Dental implants are considered a predictable rehabilitation option for tooth extraction or missing teeth. The use of dental implants has evolved into a viable prosthetic alternative to conventional tooth-supported fixed prostheses or removable dentures, with advantages in terms of patient satisfaction and quality of life. Long-term studies have reported excellent success and survival rates for implants used in prosthetic rehabilitation. Benefits in terms of patient satisfaction and preservation of adjacent tooth structure are among the advantages of implant-supported restorations over prosthetic alternatives. However, dental implants can be subject to mechanical and biological complications. After the first year of function, marginal bone loss is minimal around most oral implants. Nevertheless, marginal bone loss or the onset of bacterial-related biological complications, such as mucositis and peri-implantitis, can occur. Despite the growing number of publications in the field of implant rehabilitation, to date only a few studies have investigated the outcomes of implant rehabilitation in a hospital setting characterized by patients with concomitant or previous systemic therapies and pathologies. The objective of this study is to evaluate the success of implant therapy, peri-implant marginal bone resorption (MBL), clinical parameters of peri-implant health, aesthetic parameters of rehabilitation, and patient-reported treatment outcomes in a sample of patients treated in a hospital setting.
Study Type
OBSERVATIONAL
Enrollment
20
Peri-implant marginal bone loss
Measurements were performed in millimeters using intraoral radiographs.
Time frame: From Implant placement to 5 year follow up.
Implant survival rate
Rate of dental implants remaining in situ, measured as a proportion.
Time frame: From Implant placement to 5 year follow up.
Implant success rate
Absence of biological and technical complications, expressed as a proportion.
Time frame: From Implant placement to 5 year follow up.
Prosthesis survival rate
Rate of prostheses remaining in situ, expressed as a proportion.
Time frame: From Implant placement to 5 year follow up.
Prosthesis success rate
Absence of technical complications, expressed as a proportion.
Time frame: From Implant placement to 5 year follow up.
Esthetic evaluation
Assessed using the PES/WES esthetic index. Scores range from 0 to 14 for the PES and from 0 to 10 for the WES, with higher scores indicating better esthetic outcomes.
Time frame: From Implant placement to 5 year follow up.
Patient-Reported Outcome Measures
Recorded using a specifically designed questionnaire and measured with a visual analogue scale (VAS) ranging from 0 to 10, with higher scores indicating better outcomes.
Time frame: From Implant placement to 5 year follow up.
Volumetric analysis
Assessed by superimposing the baseline volume with the volume recorded during follow-up using intraoral scans, measured in cubic millimeters.
Time frame: From Implant placement to 5 year follow up.
Glycated hemoglobin level
Analysis of glycated hemoglobin levels recorded at baseline and during follow-up.
Time frame: From Implant placement to 5 year follow up.
Diabetes
Analysis of the influence of diabetes during follow-up.
Time frame: From Implant placement to 5 year follow up.
Influence of medications relevant to bone/tissue metabolism
Analysis of the influence of medications relevant to bone and tissue metabolism.
Time frame: From Implant placement to 5 year follow up.
Osteoporosis
Analysis of influence of osteoporosis.
Time frame: From Implant placement to 5 year follow up.
Cardiovascular disease
Analysis of influence of cardiovascuar disease.
Time frame: From Implant placement to 5 year follow up.
Complete Blood Count
Analysis of the influence of complete blood count parameters.
Time frame: From Implant placement to 5 year follow up.
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