Dental Implants in the Elderly Population: A Long-Term Follow-up

Compton, Sharon M.; Clark, Danielle; Chan, Stephanie; Kuc, Iris; Wubie, Berhanu A.; Levin, Liran

doi:10.11607/jomi.5305

Cited by 61 publications

(45 citation statements)

References 21 publications

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“…In this context, with osteoporosis that were also receiving treatment. It may indeed be that elderly patients seeking implant therapy are in generally relatively healthier than the average elderly population; a similar observation has been made in previous reports on implant therapy in the elderly (Compton et al, 2017;Kowar, Stenport, & Jemt, 2014). This may also partly explain the observation that the matched younger patient cohort herein presented an EIL rate almost 2 times higher than that in the elderly patients.…”

Section: Discussionsupporting

confidence: 87%

How old is old for implant therapy in terms of early implant losses?

Bertl

Ebner

Knibbe

et al. 2019

J Clinic Periodontology

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ObjectivesTo assess, retrospectively, whether older age has an impact on implant osseointegration when compared with younger age.MethodsAll patients ≥65 years old at implant installation, in an university setting over a time‐period of 11.5 years, with complete anamnestic data and follow‐up until prosthetic restoration were included, and any early implant loss (EIL; i.e. lack of osseointegration prior to or at the time‐point of prosthetic restoration) was recorded. Further, one implant, from each of the elderly patients, was attempted matched to one implant in a younger patient (35 to <55 years old at implant installation) from the same clinic based on (a) gender, (b) implant region, (c) smoking status and (d) bone grafting prior to/simultaneously with implant installation. The potential impact of various local and systemic factors on EIL in the entire elderly population, and in the matched elderly and younger patient group was statistically assessed.ResultsFour hundred forty‐four patients ≥65 years old (range 65.1–91.3; 56.8% female) receiving 1,517 implants were identified; 10 patients had one EIL each (implant/patient level: 0.66/2.25%). Splitting this patient cohort additionally into four age groups [65–69.9 (n = 213), 70–74.9 (n = 111), 75–79.9 (n = 80) and ≥80 (n = 40)], EIL was on the implant level 0.41, 0.83, 0.34 and 2.26%, respectively, (p = .102) and on the patient level 1.41, 2.70, 1.25 and 7.50%, respectively, (p = .104); multilevel analysis showed weak evidence of association of increasing age with higher EIL rate (p = .090). Matching was possible in 347 cases, and 5 (1.44%) and 9 (2.59%) EIL in the elderly and younger patients, respectively, were observed (p = .280). EIL could not be associated with any systemic condition or medication intake.ConclusionsElderly patients ≥65 years old presented a similarly low EIL rate as younger patients 35 to <55 years old, while patients ≥80 years old may have a slight tendency for a higher EIL rate. Hence, ageing does not seem to compromise osseointegration, and if at all, then only slightly and at a later stage of life.

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Section: Discussionsupporting

confidence: 87%

How old is old for implant therapy in terms of early implant losses?

Bertl

Ebner

Knibbe

et al. 2019

J Clinic Periodontology

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show abstract

“…The incomplete bone formation around a dental implant is thought to be the result of low cellular attraction to the implant surface. The reduced bone volume, or bone density as seen in aged patients [7,8] may also compromised the BIC as the cellular interaction reduced as a result of cell senescence [9,10].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, current trends in clinical dental implant therapy include modifications of surface treatment to improve the surface properties and surface energy, which in turn increase the wettability of the implant. Considering the ability of titanium dental implants to undergo aging following manufacturing [1,20] renders a reduction in osteoblast cellular [21,22] activity during the healing process, especially in reduced bone density of the elderly [7,8], UV treatment of titanium has been introduced as a potential solution to reverse the aging process via removal of hydrocarbon contamination on the surface and promote cell-titanium implant interaction [23][24][25]. Given the optical properties of bulk titanium [26], UV irradiation of its surface could enhance its hydrophilicity [27], thereby increasing protein adsorption [28].…”

Section: Introductionmentioning

confidence: 99%

An Integrated Overview of Ultraviolet Technology for Reversing Titanium Dental Implant Degradation: Mechanism of Reaction and Effectivity

et al. 2020

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Titanium is widely used as an implanted material in various clinical applications, especially in orthopedics and dental implantology. Following manufacturing and storage, titanium dental implants have the ability to undergo aging, which renders a reduction in osteoblast cellular activity during the healing process, so advancement of a surface treatment to recreate bioactive implant surfaces are required. Ultra-violet (UV) surface treatment has been introduced as a potential solution to reverse the aging process via removal of hydrocarbon contamination on the surface. This narrative review aimed to discuss the current understanding of the mechanism of titanium aging and provide insights into the mechanism that improves the biocompatibility of titanium implants following UV treatment. Additionally, the findings from preclinical and clinical studies is integratively presented. A reference search was performed through the PubMed, Embase, and Scopus databases based on the keywords titanium degradation, titanium aging, photofunctionalization, and UV treatment. Emerging data demonstrated the positive effect of UV light on osteoblast cells with enhanced alkaline phosphatase activity in vitro and increased bone-implant contact in animal studies. Despite limited human studies, the data reported here appear to support the benefit of UV light photofunctionalization on titanium surfaces as an alternative to reverse the titanium aging process. The direction of future research should focus on prospective randomized blinded clinical trials.

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“…An important note to make is that older patients may also have more alveolar bone atrophy, resulting in reduced bone volume and increasing the rate of failure. Ultimately, implants have been placed successfully in the elderly population; 14 however, more research is needed to make tangible and clinically applicable conclusions. Although some studies within the literature suggest that implant site does not have an effect on implant survival, 15 our results found a significant difference in survival when comparing implants placed in the maxilla and mandible.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors associated with Dental Implant Failure: A Study of 302 Implants placed in a Regional Center

Oztel

Bilski

2017

The Journal of Contemporary Dental Practice

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Aim:The aim of this research is to determine which risk factors are associated with dental implant failure and survival. Materials and methods:Data pertaining to patients who received one or more dental implants from 2011 to 2013 in a regional center were retrospectively reviewed. This included a total of 302 Biomet 3i NanoTite Tapered Certain implants placed in 177 patients. All patients were followed up until the end of 2015.Results: This study found an overall success rate of 95%. Statistically significant factors that were found to affect implant survival were implant length, surgical technique, and presence of diabetes mellitus DM. Age, gender, body mass index (BMI), implant site, smoking, and variable operators were not found to have any significant implant on implant survival. Conclusion:This study has demonstrated that the incidence of implant failure and its complications is affected by a number of important factors that clinicians should consider when assessing patients. A follow-up study with a larger sample size, longer follow-up period, and details of the type of prosthetic rehabilitation would be beneficial in producing more definitive conclusions which may improve clinical practice.Clinical significance: Dental implants play an important role in modern-day dental rehabilitation. It is vital that clinicians understand the impact of variable risk factors on implant survival. This study will add to the growing literature on the subject.

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Dental Implants in the Elderly Population: A Long-Term Follow-up

Cited by 61 publications

References 21 publications

How old is old for implant therapy in terms of early implant losses?

How old is old for implant therapy in terms of early implant losses?

An Integrated Overview of Ultraviolet Technology for Reversing Titanium Dental Implant Degradation: Mechanism of Reaction and Effectivity

Risk Factors associated with Dental Implant Failure: A Study of 302 Implants placed in a Regional Center

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