Morse taper implant macrodesign, loading protocol and site of installation – retrospective study of 5,601 implants

Abstract Introduction The long-term implant-supported prosthetic rehabilitation monitoring is extremely important in evaluating parameters that could interfere in the success of the treatment. Objective To evaluate the influence of macrodesign (shape of the body and apex), length and diameter, ins...

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Main Authors: Rafael Coutinho Mello MACHADO, Geninho THOMÉ, Sergio Rocha BERNARDES, Ana Claudia Moreira MELO
Format: Article
Language:English
Published: Universidade Estadual Paulista 2019-11-01
Series:Revista de Odontologia da UNESP
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772019000100440&tlng=en
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author Rafael Coutinho Mello MACHADO
Geninho THOMÉ
Sergio Rocha BERNARDES
Ana Claudia Moreira MELO
author_facet Rafael Coutinho Mello MACHADO
Geninho THOMÉ
Sergio Rocha BERNARDES
Ana Claudia Moreira MELO
author_sort Rafael Coutinho Mello MACHADO
collection DOAJ
description Abstract Introduction The long-term implant-supported prosthetic rehabilitation monitoring is extremely important in evaluating parameters that could interfere in the success of the treatment. Objective To evaluate the influence of macrodesign (shape of the body and apex), length and diameter, insertion torque, site of installation as well as the loading protocol, on long-term survival rates. Material and method The data obtained was from the medical records of rehabilitated patients who had had at least one Morse taper implant surgery done at ILAPEO School between 2006 -2012. Incomplete medical records, from which it would have been impossible to extract all data essential to complete the study, were excluded. Result A total of 1,142 patient’s medical records comprised the sample; documenting the progress of 5,601 implants, done in both jaws and mandibles. The final survival rate was 98.31%, over an average time of 37.54 months. The type of implant most used was cylindrical (70.33%). The mean installation torque most evidenced in the study was between 41 and 50 Ncm. A logistical regression analysis showed that none of the following variables, site of installation, body and apex shape designs and length, had any significant statistical influence on implant loss. Torque increase and diameter influenced implant loss while immediate loading favored implant maintenance. Conclusion It can be concluded that Morse taper implants present a long-term survival rate that can be lowered by excessive torque, as well as by the diameter of the implant.
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spelling doaj.art-7078b7a2a5be44cba237397ceafa9b112022-12-21T21:23:29ZengUniversidade Estadual PaulistaRevista de Odontologia da UNESP1807-25772019-11-014810.1590/1807-2577.06919Morse taper implant macrodesign, loading protocol and site of installation – retrospective study of 5,601 implantsRafael Coutinho Mello MACHADOhttps://orcid.org/0000-0002-0201-3273Geninho THOMÉhttps://orcid.org/0000-0003-0209-4058Sergio Rocha BERNARDEShttps://orcid.org/0000-0002-6719-9240Ana Claudia Moreira MELOhttps://orcid.org/0000-0002-7717-8398Abstract Introduction The long-term implant-supported prosthetic rehabilitation monitoring is extremely important in evaluating parameters that could interfere in the success of the treatment. Objective To evaluate the influence of macrodesign (shape of the body and apex), length and diameter, insertion torque, site of installation as well as the loading protocol, on long-term survival rates. Material and method The data obtained was from the medical records of rehabilitated patients who had had at least one Morse taper implant surgery done at ILAPEO School between 2006 -2012. Incomplete medical records, from which it would have been impossible to extract all data essential to complete the study, were excluded. Result A total of 1,142 patient’s medical records comprised the sample; documenting the progress of 5,601 implants, done in both jaws and mandibles. The final survival rate was 98.31%, over an average time of 37.54 months. The type of implant most used was cylindrical (70.33%). The mean installation torque most evidenced in the study was between 41 and 50 Ncm. A logistical regression analysis showed that none of the following variables, site of installation, body and apex shape designs and length, had any significant statistical influence on implant loss. Torque increase and diameter influenced implant loss while immediate loading favored implant maintenance. Conclusion It can be concluded that Morse taper implants present a long-term survival rate that can be lowered by excessive torque, as well as by the diameter of the implant.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772019000100440&tlng=enDental implantationdental prosthesismouth rehabilitation
spellingShingle Rafael Coutinho Mello MACHADO
Geninho THOMÉ
Sergio Rocha BERNARDES
Ana Claudia Moreira MELO
Morse taper implant macrodesign, loading protocol and site of installation – retrospective study of 5,601 implants
Revista de Odontologia da UNESP
Dental implantation
dental prosthesis
mouth rehabilitation
title Morse taper implant macrodesign, loading protocol and site of installation – retrospective study of 5,601 implants
title_full Morse taper implant macrodesign, loading protocol and site of installation – retrospective study of 5,601 implants
title_fullStr Morse taper implant macrodesign, loading protocol and site of installation – retrospective study of 5,601 implants
title_full_unstemmed Morse taper implant macrodesign, loading protocol and site of installation – retrospective study of 5,601 implants
title_short Morse taper implant macrodesign, loading protocol and site of installation – retrospective study of 5,601 implants
title_sort morse taper implant macrodesign loading protocol and site of installation retrospective study of 5 601 implants
topic Dental implantation
dental prosthesis
mouth rehabilitation
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772019000100440&tlng=en
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