J Korean Assoc Oral Maxillofac Surg.  2020 Jun;46(3):162-173. 10.5125/jkaoms.2020.46.3.162.

The impact of the alveolar bone sites on early implant failure: a systematic review with meta-analysis

• Fouda AAH

• KMID: 2504302
• DOI: http://doi.org/10.5125/jkaoms.2020.46.3.162

Abstract

Dental implants are the first option for replacement of missing teeth. Failure usually involves additional cost and procedures. As a result, the physician should limit the risk factors associated with implant failures. Implant site is one of many factors that can influence the success or failure of dental implants. The association between early implant failure (EIF) and implant site has yet to be documented. This review aims to estimate the impact of insertion site on the percentage of EIFs. An electronic and manual search of studies that reported early failure of dental implants based on collection site. A total of 21 studies were included in the review and examined for the association between EIF and alveolar site. Subgroup analysis, including a comparison between implants inserted in four alveolar ridge regions of both jaws was performed. The early failure rate was higher for maxillary implants (3.14%) compared to mandibular implants (1.96%). Applying a random effect, risk ratio (RR), and confidence interval (CI) of 95% revealed higher failure in the maxilla compared to the mandible (RR 1.41; 95% CI [1.19, 1.67]; P<0.0001; I²=58%). The anterior maxilla is more critical for early implant loss than other alveolar bone sites. Implants in the anterior mandible exhibited the best success rate compared of the sites.

Keyword

Dental implantation; Osseointegrated; Peri-implant endosseous healing; Bone implant interface

Figure

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  Fig. 1 Study flow diagram. Adapted from the article of Moher et al. (PLoS Med 2009;6:e1000097)18 in accordance with the Creative Commons Attribution license.

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  Fig. 2 Forest plot comparison: Maxilla versus mandible in early implant failures.

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  Fig. 3 Forest plot comparison: Anterior maxillary region (Ant Max.) versus anterior mandibular region (Ant Mand.) in early implant failures.

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  Fig. 4 Forest plot comparison: Posterior mandibular region (Post Mand.) versus posterior maxillary region (Post Max.) in early implant failures.

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  Fig. 5 Forest plot comparison: Anterior maxillary region (Ant Max.) versus posterior maxillary region (Post Max.) in early implant failures.

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  Fig. 6 Forest plot comparison: Anterior mandibular region (Ant Mand.) versus posterior mandibular region (Post Mand.) in early implant failures.

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  Fig. 7 Forest plot comparison: Posterior mandibular region (Post Mand.) versus anterior maxillary region (Ant Max.) in early implant failures.

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  Fig. 8 Forest plot comparison: Anterior mandibular region (Ant Mand.) versus posterior maxillary region (Post Max.) in early implant failures.

Reference

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