Prognosis of Single Implant-Supported Prosthesis in Patients With Primary Sjögren's Syndrome: A Five-Year Prospective Clinical Study.

IF 4.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Mandana Hosseini, Simon Storgård Jensen, Klaus Gotfredsen, Emil Hyldahl, Anne Marie Lynge Pedersen
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引用次数: 0

Abstract

Background: Primary Sjögren's syndrome (pSS) is a chronic systemic autoimmune disease characterized by hyposalivation. Currently, there is limited evidence for the prognosis of dental implant treatment in Sjögren's syndrome.

Aim/hypothesis: We hypothesized comparable clinical outcomes of implant-supported restorations in pSS-patients and control subjects, and improvement in oral health-related quality of life 5 years after restoration.

Material and methods: Patients with pSS and matched (age, gender, and tooth region) control group were recruited between June 2016 and March 2020. The clinical and radiological examination were performed, and patient-reported oral health impact profile (OHIP-49) questionnaire was used 2 months (baseline), 1, 3, and 5 years after prosthetic treatment.

Results: We included 23 patients with pSS and 24 matched control subjects (all women, mean age: 57.1 years). The overall DMFT (decayed-missed-filled-tooth) was significantly higher (p = 0.008), symptoms of dry mouth were more severe (p = 0.001), and unstimulated and chewing-stimulated saliva flow rates were significantly lower (p < 0.001) in pSS than in control group. All implants survived with no implant mobility. At implant sites, the plaque index and probing depths did not differ (p = 0.301 and 0.446, respectively), but the gingival index was significantly higher (p = 0.003) in pSS than control group. The mean marginal bone loss, prosthetic complications, and clinician-reported aesthetic outcomes were similar in both groups after 5 years. The OHIP scores were significantly higher in the pSS than control group (p < 0.001) but reduced significantly in both groups (p = 0.026).

Conclusion: Replacement of missing single teeth with dental implants was successful in patients with pSS 5 years after restoration.

原发性 Sjögren's 综合征患者单种植体支持假体的预后:一项为期五年的前瞻性临床研究。
背景:原发性斯约格伦综合征(pSS)是一种以唾液分泌过少为特征的慢性全身性自身免疫性疾病。目前,有关斯约格伦综合征患者种植牙治疗预后的证据有限:目的/假设:我们假设斯约格伦综合征患者和对照组患者种植体支持修复的临床效果相当,且修复后 5 年口腔健康相关生活质量有所改善:在 2016 年 6 月至 2020 年 3 月期间招募 pSS 患者和匹配(年龄、性别和牙区)的对照组。进行临床和放射学检查,并在修复治疗后2个月(基线)、1年、3年和5年使用患者报告的口腔健康影响档案(OHIP-49)问卷:我们纳入了 23 名 pSS 患者和 24 名匹配的对照组受试者(均为女性,平均年龄:57.1 岁)。总的 DMFT(龋坏-缺失-充填牙)明显更高(p = 0.008),口干症状更严重(p = 0.001),非刺激唾液流率和咀嚼刺激唾液流率明显更低(p 结论:龋坏-缺失-充填牙患者的唾液流率和咀嚼刺激唾液流率均显著高于对照组:用种植牙修复缺失的单颗牙齿在修复 5 年后对 pSS 患者是成功的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Oral Implants Research
Clinical Oral Implants Research 医学-工程:生物医学
CiteScore
7.70
自引率
11.60%
发文量
149
审稿时长
3 months
期刊介绍: Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.
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