Assessment of failure rate of dental implants in medically compromised patients

Parihar, Anuj Singh; Madhuri, S.; Devanna, Raghu; Sharma, Geeta; Singh, Rohit; Shetty, Kaushik

doi:10.4103/jfmpc.jfmpc_989_19

Cited by 21 publications

(13 citation statements)

References 10 publications

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“…In 2020, Parihar et al suggested that measuring bone loss is crucial to implant success using periapical radiographs [ 14 ]. They stated that bone loss of more than 1 mm in the 1st year and of 0.3 mm in each subsequent year are considered failures.…”

Section: Discussionmentioning

confidence: 99%

“…Assessment of peri-implant marginal bone level (PIMBL) is an integral part of implant evaluation [ 14 ]. Preserving the PIMBL is paramount to implant success.…”

Section: Discussionmentioning

confidence: 99%

“…In 2020, Anuj et al concluded that, among medically compromised conditions, a higher failure rate was found in diabetes patients. On the same study, they reported 25 patients were diabetes, 16 were having osteoporosis, 10 with organ transplant, 10 with hypothyroidism, and five with CVDs, the author concluded that among medically compromised conditions, a higher failure rate was found in diabetes [ 14 ].…”

Section: Literature Search and Case Presentationmentioning

confidence: 99%

See 2 more Smart Citations

Effect of hypothyrodism’s medication (T4) on implant osstointegration: A case series and literature search

Al-Hindi

Alfotawi

Altamimi

et al. 2021

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

“…Assessment of peri-implant marginal bone level (PIMBL) is an integral part of implant evaluation [ 14 ]. Preserving the PIMBL is paramount to implant success.…”

Section: Discussionmentioning

confidence: 99%

Section: Literature Search and Case Presentationmentioning

confidence: 99%

See 1 more Smart Citation

Effect of hypothyrodism’s medication (T4) on implant osstointegration: A case series and literature search

Al-Hindi

Alfotawi

Altamimi

et al. 2021

International Journal of Surgery Case Reports

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“…During up to 22 years of follow‐up of 4247 patients with 10 871 implants placed by a single periodontist, diabetes was found to more than double the risk for implant failure (removal for any reason) (HR = 2.25; 05% CI: 1.04–4.89; p = 0.040) 94 . Among medically compromised patients, only diabetes was associated with greater rate of implant failure defined as marginal bone loss >1 mm the first and >0.3 mm each of the following years after ≥5 years of function 95 . A case report described infection of the residual graft materials upon exposure to the oral cavity and its strong inflammatory response in hyperglycemia 96 …”

Section: Impact Of Systemic Driversmentioning

confidence: 99%

Impact of local predisposing/precipitating factors and systemic drivers on peri‐implant diseases

Monje

Kan

Borgnakke

2022

Clin Implant Dent Rel Res

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Background Strong evidence suggests the infectious nature of peri‐implant diseases occurring in susceptible hosts. Epidemiological reports, though, indicate that peri‐implantitis is a site‐specific entity. Hence, the significance of local factors that may predispose/precipitate plaque accumulation and the impact of systemic drivers that alter the immune response are relevant in the prevention and management of peri‐implant disorders. Purpose The purpose of the present review is to shed light on the significance of local and systemic factors on peri‐implant diseases, making special emphasis on the associations with peri‐implantitis. Methods The biologic plausibility and supporting evidence aiming at providing a concluding remark were explored in the recent scientific literature for local predisposing/precipitating factors and systemic drivers related to peri‐implant diseases. Results Local predisposing factors such as soft tissue characteristics, implant position and prosthetic design proved being strongly associated with the occurrence of peri‐implant diseases. Hard tissue characteristics, however, failed to demonstrate having a direct association with peri‐implant diseases. Robust data points toward the strong link between residual sub‐mucosal cement and peri‐implant diseases, while limited data suggests the impact of residual sub‐mucosal floss and peri‐implantitis. Systemic drivers/habits such as hyperglycemia and smoking showed a strong negative impact on peri‐implantitis. However, there is insufficient evidence to claim for any link between metabolic syndrome, atherosclerotic cardiovascular disease, and obesity and peri‐implant diseases. Conclusion Local predisposing/precipitating factors and systemic drivers may increase the risk of peri‐implant diseases. Therefore, comprehensive anamnesis of the patients, educational/motivational programs and exhaustive prosthetically‐driven treatment planning must be fostered aiming at reducing the rate of biological complications in implant dentistry.

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“…No unpublished or ongoing studies were identified. From the 28 articles selected for full-text review, seven were excluded because they described animal studies [11][12][13][14][15]19,20 , five articles represented reviews [21][22][23][24][25] , one article did not deal with solid organ transplantation but with hematopoietic stem cell transplantation 26 , four articles did not have a follow-up of 6 months for the implants placed or did not include sufficient data [27][28][29][30] , and one article described implant placement before solid organ transplantation 31 . In total, 10 studies were included in the review [32][33][34][35][36][37][38][39][40][41] .…”

Section: Study Selectionmentioning

confidence: 99%

Dental implant procedures in immunosuppressed organ transplant patients: a systematic review

Burtscher

Torre²

2022

International Journal of Oral and Maxillofacial Surgery

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During the last decades, the number of immunosuppressed organ transplant patients has increased consistently. Nevertheless, immunosuppression has been discussed as a contraindication for dental implant procedures for many years. Hence, the purpose of this systematic review was to assess the survival rate and outcomes of dental implants after solid organ transplantation. An electronic and manual literature search was conducted up to March 2021. Publications describing dental implants placed in patients after organ transplantation were included without any limitations regarding study design or date of publication. Ten articles met the inclusion criteria, leading to a sample of 93 patients with 249 implants. Implant survival rates were 100% over a mean follow-up of 60 months. In every case, implant surgery was performed under antibiotic coverage. No major medicationrelated complications were reported. Despite the limited amount of evidence in the literature, implant procedures seem to be a safe treatment option in immunosuppressed organ transplant patients. The observance of appropriate treatment protocols including a strict maintenance programme seems to be crucial for the long-term success of such treatments. However, stringent data regarding various influencing factors such as the prevalence of peri-implantitis are still missing.

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Assessment of failure rate of dental implants in medically compromised patients

Cited by 21 publications

References 10 publications

Effect of hypothyrodism’s medication (T4) on implant osstointegration: A case series and literature search

Effect of hypothyrodism’s medication (T4) on implant osstointegration: A case series and literature search

Impact of local predisposing/precipitating factors and systemic drivers on peri‐implant diseases

Dental implant procedures in immunosuppressed organ transplant patients: a systematic review

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