Care Required When Using Bisphosphonates in Dental Surgical Practice

Goiato, Marcelo Coelho; Santos, Daniela Micheline dos; Rondon, Bruna Carolina Santos; Moreno, Amália; Baptista, G.; Verri, Fellippo Ramos; Dekon, Stefan Fiúza de Carvalho

doi:10.1097/scs.0b013e3181f5031c

Cited by 11 publications

(11 citation statements)

References 30 publications

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“…25 But, osteonecrosis in patients using bisphosphonates after surgical procedures was observed. 26 Holahan et al 27 and Slagter et al 28 also agree that neither osteoporosis nor osteopenia contraindicated implant placement.…”

Section: Literature Review Osteoporosis In the Jawmentioning

confidence: 92%

Dental Implants in Patients With Osteoporosis

Gaetti-Jardim

Santiago²,

Goiato³

et al. 2011

Journal of Craniofacial Surgery

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Osteoporosis is a systemic disorder characterized by generalized decrease in bone mineral density. Dental implantology is a specialty with high predictability when both quantity and quality of the bone are respected. Therefore, the diagnosis and the implant treatment in patients with osteoporosis are important. In the current study, a literature review about osteoporosis and dental implant therapy was conducted. PubMed, Cochrane, ISI, Dentistry Oral Science, SciELO, and Bireme databases were consulted over the last 20 years. English- and Portuguese-language articles were included in this revision. Some authors stated that the osteoporotic bone is similar to the proposed model of bone type IV. Randomized clinical studies reported implant failure in patients with osteoporosis after menopause. Studies that contraindicate the use of implants in patients with osteoporosis infer that the impaired bone metabolism led to reduction of bone healing around the implants. Nevertheless, other authors believe that the presence of osteoporosis is not a definitive condition to contraindicate the therapy with dental implants. In these cases, the dentist should perform a proper treatment planning, modifying the implant geometry, and use larger implant diameter and with surface treatment. Thus, osteoporosis is not a contraindication for implant surgery because an accurate analysis of bone quality by means tomography is performed.

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Section: Literature Review Osteoporosis In the Jawmentioning

confidence: 92%

Dental Implants in Patients With Osteoporosis

Gaetti-Jardim

Santiago²,

Goiato³

et al. 2011

Journal of Craniofacial Surgery

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“…The medical history was reviewed, with an emphasis on diabetes, smoking, radiation, and bisphosphonate treatment, which are common conditions with direct correlation to implant survival. [23][24][25][26] Patients completed a 14-item Oral Health Impact Profile (OHIP-14) and a Semantic Differential scale questionnaire for assessment of their oral health-related quality of life and satisfaction. The patients were asked to record their responses on a 5-point Likert scale (0 ¼ never, 1 ¼ hardly ever, 2 ¼ occasionally, 3 ¼ fairly often, 4 ¼ very often) for the OHIP-14 questionnaire.…”

Section: Medical History and Patient Satisfactionmentioning

confidence: 99%

Retrospective Analysis of Implant Overdenture Treatment in the Advanced Prosthodontic Clinic at the University of Illinois at Chicago

Marinis

Afshari

Yuan

et al. 2016

Journal of Oral Implantology

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The aim of the present retrospective study was to evaluate the clinical outcomes of implant-supported overdenture treatment provided by prosthodontic specialty residents. Twenty-three patients with 25 implant-supported overdentures (IODs) participated in the study. Seventy-four implants were placed by periodontic, prosthodontics, or oral and maxillofacial surgery students. All prostheses were fabricated in the advanced prosthodontics clinic at University of Illinois at Chicago. The condition of the peri-implant soft tissue, implants, and prostheses were evaluated. Complications and any maintenance were documented. Patients completed an oral health impact profile-14 and semantic differential scale questionnaires. Statistical analyses were performed using SPSS statistical software. Twenty mandibular and 5 maxillary IODs were evaluated. Ninety-seven percent of the attachments were locators (Zest Anchors) and 3% ball attachments. None of the implants had lost osseointegration, but 14 implants (19%) had developed marginal bone loss in one-third of the implant length or more. Fourteen (19%) implants had developed dehiscence, which ranged from 1 to 4 mm. A variation in the width of the keratinized tissue, gingival, plaque, and calculus index was observed. There was a statistically significant relationship between the presence of plaque and the bleeding on probing on the buccal aspect of implants (P = .012). The incidence of dehiscence was significantly higher on the midfacial when the keratinized tissue was less than 2 mm (P < .0001). The majority of the complications were prosthetic in nature, such as broken denture teeth (74%) and worn or loose matrices (35%). Debris was observed in 19% of the locator abutments, and 36% of the overdentures were not stable in application of anterior force. Patients were compliant with oral hygiene protocols and their chewing ability was high (mean = 8.0). The overall experience was pleasant (mean = 7.5); the treatment provided good esthetics (mean = 8.3) and great satisfaction (mean = 8.5). From an educational and clinical perspective, IOD therapy has been documented to be a predictable and successful treatment option. Patients should be informed of the required maintenance and the possible complications related to IOD therapy.

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“…Os profissionais de saúde devem ter o cuidado de saber sobre o uso e duração da utilização bisfosfonatos por seus pacientes antes de realizar a cirurgia ou colocação de implantes dentários, sendo esse um fator importante para alcançar o sucesso. (24) A definição de biomarcadores capazes de indicar o nível de risco em caso de cirurgia oral em pa-cientes que receberam bisfosfonatos também é um recurso a ser estudado melhor posteriormente. (25)…”

Section: Discussionunclassified

Influência Do Uso De Bisfosfonatos Em Pacientes Submetidos a Implantes Dentários: Revisão Da Literatura

et al. 2016

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Dental implants and alternatives for patients requiring restoration of stomatognathic system through the replacement of dental units are an increasingly common practice. Treatment of patients with additional complications to dental implant restorations is a constant challenge, especially the patients described in the literature about the failure involving the use of bisphosphonates based drugs, those being touted as directly responsible for the presence of a pathological condition called bisphosphonate-related osteonecrosis of the jaw. A search through two databases was conducted to clarify doubts about the actual influence of factors presented and its true relevance to clinical practice, promoting the knowledge and more consistent strategies in cases requiring rehabilitation intervention. The results show the need for additional research on these topics.

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Care Required When Using Bisphosphonates in Dental Surgical Practice

Cited by 11 publications

References 30 publications

Dental Implants in Patients With Osteoporosis

Dental Implants in Patients With Osteoporosis

Retrospective Analysis of Implant Overdenture Treatment in the Advanced Prosthodontic Clinic at the University of Illinois at Chicago

Influência Do Uso De Bisfosfonatos Em Pacientes Submetidos a Implantes Dentários: Revisão Da Literatura

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