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Clinical Oral Investigations

Published in:

01-03-2017 | Original Article

Dental implants in medically complex patients—a retrospective study

Authors: Yifat Manor, Roy Simon, Doron Haim, Adi Garfunkel, Ofer Moses

Published in: Clinical Oral Investigations | Issue 2/2017

Abstract

Introduction

Dental implant insertion for oral rehabilitation is a worldwide procedure for healthy and medically compromised patients. The impact of systemic disease risks on the outcome of implant therapy is unclear, since there are few if any published randomized controlled trials (RCTs).

Objective

The objective of this study is to investigate the rate of complications and failures following dental implantation in medically compromised patients in order to elucidate risk factors and prevent them.

Material and methods

A retrospective cohort study was conducted from patient files treated with dental implantation between the years 2008–2014. The study group consisted of medically complex patients while the control group consisted of healthy patients. Preoperative, intraoperative, and post operative clinical details were retrieved from patients’ files. The survival rate and the success rate of the dental implants were evaluated clinically and radiographically.

Results

A total of 204 patients (1003 dental implants) were included in the research, in the study group, 93 patients with 528 dental implants and in the control group, 111 patients with 475 dental implants. No significant differences were found between the groups regarding implant failures or complications. The failure rate of dental implants among the patients was 11.8 % in the study group and 16.2 % in the control group (P = 0.04). It was found that patients with a higher number of implants (mean 6.8) had failures compared with patients with a lower number of implants (mean 4.2) regardless of their health status (P < 0.01).

Conclusions

We found a similar rate of failure and complications of dental implantation in medically complex patients and in healthy patients.

Clinical relevance

Medically complex patients can undergo dental implantation. There are similar rates of complications and failures of dental implants in medically complex patients and in healthy patients.

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Title: Dental implants in medically complex patients—a retrospective study
Authors: Yifat Manor
Roy Simon
Doron Haim
Adi Garfunkel
Ofer Moses
Publication date: 01-03-2017
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 2/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-016-1937-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Dental implants in medically complex patients—a retrospective study

Abstract

Introduction

Objective

Material and methods

Results

Conclusions

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Objective

Material and methods

Results

Conclusions

Clinical relevance

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