Taxa de sobrevivência dos implantes dentários em pacientes com história de doença periodontal
DOI:
https://doi.org/10.7308/aodontol/2013.49.3.01Palavras-chave:
Implantes dentários, Doenças periodontais, Resultado de tratamentoResumo
Objetivo: O objetivo principal desta revisão bibliográfica foi determinar quais as taxas de sobrevivência dos implantes dentários em pacientes com história de doença periodontal.
Materiais e Métodos: A pesquisa foi realizada na base de dados Pubmed e Cochrane Library, utilizando-se um total de 17 artigos, datados dos anos 1998 a 2011 com as palavras chaves: Dental Implants”[MeSH] AND “Periodontal Diseases” [MeSH] AND “Survival Rate” [MeSH]; “periodontal disease AND oral implants survival”; “implant survival AND periodontal patients”; “short implants AND periodontal patients”; “narrow implants AND periodontal patient”.
Conclusão: A colocação de implantes dentários em pacientes periodontais parece ser uma opção viável e segura. O tratamento da doença periodontal deverá ser anterior à colocação do implante e um controle posterior desse implante deverá ser mantido. Mais estudos são necessários, com avaliações de pelo menos 10 anos, para se definir as reais taxas de sobrevivências e de sucesso dos implantes em pacientes com história de doença periodontal.
Downloads
Referências
Deng F, Zhang H, Shao H, He Q, Zhang P. A comparison of clinical outcomes for implants placed in fresh extraction sockets versus healed sites in periodontally compromised patients: a 1-year follow-up report. Int J Oral Maxillofac Implants. 2010;25(5):1036-40.
Schou S. Implant treatment in periodontitis- susceptible patients: a systematic review. J Oral Rehabil. 2008;35 Suppl 1:9-22.
Kwok V, Caton JG. Commentary: prognosis revisited: a system for assigning periodontal prognosis. J Periodontol. 2007;78(11):2063-71.
Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999;4(1):1-6.
Villa R, Rangert B. Early loading of interforaminal implants immediately installed after extraction of teeth presenting endodontic and periodontal lesions. Clin Implant Dent Relat Res. 2005;7 Suppl 1:S28-35.
Greenstein G, Cavallaro Júnior J, Tarnow D. Dental implants in the periodontal patient. Dent Clin North Am. 2010;54(1):113-28.
Buser D, Arx T, Bruggenkate C, Weingart D. Basic surgical principles with ITI implants. Clin Oral Implants Res. 2000;11 Suppl 1:59-68.
Holm-Pedersen P, Lang NP, Muller F. What are the longevities of teeth and oral implants? Clin Oral Implants Res. 2007;18 Suppl 3:15-9.
Grunder U, Polizzi G, Goene R, Hatano N, Henry P, Jackson WJ, et al. A 3-year prospective multicenter follow-up report on the immediate and delayed-immediate placement of implants. Int J Oral Maxillofac Implants. 1999;14(2):210- 6.
Gianserra R, Cavalcanti R, Oreglia F, Manfredonia MF, Esposito M. Outcome of dental implants in patients with and without a history of periodontitis: a 5-year pragmatic multicentre retrospective cohort study of 1727 patients. Eur J Oral Implantol. 2010;3(4):307-14.
Mengel R, Flores-de-Jacoby L. Implants in patients treated for generalized aggressive and chronic periodontitis: a 3-year prospective longitudinal study. J Periodontol. 2005;76(4):534- 43.
Leonhardt A, Grondahl K, Bergstrom C, Lekholm U. Long-term follow-up of osseointegrated titanium implants using clinical, radiographic and microbiological parameters. Clin Oral Implants Res. 2002;13(2):127-32.
Hardt CR, Grondahl K, Lekholm U, Wennstrom JL. Outcome of implant therapy in relation to experienced loss of periodontal bone support: a retrospective 5- year study. Clin Oral Implants Res. 2002;13(5):488-94.
Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Bragger U, Hammerle CH, Lang NP. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res. 2003;14(3):329- 39.
Wennstrom JL, Ekestubbe A, Grondahl K, Karlsson S, Lindhe J. Oral rehabilitation with implant-supported fixed partial dentures in periodontitis-susceptible subjects. A 5-year prospective study. J Clin Periodontol. 2004;31(9):713-24.
Alves CC, Correia AR, Neves M. Immediate implants and immediate loading in periodontally compromised patients-a 3-year prospective clinical study. Int J Periodontics Restorative Dent. 2010;30(5):447-55.
Shibly O, Patel N, Albandar JM, Kutkut A. Bone regeneration around implants in periodontally compromised patients: a randomized clinical trial of the effect of immediate implant with immediate loading. J Periodontol. 2010;81(12):1743-51.
Jemt T. Regeneration of gingival papillae after single-implant treatment. Int J Periodontics Restorative Dent. 1997;17(4):326-33.