Continuous craniofacial growth in adult patients treated with dental implants in the anterior maxilla.


Journal

Clinical implant dentistry and related research
ISSN: 1708-8208
Titre abrégé: Clin Implant Dent Relat Res
Pays: United States
ID NLM: 100888977

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 09 02 2019
revised: 15 04 2019
accepted: 15 04 2019
pubmed: 1 5 2019
medline: 4 12 2019
entrez: 1 5 2019
Statut: ppublish

Résumé

In the Literature, there are several studies demonstrating that infraposition happens also in adult patients. To conduct a retrospective evaluation of infraocclusion of implant-retained crowns in the anterior maxilla of adult patients and of the patient awareness and perception of the problem. From January to June 2017, all adult patients who in the last 5 to 20 years had received in the same clinic implant restorations in the upper anterior maxilla were recalled to assess the presence of crown infraocclusion. Ninety-four patients were recalled. Twenty-six males, 34 females, with 76 implants were included in the study. According to the age, patients were divided into group I (<30 years: 12 males, 14 female) and group II (>30 years: 14 males, 20 females). Digital photographs, taken at the time of final prosthesis delivery (T0) and at time of the study examination (T1) were compared by three blinded previously calibrated examiners. Cast models of the dental arches were taken at T1 and served as a reference for infraocclusion measurements. According to the Literature, cases were included in three categories: infraocclusion <0.5 mm, infraocclusion 0.5-1.0 mm, and infraocclusion >1 mm. An awareness and perception score (APS) was prepared to classify patients in: "unaware patients" (0), "aware but disinterested patients" (1), "aware patients requiring explications" (2), and "aware patients requiring treatment" (3). Infraocclusion was present in 73.3% of all cases, 65.4% among males, 79.4% among females. Infraocclusion was less than 1 mm in 88.2% of males and in 85.1% of females. No significant differences were found for sex (P = .223). No significant differences were found for age: group I: 47.7%, group II: 52.2%, (P = .481). The overall APS was: "unaware patients" = 38.6%, "aware but disinterested patients" = 27.3%, "aware patients requiring explications" = 15.9%, "aware patients requiring treatment" = 18.2%. Within the limit of the study, infraocclusion might present a quite high prevalence. Data analysis failed to identify specific predisposing risk factors.

Sections du résumé

BACKGROUND BACKGROUND
In the Literature, there are several studies demonstrating that infraposition happens also in adult patients.
PURPOSE OBJECTIVE
To conduct a retrospective evaluation of infraocclusion of implant-retained crowns in the anterior maxilla of adult patients and of the patient awareness and perception of the problem.
MATERIAL AND METHODS METHODS
From January to June 2017, all adult patients who in the last 5 to 20 years had received in the same clinic implant restorations in the upper anterior maxilla were recalled to assess the presence of crown infraocclusion. Ninety-four patients were recalled. Twenty-six males, 34 females, with 76 implants were included in the study. According to the age, patients were divided into group I (<30 years: 12 males, 14 female) and group II (>30 years: 14 males, 20 females). Digital photographs, taken at the time of final prosthesis delivery (T0) and at time of the study examination (T1) were compared by three blinded previously calibrated examiners. Cast models of the dental arches were taken at T1 and served as a reference for infraocclusion measurements. According to the Literature, cases were included in three categories: infraocclusion <0.5 mm, infraocclusion 0.5-1.0 mm, and infraocclusion >1 mm. An awareness and perception score (APS) was prepared to classify patients in: "unaware patients" (0), "aware but disinterested patients" (1), "aware patients requiring explications" (2), and "aware patients requiring treatment" (3).
RESULTS RESULTS
Infraocclusion was present in 73.3% of all cases, 65.4% among males, 79.4% among females. Infraocclusion was less than 1 mm in 88.2% of males and in 85.1% of females. No significant differences were found for sex (P = .223). No significant differences were found for age: group I: 47.7%, group II: 52.2%, (P = .481). The overall APS was: "unaware patients" = 38.6%, "aware but disinterested patients" = 27.3%, "aware patients requiring explications" = 15.9%, "aware patients requiring treatment" = 18.2%.
CONCLUSION CONCLUSIONS
Within the limit of the study, infraocclusion might present a quite high prevalence. Data analysis failed to identify specific predisposing risk factors.

Identifiants

pubmed: 31037820
doi: 10.1111/cid.12790
doi:

Substances chimiques

Dental Implants 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

627-634

Informations de copyright

© 2019 Wiley Periodicals, Inc.

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Auteurs

Roberto Cocchetto (R)

Private Practice, Verona, Italy.
Department of Implant Dentistry, Master Course in Implant Prosthodontics, University of Pisa, Pisa, Italy.

Guillermo Pradies (G)

Department of Conservative and Prosthetic Dentistry, University Complutense of Madrid, Madrid, Spain.

Renato Celletti (R)

University G. d'Annunzio Chieti-Pescara, Department of Medical Oral and Biotechnological Sciences, Chieti, Italy.

Luigi Canullo (L)

Private Practice, Rome, Italy.

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