REGARDING THE QUESTION OF REIMPLANTATION IN DENTAL IMPLANTOLOGY PRACTICE: EVIDENCE BASED DATA
DOI:
https://doi.org/10.35220/2523-420X/2024.2.15Keywords:
dental implants, dental treatment, complications, reimplantation, risksAbstract
Purpose of the study. To analyze the data from the available evidence base regarding the success of the reimplantation procedure and the survival rates of dental implants placed in the areas of previous critically compromised, functionally unsuccessful or completely disintegrated intraosseous fixtures. Research methods. Retrospective literature review and content analysis of selected publications, which were related to the issues of reimplantation procedure success and survival rates of dental implants installed in areas of lost intraosseous fixtures, were used as the main research methods. In order to maximize the volume of the initial target publications sample, the search for such publications was carried out in the Google Scholar system (https://scholar.google.com/) using the advanced search capabilities and the following keywords: «dental implant» and «reimplantation». Scientific novelty. Due to the data obtained from scientific researches in general the cumulative survival rate of implants installed in areas of previous problematic fixtures, which were removed due to the mechanisms of early and late failures, ranged within 71–100%, while in cases of repeated reimplantation (the third implantation in problem areas) – within 50–100%. The use of implants with greater length and diameter, while also those with improved surface types, during the reimplantation procedure, compared to those that were used at the time of the initial placement, supports statistically significant improvement for the prognosis of reimplanted fixtures in comparison with cases when during reimplantation implants with size parameters smaller than originally installed ones were used. Potentially, there is a connection between the lower survival rate of dental implants installed during the reimplantation procedure and the phenomenon of cluster behavior failure of dental implants, which may be associated with both the influence of patient-related factors and the influence of zone-specific factors. Most of the intraosseous fixtures loss cases observed after the reimplantation procedure characterized by clinical and time features related to the mechanism of early failure. Conclusions. Based on the provided literature analysis, taking into account the statistical data given within studies of different designs, while also considering data aggregated within systematic reviews, it can be concluded that the survival rates of implants installed in the areas of previously explanted problematic intraosseous fixtures are indeed lower compared to the results noted regarding the survival of implants installed in the bone tissue initially. Each subsequent reimplantation procedure in problematic areas of the jaws characterized by a lower survival rate compared to the previous one, however, most current studies demonstrate relative high survival rate of implants installed during the reimplantation procedure within the range of 71-100%, which is significantly higher than the indicators that have been demonstrated in early studies. Considering the relatively high survival rates of dental implants installed during reimplantation, noted in the current scientific literature, it can be assumed that the loss of the initially placed implants may be obviously related to the influence of factors that are amenable to correction, and thus may be interpreted as modifiable risk factors.
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