Does HIV infection have an impact upon dental implant osseointegration? A systematic review
Identifieur interne : 000498 ( Pmc/Curation ); précédent : 000497; suivant : 000499Does HIV infection have an impact upon dental implant osseointegration? A systematic review
Auteurs : Javier Ata-Ali [Espagne] ; Fadi Ata-Ali ; Nicolas Di-Benedetto [Espagne] ; Leticia Bagán ; José-Vicente Bagán [Espagne]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2015.
Abstract
A systematic review is made to determine whether human immunodeficiency virus (HIV) infection has an impact upon dental implant osseointegration.
A PubMed (MEDLINE) literature search was made of articles published up until 14 April 2014. The systematic review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). The quality of the studies included in the review was assessed using the Methodological Index for Nonrandomized Studies (MINORS) and levels of evidence (based on the University of Oxford’s Center for Evidence Based Medicine criteria).
The combinations of search terms resulted in a list of 132 titles. Nine studies finally met the inclusion criteria and were selected for inclusion in the systematic review. A total of 173 dental implants were placed in 80 patients (135 implants in 56 HIV-positive subjects and 38 implants in 24 HIV-negative patients), and a single loss of dental implant osseointegration was recorded in an HIV-positive patient.
Our results suggest that dental implant placement in HIV-positive patients does not increase the dental implant failure rate. Prophylactic antibiotic treatment, the administration of highly active antiretroviral therapy, and control of the CD4+ T lymphocyte counts appear to be the main influencing factors in this respect. Given the few studies included in our systematic review, further prospective studies involving larger sample sizes and longer durations of follow-up are required in order to confirm the results obtained.
Url:
DOI: 10.4317/medoral.20408
PubMed: 25662560
PubMed Central: 4464923
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Fadi Ata-Ali<affiliation><nlm:aff id="A2">DDS, MS. Valencia University Medical and Dental School</nlm:aff>
<wicri:noCountry code="subfield">MS. Valencia University Medical and Dental School</wicri:noCountry>
</affiliation>
Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Does HIV infection have an impact upon dental implant
osseointegration? A systematic review</title>
<author><name sortKey="Ata Ali, Javier" sort="Ata Ali, Javier" uniqKey="Ata Ali J" first="Javier" last="Ata-Ali">Javier Ata-Ali</name>
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<author><name sortKey="Di Benedetto, Nicolas" sort="Di Benedetto, Nicolas" uniqKey="Di Benedetto N" first="Nicolas" last="Di-Benedetto">Nicolas Di-Benedetto</name>
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<author><name sortKey="Bagan, Leticia" sort="Bagan, Leticia" uniqKey="Bagan L" first="Leticia" last="Bagán">Leticia Bagán</name>
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<author><name sortKey="Bagan, Jose Vicente" sort="Bagan, Jose Vicente" uniqKey="Bagan J" first="José-Vicente" last="Bagán">José-Vicente Bagán</name>
<affiliation wicri:level="1"><nlm:aff id="A5">MD, DDS, PhD, FDSRCSEd. Professor of Oral Medicine. Valencia University Medical and Dental School. Chairman Service of Stomatology and Maxillofacial Surgery, University General Hospital, Valencia, Spain</nlm:aff>
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<series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title>
<idno type="ISSN">1698-4447</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>A systematic review is made to determine whether human immunodeficiency virus (HIV) infection has an impact upon dental implant osseointegration.</p>
</sec>
<sec><title>Material and Methods</title>
<p>A PubMed (MEDLINE) literature search was made of articles published up until 14 April 2014. The systematic review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). The quality of the studies included in the review was assessed using the Methodological Index for Nonrandomized Studies (MINORS) and levels of evidence (based on the University of Oxford’s Center for Evidence Based Medicine criteria).</p>
</sec>
<sec><title>Results</title>
<p>The combinations of search terms resulted in a list of 132 titles. Nine studies finally met the inclusion criteria and were selected for inclusion in the systematic review. A total of 173 dental implants were placed in 80 patients (135 implants in 56 HIV-positive subjects and 38 implants in 24 HIV-negative patients), and a single loss of dental implant osseointegration was recorded in an HIV-positive patient.</p>
</sec>
<sec><title>Conclusions</title>
<p>Our results suggest that dental implant placement in HIV-positive patients does not increase the dental implant failure rate. Prophylactic antibiotic treatment, the administration of highly active antiretroviral therapy, and control of the CD4+ T lymphocyte counts appear to be the main influencing factors in this respect. Given the few studies included in our systematic review, further prospective studies involving larger sample sizes and longer durations of follow-up are required in order to confirm the results obtained.</p>
