Successful Osseointegrated Implants in Hypertensive Patients: Retrospective Clinical Study

Tonini, Karen Rawen; Hadad, Henrique; Egas, Laís Sara; Sol, Izabella; Carvalho, Paulo Sérgio Perri de; Ponzoni, Daniela

doi:10.11607/jomi.9425

Cited by 6 publications

(8 citation statements)

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“…355 Specifically, the success rate in the hypertensive group for medicated users was lower (92.5%) than that for nonmedicated users (94.1%), without a significant difference (p = 0.939). 355 A retrospective study reported higher bone loss, greater pocket depth, and higher prevalence of peri-implantitis in patients under antihypertensive treatment (0.66 mm of bone loss and 30.8% of patients with peri-implantitis) than in healthy patients (0.34 mm of bone loss and 9.1% of patients with peri-implantitis). 356 Calcium channelblocking agents may induce gingival hyperplasia with alterations in MMP metabolism and failure of collagenases activation.…”

Section: Antihypertensivesmentioning

confidence: 83%

“…But this higher implant stability was only statistically significant in patients taking renin‐angiotensin system inhibitors, while patients taking beta blockers showed a tendency to higher ISQ but without reaching statistical significance. Another study analyzed the association of hypertension, antihypertensive drugs, and the absence of osseointegration of dental implants 355 . On the contrary, this study concluded that neither the presence of hypertension nor the use of antihypertensives were associated with dental implant failures 355 .…”

Section: Drug‐related Factors Affecting Bone Metabolismmentioning

confidence: 99%

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Emerging factors affecting peri‐implant bone metabolism

Insua,

Galindo‐Moreno,

Miron

et al. 2023

Periodontology 2000

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Implant dentistry has evolved to the point that standard implant osseointegration is predictable. This is attributed in part to the advancements in material sciences that have led toward improvements in implant surface technology and characteristics. Nonetheless, there remain several cases where implant therapy fails (specifically at early time points), most commonly attributed to factors affecting bone metabolism. Among these patients, smokers are known to have impaired bone metabolism and thus be subject to higher risks of early implant failure and/or late complications related to the stability of the peri‐implant bone and mucosal tissues. Notably, however, emerging data have unveiled other critical factors affecting osseointegration, namely, those related to the metabolism of bone tissues. The aim of this review is to shed light on the effects of implant‐related factors, like implant surface or titanium particle release; surgical‐related factors, like osseodensification or implanted biomaterials; various drugs, like selective serotonin reuptake inhibitors, proton pump inhibitors, anti‐hypertensives, nonsteroidal anti‐inflammatory medication, and statins, and host‐related factors, like smoking, diet, and metabolic syndrome on bone metabolism, and aseptic peri‐implant bone loss. Despite the infectious nature of peri‐implant biological complications, these factors must be surveyed for the effective prevention and management of peri‐implantitis.

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Section: Antihypertensivesmentioning

confidence: 83%

Section: Drug‐related Factors Affecting Bone Metabolismmentioning

confidence: 99%

Emerging factors affecting peri‐implant bone metabolism

Insua,

Galindo‐Moreno,

Miron

et al. 2023

Periodontology 2000

View full text Add to dashboard Cite

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“…Two independent reviewers (L.D., G.SR.) carried out the quality assessment using the Appraisal tool for Cross‐Sectional Studies (AXIS) (Downes et al, 2016), consisting of 20 items, seven (Adell et al, 1981; Corbella et al, 2015; Drettner, 1980; Kalyvas et al, 2018; Katranji et al, 2008; Molina et al, 2022; Vallo et al, 2010) related to quality of reporting, seven (Cote et al, 2011; Del Fabbro et al, 2004; Gosau et al, 2009; Nevins & Langer, 1993; Shah et al, 2015; Summers, 1994; Tos & Mogensen, 1984) related to study design quality and six related to the possible introduction of biases in the study (Monje et al, 2014, 2016; Peleg et al, 1999; Pjetursson et al, 2008; Tatum Jr., 1986; van den Bergh et al, 2000). All disagreements were resolved by discussion.…”

Section: Methodsmentioning

confidence: 99%

“…The use of osseointegrated implants in the treatment of edentulous posterior maxilla has been well documented (Adell et al, 1981; Nevins & Langer, 1993). However, low bone volume can strongly influence the choice of the most appropriate treatment plan, challenging clinicians because of the bone density and extension of the maxillary sinus into the alveolar ridge area (Del Fabbro et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Correlation between periodontal phenotype and sinus membrane thickness: A systematic review

Díaz,

Fan,

Urrutia

et al. 2023

Clinical Oral Implants Res

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AimTo assess the correlation between the periodontal phenotype (PP) and sinus membrane thickness (SMT) in humans.MethodsThis review was conducted according to the PRISMA guidelines. Two reviewers independently carried out electronic and manual literature searches of studies published in English, German, and Spanish, from 1970 to September 2022 in four electronic databases, PubMed/Medline, Scopus, Cochrane Library, and Web of Science, in addition to gray literature. Studies that assessed the correlation between PP and SMT in adults (aged 18 years) were included. Methodological quality was evaluated using the Appraisal Tool for Cross‐Sectional Studies (AXIS) for articles that met the eligibility criteria.ResultsSix studies, including 510 patients, were considered for qualitative analysis. All included studies were cross‐sectional, and the correlation between the PP and SMT was evaluated, finding a positive and high correlation in 83.3% of them, based on a value of ≥0.7. All the included studies were assessed with a high overall risk of bias.ConclusionsPeriodontal phenotype and sinus membrane thickness are likely correlated. Nevertheless, further standardized studies are required to draw definitive conclusions.

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“…Vascularized bone can be obtained from several sites, such as the iliac crest, scapula, or fibula, among others. The complex anatomy and function of the maxillomandibular complex impact the choice of reconstruction for maxillofacial defects [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Major clinical approaches to osseointegrated implants: a concise systematic review

Carvalho¹,

Kassis²

2022

MedNEXT

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Introduction: Reconstructive surgery is an important component of the specialty of oral and maxillofacial surgery. The maxillofacial skeleton is subject to various types of defects secondary to trauma, craniofacial/congenital deformities, and tumor ablation. The complex anatomy and function of the maxillomandibular complex impact the choice of reconstruction for maxillofacial defects. Objective: It was to carry out a concise systematic review to present the main considerations of osseointegrated implants. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from September to November 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 127 articles were found, and 57 articles were evaluated and 30 were included in this systematic review. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 10 studies with a high risk of bias and 28 studies that did not meet GRADE. Most studies showed homogeneity in their results, with I2 =95.8% >50%. It was concluded that orofacial defects affect both the form and function of the most prominent and complex part of the body, the face. Several options, such as vascularized flaps, non-vascularized autogenous grafts, or allogeneic materials, are available to reconstruct maxillofacial defects. The complex anatomy and function of the maxillomandibular complex impact the choice of reconstruction for maxillofacial defects. The real effect of bisphosphonates on osseointegration and survival of dental implants is still not well established.

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Successful Osseointegrated Implants in Hypertensive Patients: Retrospective Clinical Study

Cited by 6 publications

References 0 publications

Emerging factors affecting peri‐implant bone metabolism

Emerging factors affecting peri‐implant bone metabolism

Correlation between periodontal phenotype and sinus membrane thickness: A systematic review

Major clinical approaches to osseointegrated implants: a concise systematic review

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