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Outcomes of dental implant treatment in patients with generalized aggressive periodontitis: a systematic review

Identifieur interne : 004344 ( Ncbi/Merge ); précédent : 004343; suivant : 004345

Outcomes of dental implant treatment in patients with generalized aggressive periodontitis: a systematic review

Auteurs : Kyoung-Kyu Kim [Corée du Sud] ; Hun-Mo Sung [Corée du Sud]

Source :

RBID : PMC:3517959

Abstract

PURPOSE

The purpose of this study was to analyze the current literatures and to assess outcomes of implant treatment in patients with generalized aggressive periodontitis.

MATERIALS AND METHODS

Studies considered for inclusion were searched in Pub-Med. The literature search for studies published in English between 2000 and 2012 was performed. Our findings included literature assessing implant treatment in patients with a history of generalized aggressive periodontitis (GAP). All studies were screened according to inclusion criteria. The outcome measures were survival rate of superstructures, marginal bone loss around implant and survival rate of implants. All studies were divided into two follow-up period: short term study (< 5 years) and long term study (≥ 5 years).

RESULTS

Seven prospective studies were selected, including four short-term and three long-term studies. The survival rates of the superstructures were generally high in patients with GAP, i.e. 95.9 - 100%. Marginal bone loss around implant in patients with GAP as compared with implants in patients with chronic periodontitis or periodontally healthy patients was not significantly greater in short term studies but was significantly greater in long term studies. In short term studies, the survival rates of implants were between 97.4% and 100% in patients with GAP-associated tooth loss, except one study. The survival rates of implants were between 83.3% and 96% in patients with GAP in long term studies.

CONCLUSION

Implant treatment in patients with GAP is not contraindicated provided that adequate infection control and an individualized maintenance program are assured.


