The challenge of endosseous implants placed in the posterior partially edentulous maxilla: a clinical report. 2000

D Schwartz-Arad, and E Dolev
Department of Oral and Maxillofacial Surgery, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel. dubish@post.tau.ac.il

The survival rate of implants placed in the maxillary molar area in a 2-stage procedure was evaluated. Between 1990 and 1997, 60 consecutive patients (32 females and 28 males, mean age 51 years) received 87 implants to replace missing maxillary molar teeth. Radiographs were evaluated preoperatively for bone quantity (mesiodistal width, potential implant length not compromising the integrity of adjacent vital structures). Second-stage surgery was performed in a mean of 7.9 months postimplantation. The 5-year cumulative implant survival rate and the influence of implant characteristics (type, length, diameter, and coating) on implant failure and complication rates (between the 2 stages of surgery) were evaluated. The total 5-year cumulative survival rate was 95.4% (4 implants were lost). There were a total of 17 "complications" (premature spontaneous implant exposure) in non-failing implants, 11 with high and 6 with flat cover screws, respectively. Implantation in the edentulous maxillary molar area is a predictable procedure with a considerably high survival rate. The type of implant cover screw used can affect the complication rate.

UI MeSH Term Description Entries
D007576 Jaw, Edentulous, Partially Absence of teeth from a portion of the mandible and/or maxilla.
D008297 Male Males
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D008963 Molar The most posterior teeth on either side of the jaw, totaling eight in the deciduous dentition (2 on each side, upper and lower), and usually 12 in the permanent dentition (three on each side, upper and lower). They are grinding teeth, having large crowns and broad chewing surfaces. (Jablonski, Dictionary of Dentistry, 1992, p821) Molars
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D003758 Dental Implantation, Endosseous Insertion of an implant into the bone of the mandible or maxilla. The implant has an exposed head which protrudes through the mucosa and is a prosthodontic abutment. Dental Implantation, Osseointegrated,Endosseous Dental Implant Therapy,Endosseous Implantation,Osseointegrated Dental Implantation,Endosseous Dental Implantation,Implantation, Endosseous,Implantation, Endosseous Dental,Implantation, Osseointegrated Dental
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D005544 Forecasting The prediction or projection of the nature of future problems or existing conditions based upon the extrapolation or interpretation of existing scientific data or by the application of scientific methodology. Futurology,Projections and Predictions,Future,Predictions and Projections

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