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Dental implants: what have we learnt from long-term follow-up?
From Volume 44, Issue 11, December 2017 | Pages 1023-1033
Article
Dental implants are increasingly common, with more patients and practitioners embracing this technique for supporting fixed or removable prostheses. As with all forms of dentistry, planning for maintenance and failure is important and can be assisted by incorporating elements that will make replacement and revision easier for dentists and patients.
At dental hospitals and specialist centres across the UK, there are increasing numbers of patients attending with problems related to their dental implants. Many of the most challenging to deal with can be those where implants were placed many years previously. With a scarcity of evidence for the management of implants and implant prostheses beyond 15 years, this paper aims to look at the challenges that occur in this cohort of patients and make suggestions as to how cases can be managed and maintained.
A 2002 systematic review identified that the incidence of complications occurring in overdenture superstructures was approximately 4–10 times higher with implants used in overdenture therapy compared with implant fixed prostheses.1
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