Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.10318
Revista de Odontologia da UNESP
Original Article

Clinical and sociodemographic evaluation of 
peri-implant health of implant retained prostheses fabricated with an immediate oclusal loading protocol

Avaliação clínica e sociodemográfica da saúde peri-implantar de próteses retidas em implantes fabricadas com um protocolo de carga oclusal imediata

Leonardo Stephan CAPOROSSI; Tereza Aparecida Delle Vedove SEMENOFF; Mariano Martinez ESPINOSA; Natalino Francisco da SILVA; Alex SEMENOFF-SEGUNDO

Downloads: 1
Views: 1059

Abstract

ABSTRACT: Introduction: Dental implant therapy, when well planned, can contribute to the patient's quality of life and is an important tool for solving a serious public health problem in various parts of the world.

Objective: This study investigated peri-implant health in fixed implants supported by an immediate loading technique and to associate those outcomes with sociodemographic conditions.

Material and method: After the disassembly of the prostheses on implants with the “Branemark Model” the peri-implant health of 93 patients was evaluated using dental plaque index (DPI), probing pocket depths (PPD), bleeding on probing (BOP), clinical attachment levels (CAL), and presence of gingival hyperplasia. Patients also answered a questionnaire about their gender, age, socioeconomic status (Brazilian Association of Research Companies - ABEP), general health and tobacco use.

Result: The most constant clinical findings were the presence of plaque, followed by gingival hyperplasia and periimplantitis, which was associated with disease progression. Most of the patients in the study were female, Caucasian, and under 60 years of age, with prostheses located in their lower arch, and they belonged to social classes A and B.

Conclusion: The presence of dental biofilm occurred in almost all implants and was not related to the presence of periimplantitis. The progression of periimplantitis with bone loss was related to sub gingival bleeding. The sociodemographic characteristics in the study did not present great correlations with the clinical variables of the dental implants studied.

Keywords

Dental implants, denture, partial, prostheses and implants

Resumo

RESUMO: Introdução: A terapia de implantes dentais, quando bem planejada, pode contribuir para a qualidade de vida do paciente e é uma ferramenta importante para solucionar um sério problema de saúde pública em várias partes do mundo.

Objetivo: Este estudo investigou a saúde peri-implantar em implantes fixos apoiados por uma técnica de carga imediata e associou esses resultados a condições sociodemográficas.

Material e método: Após a desmontagem das próteses sobre implantes com o “Modelo de Branemark”, a avaliação peri-implantar de 93 pacientes foi avaliada por meio do índice de placa dental (IPD), profundidade de sondagem (PS), sangramento à sondagem (SS), níveis clínicos de fixação (NCF) e presença de hiperplasia gengival. Os pacientes também responderam a um questionário sobre sexo, idade, nível socioeconômico (Associação Brasileira de Empresas de Pesquisa - ABEP), saúde geral e tabagismo.

Resultado: Os achados clínicos mais constantes foram a presença de placa, seguida de hiperplasia gengival e periimplantite, que esteve associada à progressão da doença. A maioria dos pacientes do estudo era do sexo feminino, caucasiana e com idade inferior a 60 anos, com próteses localizadas na arcada inferior, pertencentes às classes sociais A e B.

Conclusão: A presença de biofilme dentário ocorreu em quase todos os implantes e não foi relacionado à presença de periimplantite. A progressão da peri-implantite com perda óssea foi relacionada ao sangramento subgengival. As características sociodemográficas do estudo não apresentaram grandes correlações com as variáveis clínicas dos implantes dentários estudados.
 

Palavras-chave

Implantes dentários, prótese parcial, próteses e implantes

References

Wang G, Gao X, Lo EC. Public perceptions of dental implants: a qualitative study. J Dent. 2015 Jul;43(7):798-805. http://dx.doi.org/10.1016/j.jdent.2015.04.012. PMid:25963587.

Merli M, Moscatelli M, Mariotti G, Piemontese M, Nieri M. Immediate versus early non-occlusal loading of dental implants placed flapless in partially edentulous patients: a 3-year randomized clinical trial. J Clin Periodontol. 2012 Feb;39(2):196-202. http://dx.doi.org/10.1111/j.1600-051X.2011.01821.x. PMid:22118014.

Allen PF, McMillan AS. A longitudinal study of quality of life outcomes in older adults requesting implant prostheses and complete removable dentures. Clin Oral Implants Res. 2003 Apr;14(2):173-9. http://dx.doi.org/10.1034/j.1600-0501.2003.140206.x. PMid:12656876.

Fueki K, Baba K. Shortened dental arch and prosthetic effect on oral health-related quality of life: a systematic review and meta-analysis. J Oral Rehabil. 2017 Jul;44(7):563-72. http://dx.doi.org/10.1111/joor.12511. PMid:28370239.

Mir-Mari J, Mir-Orfila P, Figueiredo R, Valmaseda-Castellón E, Gay-Escoda C. Prevalence of peri-implant diseases. A cross-sectional study based on a private practice environment. J Clin Periodontol. 2012 May;39(5):490-4. http://dx.doi.org/10.1111/j.1600-051X.2012.01872.x. PMid:22486273.

Bornstein MM, Hart CN, Halbritter SA, Morton D, Buser D. Early loading of nonsubmerged titanium implants with a chemically modified sand-blasted and acid-etched surface: 6-month results of a prospective case series study in the posterior mandible focusing on peri-implant crestal bone changes and implant stability quotient (ISQ) values. Clin Implant Dent Relat Res. 2009 Dec;11(4):338-47. http://dx.doi.org/10.1111/j.1708-8208.2009.00148.x. PMid:19438966.

