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Performance of titanium alloy sintered porous‐surfaced (SPS) implants supporting mandibular overdentures during a 20‐year prospective study

2012; Wiley; Volume: 25; Issue: 2 Linguagem: Inglês

10.1111/clr.12043

1600-0501

Douglas Deporter, Michael Pharoah, Simon Yeh, Reynaldo Todescan, Eshetu G. Atenafu,

Periodontal Regeneration and Treatments

This study was undertaken to assess short, sintered porous-surfaced (SPS), press-fit implants with mandibular overdentures to restore edentulous patients with severe mandibular resorption.Implant lengths of 7, 8, 9, and 10 mm were used, all with 2-mm polished collars, making the designed intrabony lengths 5, 6, 7, and 8 mm. Each patient received three non-splinted implants placed using a two-stage protocol.Only 22 (with 53 implants) of the original 52 patients were available after 20 years. All but one of these patients was functioning with their implant-retained overdentures. Life table analysis accounted for all patients and implants, and showed a 20-year survival of 73.4%. Analysis of carefully standardized radiographs revealed mean cumulative bone loss after 20 years of 0.67 mm relative to the polished collar-SPS junction.Short SPS implants with mandibular overdentures can provide an acceptable treatment over a 20-year period for fully edentulous patients with severe alveolar resorption.