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Implications of considering peri‐implant bone loss a disease, a narrative review

BACKGROUND: Peri‐implantitis has been suggested to cause significant increasing proportions of implant failure with increasing time. PURPOSE: To assess whether implant failure rates in long term studies are matching the supposed high prevalence of peri‐implantitis. MATERIAL AND METHODS: This paper i...

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Autores principales: Albrektsson, Tomas, Tengvall, Pentti, Amengual‐Peñafiel, Luis, Coli, Pierluigi, Kotsakis, Georgios, Cochran, David L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542069/
https://www.ncbi.nlm.nih.gov/pubmed/35639515
http://dx.doi.org/10.1111/cid.13102
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author Albrektsson, Tomas
Tengvall, Pentti
Amengual‐Peñafiel, Luis
Coli, Pierluigi
Kotsakis, Georgios
Cochran, David L.
author_facet Albrektsson, Tomas
Tengvall, Pentti
Amengual‐Peñafiel, Luis
Coli, Pierluigi
Kotsakis, Georgios
Cochran, David L.
author_sort Albrektsson, Tomas
collection PubMed
description BACKGROUND: Peri‐implantitis has been suggested to cause significant increasing proportions of implant failure with increasing time. PURPOSE: To assess whether implant failure rates in long term studies are matching the supposed high prevalence of peri‐implantitis. MATERIAL AND METHODS: This paper is written as a narrative review of the long‐term clinical investigations available in the literature. RESULTS: Some implant systems have seen unacceptable marginal bone loss figures with time coupled to increased implant failure rates, resulting in the withdrawal of these systems. The reasons for such mishap are generally unknown, with the exception of one system failure that was found to be due to improper clinical handling. Modern, moderately rough implant systems have functioned excellently over 10–15 years of follow up with minor problems with marginal bone loss and implant failure rates within a few per cent. Machined implants have functioned adequately over 20–30 years of follow up. Implant failures occur predominantly during the first few years after implant placement. No significant increase of implant failures has been observed thereafter over 20–30 years of follow up. Over the years of our new millennium, scientific and technical advances have allowed the discovery of numerous molecular pathways and cellular interactions between the skeletal and immune system promoting the development of the interdisciplinary field called osteoimmunology. Nowadays, this knowledge has not only allowed the emergence of new etiologic paradigms for bone disease but also a new dynamic approach on the concept of osseointegration and MBL around oral implants, re‐evaluating our older disease oriented outlook. This facilitates at the same time the emergence of translational applications with immunological perspectives, scientific approaches based on omics sciences, and the beginning of an era of personalized dental implant therapy to improve the prognosis of oral implant treatment. CONCLUSIONS: Oral implant systems have been found to function with very good clinical outcome over follow‐up times of 20–30 years. Registered implant failures have occurred predominantly during the first few years after implantation, and there has been no significant increase in late failures due to peri‐implantitis.
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spelling pubmed-95420692022-10-14 Implications of considering peri‐implant bone loss a disease, a narrative review Albrektsson, Tomas Tengvall, Pentti Amengual‐Peñafiel, Luis Coli, Pierluigi Kotsakis, Georgios Cochran, David L. Clin Implant Dent Relat Res Review BACKGROUND: Peri‐implantitis has been suggested to cause significant increasing proportions of implant failure with increasing time. PURPOSE: To assess whether implant failure rates in long term studies are matching the supposed high prevalence of peri‐implantitis. MATERIAL AND METHODS: This paper is written as a narrative review of the long‐term clinical investigations available in the literature. RESULTS: Some implant systems have seen unacceptable marginal bone loss figures with time coupled to increased implant failure rates, resulting in the withdrawal of these systems. The reasons for such mishap are generally unknown, with the exception of one system failure that was found to be due to improper clinical handling. Modern, moderately rough implant systems have functioned excellently over 10–15 years of follow up with minor problems with marginal bone loss and implant failure rates within a few per cent. Machined implants have functioned adequately over 20–30 years of follow up. Implant failures occur predominantly during the first few years after implant placement. No significant increase of implant failures has been observed thereafter over 20–30 years of follow up. Over the years of our new millennium, scientific and technical advances have allowed the discovery of numerous molecular pathways and cellular interactions between the skeletal and immune system promoting the development of the interdisciplinary field called osteoimmunology. Nowadays, this knowledge has not only allowed the emergence of new etiologic paradigms for bone disease but also a new dynamic approach on the concept of osseointegration and MBL around oral implants, re‐evaluating our older disease oriented outlook. This facilitates at the same time the emergence of translational applications with immunological perspectives, scientific approaches based on omics sciences, and the beginning of an era of personalized dental implant therapy to improve the prognosis of oral implant treatment. CONCLUSIONS: Oral implant systems have been found to function with very good clinical outcome over follow‐up times of 20–30 years. Registered implant failures have occurred predominantly during the first few years after implantation, and there has been no significant increase in late failures due to peri‐implantitis. John Wiley & Sons, Inc. 2022-05-31 2022-08 /pmc/articles/PMC9542069/ /pubmed/35639515 http://dx.doi.org/10.1111/cid.13102 Text en © 2022 The Authors. Clinical Implant Dentistry and Related Research Published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://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 Review
Albrektsson, Tomas
Tengvall, Pentti
Amengual‐Peñafiel, Luis
Coli, Pierluigi
Kotsakis, Georgios
Cochran, David L.
Implications of considering peri‐implant bone loss a disease, a narrative review
title Implications of considering peri‐implant bone loss a disease, a narrative review
title_full Implications of considering peri‐implant bone loss a disease, a narrative review
title_fullStr Implications of considering peri‐implant bone loss a disease, a narrative review
title_full_unstemmed Implications of considering peri‐implant bone loss a disease, a narrative review
title_short Implications of considering peri‐implant bone loss a disease, a narrative review
title_sort implications of considering peri‐implant bone loss a disease, a narrative review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542069/
https://www.ncbi.nlm.nih.gov/pubmed/35639515
http://dx.doi.org/10.1111/cid.13102
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