关键词: 单纯锥度固位外连接, 狭窄牙槽嵴, 窄径种植体, 前磨牙区

Abstract:

Objective To evaluate the clinical efficacy of the simple taper-retained external connection narrow-diameter implant JUST J1 MINI (J1 implant) applied in the narrow alveolar ridge of the premolar region for 5-8 years. Methods Sixty-six patients who attended the Department of Stomatology of the Fourth Affiliated Hospital of Nanchang University for implant restoration in the premolar region from January 2017 to March 2020 were selected. A total of 87 simple taper-retained external connection narrow-diameter implants were implanted into the narrow alveolar ridge of the premolar region in the immediate postoperative period after implantation without any bone augmentation surgery. CBCT and surface tomography films were taken after the completion of final crown restoration and at the time of final follow-up. With a mean follow-up of 78.9±9.0 months, the survival rate of the J1 implants, rate of abutment loosening and shedding, amount of bone resorption at peri-implant margins, and changes in the bone width and height of the implants were observed. Results At the final follow-up of 5-8 years, two implants failed when they loosened at three and four months after surgery, and the implant survival rate was 97.7%. The bone resorption values of the distal and mesial margins were 0.719 mm±0.495 mm and 0.722 mm± 0.604 mm, respectively. The bone height and width resorption of the implants were 0.581 mm±0.346 mm, 0.209 mm±0.118 mm. Conclusion The results of long-term follow-up after 5-8 years showed that J1 implants in the narrow alveolar ridge of premolar teeth without bone augmentation can reduce surgical trauma, simplify implant surgery, and satisfy a certain degree of aesthetics and masticatory function in patients. Therefore, J1 implants have good long-term clinical results and expand the indications for implant restorations in the narrow alveolar ridge.

Key words: simple taper-retained external connection, narrow alveolar ridge, narrow-diameter implants, premolar region