Survival Rates and Clinical Outcomes of Implant Overdentures in Old and Medically Compromised Patients

Kim, So-Hyun; Oh, Namsik; Kim, Hyo-Jung

doi:10.3390/ijerph191811571

Cited by 5 publications

(3 citation statements)

References 38 publications

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“…Other systemic disease-specific clinical studies have provided the same results [38,39]. However, contrary to these authors' assertions, a possible correlation between periimplantitis, which could affect implant success in the medium and long term, and cardiovascular pathologies might exist [40,41].…”

Section: Discussionmentioning

confidence: 90%

Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study

D’Orto,

Tetè,

Nagni

et al. 2024

JCM

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Aim: The rising average age increases edentulous cases, demanding more implant–prosthetic rehabilitation, with cardiovascular diseases being significant factors. This study compared healthy patients (CG = Control Group) and those with cardiovascular disease (TG = Test Group) for implant survival, Marginal Bone Loss (MBL), peri-implant tissue level parameters as Periodontal Screening and Recording (PSR), Plaque Index (PI), Bleeding on Probing (BoP) Peri-implant Probing Depth (PPD), and surgical complications. Smoking impact on both groups and medication influence in the TG were secondary outcomes. Patients underwent full-arch implant prosthetic rehabilitation. Methods: Implant survival rate, MBL, and surgical complications were recorded during the monitoring period (7 years), while peri-implant parameters were assessed at the end of the observational time. A total of 26 and 28 CG and TG patients were recruited, respectively. Results: A total of 128 implants were placed in CG, while 142 in the TG. Implant survival and MBL showed no significant differences (p > 0.05). Nevertheless, peri-implant parameters were more unfavorable in TG. The only significant surgical complication was higher bleeding rates in the TG (p < 0.05). Conclusions: Cardiovascular patients showed similar implant survival and MBL but had adverse peri-implant parameters and increased bleeding rates. Higher smoking levels may relate to unfavorable implant outcomes. Further investigation is needed on drug impact with larger samples.

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Section: Discussionmentioning

confidence: 90%

Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study

D’Orto,

Tetè,

Nagni

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

“…For instance, a retrospective follow-up study conducted by Millesi et al found no significant difference in implant survival rates between patients with diabetes (97.3% survival rate) and healthy individuals (98.6% survival rate), as well as between osteoporotic patients (97.3% survival rate) and healthy individuals (97.2% survival rate) [ 9 ]. In another study, dental implants in 20 elderly and medically compromised patients resulted in a comparable survival rate of 96.6% in 60 implants [ 10 ]. Since the demand for implant rehabilitation is increasing and the current results show a high survival rate of dental implants in medically compromised patients, specific precautions should be taken for each patient and careful follow-up care should be applied in these patients.…”

Section: Discussionmentioning

confidence: 99%

A 10-year survival rate of tapered self-tapping bone-level implants from medically compromised Korean patients at a maxillofacial surgical unit

Sodnom-Ish,

Eo,

Kim

et al. 2023

Maxillofac Plast Reconstr Surg

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Background The 10-year survival rate of dental implants in healthy subjects is 90–95%. While in healthy individuals, dental implants have become commonplace to solve problems of edentulism, whether dental implant treatment is optimal in patients with systemic disease remains unclear. The purpose of this study is to investigate the clinical outcomes of tapered, sand-blasted, and acid-etched internal submerged dental implants installed in medically compromised patients in our maxillofacial surgical unit. Methods A total of 1019 Luna® dental implants were placed in 333 patients at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital. Kaplan–Meier survival estimates after 10 years of follow-up were computed for healthy vs. medically compromised patients. Results The 10-year follow-up survival rate of 1019 Luna® dental implants in the Korean maxillofacial surgical unit was 97.0% with a mean follow-up of 41.13 ± 35.13 months (0–120 months). The survival rate was 97.0%, in which 31 implants were failed during the follow-up. Cumulative 10-year implant survival rates were 99.4% in healthy individuals without systemic disease and 95.9% in patients with systemic disease. Conclusions Comparable success and survival rates were achieved with those of implants in healthy patients. Preoperative general health assessments including laboratory test results and checking the previous medication records are essential in diagnosing any unrecognized conditions for improved implant success rates in medically compromised patients.

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“…Possible prosthetic complications, such as provisional prosthesis fracture, provisional screw loosening (abutment), provisional screw loosening (prosthesis), and/or chipping of the veneering material (final prosthesis), were recorded during the patients' visits [33,34].…”

Section: Prosthetic Complicationsmentioning

confidence: 99%

Full-Arch Implant-Prosthetic Rehabilitation in Patients Affected by Hypertension: A Randomized Clinical Trial at 7 Years Follow-Up

Capparè,

Nagni,

D’Orto

et al. 2023

Applied Sciences

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The aim of this clinical study was to investigate and compare implant survival rates, marginal bone loss, and surgical and prosthetic complications of healthy patients and subjects affected by hypertension receiving full-arch implant-prosthetic rehabilitation. From January 2016 to November 2016, patients affected by total edentulism of one or both arches or severe impairment of residual teeth who needed full-arch implant-prosthetic rehabilitation and who had the absence of any systemic diseases or the presence of hypertension as a single pathology were randomly selected. According to the inclusion criteria, 39 patients were enrolled for this study. The sample was divided into two groups: A total of 18 patients were included in Group A (healthy patients), and 21 patients were included in Group B (patients affected by hypertension). No statistically significant difference in implant survival rates, marginal bone loss, and prosthetic complications were observed between Group A and Group B. Except for variable bleeding, the results of the Pearson’s chi-square test and z-test at a 99% confidence level suggest that there is no statistically significant difference in clinical complications between the groups. Within the limitations of this study, full-arch implant-prosthetic rehabilitation could be a feasible option for treating patients with hypertension, provided that hypertension is compensated and controlled.

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Survival Rates and Clinical Outcomes of Implant Overdentures in Old and Medically Compromised Patients

Cited by 5 publications

References 38 publications

Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study

Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study

A 10-year survival rate of tapered self-tapping bone-level implants from medically compromised Korean patients at a maxillofacial surgical unit

Full-Arch Implant-Prosthetic Rehabilitation in Patients Affected by Hypertension: A Randomized Clinical Trial at 7 Years Follow-Up

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