Long-term implant performance and patients' satisfaction in oligodontia

Marieke A P Filius; Arjan Vissink; Marco S Cune; Gerry M Raghoebar; Anita Visser

doi:10.1016/j.jdent.2018.01.007

Long-term implant performance and patients' satisfaction in oligodontia

J Dent. 2018 Apr:71:18-24. doi: 10.1016/j.jdent.2018.01.007. Epub 2018 Jan 31.

Authors

Marieke A P Filius¹, Arjan Vissink², Marco S Cune³, Gerry M Raghoebar², Anita Visser²

Affiliations

¹ Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, PO Box 30.001, NL-9700 RB, Groningen, The Netherlands. Electronic address: m.a.p.filius@umcg.nl.
² Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, PO Box 30.001, NL-9700 RB, Groningen, The Netherlands.
³ Department of Fixed and Removable Prosthodontics and Biomaterials, Center for Dentistry and Oral Hygiene, University Medical Center Groningen and University of Groningen, PO Box 30.001, NL-9700 RB, Groningen, The Netherlands.

PMID: 29360491
DOI: 10.1016/j.jdent.2018.01.007

Abstract

Objectives: To assess long-term (≥10 years) implant survival, peri-implant health, patients' satisfaction and oral health related quality of life (OHQoL) in oligodontia patients rehabilitated with implant-based fixed prosthodontics.

Methods: All oligodontia patients treated ≥10 years previously with implant-based fixed prosthodontics at the University Medical Center Groningen, The Netherlands, were approached to participate. Clinical (plaque index, bleeding index, pocket probing depth) and radiographic (marginal bone level) data were collected between February and May 2016. Surgical implant details (e.g., bone augmentation) and implant loss were recalled from the medical records. Patients completed a satisfaction questionnaire (maximum score 10, high score favourable satisfaction) and the Oral Health Impact Profile (OHIP-NL49, maximum score 196, low score favourable satisfaction) to rate OHQoL. Implant survival was expressed according to Kaplan Meier. The Mann-Whitney U Test was used for the other analyses.

Results: Forty-one patients had been treated with implant-based fixed prosthodontics (n = 258) ≥10 years previously. Cumulative 10-year implant survival of these 41 patients was 89.1% (95%CI 85.2-93.0%). Twenty-eight of them (n = 163 implants) were willing to visit us for additional clinical and radiographic assessments. In these 28 patients, highest peri-implant bone loss was observed for implants placed in augmented bone (p < 0.001). Peri-implant mucositis (65.4%) and peri-implantitis (16.1%) were rather common. Patients' satisfaction (8.3 ± 1.5) and OHIP-NL49 scores (32.6 ± 30.1) were favourable and not associated with number of agenetic teeth (≤10 versus >10).

Conclusions: Long-term survival, satisfaction and OHQoL results reveal that implant treatment is a predictable and satisfactory treatment modality for oligodontia, although peri-implant mucositis and peri-implantitis are common.

Clinical significance: This study showed unique long-term (≥10 years) results about implant survival, peri-implant health, patients' satisfaction and OHQoL in oligodontia patients rehabilitated with implant-based fixed prosthodontics.

Keywords: Dental implants; Fixed prosthodontics; Hypodontia; Oral health-related quality of life.

MeSH terms

Adult
Anodontia / therapy*
Dental Implantation, Endosseous
Dental Implants / adverse effects
Dental Implants / psychology*
Dental Plaque Index
Dental Prosthesis, Implant-Supported / adverse effects
Dental Prosthesis, Implant-Supported / psychology*
Dental Restoration Failure
Denture, Partial, Fixed / psychology*
Female
Follow-Up Studies
Humans
Male
Mucositis / etiology
Netherlands
Patient Satisfaction*
Peri-Implantitis / etiology
Periodontal Index
Periodontal Pocket
Quality of Life / psychology*
Statistics, Nonparametric
Surveys and Questionnaires

Substances

Dental Implants