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A Study of Dental Implants in Medically Treated Hypothyroid Patients

Identifieur interne : 005A41 ( Istex/Corpus ); précédent : 005A40; suivant : 005A42

A Study of Dental Implants in Medically Treated Hypothyroid Patients

Auteurs : Nikolai J. Attard ; George A. Zarb

Source :

RBID : ISTEX:B55F283EE5C2F1AC503D06F66422DB47850222F3

English descriptors

Abstract

Purpose: The purpose of this study was to investigate the success outcomes of implants and prosthodontic treatment placed in patients with a previous history of hypothyroidism that was being controlled with medications. Materials and Methods: Twenty‐seven female patients with a medically confirmed history of primary hypothyroid disease who were on replacement medications at the time of implant surgery were selected as the study group. They were matched with 29 control patients by age, gender, location (jaw and zone) of implants, type of prosthesis, and dental status of the opposing arch. Additional factors studied were medical history, medications, smoking habits, and bone quality and quantity. Results: There was no statistical difference in the number of implant failures between the two groups (p =.781). The hypothyroid patients had more soft tissue complications (p =.018) following stage 1 surgery. More bone loss around implants in the hypothyroid patients was recorded after year 1 of loading when compared with loss in their matched controls (p =.017). Conclusions: This study suggests that medically controlled hypothyroid female patients treated with dental implants are not at higher risk of implant failure when compared with matched controls, and that a history of controlled hypothyroidism does not appear to be a contraindication for implant therapy with endosseous implants.

Url:
DOI: 10.1111/j.1708-8208.2002.tb00174.x

Links to Exploration step

ISTEX:B55F283EE5C2F1AC503D06F66422DB47850222F3

Le document en format XML

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<div type="abstract" xml:lang="en">Purpose: The purpose of this study was to investigate the success outcomes of implants and prosthodontic treatment placed in patients with a previous history of hypothyroidism that was being controlled with medications. Materials and Methods: Twenty‐seven female patients with a medically confirmed history of primary hypothyroid disease who were on replacement medications at the time of implant surgery were selected as the study group. They were matched with 29 control patients by age, gender, location (jaw and zone) of implants, type of prosthesis, and dental status of the opposing arch. Additional factors studied were medical history, medications, smoking habits, and bone quality and quantity. Results: There was no statistical difference in the number of implant failures between the two groups (p =.781). The hypothyroid patients had more soft tissue complications (p =.018) following stage 1 surgery. More bone loss around implants in the hypothyroid patients was recorded after year 1 of loading when compared with loss in their matched controls (p =.017). Conclusions: This study suggests that medically controlled hypothyroid female patients treated with dental implants are not at higher risk of implant failure when compared with matched controls, and that a history of controlled hypothyroidism does not appear to be a contraindication for implant therapy with endosseous implants.</div>
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<abstract>Purpose: The purpose of this study was to investigate the success outcomes of implants and prosthodontic treatment placed in patients with a previous history of hypothyroidism that was being controlled with medications. Materials and Methods: Twenty‐seven female patients with a medically confirmed history of primary hypothyroid disease who were on replacement medications at the time of implant surgery were selected as the study group. They were matched with 29 control patients by age, gender, location (jaw and zone) of implants, type of prosthesis, and dental status of the opposing arch. Additional factors studied were medical history, medications, smoking habits, and bone quality and quantity. Results: There was no statistical difference in the number of implant failures between the two groups (p =.781). The hypothyroid patients had more soft tissue complications (p =.018) following stage 1 surgery. More bone loss around implants in the hypothyroid patients was recorded after year 1 of loading when compared with loss in their matched controls (p =.017). Conclusions: This study suggests that medically controlled hypothyroid female patients treated with dental implants are not at higher risk of implant failure when compared with matched controls, and that a history of controlled hypothyroidism does not appear to be a contraindication for implant therapy with endosseous implants.</abstract>
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