Assessment of the Efficacy of Dental Implants in Medically Compromised Patients: A Prospective control Study with 5 years follow-up.
Dental implant in medical condition patient
Keywords:dental implants, medically compromised
Several systemic diseases (and relative medications) have been reported to impair or in some cases complicate dental implant surgery. In broader terms, when dealing with patients suffering from systemic diseases, the monitoring of the medical conditions and related post-operative complications is of great importance in order to avoid risks which could jeopardise the health of the patient. We conducted the prospective study with 100 dental implants divided into 20 each in patient with history and on medication of Diabetes, Hypertension, Cardiac or Thyroid and one control group (healthy). Implant success, Pain, Marginal Bone Resorption, Bite efficacy and RFA unit were recorded for 1st week, 3 month, 6 month, 1 year, 3rd and 5th year follow up. Implant success was recorded 98 % in Diabetic , 97% in Thyroid and 100 % in Hypertensive and cardiac patient. We concluded that Implant success is good in patients with medical conditions, but with cautious surgical intervention.
Spiekermann H, Jansen VK, Richter EJ. A 10-year follow-up study of IMZ and TPS implants in the edentulous mandible using bar-retained overdentures. International Journal of Oral and Maxillofacial Implants 1995;10:231–43.
Meijer GJ, Cune MS. Surgical dilemmas. Medical restrictions and risk factors. Nederlands Tijdschrift Voor Tandheelkunde 2008;115:643–51.
Vito Rania, Paolo Pellegrino, Girolamo Donati,, Mario Ghezzi,Emilio Clementi,3,4 and Antonella Sparaco1.Clinical Infectious Diseases® 2015;61(7):1208
Diz P, Scully C, Sanz M. Dental implants in the medically compromised patient. J Dent. 2013 Mar;41(3):195-206. doi: 10.1016/j.jdent.2012.12.008. Epub 2013 Jan 11.
Pedro Diz , Crispian Scully, Mariano Sanz Dental implants in the medically compromised patient. Jo u r n a l o f d e n t i s t r y 4 1 ( 2 0 1 3 ) 1 9 5 – 2 0 6
Moy PK, Medina D, Shetty V, Dent DM, Aghaloo TL. Dental implant failure rates and associated risk factors. Int.J Oral Maxillofac Implants 2005;20:569-577.
Rafael Gómez-de Diego 1, María del Rocío Mang-de la Rosa 2, María-Jesús Romero-Pérez 3, Antonio Cutando- Soriano 4, Antonio López-Valverde-Centeno Indications and contraindications of dental implants in medically compromised patients: Update. Med Oral Patol Oral Cir Bucal. 2014 Sep 1;19 (5):e483
Ayşe Sümeyye Akay and Volkan Arısan. Dental Implants in the Medically Compromised Patient Population. Clinical Trials in Vulnerable Populations – Intech Book. http://dx.doi.org/10.5772/intechopen.70182
Oates TW, Huynh-Ba G, Vargas A, Alexander P, Feine J. A critical review of diabetes, glycemic control, and dental implant therapy. Clinical Oral Implants Research. 2013;24(2):117-127.
Kachhadia R, Makadia N, Ventakesh C, Mazhar M, Kaur K, Patel M. Assessment and Appraisal of the Efficacy of Implants in Medically Compromised Patients: A Retrospective Study. Int J Oral Health Med Res 2017;3(6):62-64.
Georgios A. Kotsakis, Andreas L. Ioannou, James E. Hinrichs, Georgios E. Romanos, Evaluating Implant Placement in the MaxillaryJaws of Medically Compromised Patients. Clinical Implant Dentistry and Related Research, 2014 page 1-11
Donos N. and Calciolari E. Dental implants in patients affected by systemic diseases. British Dental Journal Vol 217 No. 8 Oct 24 2014
Smith RA, Berger R, Dodson TB. Risk factors associated with dental implants in healthy and medically compromised patients. Int J Oral Maxillofac Implants. 1992;7:367-372.
Sima Kiani, Seyed Mohammad Razavi, Bizhan Movahedian and Saeedeh Khalesi. The Effect of Common Local and Systemic Conditions on Dental Implant Osseointegration: A Review of Literature. Avicenna J Dent Res. 2015 December; 7(2): e24339.
Ashley ET, Covington LL, Bishop BG, Breault LG. Ailing and & Failing Endosseous Dental Implants: A Literature Review. J Contemp Dent Pract 2003 May;(4)2:035-050.
Ilia Mushayev, Rafael Sarikov and Hava Mushayev. An Innovative Approach to Dental Implantation in Medically Compromised Patients. Narrow Implants – Yes or No? RRJDS | Volume 4 | Issue 4 | December, 2016.
Bao-Thy Grant, Christopher Amenedo, Katherine Freeman, DrPH and Richard A. Kraut Outcomes of Placing Dental Implants in Patients Taking Oral Bisphosphonates: A Review of 115 Cases. J Oral Maxillofac Surg 66:223-230, 2008.
Mellado-Valero A, Ferrer-García JC, Herrera-Ballester A, Labaig-Rueda C. Effects of diabetes on the osseointegration of dental implants. Med Oral Patol Oral Cir Bucal 2007;12:E38-43. © Medicina Oral S. L. C.I.F. B 96689336 - ISSN 1698-6946