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Article: Volume 44 Number 11 Page 1023 - December 2017

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  Dent Update 2017; 44: 1023-1033

Restorative dentistry:  Dental Implants: What Have We Learnt from Long-term Follow-up?

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Abstract: At dental hospitals and general dental practices 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 are those where implants were placed many years previously. With more evidence now available from long-term studies, this paper will look at the causes and incidence of implant and prosthesis complications, and suggest practical methods of management in these cases. The impact of obsolete implant systems on patient treatment will be considered, and how age-related patient factors can alter the management of these cases.

Clinical relevance: To explore the needs and treatment burden of patients with implant-retained restorations and consider important factors in the care and management of these patients over time.

Author notes: Lyndsey Webb, BDS(Hons), MJDF RCS(Eng), Specialty Registrar in Restorative Dentistry, Alexandra Coleman, BChD, MJDF RCS(Eng), PGCME FHEA, Specialty Registrar in Restorative Dentistry and Peter Nixon, BChD(Hons), MDSc, MFDS RCS(Ed), FDS (Rest Dent) RCS(Ed), Consultant in Restorative Dentistry, Department of Restorative Dentistry, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU, UK.

Objective: To consider the challenges that occur with implants and implant prostheses over time and make suggestions as to how cases can be clinically managed and maintained.