Journal of Prosthetic Dentistry
Editorial| Volume 129, ISSUE 1, P1, January 2023

A call for enhanced integration

Published:December 05, 2022DOI:
      After the introduction of osseointegration to North America and Europe, enthusiasm has continued for the efficacy of dental implants. This has been fueled by drawing on evidence citing implant survival rather than success as an outcome measurement for the partially edentulous patient treated with implant-supported prostheses. However, when the incidence of biological complications is combined with the frequency of mechanical problems, the data raise concerns. The patient-based prevalence of peri-implant mucositis has been reported to be 47%, and that of peri-implantitis is 20%. What is more troubling is that after surgical treatment for peri-implantitis, there is a 44% recurrence rate and 20% failure rate after 5 years. Adding to this disquieting picture, the patient-based occurrence of mechanical complications of implant-supported restorations with an internal conical connection has been reported to be 58% after a 14-year follow-up.
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