Comparison of the long-term survival rates of dental implants in onlay versus interpositional bone grafts for augmentation of the atrophic mandibular ridge.
Aug 2026· International Journal of Oral & Maxillofacial Surgery· 0 citations· 17 references
Medicine
Abstract
This retrospective cohort study was performed to compare the long-term survival rates of implants placed following onlay versus interpositional bone grafting in the atrophic mandible. Forty-eight patients with an adequate bone width who required ridge heightening were included. Twenty-six patients received an interpositional bone graft by sandwich technique (sandwich group) and 22 received an onlay graft (onlay group). The results showed a significant difference in implant failure: 17 of 52 implants (32.7%) placed in the onlay group failed, compared with 1 of 63 implants (1.6%) placed in the sandwich group (P < 0.001). Cox regression demonstrated a significantly lower hazard of implant failure in the sandwich group when compared to the onlay group (hazard ratio = 0.022, P = 0.002). Mean marginal bone loss (MBL) from implant placement to final follow-up was significantly lower in the interpositional sandwich group (2.98 ± 1.34 mm; mean follow-up 92.50 ± 20.45 months) than in the onlay group (4.50 ± 0.58 mm; mean follow-up 81.81 ± 18.54 months) (P = 0.004). In the multivariate analysis (general linear model), augmentation type (P < 0.001), follow-up duration (P < 0.001), initial bone gain (P = 0.030), and gingival biotype (P = 0.010) were significantly associated with MBL, while keratinized tissue width was not (P = 0.080). Within the limitations of this study, dental implants placed after interpositional sandwich grafting showed higher long-term survival and less MBL than implants placed after onlay grafting in the atrophic mandible.
The Bone Ring Technique (BRT) is a newer viable option for restoring complex defects around dental implants with three-dimensional bone augmentation with significant height and width augmentation of buccal bone.
Priyadharshini Annamalai Senthur Pandian, Aniz Amanullah, Lakshmiganthan Mahalingam et al.· Journal of Clinical and Diag...· 0 citations
The goal of this study was to evaluate the efficacy of autogenous bone grafts with and without recombinant human bone morphogenetic protein-2 for rehabilitation of narrow alveolar ridge width by dental implants. Twelve patients (2 males and 10 females), ranging from 36 to 60 years and a mean age of 47.08 years, were divided into two study groups. One received autogenous bone graft (A1) and the other group autogenous bone graft with rhBMP-2 using a collagen membrane (A2). All patients were clinically evaluated and received a CBCT for an accurate measurement of the alveolar ridge width, height, and after six months postoperatively. The mean difference in primary and secondary alveolar bone width (after 6 months) in group A1 was 4.14 mm, with a statistically significant difference (p < 0.05). Also, the mean difference in primary and secondary (after 6 months) alveolar bone width in group A2 was 5.14 mm, with a significant difference between them (P-value 0.00). The addition of rhBMP-2 increased the extent of bone width regeneration compared with the autogenous bone graft used alone. Both study groups showed a statistically significant increase in bone width at 6 months, with the highest increase observed in group A2 (ABG + rhBMP-2).
S. S. ALKishwan, T. A. Hassan· Dentistry 3000· 0 citations
PURPOSE
Zygomatic implants (ZIs) are indicated for severely atrophic maxillae where conventional implant (CI) placement is difficult. Although ZIs show favourable outcomes, factors influencing their survival remain unclear. This retrospective study evaluated implant- and patient-related factors associated with ZI survival in full-arch immediate-loading rehabilitation using the all-on-four concept combining ZIs and CIs.
METHODS
A total of 923 implants (323 ZIs and 600 CIs) placed in 203 patients between 2010 and 2021 were analysed. Cumulative survival rates were estimated using the Kaplan-Meier method, and intergroup comparisons were performed using the log-rank test. Cox proportional hazards regression analyses were performed to calculate hazard ratios (HRs). Statistical significance was set at p < 0.05.
RESULTS
Cumulative survival rates at 3-13 years were 94.5% and 95.9% at the patient and implant levels, respectively, for ZIs, and 97.9% and 98.7%, respectively, for CIs. ZIs showed significantly lower implant-level survival than CIs (p = 0.0178). Palatal positioning of the ZI platform was significantly associated with reduced implant-level survival (HR = 18.177, 95% CI: 1.418-233.053, p = 0.026). Systemic disease was significantly associated with reduced patient-level ZI survival after adjustment for sex and smoking status (HR = 14.872, 95% CI: 1.812-122.077, p = 0.012).
CONCLUSIONS
Immediate full-arch rehabilitation combining ZIs and CIs achieved high long-term survival; however, palatal platform positioning and systemic disease were associated with ZI failure.
Takashi Uesugi, Yoshiaki Shimoo, M. Munakata et al.· International Journal of Imp...· 0 citations
Immediate implants placed 6 mm below the mid-buccal gingival level showed significantly less short-term marginal bone loss than immediate implants placed 4 mm below the gingiva after a period of 1 year.
Jonas Alkimavicius, Manish Rathi, Ula Linkeviciute et al.· Journal of Prosthodontics· 0 citations
To evaluate crestal bone level changes and survival of immediately placed extra-wide diameter implants in posterior molar sites.
This prospective clinical study included 30 patients requiring molar extraction and implant placement, with 28 patients completing follow-up. A total of 29 implants were placed immediately following atraumatic extraction and positioned subcrestally. Crestal bone levels were measured radiographically at placement and at a minimum of 1-year post-restoration using calibrated ImageJ analysis.
The mean crestal bone level was 1.28 mm at placement and 0.46 mm at follow-up, with a mean change of 0.82 mm (95% confidence intervals: 0.34–1.29 mm). This difference was statistically significant (
p
= 0.001). Despite this change, crestal bone levels remained coronal to the implant platform at follow-up. One implant failure occurred, resulting in a survival rate of 96.5%.
Immediate placement of extra-wide diameter implants in posterior molar sites demonstrated high survival rates and maintenance of crestal bone levels above the implant platform, suggesting this approach is a predictable treatment option.
Katherine Sue Hanser, D. Miley, Robert L. Blackwell et al.· Journal of Advances in Denta...· 0 citations