Implant stability changes over time following implant placement in elderly patients: A prospective study

Abstract

Objectives This study aimed to evaluate the effect of aging on the changes in implant stability over time following implant placement. Materials and methods A total of 104 patients in four age ranges (group 1: <60 years, group 2: 61–70 years, group 3: 71–80 years, and group 4: >80 years) were included. Bone‐level tapered implants were placed without implementing any bone augmentation procedure. The final torque value displayed on the implant engine during implant insertion was recorded. Cone‐beam computed tomography (CBCT) was performed immediately after surgery to analyze the bone quality around the implant. Implant stability was measured immediately after surgery and 2, 4, and 8 weeks after surgery. Results In the CBCT image, higher grayscale values were observed in the order of group 1, group 2, and groups 3/4, with statistical significance (p < .05). There was no significant difference in the insertion torque values between age groups (p ≥ .05). Groups 1 and 2 showed lower implant stability values after 2 and 4 weeks compared to immediately and 8 weeks after surgery (p < .05); however, groups 3 and 4 showed no significant difference between the results measured at different timepoints (p ≥ .05). Conclusions Implant treatment in elderly patients is successful showing a settled implant stability over time following implant placement when the implant is appropriately engaged in the alveolar bone in the absence of bone augmentation.

An epidemiological qualitative/quantitative SWOT‐AHP analysis in order to highlight the positive or critical aspects of dental implants: A pilot study

“…For similar reasons, implant treatment of old patients is increasing worldwide (Choi et al, 2023). According to several authors (Del Amo et al, 2022;Raikar et al, 2017), the overall success rate, after a period of observation, in the older patients was equal or even slightly better than in the younger group.…”

“…Current studies, on the other hand, have shown that the old population has increased life expectancy not only in terms of duration but above all in the increase in the healthy part of life (Aliberti, De Caro, et al, 2022 ; Aliberti, Funk, et al, 2022 ; Aliberti et al, 2023 ). For similar reasons, implant treatment for old patients is on the rise worldwide (Choi et al, 2023 ). In agreement with Köndell et al ( 1988 ), who compared the success rate of 284 implants in 53 old patients, aged 65–85 years with the success rate of 183 implants in 36 younger patients, aged 18–54 years.…”

“…In fact, current studies have shown that the old population has a longer life expectancy not only in terms of duration, but especially in terms of increasing the healthy part of life (Aliberti, De Caro, et al, 2022 ; Aliberti, Funk, et al, 2022 ; Aliberti et al, 2023 ). For similar reasons, implant treatment of old patients is increasing worldwide (Choi et al, 2023 ). According to several authors (Del Amo et al, 2022 ; Raikar et al, 2017 ), the overall success rate, after a period of observation, in the older patients was equal or even slightly better than in the younger group.…”

“…The number of patients older than 75 years with an implant-supported prosthesis has increased in Switzerland over the past 20 years(Schneider et al, 2017). In the prospective study byChoi et al (Choi et al, 2023), implant stability was evaluated immediately postoperatively and at 2, 4, and 8 weeks postoperatively in patients in four age groups: <60 years, 61-70 years, 71-80 years, and >80 years. The results showed that patients aged <60 years and 61-70 years had similar implant stability over time.…”

Mesenchymal stem cells and dental implant osseointegration during aging: from mechanisms to therapy

“…The prerequisite for clinical success of dental implants is osseointegration, defined as a direct structural and functional connection between the bone and the surface of the implant [ 6 , 7 ]. Elderly patients undergoing implant surgery are at higher risk compared to younger patients owing to their age-related health conditions [ 8 ]. With an increase in age, bone quality and quantity deteriorate, leading to osteoporosis [ 9 ].…”