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D S Clem

Publications and source records attributed to D S Clem.

5 recordsLinked to original sources

Implants in regenerated bone: long-term survival.

This retrospective multicenter study analyzed 526 implants placed and loaded in regenerated bone. Both autogenous and allogeneic bone grafts were used in combination with a barrier membrane to reconstruct bone using either a simultaneous or staged approach. Implants were followed from 6 to more than 74 months postloading. Eight of the implants were lost, for a success rate of 97.5%. The type of graft material did not affect the clinical success of the implants, nor did the use of submerged versus nonsubmerged implants or a staged versus a simultaneous approach. In conclusion, regenerated bone reacted to implant placement in a manner that was clinically similar to native bone.

Adolescent↗

Conscious sedation.

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Anesthesia, Dental↗

Multicenter retrospective analysis of the ITI implant system used for single-tooth replacements: results of loading for 2 or more years.

This report involves the retrospective evaluation of ITI implants placed by a group of 12 clinicians located throughout the United States. Of the original 174 single implants placed in 129 patients reported previously, 157 were examined in 110 patients after 2 or more years (average 40.1 months). Twenty-two implants remained in the anterior and 135 implants (86%) remained in the posterior areas of the mouth, with 81 being restored with an octabutment screw-retained crown and 76 restored with a conical-abutment cemented crown (in function 2 years or longer). Occlusal screw loosening was observed in 22.2% of implants over both periods, with only 1 tooth loosening in both study periods (6 months to 2 years and > or = 2 years). Loosening of a solid conical abutment occurred in 1 additional patient, for cumulative conical abutment loosening of 5.3%. Significant radiographic bone loss was observed around 4 implants, with implant fracture noted with 3 additional implants (all mandibular first molars with hollow-screw or hollow-cylinder implant design). The survival rate at > or = 2 years was 95.5%. The data suggest that ITI implants can be a satisfactory choice for posterior single-tooth restorations.

Alveolar Bone Loss↗

A multicenter retrospective analysis of the ITI implant system used for single-tooth replacements: preliminary results at 6 or more months of loading.

This report involves the retrospective evaluation of ITI implants placed by a group of 12 clinicians located throughout the United States. Of the 174 single implants placed in 129 patients, 151 implants (86.8%) were placed in posterior regions, and 23 were placed in anterior regions; 54.6% of the implants had a length of 10 mm or less. Ninety-two implants were restored with a screw-retained crown, and 82 were restored with a cemented crown (in function 6 months or longer). The survival rate at 6 months was 97.7%. Occlusal screw loosening had an 8.7% occurrence rate (no repeated loosening), and solid conical abutment loosening had a 3.6% occurrence rate (all in one patient). Significant radiographic bone loss was observed on 2.3% of the implants. Data suggest that ITI implants can be a satisfactory choice for posterior single tooth restorations.

Adolescent↗