Long-term evaluation of teeth and implants during the periodic maintenance in patients with viral liver disease

Abstract

PURPOSEThis study was designed to investigate the maintenance of teeth and implants in patients with viral liver disease.MATERIALS AND METHODS316 patients without any significant systemic disease were selected as a control group. Liver disease group was consisted of 230 patients. Necessary data were collected using clinical records and panoramic radiographs. Then, the patients were subdivided into 2 groups based on the type of active dental therapy received before maintenance period (Pre-Tx). Analysis for finding statistically significant difference was performed based on the need for re-treatment of active dental therapy (Re-Tx) and change in the number of teeth (N-teeth) and implants (N-implants).RESULTSComparing to control group, the patients with liver disease showed higher value on N-teeth, N-implants, and Re-Tx. Statistically significant differences were found on N-teeth (P=.000) and Re-Tx (P=.000) in patients with non-surgical Pre-Tx. Analysis based on severity of liver disease showed that N-teeth and Re-Tx were directly related to severity of liver disease regardless of received type of Pre-Tx. Significant differences were found on N-teeth (P=.003) and Re-Tx (P=.044) in patients with non-surgical Pre-Tx.CONCLUSIONIn this study, it was concluded that liver disease might influence the loss of teeth and cause the relapse of dental disease during maintenance period in patients. A significant positive relationship between tooth and implant loss and severity of liver disease seems to exist.

Peri‐implant soft tissue status and crestal bone levels around adjacent implants placed in patients with and without type‐2 diabetes mellitus: 6 years follow‐up results

“…It has been reported that complications in bone mineral metabolism are often manifested in patients with CKD compared with individuals without CKD. [33][34][35] We hypothesize that soft-tissue inflammation and CBL are significantly higher around adjacent implants placed in type-2 diabetic patients with other systemic diseases than patients with type-2 diabetes alone. 32 Similarly, a higher CBL around dental implants has been reported in patients with AIDS, CVD, and liver diseases compared with healthy controls.…”

“…32 Similarly, a higher CBL around dental implants has been reported in patients with AIDS, CVD, and liver diseases compared with healthy controls. [33][34][35] We hypothesize that soft-tissue inflammation and CBL are significantly higher around adjacent implants placed in type-2 diabetic patients with other systemic diseases than patients with type-2 diabetes alone. Moreover, tobacco smokers and individuals using smokeless-tobacco products were not included.…”

Survival of adjacent‐dental‐implants in prediabetic and systemically healthy subjects at 5‐years follow‐up

“…According to Kanjevac et al complications in bone mineral metabolism are occasionally in patients with kidney diseases compared with individuals without kidney‐related disorders. Likewise, CBL around dental implants has been reported among tobacco‐smokers and patients with AIDS, CVD, and liver diseases compared with healthy nonsmoking controls . We therefore speculate that tissue inflammation and CBL are significantly higher around ADI placed in immunocompromised patients and tobacco‐smokers compared with systemically healthy never‐smokers.…”

“…33 The Ozgur study 33 and liver diseases compared with healthy nonsmoking controls. [35][36][37] We therefore speculate that tissue inflammation and CBL are significantly higher around ADI placed in immunocompromised patients and tobacco-smokers compared with systemically healthy never-smokers.…”

3-dimensional analysis about the effects of aging and risk factors on changes in oral environment

“…Careful consideration should be given to the effect that this trend has on tooth maintenance. Increased life expectancy and higher standards of health can change the needs of the elderly towards periodontal treatment, and lead to a substantial increase in periodontal care practices 45. Therefore, it is important to understand the effect of aging on periodontal tissue.…”