Clinical Peri-Implant Parameters and Marginal Bone Loss for Early Mandibular Implant Overdentures: A Follow-Up of 60 Months

被引:1
作者
Alhelal, Abdulaziz A. [1 ]
Alzaid, Abdulaziz A. [2 ,3 ]
Almujel, Saad H. [1 ]
Alsaloum, Mohammed [2 ,3 ]
Alanazi, Khalid K. [4 ]
Althubaitiy, Ramzi O. [5 ]
Al-Aali, Khulud A. [6 ]
机构
[1] King Saud Univ, Coll Dent, Dept Prosthet Dent Sci, POB 21069, Riyadh 11475, Saudi Arabia
[2] King Saud Bin Abdulaziz Univ Hlth Sci, Coll Dent, Restorat & Prosthet Dent Sci Dept, Riyadh 11426, Saudi Arabia
[3] King Abdullah Int Med Res Ctr, Riyadh 11426, Saudi Arabia
[4] Prince Sattam Bin Abdulaziz Univ, Coll Dent, Conservat Dent Sci Dept, Al Kharj 11942, Saudi Arabia
[5] Prince Sattam Bin Abdulaziz Univ, Coll Dent, Dept Prosthodont, Al Kharj 11942, Saudi Arabia
[6] Princess Nourah Bint Abdulrahman Univ, Coll Dent, Dept Clin Dent Sci, POB 84428, Riyadh 11671, Saudi Arabia
来源
MEDICINA-LITHUANIA | 2024年 / 60卷 / 04期
关键词
dental implant; overdenture; implant loading; edentulous mandible; peri-implantitis; PATIENT SATISFACTION; LOADING PROTOCOLS; RETENTION; PLACEMENT; IMMEDIATE; DENTURES; HEALTH;
D O I
10.3390/medicina60040588
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: Despite the identified benefits of early implant loading, studies have questioned its advantages compared to delayed loading in edentulous patients. This study aimed to evaluate clinical peri-implant parameters and marginal bone loss around early placed and loaded mandibular implant overdentures with a 60-month follow-up. Materials and Methods: In this prospective cohort study, 43 patients were enrolled to receive 86 early loading sub-crestal dental implants through prosthetic guides. Implant overdentures were supported by two isolated implant locator attachments between two mental foramens. Clinical peri-implant parameters, including plaque index (PI), bleeding index (BI), peri-implant pocket depth (PIPD), and marginal bone loss (MBL) were evaluated using standardized techniques at 1, 12, 24, 36, 48, and 60 months follow-up. At 60 months, complications associated with implant overdentures (IOD's) were noted. The mean comparison of peri-implant clinical parameters was performed through ANOVA test. A p-value of <= 0.05 was taken as significant. Results: Out of the total 43 enrolled patients, 8 patients were lost during follow-up; as a result, 35 patients completed the 5 years follow-up. The mean values of PI, BI, and PIPD increased with no statistical difference (p > 0.05). For marginal bone loss, an increase in the mean values was noted at different time intervals with statistical differences (p < 0.001). The most common complications noted were loosening of the abutment, occlusal adjustment, retentive locator loosening and replacement, and relining of the denture. Conclusions: Early placement of IODs failed to prevent bone loss over time and was associated with complications, predominantly consisting of abutment loosening, occlusal adjustments, broken retentive locator components, relining, and rebasing.
引用
收藏
页数:11
相关论文
共 41 条
[11]   Influence of Mucosal Thickness, Implant Dimensions and Stability in Cone Morse Implant Installed at Subcrestal Bone Level on the Peri-Implant Bone: A Prospective Clinical and Radiographic Study [J].
Gehrke, Sergio Alexandre ;
Bercianos, Mauro ;
Aguerrondo, Jorge Gonzalo ;
Calvo-Guirado, Jose Luis ;
Prados-Frutos, Juan Carlos .
SYMMETRY-BASEL, 2019, 11 (09)
[12]   Annual bone loss and success rates of dental implants based on radiographic measurements [J].
Geraets, W. ;
Zhang, L. ;
Liu, Y. ;
Wismeijer, D. .
DENTOMAXILLOFACIAL RADIOLOGY, 2014, 43 (07)
[13]   5-year randomized multicenter clinical trial on single dental implants placed in the midline of the edentulous mandible [J].
Kern, Matthias ;
Behrendt, Christoph ;
Fritzer, Elfriede ;
Kohal, Ralf J. ;
Luthardt, Ralph G. ;
von Maltzahn, Nadine Frfr ;
Radel, Michael ;
Reissmann, Daniel R. ;
Schwindling, Franz Sebastian ;
Wolfart, Stefan ;
Passia, Nicole .
CLINICAL ORAL IMPLANTS RESEARCH, 2021, 32 (02) :212-221
[14]   Implant retention systems for implant-retained overdentures [J].
Laverty, D. P. ;
Green, D. ;
Marrison, D. ;
Addy, L. ;
Thomas, M. B. M. .
BRITISH DENTAL JOURNAL, 2017, 222 (05) :347-359
[15]   A prospective study of immediately loaded single implant-retained mandibular overdentures: Preliminary one-year results [J].
Liddelow, Glen J. ;
Henry, Patrick J. .
JOURNAL OF PROSTHETIC DENTISTRY, 2007, 97 (06) :S126-S137
[16]   GINGIVAL INDEX PLAQUE INDEX AND RETENTION INDEX SYSTEMS [J].
LOE, H .
JOURNAL OF PERIODONTOLOGY, 1967, 38 (6P2) :610-&
[17]   Immediate Versus Early Loading of Mini-Implants Supporting Mandibular Overdentures: A Preliminary 3-Year Clinical Outcome Report [J].
Maryod, Waleed Hamed ;
Ali, Samer Mostafa ;
Shawky, Ahmad Fathalla .
INTERNATIONAL JOURNAL OF PROSTHODONTICS, 2014, 27 (06) :553-560
[18]   Relationship Between Primary/Mechanical and Secondary/Biological Implant Stability [J].
Monje, Alberto ;
Ravida, Andrea ;
Wang, Hom-Lay ;
Helms, Jill A. ;
Brunski, John B. .
INTERNATIONAL JOURNAL OF ORAL & MAXILLOFACIAL IMPLANTS, 2019, 34 :S7-+
[19]   What are the prevalence and incidence of tooth loss in the adult and elderly population in Europe? [J].
Mueller, Trauke ;
Naharro, Manuel ;
Carlsson, Gunnar E. .
CLINICAL ORAL IMPLANTS RESEARCH, 2007, 18 :2-14
[20]   Challenges faced by edentulous patients (EDPs) during complete denture prostheses (CDP) service delivery in Fiji - a qualitative study [J].
Nand, Meenal ;
Mohammadnezhad, Masoud .
BMC HEALTH SERVICES RESEARCH, 2022, 22 (01)