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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Publication history
Published online: December 05, 2022
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© 2022 by the Editorial Council for the Journal of Prosthetic Dentistry.