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Implant prosthodontic rehabilitation of patients with rheumatic disorders: a case series report.

AbstractPURPOSE:
This retrospective study assessed implant and prosthodontic treatment outcomes of patients suffering from rheumatic disorders such as rheumatoid arthritis (RA) and connective tissue diseases (CTDs).
MATERIALS AND METHODS:
This study included 22 patients (all women) suffering from autoimmune rheumatic disorders such as isolated RA (n = 16), RA with concomitant CTDs (n = 5), or isolated CTDs (n = 1). Overall, 89 implants were placed for rehabilitations such as single-tooth replacement (n = 8), fixed partial dentures (n = 14), complete dentures (n = 5), and overdentures (n = 2), and were evaluated after a mean of 42.6 +/- 25.2 months. The cumulative implant survival and success rates and peri-implant conditions (marginal bone loss, pocket depth, Plaque Index, Gingival Index, Bleeding Index, and Calculus Index) were evaluated with a special focus on RA and CTDs. In addition, incidence and type of prosthodontic maintenance were evaluated.
RESULTS:
A high implant survival rate was noted during follow-up with a cumulative 3-year implant success rate of 96.1%. Patients with RA demonstrated acceptable marginal bone resorption (mean: 2.1 +/- 0.5 mm) and good soft tissue conditions, while CTD patients showed increased bone resorption (mean: 3.1 +/- 0.7 mm). This was especially noted in scleroderma patients, as were major peri-implant soft tissue alterations (Bleeding Index) in patients suffering from Sjogren syndrome.
CONCLUSIONS:
A high implant and prothodontic success rate can be anticipated even for patients suffering from autoimmune rheumatic disorders such as RA and CTDs. A scrupulous maintenance program that includes optimal oral hygiene could assist in ensuring stable long-term results for CTD patients with more vulnerable soft tissue conditions. Int J Prosthodont 2010;23:22-28.
AuthorsMichael Weinlander, Gerald Krennmair, Eva Piehslinger
JournalThe International journal of prosthodontics (Int J Prosthodont) 2010 Jan-Feb Vol. 23 Issue 1 Pg. 22-8 ISSN: 0893-2174 [Print] United States
PMID20234887 (Publication Type: Journal Article)
Topics
  • Alveolar Bone Loss (etiology)
  • Autoimmune Diseases
  • Contraindications
  • Dental Care for Chronically Ill
  • Dental Implantation, Endosseous (adverse effects)
  • Dental Plaque Index
  • Dental Prosthesis, Implant-Supported (adverse effects)
  • Dental Restoration Failure
  • Female
  • Humans
  • Middle Aged
  • Periodontal Index
  • Retrospective Studies
  • Tooth Loss (rehabilitation)
  • Treatment Outcome

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