IMPLANT SURVIVAL IN RENAL-TRANSPLANTED PATIENTS: A PROSPECTIVE LONG-TERM STUDY.

IF 1.5 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral Implantology Pub Date : 2024-02-05 DOI:10.1563/aaid-joi-D-23-00148R2

Federico Berton, Matteo Zotti, Antonio Rapani, Fulvia Costantinides, Gaetano Castronovo, Roberto Di Lenarda, Claudio Stacchi

{"title":"IMPLANT SURVIVAL IN RENAL-TRANSPLANTED PATIENTS: A PROSPECTIVE LONG-TERM STUDY.","authors":"Federico Berton, Matteo Zotti, Antonio Rapani, Fulvia Costantinides, Gaetano Castronovo, Roberto Di Lenarda, Claudio Stacchi","doi":"10.1563/aaid-joi-D-23-00148R2","DOIUrl":null,"url":null,"abstract":"<p><p>The present study aims to assess the feasibility of implant rehabilitation in kidney-transplanted patients. Patients with kidney transplantation included in periodontal supportive care and at least one year of dialysis with mono- or partial edentulism were eligible for this study. Histomorphometric evaluation of the harvested bone was matched with radiological bone assessment. Implant stability was also monitored with RFA and ITV. Fixed cemented prostheses have been delivered after conventional loading protocol. Supportive periodontal therapy has been administered. Eleven patients (9 males and 2 females) were included. The mean age was 58.1 ± 9.9 years. A total of 17 implants were inserted and analyzed. Mean ITV was 39.3 ± 23.8 Ncm. The mean primary stability (ISQ) at T0 was 71.7 ± 10.5, whereas the mean secondary stability at T1 was 73.0 ± 7.3. The minimum follow-up was 62 months, with a maximum of 84 months (7 years) reached by four patients. Fourteen out of 15 implants were in function at a 5-year follow-up (survival rate 93.3%). Two implants showed peri-implantitis. Seventeen bone samples were collected (13 in the mandible and 4 in the maxilla). The mean percentage of marrow spaces and lamellar bone was 41.6% and 58.4%, respectively. Class 3, according to Misch classification, was found as the mean value of radiological bone density. It can be concluded that implant-supported rehabilitation in kidney-transplanted patients is possible. Adequate periodontal maintenance allows implant rehabilitation in kidney transplanted patients with long-term sufficient survival rates.</p>","PeriodicalId":50101,"journal":{"name":"Journal of Oral Implantology","volume":" ","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Oral Implantology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1563/aaid-joi-D-23-00148R2","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

The present study aims to assess the feasibility of implant rehabilitation in kidney-transplanted patients. Patients with kidney transplantation included in periodontal supportive care and at least one year of dialysis with mono- or partial edentulism were eligible for this study. Histomorphometric evaluation of the harvested bone was matched with radiological bone assessment. Implant stability was also monitored with RFA and ITV. Fixed cemented prostheses have been delivered after conventional loading protocol. Supportive periodontal therapy has been administered. Eleven patients (9 males and 2 females) were included. The mean age was 58.1 ± 9.9 years. A total of 17 implants were inserted and analyzed. Mean ITV was 39.3 ± 23.8 Ncm. The mean primary stability (ISQ) at T0 was 71.7 ± 10.5, whereas the mean secondary stability at T1 was 73.0 ± 7.3. The minimum follow-up was 62 months, with a maximum of 84 months (7 years) reached by four patients. Fourteen out of 15 implants were in function at a 5-year follow-up (survival rate 93.3%). Two implants showed peri-implantitis. Seventeen bone samples were collected (13 in the mandible and 4 in the maxilla). The mean percentage of marrow spaces and lamellar bone was 41.6% and 58.4%, respectively. Class 3, according to Misch classification, was found as the mean value of radiological bone density. It can be concluded that implant-supported rehabilitation in kidney-transplanted patients is possible. Adequate periodontal maintenance allows implant rehabilitation in kidney transplanted patients with long-term sufficient survival rates.

查看原文本刊更多论文

肾移植患者的植入存活率：一项前瞻性长期研究。

本研究旨在评估肾移植患者进行种植修复的可行性。接受牙周支持治疗且至少透析一年的单侧或部分缺牙的肾移植患者符合本研究的资格。采集骨的组织形态学评估与放射学骨评估相匹配。此外，还使用 RFA 和 ITV 监测了种植体的稳定性。固定粘接修复体已在常规加载方案后完成。同时还进行了牙周治疗。共纳入 11 名患者（9 男 2 女）。平均年龄为 58.1 ± 9.9 岁。共植入并分析了 17 个种植体。平均 ITV 为 39.3 ± 23.8 Ncm。T0时的平均一级稳定性（ISQ）为（71.7 ± 10.5），而T1时的平均二级稳定性为（73.0 ± 7.3）。随访时间最短为 62 个月，最长为 84 个月（7 年），其中有 4 名患者。15 个种植体中有 14 个在 5 年的随访中功能正常（存活率为 93.3%）。有两颗种植体出现了种植体周围炎。共采集了 17 份骨样本（下颌骨 13 份，上颌骨 4 份）。骨髓间隙和片状骨的平均比例分别为 41.6% 和 58.4%。根据米施分类法，放射学骨密度的平均值为 3 级。由此可以得出结论，肾移植患者可以进行种植体支持的康复治疗。适当的牙周维护可使肾移植患者的种植体康复有足够的长期存活率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Oral Implantology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

6-12 weeks

期刊介绍： The official publication of the American Academy of Implant Dentistry and of the American Academy of Implant Prosthodontics, is dedicated to providing valuable information to general dentists, oral surgeons, prosthodontists, periodontists, scientists, clinicians, laboratory owners and technicians, manufacturers, and educators. Implant basics, prosthetics, pharmaceuticals, the latest research in implantology, implant surgery, and advanced implant procedures are just some of the topics covered.