Url:
DOI: 10.4047/jap.2012.4.4.210
PubMed: 23236573
PubMed Central: 3517959

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PMC:3517959

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<title>MATERIALS AND METHODS</title>
<p>Studies considered for inclusion were searched in Pub-Med. The literature search for studies published in English between 2000 and 2012 was performed. Our findings included literature assessing implant treatment in patients with a history of generalized aggressive periodontitis (GAP). All studies were screened according to inclusion criteria. The outcome measures were survival rate of superstructures, marginal bone loss around implant and survival rate of implants. All studies were divided into two follow-up period: short term study (< 5 years) and long term study (≥ 5 years).</p>
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<p>Seven prospective studies were selected, including four short-term and three long-term studies. The survival rates of the superstructures were generally high in patients with GAP, i.e. 95.9 - 100%. Marginal bone loss around implant in patients with GAP as compared with implants in patients with chronic periodontitis or periodontally healthy patients was not significantly greater in short term studies but was significantly greater in long term studies. In short term studies, the survival rates of implants were between 97.4% and 100% in patients with GAP-associated tooth loss, except one study. The survival rates of implants were between 83.3% and 96% in patients with GAP in long term studies.</p>
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<p>Implant treatment in patients with GAP is not contraindicated provided that adequate infection control and an individualized maintenance program are assured.</p>
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</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Chee, W" uniqKey="Chee W">W Chee</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="publisher-id">JAP</journal-id>
<journal-title-group>
<journal-title>The Journal of Advanced Prosthodontics</journal-title>
</journal-title-group>
<issn pub-type="ppub">2005-7806</issn>
<issn pub-type="epub">2005-7814</issn>
<publisher>
<publisher-name>The Korean Academy of Prosthodontics</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23236573</article-id>
<article-id pub-id-type="pmc">3517959</article-id>
<article-id pub-id-type="doi">10.4047/jap.2012.4.4.210</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Outcomes of dental implant treatment in patients with generalized aggressive periodontitis: a systematic review</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Kim</surname>
<given-names>Kyoung-Kyu</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sung</surname>
<given-names>Hun-Mo</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
</contrib-group>
<aff id="A1">Department of Dentistry, Soon Chun Hyang University Cheonan Hospital, Soon Chun Hyang University College of Medicine, Choenan, Korea.</aff>
<author-notes>
<corresp>Corresponding author: Kyoung-Kyu Kim. Department of Dentistry, Soon Chun Hyang University Cheonan Hospital, Soon Chun Hyang University College of Medicine, 261-1 Bongmyeong-dong, Dongnam-gu, Cheonan 330-721, Korea. Tel. 82 41 570 2146:
<email>kyoungkyu@hanmail.net</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>11</month>
<year>2012</year>
</pub-date>
<volume>4</volume>
<issue>4</issue>
<fpage>210</fpage>
<lpage>217</lpage>
<history>
<date date-type="received">
<day>10</day>
<month>10</month>
<year>2012</year>
</date>
<date date-type="rev-recd">
<day>06</day>
<month>11</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>13</day>
<month>11</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>© 2012 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>PURPOSE</title>
<p>The purpose of this study was to analyze the current literatures and to assess outcomes of implant treatment in patients with generalized aggressive periodontitis.</p>
</sec>
<sec>
<title>MATERIALS AND METHODS</title>
<p>Studies considered for inclusion were searched in Pub-Med. The literature search for studies published in English between 2000 and 2012 was performed. Our findings included literature assessing implant treatment in patients with a history of generalized aggressive periodontitis (GAP). All studies were screened according to inclusion criteria. The outcome measures were survival rate of superstructures, marginal bone loss around implant and survival rate of implants. All studies were divided into two follow-up period: short term study (< 5 years) and long term study (≥ 5 years).</p>
</sec>
<sec>
<title>RESULTS</title>
<p>Seven prospective studies were selected, including four short-term and three long-term studies. The survival rates of the superstructures were generally high in patients with GAP, i.e. 95.9 - 100%. Marginal bone loss around implant in patients with GAP as compared with implants in patients with chronic periodontitis or periodontally healthy patients was not significantly greater in short term studies but was significantly greater in long term studies. In short term studies, the survival rates of implants were between 97.4% and 100% in patients with GAP-associated tooth loss, except one study. The survival rates of implants were between 83.3% and 96% in patients with GAP in long term studies.</p>
</sec>
<sec>
<title>CONCLUSION</title>
<p>Implant treatment in patients with GAP is not contraindicated provided that adequate infection control and an individualized maintenance program are assured.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Agrressive periodontitis</kwd>
<kwd>Dental implants</kwd>
<kwd>Dental implantation</kwd>
<kwd>Systematic review</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<table-wrap id="T1" position="float">
<label>Table 1</label>
<caption>
<p>Simple summary of studies</p>
</caption>
<graphic xlink:href="jap-4-210-i001"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
CR: case report, L-C: longitudinal study with control, L-NC: longitudinal study without control.</p>
<p>
<sup></sup>
GAP: generalized aggressive periodontitis, CP: chronic periodontitis, PH: periodontally healthy.</p>
<p>
<sup></sup>
NR: not recorded.</p>
<p>
<sup>§</sup>
O: study included, X: study excluded.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T2" position="float">
<label>Table 2</label>
<caption>
<p>Summary of studies on implant treatment in patients with GAP involving < 5-year follow-up (Short term study)</p>
</caption>
<graphic xlink:href="jap-4-210-i002"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
Follow up period: after insertion of superstructure.</p>
<p>
<sup></sup>
Age: at the time of implant placement, Ø: mean value.</p>
<p>
<sup></sup>
GBR: guided bone regeneration, single: single tooth replacement, fixed bridges: implant supporting bridge, removable: removable denture.</p>
<p>
<sup>§</sup>
Bone loss: marginal bone level was measured.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" position="float">
<label>Table 3</label>
<caption>
<p>Summary of studies on implant treatment in patients with GAP involving ≥ 5 year follow-up (Long term study)</p>
</caption>
<graphic xlink:href="jap-4-210-i003"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
up period: after insertion of superstructure.</p>
<p>
<sup></sup>
Age: at the time of implant placement, Ø: mean value.</p>
<p>
<sup></sup>
GBR: guided bone regeneration, single: single tooth replacement, fixed bridges: implant supporting bridge, removable: removable denture.</p>
<p>
<sup>§</sup>
Bone loss: marginal bone level was measured.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Corée du Sud</li>
</country>
</list>
<tree>
<country name="Corée du Sud">
<noRegion>
<name sortKey="Kim, Kyoung Kyu" sort="Kim, Kyoung Kyu" uniqKey="Kim K" first="Kyoung-Kyu" last="Kim">Kyoung-Kyu Kim</name>
</noRegion>
<name sortKey="Sung, Hun Mo" sort="Sung, Hun Mo" uniqKey="Sung H" first="Hun-Mo" last="Sung">Hun-Mo Sung</name>
</country>
</tree>
</affiliations>
</record>

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