outcome

Substances

  • Dental Implants