26, rue Marbeuf 75008 PARIS

Cabinet dentaire Paris - Champs-Elysées

Dr Michel ABBOU - Dr Yona NGUYEN BA Dr Harold LHERMITE - Dr Michael BISRAOR Chirurgiens-Dentistes

26, rue Marbeuf 75008 PARIS
26, rue Marbeuf 75008 PARIS

MALADIE PARODONTALE ET SUCCES DES IMPLANTS DENTAIRES

Cette étude confirme que les traitements implantaires peuvent être instaurés avec succès chez les patients atteints de maladie parodontale (parodontites), à condition de se soumettre à une thérapeutique et un suivi appropriés. La présence de poches résiduelles, l'absence de maintenance professionnelle et le tabac sont des facteurs négatifs pour le devenir à long terme des implants.

LONG-TERM EVALUATION OF PERIODONTAL PARAMETERS AND IMPLANT OUTCOMES IN PERIODONTALLY COMPROMISED PATIENTS: A SYSTEMATIC REVIEW.

Zangrando MSDamante CASant'Ana ACRubo de Rezende MLGreghi SLChambrone L.

Abstract

BACKGROUND:

The aim of this systematic review is to evaluate the long-term outcomes of patients with periodontitis submitted to periodontal therapy/maintenance and implant placement.

METHODS:

Studies reporting clinical and/or long-term implant outcomes from partially edentulous patients with periodontitis who were treated and followed periodontal maintenance for ≥5 years were considered eligible for the review. Screening of the articles, data extraction, and quality assessment were conducted independently and in duplicate.

RESULTS:

Search of MEDLINE, EMBASE, and CENTRAL databases resulted in 959 papers, and of them 931 were excluded after title/abstract assessment. The full texts of 28 potentially eligible publications were screened, but only 10 studies met inclusion criteria. Most of the included studies (77.8%) presented a medium/high methodologic quality. The results demonstrated that patients with a diagnosis of periodontitis had satisfactory implant outcomes. Implant survival was high (92.1%) within studies reporting 10 years of follow-up. Parameters related to probing depth, clinical attachment level, and bone loss around teeth increased the occurrence of peri-implantitis and implant loss. Non-attendance to periodontal maintenance and smoking habits were also associated with less favorable implant outcomes.

CONCLUSIONS:

This systematic review confirmed that implant therapy can be successfully used in patients with a diagnosis of periodontitis who underwent proper therapy and regular periodontal maintenance. Residual pockets, non-attendance to the periodontal maintenance program, and smoking were considered to be negative factors for the long-term implant outcomes.

KEYWORDS:

Dental implants; osseointegration; peri-implantitis; periodontitis; systematic review


Dernière mise à jour le: 04/11/2020