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Publications (2)2.48 Total impact

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    ABSTRACT: Dentoalveolar reconstructive procedures (DRPs) are commonly used to enhance deficient implant recipient sites. It is unclear, however, if these procedures are independent risk factors for implant failure. The specific aim of this study was to assess the use of DRPs as a risk factor for implant failure. To address the research aim, we used a retrospective cohort study design and a study sample derived from the population of patients who had one or more implants inserted between May 1992 and July 2000. The main predictor variable was the use of DRPs, such as external or internal sinus lifts, onlay bone grafting, or guided-tissue regeneration with autogenous bone grafts or autogenous bone graft substitutes, to enhance the recipient sites before implant insertion. The major outcome variable was implant failure. Appropriate descriptive, bivariate, and multivariate statistics were computed. The study sample was composed of 677 patients who had 677 implants randomly selected (1 implant per patient) for analysis. The overall 1- and 5-year implant survival rates were 95.2% and 90.2%, respectively. Bivariate analyses revealed 4 factors statistically or nearly statistically associated with implant failure: current tobacco use, implant length, implant staging, and type of prosthesis (P <.15). In the multivariate model, patients with DRPs did not have a statistically significant increased risk for implant failure (odds ratio = 1.4, P =.3). The results of this study suggest that the use of DRPs to reconstruct deficient implant recipient sites was not an independent risk factor for implant failure in either the unadjusted or adjusted analyses.
    Journal of Oral and Maxillofacial Surgery 07/2004; 62(7):773-80. · 1.33 Impact Factor
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    ABSTRACT: Given the predictability of dental implant success, the attention of the scientific community is moving from descriptions of implant success toward a more detailed analysis of factors associated with implant failure. The purposes of this study were (1) to estimate the 1- and 5-year survival of Bicon dental implants and (2) to identify risk factors associated with implant failure in an objective, statistically valid manner. To address the research purposes, we used a retrospective cohort study design and a study sample composed of patients who had one or more implants placed. The predictor variables were grouped into the following categories: demographic, health status, anatomic, implant fixture-specific, prosthetic, perioperative, and ancillary variables. The major outcome variable of interest was implant failure defined as implant removal. Overall implant survival was estimated using the Kaplan-Meier analysis. Risk factors for implant failure were identified using the Cox proportional hazard regression models. The study sample was composed of 677 patients who had 677 implants randomly selected for analysis. The overall 1- and 5-year survival of the Bicon implant system was 95.2% and 90.2%, respectively. After adjusting for other covariates in a multivariate model, both tobacco use (P = .0004) and single-stage implant placement (P = .01) were statistically associated with an increased risk for failure. The results of these analyses suggest that the overall survival of the Bicon dental implant is comparable with other current implant systems. In addition, after controlling for covariates, we identified 2 exposures associated with implant survival, tobacco use and implant staging. Of interest, both of these exposures are under the clinician's control.
    Journal of Oral Implantology 02/2002; 28(2):74-81. · 1.15 Impact Factor