<p><bold>Key words:</bold>
Dental implants, implant failure, HIV positive, systematic review, AIDS, HAART.</p>
</sec>
</div>
</front>
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</TEI>
<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Med Oral Patol Oral Cir Bucal</journal-id>
<journal-id journal-id-type="iso-abbrev">Med Oral Patol Oral Cir Bucal</journal-id>
<journal-id journal-id-type="publisher-id">Medicina Oral S.L.</journal-id>
<journal-title-group><journal-title>Medicina Oral, Patología Oral y Cirugía Bucal</journal-title>
</journal-title-group>
<issn pub-type="ppub">1698-4447</issn>
<issn pub-type="epub">1698-6946</issn>
<publisher><publisher-name>Medicina Oral S.L.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25662560</article-id>
<article-id pub-id-type="pmc">4464923</article-id>
<article-id pub-id-type="publisher-id">20408</article-id>
<article-id pub-id-type="doi">10.4317/medoral.20408</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
<subj-group><subject>Medically compromised patients in Dentistry</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Does HIV infection have an impact upon dental implant
osseointegration? A systematic review</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Ata-Ali</surname>
<given-names>Javier</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ata-Ali</surname>
<given-names>Fadi</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Di-Benedetto</surname>
<given-names>Nicolas</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bagán</surname>
<given-names>Leticia</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bagán</surname>
<given-names>José-Vicente</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
DDS, MS, MPH, PhD. Public Dental Health Service. Arnau de Vilanova Hospital, Valencia, Spain</aff>
<aff id="A2"><label>2</label>
DDS, MS. Valencia University Medical and Dental School</aff>
<aff id="A3"><label>3</label>
MD. Infectious Diseases Unit, La Fe Hospital, Valencia Spain</aff>
<aff id="A4"><label>4</label>
DDS. Valencia University Medical and Dental School</aff>
<aff id="A5"><label>5</label>
MD, DDS, PhD, FDSRCSEd. Professor of Oral Medicine. Valencia University Medical and Dental School. Chairman Service of Stomatology and Maxillofacial Surgery, University General Hospital, Valencia, Spain</aff>
<author-notes><corresp> Public Dental Health Service
Arnau de Vilanova Hospital
San Clemente Street 12
46015-Valencia, Spain
, E-mail: <email>javiataali@hotmail.com</email>
</corresp>
<fn id="FN1" fn-type="conflict"><p><bold>Conflict of interest statement:</bold>
The authors have declared that no conflict of interest exist.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>5</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>7</day>
<month>2</month>
<year>2015</year>
</pub-date>
<volume>20</volume>
<issue>3</issue>
<fpage>e347</fpage>
<lpage>e356</lpage>
<history><date date-type="accepted"><day>13</day>
<month>11</month>
<year>2014</year>
</date>
<date date-type="received"><day>5</day>
<month>10</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright: © 2015 Medicina Oral S.L.</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.5/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec><title>Background</title>
<p>A systematic review is made to determine whether human immunodeficiency virus (HIV) infection has an impact upon dental implant osseointegration.</p>
</sec>
<sec><title>Material and Methods</title>
<p>A PubMed (MEDLINE) literature search was made of articles published up until 14 April 2014. The systematic review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). The quality of the studies included in the review was assessed using the Methodological Index for Nonrandomized Studies (MINORS) and levels of evidence (based on the University of Oxford’s Center for Evidence Based Medicine criteria).</p>
</sec>
<sec><title>Results</title>
<p>The combinations of search terms resulted in a list of 132 titles. Nine studies finally met the inclusion criteria and were selected for inclusion in the systematic review. A total of 173 dental implants were placed in 80 patients (135 implants in 56 HIV-positive subjects and 38 implants in 24 HIV-negative patients), and a single loss of dental implant osseointegration was recorded in an HIV-positive patient.</p>
</sec>
<sec><title>Conclusions</title>
<p>Our results suggest that dental implant placement in HIV-positive patients does not increase the dental implant failure rate. Prophylactic antibiotic treatment, the administration of highly active antiretroviral therapy, and control of the CD4+ T lymphocyte counts appear to be the main influencing factors in this respect. Given the few studies included in our systematic review, further prospective studies involving larger sample sizes and longer durations of follow-up are required in order to confirm the results obtained.</p>
<p><bold>Key words:</bold>
Dental implants, implant failure, HIV positive, systematic review, AIDS, HAART.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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