The medically compromised patient: Are dental implants a feasible option?

Vissink, Arjan; Spijkervet, Frederik; Raghoebar, Gerry M.

doi:10.1111/odi.12762

Cited by 55 publications

(51 citation statements)

References 62 publications

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“…Implant treatment in the medically compromised patient represents, nowadays, a common clinical situation for dentists and MetS prevalence has been constantly rising in the last years, involving ≈30% of the population …”

Section: Discussionmentioning

confidence: 99%

Prevalence of peri‐implant diseases among an Italian population of patients with metabolic syndrome: A cross‐sectional study

Papi

Murro

Bisogni

et al. 2019

Journal of Periodontology

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Background Over the years, only few authors have studied the association of systemic conditions with peri‐implantitis. The aim of this study is to detect frequency and severity of peri‐implant diseases among an Italian population of patients affected by metabolic syndrome (MetS). Methods In this cross‐sectional study, patients with at least one dental implant with >5 years of functional loading were screened to evaluate metabolic, periodontal, and peri‐implant status. MetS diagnosis was established in accordance with the National Cholesterol Education Program (NCEP) ATP III criteria, while case definitions of the 2017 World Workshop were adopted for peri‐implant diseases. For each implant, probing depths, mucosal redness, bleeding on probing, suppuration, plaque index, and marginal bone loss were recorded. Multinomial logistic regression analyzed the relationship between sex, diagnosis of MetS, presence of periodontitis, smoking, type of prosthesis, and location of implants and peri‐implant mucositis and peri‐implantitis. Results A total of 183 patients were enrolled: in MetS subjects, peri‐implantitis was detected in 36.9% (n = 31) of implants, and mucositis in 60.7% (n = 51), with an OR of 10.01(P = 0.005) for mucositis and OR 15.26 (P = 0.001) for peri‐implantitis, compared with subjects without MetS, where 26.3% of implants showed peri‐implantitis and 55.5% mucositis. No differences were found for smoking, implant location, sex, and type of prosthetic rehabilitation. Patients with periodontitis showed a higher association with peri‐implant mucositis (OR = 4.33) and peri‐implantitis (OR = 9.00). Conclusion Based on the results of this study, patients affected by MetS showed a greater prevalence of peri‐implant diseases, but further studies are needed to confirm the possibility of this new possible risk indicator.

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Section: Discussionmentioning

confidence: 99%

Prevalence of peri‐implant diseases among an Italian population of patients with metabolic syndrome: A cross‐sectional study

Papi

Murro

Bisogni

et al. 2019

Journal of Periodontology

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“…That is, to begin to fully and appropriately operationalize implant therapy for medically compromised patients, we will need not only to continue to challenge existing dogma and fully define the long-term risks, but will also need to understand the benefits gained from implant therapy as an important contribution to improved oral and systemic health. 97,105,106 It is perhaps one of the more subtle contributions from these earlier studies challenging the longstanding implications for diabetes in implant therapy that it has taken forward similar considerations across a range of systemic conditions. 98,103,105 Going forward, there is a clear trend of newer studies offering more stringent scientific documentation of the impact of diabetes and glycemic status on implant survival, with many of these studies finding positive results for implant integration and survival.…”

Section: Number Of Included Studies Study Conclusionmentioning

confidence: 99%

Advances in implant therapy in North America: Improved outcomes and application in the compromised dentition

Saito

Aichelmann-Reidy

Oates

2019

Periodontology 2000

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Advances in dental implant therapy have strengthened our understanding of the management of the implant‐soft tissue interface, with site‐specific implications ranging from marginal tissue management and esthetics to immediate placement and restoration, and extend to patient‐level implications of systemic conditions. The advancements in implant therapy have placed an increased emphasis on patient‐centered outcomes. In this paper, the following conclusions can be drawn: improvements in both esthetics and long‐term maintenance have been guided by the study of the marginal peri‐implant tissues leading to innovations in implant design along the implant‐abutment interface. Patient expectations for simple and realistic time intervals for treatment have promoted the use of immediate implant placement and restoration. The expansion of implant therapy offers implant options for patients with medical conditions, with one in particular, diabetes mellitus a focus of this paper. Studies on patients with diabetes are supporting the development of evidence‐based treatment considerations with broader application and greater benefits for the use of implant therapy across a larger patient population. This paper is not intended to offer a comprehensive review, but offers a representative review of some of the many contributions of USA and North American clinicians to the global scientific dialogue that has guided the development of dental implant therapy.

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“…She would make removable partial denture because there was no other solution, there was no point in doing it [the implant] because I had taken alendronate for several years and this would cause necrosis; there was no solution. (Respondent 12) It was observed that there is no consensus in the literature on contraindications for implant surgery in systemicallyimpaired patients, mainly due to the lack of randomized clinical studies (Lopez-cedrun et al, 2013;Manor, Oubaid, Mardinger, Chaushu, & Nissan, 2009;Guobis, Pacauskiene, & Astramskaite, 2016;Vissink, Spijkervet, & Raghoebar, 2018).…”

Section: Was Afraid Of Rejection By My Body Because Of Cigarette Ymentioning

confidence: 99%

Perception of Patients of their Quality of Life after Dental Implant Therapy

Neto¹,

Valiati²,

AparecidaKanan³

et al. 2020

IJHSS

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This study aimed to identify individuals' perception of their quality of life after placement of dental implants. It is a qualitative survey carried out with 14 patients. A semi-structured guide with six questions based on the domains of the Oral Health Impact Profile (OHIP-14) was used. The interviews were transcribed and analyzed according to the content analysis method. From the data analysis, four categories emerged. In the first category, named "Functional Limitation", the respondents mainly reported difficulty chewing and pronouncing words. For the second category, "Physical Pain", they frequently reported spontaneous pains or when chewing. The third category is related to "Psychological and Social Discomfort" with reports of moments of embarrassment, anxiety, despair and shame. In the last category, "Relation of Implants with the Quality of Life", the interviewees mentioned improved chewing ability, relief of discomfort and pain, and improvement in aesthetics and self-esteem. The findings of the present study demonstrate the importance of understanding the subjective aspects relating to missing teeth and oral rehabilitation and the perception that an individual has of how much these aspects impact on their quality of life and well-being.

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The medically compromised patient: Are dental implants a feasible option?

Cited by 55 publications

References 62 publications

Prevalence of peri‐implant diseases among an Italian population of patients with metabolic syndrome: A cross‐sectional study

Prevalence of peri‐implant diseases among an Italian population of patients with metabolic syndrome: A cross‐sectional study

Advances in implant therapy in North America: Improved outcomes and application in the compromised dentition

Perception of Patients of their Quality of Life after Dental Implant Therapy

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