A Retrospective Study
By Thomas J. Balshi, DDS, PhD, FACP
and Glenn J. Wolfinger, DMD, FACP
Table 1 – Demographic Data
AGE | SMOKER? | |||||
SEX | COUNT | AVERAGE | STD DEV | RANGE | YES | NO |
Male | 17 | 59.1 | 12.7 | 34-75 | 2 | 15 |
Female | 17 | 64.7 | 10.3 | 39-79 | 0 | 17 |
TOTAL | 34 | 62.0 | 11.7 | 34-79 | 2 | 32 |
Table 2 – Anatomic Distribution of Implants Placed
Region | Total |
Ant. Maxilla | 45 |
Post. Maxilla | 73 |
Maxilla | 118 |
Ant. Mandible | 46 |
Post. Mandible | 63 |
Mandible | 109 |
Total | 227 |
Table 3 – Lengths and Diameters of Implants Placed
Length | Diameter | ||||
Length (mm) | Count | Diameter (mm) | Count | ||
Successful | Failures | Successful | Failures | ||
7.0 | 7 | 3.0 | 2 | ||
8.0 | 3 | 3.75 | 164 | 7 | |
8.5 | 2 | 4.0 | 24 | 7 | |
10 | 54 | 6 | 5.0 | 13 | |
12 | 3 | Unknown | 10 | ||
13 | 54 | 4 | Total | 213 | 14 |
15 | 54 | 1 | |||
18 | 20 | 3 | |||
20 | 6 | ||||
Unknown | 10 | ||||
Total | 213 | 14 |
Table 4 – Characterization of Failed Implants
Sex | Age | Position | Diameter (mm) | Length (mm) | Healing Period (mo) | Cause and Status |
F | 76 | 12 | 3.75 | 13 | 6 | Surgical: soft tissue grew in between the implant and bone. |
F | 70 | 16 | 4.0 | 18 | 8 | Surgical: Failed to integrate; immediate load |
F | 70 | 18 | 3.75 | 10 | 2.75 | Surgical: Failed to integrate; immediate load |
F | 70 | 27 | 3.75 | 15 | Surgical: Failed to integrate | |
F | 70 | 29 | 4.0 | 13 | Surgical: Failed to integrate; immediate load | |
F | 70 | 30 | 4.0 | 13 | 2.75 | Surgical: Failed to integrate |
M | 66 | 5 | 4.0 | 18 | 12.75 | Surgical: Failed to integrate |
M | 66 | 8 | 4.0 | 10 | 12.75 | Surgical: Failed to integrate |
M | 66 | 9 | 4.0 | 10 | 12.75 | Surgical: Failed to integrate |
M | 66 | 14 | 4.0 | 18 | 12.75 | Surgical: Failed to integrate |
M* | 65 | 18 | 3.75 | 10 | 3.75 | Surgical: Failed to integrate |
M** | 65 | 19 | 3.75 | 10 | 3.75 | Surgical: Failed to integrate |
M | 53 | 29 | 3.75 | 10 | 2.5 | Surgical: Failed to integrate |
M | 75 | 4 | 3.75 | 13 | 4.75 | Post-restoration failure: Bruxing and clenching |
* Removed 7.5 months after exposure; never loaded.
** Removed 2 weeks after exposure; never loaded.
*** Months post-restoration at time of failure
Table 5 – Patient’s Results By Stage Achieved
Number of | ||||
Stage | Patients | Implants | Successful Implants | Failed Implants |
Surgery | 34 | 227 | —- | —- |
Exposed, Failure | 6* | 13 | 0 | 13 |
Exposed, Successful, Not Attached | 5 | 38 | 38 | 0 |
Attachment completed | 29 | 176 | 175 | 1 |
* One patient had failed implants at exposure and other implants were successful at uncovering.