The Impact of Dental Implant Length on Failure Rates: A Systematic Review and Meta-Analysis

The present review aimed to evaluate the impact of implant length on failure rates between short (<10 mm) and long (≥10 mm) dental implants. An electronic search was undertaken in three databases, as well as a manual search of journals. Implant failure was the outcome evaluated. Meta-analysis was...

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Main Authors: Maha Abdel-Halim, Dalia Issa, Bruno Ramos Chrcanovic
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/14/14/3972
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author Maha Abdel-Halim
Dalia Issa
Bruno Ramos Chrcanovic
author_facet Maha Abdel-Halim
Dalia Issa
Bruno Ramos Chrcanovic
author_sort Maha Abdel-Halim
collection DOAJ
description The present review aimed to evaluate the impact of implant length on failure rates between short (<10 mm) and long (≥10 mm) dental implants. An electronic search was undertaken in three databases, as well as a manual search of journals. Implant failure was the outcome evaluated. Meta-analysis was performed in addition to a meta-regression in order to verify how the risk ratio (RR) was associated with the follow-up time. The review included 353 publications. Altogether, there were 25,490 short and 159,435 long implants. Pairwise meta-analysis showed that short implants had a higher failure risk than long implants (RR 2.437, <i>p</i> < 0.001). There was a decrease in the probability of implant failure with longer implants when implants of different length groups were compared. A sensitivity analysis, which plotted together only studies with follow-up times of 7 years or less, resulted in an estimated increase of 0.6 in RR for every additional month of follow-up. In conclusion, short implants showed a 2.5 times higher risk of failure than long implants. Implant failure is multifactorial, and the implant length is only one of the many factors contributing to the loss of an implant. A good treatment plan and the patient’s general health should be taken into account when planning for an implant treatment.
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spelling doaj.art-94842f32b27544d6a7825ba79bf8befa2023-11-22T04:17:43ZengMDPI AGMaterials1996-19442021-07-011414397210.3390/ma14143972The Impact of Dental Implant Length on Failure Rates: A Systematic Review and Meta-AnalysisMaha Abdel-Halim0Dalia Issa1Bruno Ramos Chrcanovic2Faculty of Odontology, Malmö University, 214 21 Malmö, SwedenFaculty of Odontology, Malmö University, 214 21 Malmö, SwedenDepartment of Prosthodontics, Faculty of Odontology, Malmö University, 214 21 Malmö, SwedenThe present review aimed to evaluate the impact of implant length on failure rates between short (<10 mm) and long (≥10 mm) dental implants. An electronic search was undertaken in three databases, as well as a manual search of journals. Implant failure was the outcome evaluated. Meta-analysis was performed in addition to a meta-regression in order to verify how the risk ratio (RR) was associated with the follow-up time. The review included 353 publications. Altogether, there were 25,490 short and 159,435 long implants. Pairwise meta-analysis showed that short implants had a higher failure risk than long implants (RR 2.437, <i>p</i> < 0.001). There was a decrease in the probability of implant failure with longer implants when implants of different length groups were compared. A sensitivity analysis, which plotted together only studies with follow-up times of 7 years or less, resulted in an estimated increase of 0.6 in RR for every additional month of follow-up. In conclusion, short implants showed a 2.5 times higher risk of failure than long implants. Implant failure is multifactorial, and the implant length is only one of the many factors contributing to the loss of an implant. A good treatment plan and the patient’s general health should be taken into account when planning for an implant treatment.https://www.mdpi.com/1996-1944/14/14/3972dental implantfailureimplant lengthsystematic reviewmeta-analysis
spellingShingle Maha Abdel-Halim
Dalia Issa
Bruno Ramos Chrcanovic
The Impact of Dental Implant Length on Failure Rates: A Systematic Review and Meta-Analysis
Materials
dental implant
failure
implant length
systematic review
meta-analysis
title The Impact of Dental Implant Length on Failure Rates: A Systematic Review and Meta-Analysis
title_full The Impact of Dental Implant Length on Failure Rates: A Systematic Review and Meta-Analysis
title_fullStr The Impact of Dental Implant Length on Failure Rates: A Systematic Review and Meta-Analysis
title_full_unstemmed The Impact of Dental Implant Length on Failure Rates: A Systematic Review and Meta-Analysis
title_short The Impact of Dental Implant Length on Failure Rates: A Systematic Review and Meta-Analysis
title_sort impact of dental implant length on failure rates a systematic review and meta analysis
topic dental implant
failure
implant length
systematic review
meta-analysis
url https://www.mdpi.com/1996-1944/14/14/3972
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