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Clinical Oral Investigations

, Volume 19, Issue 1, pp 1–10 | Cite as

Role of implant diameter on long-term survival of dental implants placed in posterior maxilla: a systematic review

  • Fawad Javed
  • Georgios E. RomanosEmail author
Review

Abstract

Objective

We speculated that the long-term survival of narrow or conventional diameter (<5 mm) implants is higher than that of wide-diameter implants (≥5 mm) when placed in posterior atrophic maxillae. The aim of this paper was to systematically review indexed literature regarding the influence of implant diameter on long-term survival of dental implants placed in posterior maxilla.

Materials and methods

The addressed focused question was “Does implant diameter influence long-term survival of dental implants placed in posterior maxilla?” Databases were searched from 1986 till June 2014 using the following MeSH terms: “dental implants,” “dental implant-abutment design,” “maxilla,” and “survival.” Review articles, case reports, letters to the editor, unpublished data, and studies published in languages other than English were excluded. Reference list of potentially relevant original and review studies was hand-searched.

Results

The initial search yielded 51 studies. Scrutiny of the titles and abstracts reduced the number of clinical studies included in the present review to 19. Mean age of the patients ranged between 37 and 60 years. Cylindrical and tapered implants were used in 12 and 3 studies, respectively. In all studies, threaded, rough-surfaced dental implants with diameters ranging between 3.0 and 5.5 mm were used. In all studies, follow-up periods and cumulative survival rates ranged between 5 and 15 years and 80.5 and 100 %, respectively.

Conclusion and clinical relevance

The role of implant diameter on long-term survival of dental implants placed in posterior maxilla is secondary. A well-designed surgical protocol, achievement of sufficient primary stability at the time of implant placement, and pre- and postsurgical oral hygiene maintenance visits are critical factors that influence the long-term survival of dental implants placed in posterior atrophic maxilla.

Keywords

Dental implant Diameter Implant survival rate Posterior maxilla Maxillary tuberosity 

Notes

Conflict of interest

The authors declare that they have no conflict/s of interest related to the present study.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Eng. A.B.. Research Chair for Growth Factors and Bone Regneration, 3D Imaging and Biomechanical Laboratory, College of Applied Medical SciencesKing Saud UniversityRiyadhSaudi Arabia
  2. 2.Department of Periodontology, School of Dental MedicineStony Brook UniversityStony BrookUSA

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