Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study
<b>Aim</b>: The rising average age increases edentulous cases, demanding more implant–prosthetic rehabilitation, with cardiovascular diseases being significant factors. This study compared healthy patients (CG = Control Group) and those with cardiovascular disease (TG = Test Group) for i...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/4/924 |
| _version_ | 1797297905839636480 |
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| author | Bianca D’Orto Giulia Tetè Matteo Nagni Riccardo Federico Visconti Elisabetta Polizzi Enrico Felice Gherlone |
| author_facet | Bianca D’Orto Giulia Tetè Matteo Nagni Riccardo Federico Visconti Elisabetta Polizzi Enrico Felice Gherlone |
| author_sort | Bianca D’Orto |
| collection | DOAJ |
| description | <b>Aim</b>: The rising average age increases edentulous cases, demanding more implant–prosthetic rehabilitation, with cardiovascular diseases being significant factors. This study compared healthy patients (CG = Control Group) and those with cardiovascular disease (TG = Test Group) for implant survival, Marginal Bone Loss (MBL), peri-implant tissue level parameters as Periodontal Screening and Recording (PSR), Plaque Index (PI), Bleeding on Probing (BoP) Peri-implant Probing Depth (PPD), and surgical complications. Smoking impact on both groups and medication influence in the TG were secondary outcomes. Patients underwent full-arch implant prosthetic rehabilitation. <b>Methods</b>: Implant survival rate, MBL, and surgical complications were recorded during the monitoring period (7 years), while peri-implant parameters were assessed at the end of the observational time. A total of 26 and 28 CG and TG patients were recruited, respectively. <b>Results</b>: A total of 128 implants were placed in CG, while 142 in the TG. Implant survival and MBL showed no significant differences (<i>p</i> > 0.05). Nevertheless, peri-implant parameters were more unfavorable in TG. The only significant surgical complication was higher bleeding rates in the TG (<i>p</i> < 0.05). <b>Conclusions</b>: Cardiovascular patients showed similar implant survival and MBL but had adverse peri-implant parameters and increased bleeding rates. Higher smoking levels may relate to unfavorable implant outcomes. Further investigation is needed on drug impact with larger samples. |
| first_indexed | 2024-03-07T22:28:07Z |
| format | Article |
| id | doaj.art-e5c2f028aaa240ed8e0686d37e225e2f |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-07T22:28:07Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-e5c2f028aaa240ed8e0686d37e225e2f2024-02-23T15:21:47ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-0113492410.3390/jcm13040924Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort StudyBianca D’Orto0Giulia Tetè1Matteo Nagni2Riccardo Federico Visconti3Elisabetta Polizzi4Enrico Felice Gherlone5Dental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, ItalyDental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, ItalyDental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, ItalyDental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, ItalyChair Center for Oral Hygiene and Prevention, Dental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, ItalyDental School Department of Dentistry IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy<b>Aim</b>: The rising average age increases edentulous cases, demanding more implant–prosthetic rehabilitation, with cardiovascular diseases being significant factors. This study compared healthy patients (CG = Control Group) and those with cardiovascular disease (TG = Test Group) for implant survival, Marginal Bone Loss (MBL), peri-implant tissue level parameters as Periodontal Screening and Recording (PSR), Plaque Index (PI), Bleeding on Probing (BoP) Peri-implant Probing Depth (PPD), and surgical complications. Smoking impact on both groups and medication influence in the TG were secondary outcomes. Patients underwent full-arch implant prosthetic rehabilitation. <b>Methods</b>: Implant survival rate, MBL, and surgical complications were recorded during the monitoring period (7 years), while peri-implant parameters were assessed at the end of the observational time. A total of 26 and 28 CG and TG patients were recruited, respectively. <b>Results</b>: A total of 128 implants were placed in CG, while 142 in the TG. Implant survival and MBL showed no significant differences (<i>p</i> > 0.05). Nevertheless, peri-implant parameters were more unfavorable in TG. The only significant surgical complication was higher bleeding rates in the TG (<i>p</i> < 0.05). <b>Conclusions</b>: Cardiovascular patients showed similar implant survival and MBL but had adverse peri-implant parameters and increased bleeding rates. Higher smoking levels may relate to unfavorable implant outcomes. Further investigation is needed on drug impact with larger samples.https://www.mdpi.com/2077-0383/13/4/924dental prothesisimplant supporteddental implantscardiovascular diseasesystemic diseases |
| spellingShingle | Bianca D’Orto Giulia Tetè Matteo Nagni Riccardo Federico Visconti Elisabetta Polizzi Enrico Felice Gherlone Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study Journal of Clinical Medicine dental prothesis implant supported dental implants cardiovascular disease systemic diseases |
| title | Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study |
| title_full | Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study |
| title_fullStr | Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study |
| title_full_unstemmed | Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study |
| title_short | Full Arch Implant-Prosthetic Rehabilitation in Patients with Cardiovascular Diseases: A 7-Year Follow-Up Prospective Single Cohort Study |
| title_sort | full arch implant prosthetic rehabilitation in patients with cardiovascular diseases a 7 year follow up prospective single cohort study |
| topic | dental prothesis implant supported dental implants cardiovascular disease systemic diseases |
| url | https://www.mdpi.com/2077-0383/13/4/924 |
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