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

OBJECTIVES: To assess, retrospectively, whether older age has an impact on implant osseointegration when compared with younger age. METHODS: All 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 unti...

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Autores principales: Bertl, Kristina, Ebner, Maria, Knibbe, Marianne, Pandis, Nikolaos, Kuchler, Ulrike, Ulm, Christian, Stavropoulos, Andreas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6899847/
https://www.ncbi.nlm.nih.gov/pubmed/31529723
http://dx.doi.org/10.1111/jcpe.13199
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author Bertl, Kristina
Ebner, Maria
Knibbe, Marianne
Pandis, Nikolaos
Kuchler, Ulrike
Ulm, Christian
Stavropoulos, Andreas
author_facet Bertl, Kristina
Ebner, Maria
Knibbe, Marianne
Pandis, Nikolaos
Kuchler, Ulrike
Ulm, Christian
Stavropoulos, Andreas
author_sort Bertl, Kristina
collection PubMed
description OBJECTIVES: To assess, retrospectively, whether older age has an impact on implant osseointegration when compared with younger age. METHODS: All 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. RESULTS: Four 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. CONCLUSIONS: Elderly 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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spelling pubmed-68998472019-12-19 How old is old for implant therapy in terms of early implant losses? Bertl, Kristina Ebner, Maria Knibbe, Marianne Pandis, Nikolaos Kuchler, Ulrike Ulm, Christian Stavropoulos, Andreas J Clin Periodontol Implant Therapy OBJECTIVES: To assess, retrospectively, whether older age has an impact on implant osseointegration when compared with younger age. METHODS: All 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. RESULTS: Four 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. CONCLUSIONS: Elderly 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. John Wiley and Sons Inc. 2019-11-08 2019-12 /pmc/articles/PMC6899847/ /pubmed/31529723 http://dx.doi.org/10.1111/jcpe.13199 Text en © 2019 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Implant Therapy
Bertl, Kristina
Ebner, Maria
Knibbe, Marianne
Pandis, Nikolaos
Kuchler, Ulrike
Ulm, Christian
Stavropoulos, Andreas
How old is old for implant therapy in terms of early implant losses?
title How old is old for implant therapy in terms of early implant losses?
title_full How old is old for implant therapy in terms of early implant losses?
title_fullStr How old is old for implant therapy in terms of early implant losses?
title_full_unstemmed How old is old for implant therapy in terms of early implant losses?
title_short How old is old for implant therapy in terms of early implant losses?
title_sort how old is old for implant therapy in terms of early implant losses?
topic Implant Therapy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6899847/
https://www.ncbi.nlm.nih.gov/pubmed/31529723
http://dx.doi.org/10.1111/jcpe.13199
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