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Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study.
D'Orto, Bianca; Tetè, Giulia; Nagni, Matteo; Visconti, Riccardo Federico; Polizzi, Elisabetta; Gherlone, Enrico Felice.
Afiliación
  • D'Orto B; Dental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy.
  • Tetè G; Dental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy.
  • Nagni M; Dental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy.
  • Visconti RF; Dental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy.
  • Polizzi E; Chair Center for Oral Hygiene and Prevention, Dental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy.
  • Gherlone EF; Dental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy.
J Clin Med ; 13(4)2024 Feb 06.
Article en En | MEDLINE | ID: mdl-38398237
ABSTRACT

Aim:

The rising average age increases edentulous cases, demanding more implant-prosthetic rehabilitation, with cardiovascular diseases being significant factors. This study compared healthy patients (CG = Control Group) and those with cardiovascular disease (TG = Test Group) for implant survival, Marginal Bone Loss (MBL), peri-implant tissue level parameters as Periodontal Screening and Recording (PSR), Plaque Index (PI), Bleeding on Probing (BoP) Peri-implant Probing Depth (PPD), and surgical complications. Smoking impact on both groups and medication influence in the TG were secondary outcomes. Patients underwent full-arch implant prosthetic rehabilitation.

Methods:

Implant survival rate, MBL, and surgical complications were recorded during the monitoring period (7 years), while peri-implant parameters were assessed at the end of the observational time. A total of 26 and 28 CG and TG patients were recruited, respectively.

Results:

A total of 128 implants were placed in CG, while 142 in the TG. Implant survival and MBL showed no significant differences (p > 0.05). Nevertheless, peri-implant parameters were more unfavorable in TG. The only significant surgical complication was higher bleeding rates in the TG (p < 0.05).

Conclusions:

Cardiovascular patients showed similar implant survival and MBL but had adverse peri-implant parameters and increased bleeding rates. Higher smoking levels may relate to unfavorable implant outcomes. Further investigation is needed on drug impact with larger samples.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza