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Dental implants in individuals living with HIV-1: Results from a prospective study in patients undergoing highly active antiretroviral therapy.
Vidal, Fábio; Peres, Rafael Vidal; de Souza, Rodrigo Carvalho; Gonçalves, Cristiane; Pavan, Priscila; Gonçalves, Lucio Souza.
Afiliação
  • Vidal F; Postgraduation Program in Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.
  • Peres RV; Postgraduation Program in Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.
  • de Souza RC; Postgraduation Program in Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.
  • Gonçalves C; Postgraduation Program in Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.
  • Pavan P; Postgraduation Program in Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.
  • Gonçalves LS; Postgraduation Program in Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.
Spec Care Dentist ; 42(2): 112-119, 2022 Mar.
Article em En | MEDLINE | ID: mdl-34537992
OBJECTIVE: To assess survival and success rates of dental implants and the occurrence of peri-implant diseases (mucositis/peri-implantitis) in HIV-1-infected individuals. MATERIAL AND METHODS: In this prospective study, 13 HIV-1-infected individuals undergoing highly active antiretroviral therapy (with undetectable plasma HIV RNA levels, and CD4+ T cells > 350/mm3 ) were followed after implant placement, as well as 13 non-HIV-1-infected matched controls. Patients enrolled in this study were followed up to 120 months (mean = 40.6 months; standard deviation = 22.2; range 18 -120 months). Twenty-five implants were placed in pristine healed sites for each group and bone augmentation procedures, when needed, were done only for contour augmentation. Patients were enrolled in a strict periodontal/peri-implant supportive therapy protocol with three recalls per year. The two groups were compared regarding subject-level characteristics (age, gender, smoking, diabetes) and implant-level characteristics (marginal bone level, peri-implant health status). RESULTS: All the implants healed uneventfully and reached 100% survival rates (after at least 18 months) in both groups. There were no significant differences between groups for peri-implant diseases (mucositis/peri-implantitis) and for all subject-level co-variables (p > .05). Only the variables dental implant prosthesis type (DIPT) (p = .021, d = .86) and follow up (p = .011, d = .77) showed statistically significant differences between groups. CONCLUSION: The findings suggest that well-controlled HIV-1-infected individuals are eligible to undergo implant therapy, achieving survival and success rates comparable to non-HIV-1-infected controls.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Implantes Dentários / HIV-1 / Peri-Implantite Tipo de estudo: Guideline / Observational_studies Aspecto: Patient_preference Limite: Humans Idioma: En Revista: Spec Care Dentist Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Implantes Dentários / HIV-1 / Peri-Implantite Tipo de estudo: Guideline / Observational_studies Aspecto: Patient_preference Limite: Humans Idioma: En Revista: Spec Care Dentist Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos