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Dental Journals | Dentistry Journals | Oral Health | High Impact Articles | Scient Open Access
Journal of Dental and Oral Health


Research Article

Study Over 7000 Endosseous Implants Inserted during 25 Years in 3300 Interventions. Clinical Results in Different Anatomical and Functional Situations. Statistical Data and Over 20 Years Iconographic Documentation

Luca Dal Carlo

Correspondence Address :

Dr. Luca Dal Carlo
Calle dei Fabbri 924 (Sestiere San Marco)
30124 Venice
Tel: +39 0415227465
Fax: +39 0412417637

Received on: September 27, 2016, Accepted on: October 05, 2016, Published on: October 12, 2016

Citation: Luca Dal Carlo (2016). Study Over 7000 Endosseous Implants Inserted During 25 Years in 3300 Interventions. Clinical Results in Different Anatomical and Functional Situations. Statistical Data and Over 20 Years Iconographic Documentation

Copyright: 2016 Luca Dal Carlo. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Aim of work: Purpose of this work is to underline advantages of multi-modal implant approach, the goodness of whose choice is confirmed by the analysis of the data gathered during 25 years of implant practice, with gate controls at 5, 8 and 10 years. Suggestions useful to lead clinical practice are derived.
Materials and Methods: During 25 years (1989-2014) data concerning 7000 endosseous implants have been collected. Different implant shapes have been utilized, letting anatomical morphology lead the choice. An apparatus useful to rigidly join together implants with a titanium bar has been used to allow immediate load in cases of bony atrophy (intraoral welding machine). A proper database has been compiled.
Results: Overall success rates about any implant type here considered have been comprised between 95,5 an 99 % at five years gate control and between 87,7 and 96,6 % at 10 years gate control, widely overcoming the minimum requested by the most used success criteria [1,2]. Suitable implant shape, bicorticalism, immediate solidarization in atrophy cases, respect of healing biologic times, occlusal balance, periodic controls, are key factors for success.
Conclusions: Such a study, allows 1) getting some answers to frequently asked questions about treatment planning; 2) to conceive a schema to choose the correct implant shape in different clinical cases; 3) to help to reduce failure risks.
Different shapes of endosseous implant result useful to treat different anatomical morphologies. Choice about immediate or delayed loading follows anatomical and functional indications. Utilizing implant shapes which properly fit to wide or narrow bony ridges, success rates are similar. Different implant types can support the same fixed bridge. Connecting implants together by means of a welded bar results particularly useful in atrophy cases. Bicorticalism and respect of principles of static and dynamic occlusion are key factors for success. Passing of time leads to increase implant failures, demonstrating that 1-2 years gate control are not sufficient. 
Keywords: Multi-modal implant dentistry, Statistical data over 7000 implants, Intra-oral welding, immediate load