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VOLUME 18 , ISSUE 1 ( January, 2017 ) > List of Articles

RESEARCH ARTICLE

Influence of Age on Factors associated with Peri-implant Bone Loss after Prosthetic Rehabilitation over Osseointegrated Implants

Adilson Luiz Ramos, Rejane EL Pedro, João P De Carli, Maria SS Linden, Igor FP Lima, Max D Costa, Ângelo JG Bós

Citation Information : Ramos AL, Pedro RE, De Carli JP, Linden MS, Lima IF, Costa MD, Bós ÂJ. Influence of Age on Factors associated with Peri-implant Bone Loss after Prosthetic Rehabilitation over Osseointegrated Implants. J Contemp Dent Pract 2017; 18 (1):3-10.

DOI: 10.5005/jp-journals-10024-1979

Published Online: 01-01-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

To verify the influence of age on factors associated with peri-implant bone loss after prosthetic rehabilitation over osseointegrated implants.

Materials and methods

This is an analytical, observational, and longitudinal study with initial 23 participants. Patients presenting with osseointegrated implants with their respective prostheses installed were included, and they could be carriers of chronic and degenerative diseases, such as diabetes, osteoporosis, hypothyroidism, cardiovascular disease (CVD), and systemic arterial hypertension. Thus, 18 participants with 57 implants were selected and followed up from 2009 to 2013. For statistical analysis, chi-square or Fisher's exact test was used for the association of systemic conditions and bone loss. Student's t-test was used for mean comparisons of age and number of total upper and lower implants.

Results

The average age of the sample studied was 71.05 years (65–80). The average implant per person was 3.2. Smoking had an influence on both mesial and distal bone loss, and the latter was significant (p = 0.0370). The association between bone loss and gender was also significant (p < 0.05). Moreover, male gender and upper implants were factors significantly associated with bone loss. The systemic conditions, when isolated, did not have significant influence on implant survival.

Conclusion

Age is not a factor that, alone, contraindicates implant-rehabilitating therapy. On the contrary, smoking has a significant influence on dental implant survival. Systemic diseases, such as osteoporosis, hypothyroidism, diabetes, hypertension, and heart diseases, when controlled, are not contraindication factors.

Clinical significance

This study is relevant for assessing peri-implant bone loss in elderly patients, right after implant installation and over time. Therefore, it was possible to verify that age is not a limiting factor for this procedure. Controlled systemic diseases do not contraindicate implant installation, but smoking is a factor that affects implant survival.

How to cite this article

Pedro REL, De Carli JP, Linden MSS, Lima IFP, Paranhos LR, Costa MD, Bós ÂJG. Influence of Age on Factors associated with Peri-implant Bone Loss after Prosthetic Rehabilitation over Osseointegrated Implants. J Contemp Dent Pract 2017;18(1):3-10.


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