Aim: The primary aim of this study was to detect the prevalence of dental implants in a Saudi population in the Kingdom of Saudi Arabia. The secondary objective was to describe the status of the health insurance covering dental implants in Saudi Arabia. Materials and Methods: 1831 Saudi patients aged ≥18 years with at least one missing permanent tooth and residing in the Kingdom of Saudi Arabia were randomly selected and clinically examined for implant prostheses types (single-tooth implant, implant-supported long or short span conventional fixed bridge, implant over denture). Radiographs were used too. The health insurance covering dental implants was detected. The data obtained including age, gender, systemic disease, and tobacco smoking were documented in a patient examination form then statistically analyzed using Chi-Square Test or Fisher-Freeman-Halton Test and U-Test. Results: The prevalence of dental implants among adults missing at least one tooth was 12.7%. Of those 12.7%, the majority of patients had 2-4 implants (5.4%). The majority of patients who had one implant were in the age group <40 years; patients who had >8 implants were seen in the age group ≥60. In addition, the prevalence of implant prostheses types was as the following: Single-tooth implant 75.5%, followed by implant-supported short span fixed bridge 17.1%, implant over denture 3.9%, and implant-supported long span fixed bridge 3.5%. The majority of patients treated with single-tooth implant were in the age group <40 years. There was an insignificant difference in the median number of dental implants between males and females p>0.05. Conclusion: The majority of patients were treated with single-tooth implant. Health insurance policy doesn’t cover the cost of dental implants in Saudi Arabia. Keywords: Implant, Prevalence, Prostheses/Prosthesis, Type, Patient
Aim: The aim of this study was to detect the use of resin composite and amalgam restorations placed inpermanent posterior teeth by undergraduate dental students in university dental hospitals in Saudi Arabia.Materials and Methods: 276 patients aged ≥8 years were randomly selected and clinically examined foramalgam and resin composite restorations placed in permanent posterior teeth with living pulps byundergraduate dental students in university dental hospitals in Saudi Arabia. The restorations were placedin teeth preparations Class I and Class II. Also, bitewing and or periapical radiographs were used to definethe depth of the cavity. The data obtained were documented in a patient examination form then statisticallyanalyzed using Chi-Square Test or Fisher-Freeman-Halton Test.Results: Composite was the main kind of restoration placed by dental students. There was an insignificantrelationship between the kind of restoration (amalgam or composite) and the tooth type(maxillary/mandibular premolar and maxillary/mandibular molar), the class of tooth preparation, the cavitydepth, the age of the patient, and the gender of the patient p > 0.05.Conclusion: Composite was the most commonly restorative material used by dental students. Gradualreduction in the use of amalgam should be evidence-based. Students should obtain the necessarycompetencies for decision making according to each individual case.
Aim: The aim of this study was to detect preoperative and intraoperative dental malpractice in the field of implant dentistry in the Kingdom of Saudi Arabia. Materials and Methods: 115 patients aged ≥ 18 years with at least one professional malpractice in implant dentistry done in dental health premises in Saudi Arabia were included in the study. Clinical and Radiographic examinations were used to detect preoperative complications (poor patient selection, diagnosis, inappropriate treatment planning) and intraoperative complications (damage to adjacent tooth, inferior alveolar nerve damage, sinus penetration, and implant positional failure due to poor surgical execution).The data obtained including age and gender were documented in a patient examination form then statistically analyzed using Chi-Square Test and Spearman’s Correlation Coefficient. Results: More than half of the patients were females (62.6%). The majority of the patients were in the age group 50-60 years (31.3%). Also, the majority of the patients had implants with malpractice placed in the posterior region. Exactly half of the patients had implants with malpractice placed in the maxilla. In addition, exactly half of the patients had technical errors violating the surrounding structures; (39.1%) of the patients had damage to adjacent tooth, (11.3%) had inferior alveolar nerve damage, and (4.3%) had sinus penetration. Conclusion: Patients were equally divided between implant positional failure due to preoperative inappropriate treatment planning and that due to intraoperative poor surgical execution. Solid theoretical knowledge and polished surgical skills are key success factors for accurate implant placement.
Aim:The aim of this study was to detect and describe the patterns of implant prosthetic treatment modalities placed in partially and fully edentulous Saudi patients restored with dental implants in Saudi Arabia, and to detect the status of the health insurance covering dental implants in Saudi Arabia. Materials and Methods: 520 Saudi patients aged ≥18 years residing in Saudi Arabia and treated with at least one dental implant done in dental health premises in Saudi Arabia were randomly included in the study. Clinical and radiographic examination were used to detect implant prostheses types (single-tooth implant, implant-supported long or short span conventional fixed bridge, implant overdenture). The health insurance covering dental implants was detected too. The data obtained including age, gender, systemic disease, and tobacco smoking were documented in a patient examination form then statistically analyzed using Chi-Square Test and U-Test. Results: The most frequently tooth type replaced by dental implants was the molars (45.5%), followed by premolars (40%), incisors (7.7%), and canines (6.8%); mandibular first molars were the most common tooth type replaced by implants. Single-tooth implant was the most common prosthetic treatment modality (85.2%), followed by implant-supported short span conventional fixed bridge (9.8%), implant overdenture (2.8%), and implant-supported long span conventional fixed bridge (2.2%). The majority of implant overdenture prostheses were seen in the age group ≥ 60 years. Implant-supported long span fixed bridge prostheses were more in patients aged ≥ 50 years than in patients aged < 50 years, while single-tooth implant prostheses were more in patients aged < 50 years than in patients aged ≥ 50 years. Of all teeth types replaced by dental implants, molars were the most common type seen in implant-supported long span fixed bridges and in single-tooth implants, whereas canines were the most common type seen in overdentures. There was an insignificant difference in the median number of dental implants between males and females. Conclusion: Single-tooth implant is major. Health insurance policy doesn’t cover dental implants in Saudi Arabia. Keywords: Implant, Modalities, Prostheses/Prosthetic, Type
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