Editorial englisch - ZZI 01/2014

How Implantology Ranks in Healthcare

How Implantology
Ranks in Healthcare

Dear colleagues and readers,

The age distribution in Germany will undergo considerable changes during the coming years. Between 2008 and 2030 the number of 65-year-olds will increase from 18.4 % to 25.7 %. Although oral health studies (DMS III/1997 and DMS IV/2005) have shown a noticeable reduction in the DMFT index from 23.6 to 21.1, the need for dental treatment is on the increase. At the same time, in patients aged 65+ the number of periodontal diseases requiring treatment is increasing.

As a result of increased health awareness, including oral health, the number of teeth replaced by removable restorations in old age is decreasing in favor of fixed restorations. This is due to the fact that, unlike with previous generations, total edentulousness in elderly patients is now in decline.

Implantology is an established part of maxillofacial treatment and has a firm ranking in oral healthcare in dental practices. In old age this applies particularly to fixed restorations in partially dentate jaws, e.g. unilateral free-end cases.

The aptitude of implant-borne restorations has been proven in studies showing an average five-year survival rate of 97 %, a ten-year survival rate of 89% and a fifteen-year survival rate of 83 % worldwide.

In these studies, the five-year rate for dental implants supporting restorations ranging from single crowns to complex bridgework exceeds 90 % for all types.

In total, the survival probability of implants was shown to be on the level of a conventional dental restoration.

But what are the future challenges for masticatory functional rehabilitation with an implant-borne restoration?

Nowadays, replacement of a lost tooth or one considered unworthy of preservation, with an endosteal implant is considered a safe method with highly predictable osseointegration. Future questions will concentrate on peri-implant soft tissue management and implant placement. Currently, success in implantology is not only defined by osseointegration, but also by esthetics. This is increasingly significant as operators and patients are focusing more and more on esthetics as well as the survival rate.

A further task, in cases of chronic diseases, is to broaden the indications to develop implantation techniques enabling functionally successful osseointegration whereby coating the implant surface provides for firm osseointegration in weak structured bone.

Further tasks include biomimetic techniques which self-regulate chronic, peri-implant infections and healing processes on the implant surface.

Dear readers, in order to develop new treatment strategies it is essential to continue gaining new knowledge by means of clinical and experimental implantological studies. The “JDI”, the official publication of the German Implantology Association, contributes toward this. I would like to think that you further your knowledge and wish you a great deal of pleasure while reading this edition.

Best wishes to all readers

Professor Dr. Dr. S. Schultze-Mosgau

Scientific Editor-in-Chief