ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Patients Over 60 years of Age Do Not Exhibit Reduced Dental Implant Success
Clinical Question Do healthy patients over 60 years of age exhibit reduced dental implant success compared to younger patients?
Clinical Bottom Line Elderly patients do not appear to experience reduced osseointegration of dental implants. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 9714955Bryant/199839 older subjects (60-74 yrs; mean 66 years) with 190 implants; 43 younger subjects (26-49 yrs; mean 41 years) with 184 implants.Prospective Cohort Study
Key resultsThe older subject group experienced failure of 15 of the 190 implants compared to 24 of 184 in the younger group equating to success rates of 92% and 86%, respectively. This difference was not statistically significant.
Evidence Search (("dental implants"[MeSH Terms] OR ("dental"[All Fields] AND "implants"[All Fields]) OR "dental implants"[All Fields] OR ("dental"[All Fields] AND "implant"[All Fields]) OR "dental implant"[All Fields]) AND ("osseointegration"[MeSH Terms] OR "osseointegration"[All Fields])) AND ("aging"[MeSH Terms] OR "aging"[All Fields])
Comments on
The Evidence
The difference in success rates between the two groups is not significant due to the relatively small sample size. The analysis of the data may not be sufficient as it was based on individual implants rather than based on the subject, raising some concern regarding systemic level effects. As survival rates were high in both groups, there is little concern that the findings would be different based on a more thorough analysis. Groups were matched in gender, implant location and prosthesis received, follow-up for as long as 16 years. No detailed information was given regarding the overall health of the subjects, but the older group reported more health problems. This study does not offer definitive answer to this question, but its findings do not offer any concern for implant therapy in older patients.
Applicability With the increasing population over the age of 60 and the expanding application of implant therapy, comfort with dental implant success for older patients will continue to be of interest to the profession.
Specialty/Discipline (General Dentistry) (Oral Surgery) (Periodontics) (Prosthodontics)
Keywords Dental implant, osseointegration, aging
ID# 2623
Date of submission: 02/20/2014spacer
E-mail MiddletonG@livemail.uthscsa.edu
Author Randy Middleton
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Thomas Oates, DMD, PhD
Faculty mentor/Co-author e-mail oates@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by Robert Lemke, DDS, MD (San Antonio, TX) on 02/25/2014
I completely agree with this as far as what I have experienced. I have placed implants in two 92 y.o.'s and one 95 y.o. and they did great. As one matures, the importance of their oral cavity increases. Elderly get most of their pleasures from talking and eating. It is important to give offer the elderly help in the areas they need it the most.
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