Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis

Brinkmann, Jorge Cortés-Bretón; García-Gil, Ignacio; Pedregal, P; Peláez, Jesús; Prados-Frutos, Juan Carlos; Suárez, María

doi:10.3390/biology10060509

Cited by 12 publications

(5 citation statements)

References 34 publications

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“…[20,21] When alveolar bone have defects, in the absence of bone graft technology, inclined, narrow or short implants may also be considered. [22][23][24] Narrow-diameter implants have also been proved to be one of the solutions for two-way bone defects in the clinical application guidelines for International Team for Implantology (ITI), [25] it shows that the mandibular second molar area bears a large chewing pressure, and the implant width is preferably ≥4.1 mm and the length is ≥8 mm. [26] Otherwise, the implant is prone to fracture when the chewing function is exerted.…”

Section: Discussionmentioning

confidence: 99%

The application of CGF combined with GBR in alveolar bone increment for patients with anxiety disorder: A rare case report and literature review

Li,

Yang,

Wang

et al. 2023

Medicine

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Rationale: Selective serotonin reuptake inhibitors (SSRIs), one of the commonly used anti-anxiety drugs, may have impacts on bone metabolism and potentially lead to drug-induced osteoporosis. The traditional approach of oral implantation in individuals with both anxiety disorder and drug-induced osteoporosis poses a significant challenge. To address this issue, concentrated growth factor (CGF) has been utilized in patients undergoing concurrent alveolar ridge augmentation during oral implantation, resulting in favorable clinical outcomes. Consequently, combining CGF with guided bone regeneration (GBR) in alveolar bone increment may represent a promising new surgical approach for such patients. In this report, we present a case study of a 25-year-old male with anxiety disorder and drug-induced osteoporosis, in who CGF combined with GBR was employed in alveolar bone increment. Patient concerns: This article reports the case of a 25-year-old male who underwent cone beam computed tomography (CBCT) due to the absence of his right lower second molar for a period of six months. The CBCT scan revealed significant bone defects, which were attributed to the tooth loss and prolonged use of anti-anxiety drugs. Consequently, the patient sought medical assistance from our department. Diagnoses: Based on the patient's self-report, he was diagnosed with an anxiety disorder. Additionally, the CBCT scan confirmed the loss of the right mandibular second molar and revealed the presence of dental irregularity and an alveolar bone defect. Interventions: During the patient's course of treatment with anti-anxiety medication, a combination of CGF and GBR was employed for the simultaneous implantation of the missing right mandibular second molar, along with bone augmentation. Outcomes: The patient had a follow-up visit two weeks after the surgical procedure, and the wound in the operation area had healed satisfactorily. Six months later, CBCT images revealed excellent osseointegration. The buccal and lingual width of the alveolar bone measured 6.95mm, which was an increase of 1.35mm compared to the pre-implantation stage. Lessons: This article presents a case study in which CGF combined with GBR were utilized to address alveolar bone augmentation during the implantation phase in patients taking anti-anxiety medication. The results demonstrated that CGF combined with GBR, as a cutting-edge platelet concentrate technique, could effectively stimulate bone tissue proliferation in individuals who have been on long-term anti-anxiety medication, specifically in oral implant areas. This approach can help prevent poor osseointegration, promote higher osseointegration rates, and facilitate wound healing.

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Section: Discussionmentioning

confidence: 99%

The application of CGF combined with GBR in alveolar bone increment for patients with anxiety disorder: A rare case report and literature review

Li,

Yang,

Wang

et al. 2023

Medicine

View full text Add to dashboard Cite

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“…Some studies reported fracture of anterior acrylic teeth more than posterior ones. Incidence of the tooth fracture varies in the studies from low incidence to a frequent ones that may be due to the different follow-up periods or patient's behaviors [34].…”

Section: Discussionmentioning

confidence: 99%

Prosthetic maintenance assessment for implant fixed complete dentures and implant overdentures: a randomized clinical trial

2023

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Objective:The rehabilitation choice for the edentulous patients usually lies between the fixed and removable prosthetic options. The treatment decisions are affected by many factors where complications and maintenance needs are both considered crucial factors, in addition to the cost effectiveness of the chosen treatment. Material and Methods: This study was applied on 44 edentulous patients, where 22 patient for each group were enrolled in the outpatient clinic of prosthodontics, Cairo University as per a set of eligibility criteria. Four inter-foraminal implants were installed for all eligible participants. Three months later, healing abutments were used for soft tissue preparation prior to the fabrication of the final prosthesis. A prosthetic treatment option was then randomly allocated to obtain two equal groups via computer generated randomization program; Group. A received telescopic implant overdentures, and Group. B received screw retained dentures. All Complications (Screw loosening or fracture, tooth or denture base fracture and mucositis) were reported after overdenture insertion along the follow up period (1, 6, 9 and 12 months respectively). Results: The frequency of the screw loosening for hybrid overdentures where (59.1%) compared to (27.3%) of telescopic prosthesis at 12 months follow up period (p=0.035), mucositis reporting at 6m interval had shown the highest frequency in both groups (Group A (54.5%), Group B (81.8%), (p=0.045), all other reported complications that lack statistical significance either within the same group or between both groups at different time intervals. Conclusion: Both treatment modalities; telescopic implant overdenture and hybrid fixed screw-retained are reliable for restoring the completely edentulous arches, the decision whether to make a fixed or removable implant denture shall be guided with the patient preference together with the dentist assessment in relation to the patient's state of general and oral health.

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“…To engage basal bone, as reported by several authors, tilted implants could represent a possible solution also in rehabilitation of totally edentulous maxilla with severe atrophy of the posterior sectors, avoiding more invasive techniques and allowing immediate loading [43][44][45].…”

Section: Discussionmentioning

confidence: 99%

Tilted Implants and Sinus Floor Elevation Techniques Compared in Posterior Edentulous Maxilla: Retrospective Clinical Study of Four Years Follow-up

Felice¹,

D'orto²,

Nagni³

et al. 2022

Preprint

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The aim of this study was to evaluate implants survival rate, marginal bone loss, surgical and prosthetic complications of implants placed through sinus floor elevation and tilted implants en-gaged in basal bone in order to bypass maxillary sinus. 60 patients were enrolled for this study. According with residual bone height of posterior maxilla the sample was divided in three groups of 20 patients: Group A (lateral sinus floor elevation), Group B (transrectal sinus floor elevation) and Group C (tilted implants employed to bypass sinus floor). Follow-up visits were performed one week after surgery, at 3, 6 months and then once a year for next 4 years. The outcomes were implants survival rate, marginal bone loss and surgical and prosthetic complications. Although the Group A, B and C have demonstrated an implants survival rate of 83.3%, 86,7% and 98,3% respectively, the statistically analysis showed that there was no statistically significant difference between groups. Statistically significant differences between the groups were also not found con-cerning marginal bone loss, as recorded by intra-oral X-ray measurements during follow-up. About complications it wasn’t possible to perform a statistical analysis. To as to reduce potential surgical risks implants placement in basal bone should be preferred.

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Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis

Cited by 12 publications

References 34 publications

The application of CGF combined with GBR in alveolar bone increment for patients with anxiety disorder: A rare case report and literature review

The application of CGF combined with GBR in alveolar bone increment for patients with anxiety disorder: A rare case report and literature review

Prosthetic maintenance assessment for implant fixed complete dentures and implant overdentures: a randomized clinical trial

Tilted Implants and Sinus Floor Elevation Techniques Compared in Posterior Edentulous Maxilla: Retrospective Clinical Study of Four Years Follow-up

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