Goiato MC, Santos DM, Santiago JF Jr, Moreno A, Pellizzer EP. Longevity of dental implants in type IV bone: a systematic review. Int J Oral Maxillofac Surg. 2014 Sep;43(9):1108-16. http://dx.doi.org/10.1016/j.ijom.2014.02.016. PMid:24679842.

Derks J, Tomasi C. Peri-implant health and disease. A systematic review of current epidemiology. J Clin Periodontol. 2015 Apr;42(Suppl 16):S158-71. http://dx.doi.org/10.1111/jcpe.12334. PMid:25495683.

Beolchini M, Lang NP, Gómez Moreno G, Iezzi G, Botticelli D, Calvo Guirado JL. Bone healing at implants with different surface configurations: an experimental study in dogs. Clin Oral Implants Res. 2016 Feb;27(2):196-202. http://dx.doi.org/10.1111/clr.12562. PMid:25655747.

van Velzen FJ, Ofec R, Schulten EA, Ten Bruggenkate CM. 10-year survival rate and the incidence of peri-implant disease of 374 titanium dental implants with a SLA surface: a prospective cohort study in 177 fully and partially edentulous patients. Clin Oral Implants Res. 2015 Oct;26(10):1121-8. http://dx.doi.org/10.1111/clr.12499. PMid:25370914.

Söder B, Yakob M, Meurman JH, Andersson LC, Söder PÖ. The association of dental plaque with cancer mortality in Sweden. A longitudinal study. BMJ Open. 2012 Jun;2(3):e001083. http://dx.doi.org/10.1136/bmjopen-2012-001083. PMid:22689907.

Axelsson P, Nyström B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol. 2004 Sep;31(9):749-57. http://dx.doi.org/10.1111/j.1600-051X.2004.00563.x. PMid:15312097.

Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975 Dec;25(4):229-35. PMid:1058834.

Mombelli A, Oosten MAC, Schürch E Jr, Lang NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987 Dec;2(4):145-51. http://dx.doi.org/10.1111/j.1399-302X.1987.tb00298.x. PMid:3507627.

Eke PI, Page RC, Wei L, Thornton-Evans G, Genco RJ. Update of the case definitions for population-based surveillance of periodontitis. J Periodontol. 2012 Dec;83(12):1449-54. http://dx.doi.org/10.1902/jop.2012.110664. PMid:22420873.

Jensen OT. Dental extraction, immediate placement of dental implants, and immediate function. Oral Maxillofac Surg Clin North Am. 2015 May;27(2):273-82. http://dx.doi.org/10.1016/j.coms.2015.01.008. PMid:25757726.

Todescan S, Lavigne S, Kelekis-Cholakis A. Guidance for the maintenance care of dental implants: clinical review. J Can Dent Assoc. 2012;78:c107. PMid:23306040.

Cehreli MC, Uysal S, Akca K. Marginal bone level changes and prosthetic maintenance of mandibular overdentures supported by 2 implants: a 5-year randomized clinical trial. Clin Implant Dent Relat Res. 2010 Jun;12(2):114-21. http://dx.doi.org/10.1111/j.1708-8208.2008.00143.x. PMid:19220845.

Oppermann RV, Haas AN, Rösing CK, Susin C. Epidemiology of periodontal diseases in adults from Latin America. Periodontol 2000. 2015 Feb;67(1):13-33. http://dx.doi.org/10.1111/prd.12061. PMid:25494596.

Pontoriero R, Tonelli MP, Carnevale G, Mombelli A, Nyman SR, Lang NP. Experimentally induced peri-implant mucositis. A clinical study in humans. Clin Oral Implants Res. 1994 Dec;5(4):254-9. http://dx.doi.org/10.1034/j.1600-0501.1994.050409.x. PMid:7640340.

Liddelow G, Klineberg I. Patient-related risk factors for implant therapy. A critique of pertinent literature. Aust Dent J. 2011 Dec;56(4):417-26, quiz 441. http://dx.doi.org/10.1111/j.1834-7819.2011.01367.x. PMid:22126353.

Lang NP, Berglundh T. Periimplant diseases: where are we now?--Consensus of the Seventh European Workshop on Periodontology. J Clin Periodontol. 2011 Mar;38(Suppl 11):178-81. http://dx.doi.org/10.1111/j.1600-051X.2010.01674.x. PMid:21323713.

Al Amri MD, Abduljabbar TS, Al-Johany SS, Al Rifaiy MQ, Alfarraj Aldosari AM, Al-Kheraif AA. Comparison of clinical and radiographic parameters around short (6 to 8mm in length) and long (11mm in length) dental implants placed in patients with and without type 2 diabetes mellitus: 3-year follow-up results. Clin Oral Implants Res. 2017 Oct;28(10):1182-7. http://dx.doi.org/10.1111/clr.12938. PMid:27469294.

Jemt T. Failures and complications in 391 consecutively inserted fixed prostheses supported by Brånemark implants in edentulous jaws: a study of treatment from the time of prosthesis placement to the first annual checkup. Int J Oral Maxillofac Implants. 1991;6(3):270-6. PMid:1813395.

Haas AN, Gaio EJ, Oppermann RV, Rösing CK, Albandar JM, Susin C. Pattern and rate of progression of periodontal attachment loss in an urban population of South Brazil: a 5-years population-based prospective study. J Clin Periodontol. 2012 Jan;39(1):1-9. http://dx.doi.org/10.1111/j.1600-051X.2011.01818.x. PMid:22093104.
 

5c8fd8730e88258b59122984 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections