Dental Implants Placed in Patients with Mechanical Risk Factors: A Long-term Follow-up Retrospective Study
Identifieur interne : 003209 ( Pmc/Curation ); précédent : 003208; suivant : 003210Dental Implants Placed in Patients with Mechanical Risk Factors: A Long-term Follow-up Retrospective Study
Auteurs : Piero Papi [Italie] ; Stefano Di Carlo [Italie] ; Francesca Mencio [Italie] ; Daniele Rosella [Italie] ; Francesca De Angelis [Italie] ; Giorgio Pompa [Italie]Source :
- Journal of International Society of Preventive & Community Dentistry [ 2231-0762 ] ; 2017.
Abstract
Risk factors in oral implantology are defined as local or systemic conditions that increase failure rates. The purpose of this paper is to evaluate the long-term survival rate of dental implants placed in patients presenting mechanical risk factors.
This retrospective study was conducted only with patients presenting at least one of the following risk factors were included: Bruxism; crown-to-implant (C/I) ratio <0.8; abutment angulation. The overall implant survival was estimated using Kaplan–Meier analyses. Risk factors for implant failure were identified using the Cox proportional hazard regression models.
Eighty-nine eligible patients were enrolled in this study: They were both male (
Within the limitations of this study, can be concluded that data suggested an evident relationship between bruxism and dental implant failure but further studies, with a larger sample and a different design are required to assess this relationship.
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DOI: 10.4103/jispcd.JISPCD_497_16
PubMed: 28713768
PubMed Central: 5502552
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Dental Implants Placed in Patients with Mechanical Risk Factors: A Long-term Follow-up Retrospective Study</title><author><name sortKey="Papi, Piero" sort="Papi, Piero" uniqKey="Papi P" first="Piero" last="Papi">Piero Papi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Di Carlo, Stefano" sort="Di Carlo, Stefano" uniqKey="Di Carlo S" first="Stefano" last="Di Carlo">Stefano Di Carlo</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Mencio, Francesca" sort="Mencio, Francesca" uniqKey="Mencio F" first="Francesca" last="Mencio">Francesca Mencio</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Rosella, Daniele" sort="Rosella, Daniele" uniqKey="Rosella D" first="Daniele" last="Rosella">Daniele Rosella</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author><author><name sortKey="De Angelis, Francesca" sort="De Angelis, Francesca" uniqKey="De Angelis F" first="Francesca" last="De Angelis">Francesca De Angelis</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Pompa, Giorgio" sort="Pompa, Giorgio" uniqKey="Pompa G" first="Giorgio" last="Pompa">Giorgio Pompa</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28713768</idno><idno type="pmc">5502552</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502552</idno><idno type="RBID">PMC:5502552</idno><idno type="doi">10.4103/jispcd.JISPCD_497_16</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">003209</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003209</idno><idno type="wicri:Area/Pmc/Curation">003209</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003209</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Dental Implants Placed in Patients with Mechanical Risk Factors: A Long-term Follow-up Retrospective Study</title><author><name sortKey="Papi, Piero" sort="Papi, Piero" uniqKey="Papi P" first="Piero" last="Papi">Piero Papi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Di Carlo, Stefano" sort="Di Carlo, Stefano" uniqKey="Di Carlo S" first="Stefano" last="Di Carlo">Stefano Di Carlo</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Mencio, Francesca" sort="Mencio, Francesca" uniqKey="Mencio F" first="Francesca" last="Mencio">Francesca Mencio</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Rosella, Daniele" sort="Rosella, Daniele" uniqKey="Rosella D" first="Daniele" last="Rosella">Daniele Rosella</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author><author><name sortKey="De Angelis, Francesca" sort="De Angelis, Francesca" uniqKey="De Angelis F" first="Francesca" last="De Angelis">Francesca De Angelis</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Pompa, Giorgio" sort="Pompa, Giorgio" uniqKey="Pompa G" first="Giorgio" last="Pompa">Giorgio Pompa</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of International Society of Preventive & Community Dentistry</title><idno type="ISSN">2231-0762</idno><idno type="eISSN">2250-1002</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Objectives:</title><p>Risk factors in oral implantology are defined as local or systemic conditions that increase failure rates. The purpose of this paper is to evaluate the long-term survival rate of dental implants placed in patients presenting mechanical risk factors.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>This retrospective study was conducted only with patients presenting at least one of the following risk factors were included: Bruxism; crown-to-implant (C/I) ratio <0.8; abutment angulation. The overall implant survival was estimated using Kaplan–Meier analyses. Risk factors for implant failure were identified using the Cox proportional hazard regression models.