IntroductionOsseointegration of dental implants with the maxillary and/or mandibular bone is the basis for implant prosthetic treatment. The aim of the study was to assess the influence of the patients’ gender, age, and in the case of women, their menopausal status (before menopause/after menopause/during hormone replacement therapy) on the osseointegration of dental implants.Material and methodsThe study evaluated the bone loss after implant loading and the success rate of the procedure in 71 women and 30 men. In the postmenopausal group, 20 (28.1%) women were receiving hormone replacement therapy. The implants used in the treatment of the studied patients were the two-phase dental implants. The extent of bone loss was estimated by comparing the post-implantation radiographs and the post-loading ones.ResultsThe implantation procedure was entirely successful in 81 patients (80.2%). The patients’ age, gender and menopausal status did not significantly affect the implantation procedure success rate or bone loss (p > 0.05). A correlation between bone loss and hormone replacement therapy (p = 0.002) was found.ConclusionsThe hormone replacement therapy contributes to a greater peri-implant bone loss. The patients receiving hormone replacement therapy who consider replacement of missing teeth with implants should be informed about a greater risk of osseointegration failure, which may affect the success of implant therapy.
The aim of the study was to evalu ate the level of pa tient sat is fac tion with im plant treat ment of miss ing teeth. The sur vey was conducted among 464 pa tients of both sexes aged from 20 to 74 years, treated with den tal im plants at the Non-Public Health care Centre "Den tal" in Tomaszów Ma zow iecki. The re sults of the study re veal that out of the half of all the pa tients treated with tem po rary den tal pros the ses, 71.67% were sat is fied; a ma jor ity of the lat ter group were pa tients younger than 40 years, while the re spon dents aged over 60 were least fre quently sat is fied. A great ma jor ity of pa tients as sessed other evalu ated as pects of implant-prosthetic therapy posi tively. A high pro por tion of highly sat is fied (strongly agree) and some what sat is fied (agree) an swers, reach ing 95%, concerned the shape and col our of implant-supported pros the ses and the out come of the ther apy. The small est group of the re spon dents ob served speech im prove ment as a re sult of implant-prosthetic treat ment (15.51%). The re sults of the sur vey in di cate that treat ment of miss ing teeth with den tal im plants meets pa tients' ex pec ta tions to a high de gree. Pros thetic ther apy with im plants is a method that al lows a fully func tional and aes thetic treat ment of miss ing teeth.
Im plan to pros thetic treat ment en ables the re plac ing of a sin gle, as well as more miss ing teeth, al low ing for the achieve ment of long last ing aes thetic ef fect and im provement of the mas ti ca tory me chan ics dis turbed by the loss of teeth. Den tal serv ices in this area are not cov ered by the in sur ance and are pro vided as a full cost serv ice [11].The re search aimed at as sess ment of the in flu ence of se lected demo graphic and so cio eco nomic fac tors on pa tient's decision-making about the treat ment of miss ing teeth us ing the im plants. MA TE RIAL AND METH ODSThe sur vey was con ducted among 464 pa tients of both sexes aged 20-74 years, treated with den tal im plants at the Non-Public Health care Cen tre "Den tal" in Tomaszów Ma zow iecki. The pa tients were di vided into 3 age groups: younger than 40 years (n=157), be tween 40 and 60 (n=241), and older than 60 years (n=66). The pa tients an swered ques tions in cluded in an anony mous ques tion naire. The ques tions con cerned age, sex, mari tal status (sin gle/bache lor, mar ried, di vorced, widow/wid ower), place of residence (vil lage, small town -popu la tion of 20-50 thousand, city -popu la tion of 100-500 thou sand), edu ca tion (pri mary, vo ca tional, sec on dary, ter ti ary), oc cu pa tional status (white col lar worker, blue-collar worker, own business, un em ployed, farmer, re tired/pen sioner, stu dent, etc.), ma te rial status as sessed by the sur veyed them selves (low, me dium, high).Us ing the 2 test of in de pend ence, the im pact of the ana lyzed vari ables was ana lyzed. Sta tis ti cal analy sis was per formed by us ing the Sta tis tica 6.0 soft ware (Stat Soft, Inc., Tulsa, Okla homa, USA). RE SULTSIt has been shown that the frequency of implant treatment in patients within certain age groups was highly significantly affected by gender. The implants were implanted more often in women under the age of 40 years and in men over 60 years of age (p<0.001). Among people aged between 40 to 60 years, they significantly prevailed among patients and accounted for more than half of their total number (Table 1) AB STRACTThe research aimed at as sess ment of the influence of selected demographic and socioeconomic factors on patient's de ci sionmaking about the treatment of missing teeth using the implants. The survey was conducted among 464 patients of both sexes aged 20-74 years, treated with dental implants at the Non-Public Healthcare Cen tre "Den tal" in Tomaszów Mazowiecki. The patients answered the questions included in an anonymous questionnaire. The questions concerned age, sex, marital status, place of residence, education, occupational status and material status. Most patients taking the decision about dental treatment using the implants were persons aged 40-60 years. Slightly more often men made decisions on supplementing missing teeth using the implants. The results of the survey indicate that financial resources are an important factor influencing a patient's decision on the selection of implant prosthetic tr...
The absence of pain in implant-prosthetic treatment is considered, along with other factors, one of the indicators of treatment success, which undoubtedly translates into patient satisfaction. The aim of this study was the assessment of the influence of pain experienced during implant-prosthetic treatment on the level of patient satisfaction with this kind of treatment. The study was conducted in the Non-Public Health Care Centre “Dental” in Tomaszów Mazowiecki and covered 464 patients of both genders, aged 20-74, who had missing teeth replaced with dental implants. The patients answered the questions included in a written questionnaire. The questions concerned the experience of pain and the level of satisfaction with the received treatment. The study shows that pain was experienced by a little more than 1/3 of all the studied patients during implant placement, and by 81.25% of the respondents after implant placement. The patients who felt pain during and after implant placement would less frequently decide to have missing teeth replaced with this method again, and were more frequently of the opinion that costs and duration of treatment did not reflect their level of satisfaction with treatment in comparison to the patients who did not feel pain. The respondents who experienced pain during implant placement would recommend this treatment method to other people less frequently than the patients who felt no pain. The results indicate that Implant-prosthetic treatment is accompanied with pain experience in a considerable proportion of patients. Pain experienced during treatment affects the level of patient satisfaction and future decisions concerning the choice of this type of treatment. It is necessary to improve peri- and postprocedural analgesia during dental implant treatment.
Tobacco smoking is one of the essential factors that may affect dental implant treatment. A great majority of studies on the relationship between smoking and dental implant failures indicate a clearly negative influence of the addiction, while only few papers do not report such a connection. Basing on the implantology literature data, the paper presents the criteria of success and failure in dental implant treatment. The influence of tobacco smoking on implant treatment failure, and especially on implant survival as the main criterion of therapeutic success, was described. The current status of knowledge on the effect of tobacco smoking on the crestal bone loss around implants was also presented. In addition, the paper describes in detail a possible pathomechanism of the influence of nicotinism on the crestal bone loss around implants as one of the factors leading to treatment failure. The necessity of a rational consensus, involving also the legal aspect of the problem, between a tobacco-smoking patient and a doctor providing implant treatment was emphasized.
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