Effect of osteopenia and osteoporosis on failure of first and second dental implants: a retrospective observational study.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International Journal of Implant Dentistry Pub Date : 2024-09-04 DOI:10.1186/s40729-024-00556-9

Nathalie Frumkin, Jennifer Ana Iden, Devorah Schwartz-Arad

{"title":"Effect of osteopenia and osteoporosis on failure of first and second dental implants: a retrospective observational study.","authors":"Nathalie Frumkin, Jennifer Ana Iden, Devorah Schwartz-Arad","doi":"10.1186/s40729-024-00556-9","DOIUrl":null,"url":null,"abstract":"Purpose: The present study evaluated osteopenia (OPN) and osteoporosis (OP) as risk factors for dental implant failure and repeat failure.Methods: We performed a retrospective study on over 100 randomly selected patients per analysis to determine the effect of health status, smoking status, sex, implant location and operative conditions on first and second (re-implantation) implant survival. Analyses were conducted first using chi-squared test, followed by multiple logistic regression for significant variables.Results: In the cohort examining the effect of myriad risk factors on second implant survival, it was found that OPN and OP greatly impacted implant survival, wherein patients with osteoporosis or osteopenia had significantly more implant failures (p = 0.0353). Sex and operative conditions had no effect on implant survival, while implant location showed a notable effect wherein significantly more failures occurred in the maxilla vs mandible (p = 0.0299). Upon finding that OPN and OP have a significant effect on second implant survival, we conducted an additional study focusing on the impact of health status. Based on the multiple logistical regression analysis, we found that OPN and OP are the most significant factor in first implant survival (p = 0.0065), followed by diabetes (p = 0.0297). Importantly, it was observed that early implant failure is also significantly correlated with osteoporosis (p = 0.0044).Conclusion: We show here a marked relationship in which the risk of first and second implant failure are significantly higher in patients with osteoporosis and osteopenia.","PeriodicalId":14076,"journal":{"name":"International Journal of Implant Dentistry","volume":"10 1","pages":"40"},"PeriodicalIF":3.1000,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11374952/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Implant Dentistry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40729-024-00556-9","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: The present study evaluated osteopenia (OPN) and osteoporosis (OP) as risk factors for dental implant failure and repeat failure.

Methods: We performed a retrospective study on over 100 randomly selected patients per analysis to determine the effect of health status, smoking status, sex, implant location and operative conditions on first and second (re-implantation) implant survival. Analyses were conducted first using chi-squared test, followed by multiple logistic regression for significant variables.

Results: In the cohort examining the effect of myriad risk factors on second implant survival, it was found that OPN and OP greatly impacted implant survival, wherein patients with osteoporosis or osteopenia had significantly more implant failures (p = 0.0353). Sex and operative conditions had no effect on implant survival, while implant location showed a notable effect wherein significantly more failures occurred in the maxilla vs mandible (p = 0.0299). Upon finding that OPN and OP have a significant effect on second implant survival, we conducted an additional study focusing on the impact of health status. Based on the multiple logistical regression analysis, we found that OPN and OP are the most significant factor in first implant survival (p = 0.0065), followed by diabetes (p = 0.0297). Importantly, it was observed that early implant failure is also significantly correlated with osteoporosis (p = 0.0044).

Conclusion: We show here a marked relationship in which the risk of first and second implant failure are significantly higher in patients with osteoporosis and osteopenia.

查看原文本刊更多论文

骨质增生和骨质疏松症对第一次和第二次植牙失败的影响：一项回顾性观察研究。

目的：本研究评估了骨质疏松症（OPN）和骨质疏松症（OP）作为牙科种植失败和再次失败的风险因素：我们对每次随机抽取的 100 多名患者进行了回顾性研究，以确定健康状况、吸烟状况、性别、种植体位置和手术条件对首次和第二次（再次种植）种植体存活率的影响。分析首先采用卡方检验，然后对重要变量进行多元逻辑回归：结果：在研究多种风险因素对二次植入存活率影响的队列中发现，OPN 和 OP 对植入存活率有很大影响，其中骨质疏松症或骨质疏松患者的植入失败率明显更高（p = 0.0353）。性别和手术条件对种植体的存活率没有影响，而种植体的位置则有明显的影响，上颌与下颌的失败率明显更高（p = 0.0299）。在发现 OPN 和 OP 对第二次种植体存活率有显著影响后，我们又进行了一项研究，重点关注健康状况的影响。根据多元统计回归分析，我们发现 OPN 和 OP 是影响首次种植体存活率的最重要因素（p = 0.0065），其次是糖尿病（p = 0.0297）。重要的是，我们发现早期植入失败与骨质疏松症也有显著相关性（p = 0.0044）：结论：我们在此展示了一种明显的关系，即骨质疏松症和骨质疏松症患者第一次和第二次种植失败的风险明显更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Implant Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.70

自引率

7.40%

发文量

审稿时长

13 weeks

期刊介绍： The International Journal of Implant Dentistry is a peer-reviewed open access journal published under the SpringerOpen brand. The journal is dedicated to promoting the exchange and discussion of all research areas relevant to implant dentistry in the form of systematic literature or invited reviews, prospective and retrospective clinical studies, clinical case reports, basic laboratory and animal research, and articles on material research and engineering.