</p></sec><sec id="st3"><title>Results:</title><p>Eighty-nine eligible patients were enrolled in this study: They were both male (<italic>n</italic> = 56, 62.92%) and female (<italic>n</italic> = 33, 37.08%), with an average age of 53.24 (23–76 years), with 227 dental implants inserted. The mean follow-up was 13.6 years (range: 10–16 years). The overall 10-year Kaplan–Meier survival estimate with associated 95% confidence intervals was 86.34% (82.8, 87.1). Bruxism was the only variable that showed a statistically significant association with implant failure (<italic>P</italic> < 0.05) and a hazard ratio of 2.9, while both Crown to-implant and abutment angulations reported lower values of failure (<italic>P</italic> > 0.05).</p></sec><sec id="st4"><title>Conclusions:</title><p>Within the limitations of this study, can be concluded that data suggested an evident relationship between bruxism and dental implant failure but further studies, with a larger sample and a different design are required to assess this relationship.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Albrektsson, T" uniqKey="Albrektsson T">T Albrektsson</name></author><author><name sortKey="Zarb, G" uniqKey="Zarb G">G Zarb</name></author><author><name sortKey="Worthington, P" uniqKey="Worthington P">P Worthington</name></author><author><name sortKey="Eriksson, Ar" uniqKey="Eriksson A">AR 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Int Soc Prev Community Dent</journal-id><journal-id journal-id-type="iso-abbrev">J Int Soc Prev Community Dent</journal-id><journal-id journal-id-type="publisher-id">JISPCD</journal-id><journal-title-group><journal-title>Journal of International Society of Preventive & Community Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2231-0762</issn><issn pub-type="epub">2250-1002</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28713768</article-id><article-id pub-id-type="pmc">5502552</article-id><article-id pub-id-type="publisher-id">JISPCD-7-48</article-id><article-id pub-id-type="doi">10.4103/jispcd.JISPCD_497_16</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Dental Implants Placed in Patients with Mechanical Risk Factors: A Long-term Follow-up Retrospective Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Papi</surname><given-names>Piero</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Di Carlo</surname><given-names>Stefano</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Mencio</surname><given-names>Francesca</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Rosella</surname><given-names>Daniele</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>De Angelis</surname><given-names>Francesca</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Pompa</surname><given-names>Giorgio</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1">Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy</aff><author-notes><corresp id="cor1"><bold><italic>Address for correspondence: </italic></bold> Dr. Piero Papi, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161, Rome, Italy. E-mail: <email xlink:href="piero.papi@uniroma1.it">piero.papi@uniroma1.it</email></corresp></author-notes><pub-date pub-type="ppub"><month>6</month><year>2017</year></pub-date><pub-date pub-type="epub"><day>20</day><month>6</month><year>2017</year></pub-date><volume>7</volume><issue>Suppl 1</issue><fpage>S48</fpage><lpage>S51</lpage><history><date date-type="received"><day>11</day><month>12</month><year>2016</year></date><date date-type="accepted"><day>31</day><month>5</month><year>2017</year></date></history><permissions><copyright-statement>Copyright: © 2017 Journal of International Society of Preventive and Community Dentistry</copyright-statement><copyright-year>2017</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.</license-p></license></permissions><abstract><sec id="st1"><title>Objectives:</title><p>Risk factors in oral implantology are defined as local or systemic conditions that increase failure rates. The purpose of this paper is to evaluate the long-term survival rate of dental implants placed in patients presenting mechanical risk factors.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>This retrospective study was conducted only with patients presenting at least one of the following risk factors were included: Bruxism; crown-to-implant (C/I) ratio <0.8; abutment angulation. The overall implant survival was estimated using Kaplan–Meier analyses. Risk factors for implant failure were identified using the Cox proportional hazard regression models.</p></sec><sec id="st3"><title>Results:</title><p>Eighty-nine eligible patients were enrolled in this study: They were both male (<italic>n</italic> = 56, 62.92%) and female (<italic>n</italic> = 33, 37.08%), with an average age of 53.24 (23–76 years), with 227 dental implants inserted. The mean follow-up was 13.6 years (range: 10–16 years). The overall 10-year Kaplan–Meier survival estimate with associated 95% confidence intervals was 86.34% (82.8, 87.1). Bruxism was the only variable that showed a statistically significant association with implant failure (<italic>P</italic> < 0.05) and a hazard ratio of 2.9, while both Crown to-implant and abutment angulations reported lower values of failure (<italic>P</italic> > 0.05).</p></sec><sec id="st4"><title>Conclusions:</title><p>Within the limitations of this study, can be concluded that data suggested an evident relationship between bruxism and dental implant failure but further studies, with a larger sample and a different design are required to assess this relationship.</p></sec></abstract><kwd-group><title>K<sc>EYWORDS</sc></title><kwd><italic>Bruxism</italic></kwd><kwd><italic>dental implant</italic></kwd><kwd><italic>implant survival</italic></kwd><kwd><italic>risk factors</italic></kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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