A Non-Interventional Study Documenting Use and Success of Tissue Level Implants

• Main Authors: Carmen María Díaz-Castro, Pedro Lázaro Calvo, Francisco Javier Gil, Ana Fernández-Palacín, José-Vicente Ríos-Santos, Mariano Herrero-Climent
• Format: Article
• Language: English
• Published: MDPI AG 2020-07-01
• Series: International Journal of Environmental Research and Public Health
• Subjects: dental implants; immediate dental implant loading; bone–implant interface; osseointegration
• Online Access: https://www.mdpi.com/1660-4601/17/13/4816

Numerous randomised controlled multicentric studies have investigated various responses to different treatment modalities with dental implants. These studies do not always show the results of daily practice as they are performed under controlled and strict clinical conditions. This multicentric, non-interventionist trial aimed to document the behaviour of implants when used in daily dental practice, without inclusion or exclusion criteria. One hundred and ninety-six screw-shaped, tissue-level implants were placed, and each clinician decided which implant, surgical loading and prosthetic protocol to use. At surgery, data related to the implants were recorded. Additionally, the crestal bone level changes were evaluated for up to two years of follow-up. Two implants were lost before they were loaded. The success rate was 98.31%, and the survival rate was 98.79%. The implant stability quotient (ISQ) at surgery was 68.61 ± 10.35 and at 2 years was 74.39 ± 9.64. The crestal–shoulder distances were 1.25 ± 1.09 mm and 1.68 ± 1.07 mm in the mesial and distal aspects on the day of surgery, respectively, and 2.04 ± 0.91 and 2.16 ± 0.99 mm at 2 years, respectively. At 2 years, 69.3% of the patients were highly satisfied. The use of implants under standard conditions seemed to have success rates similar to their placement in controlled studies.