INFLUENCE OF PERIODONTAL STATUS & PROSTHETIC TREATMENT ON SURVIVAL AND SUCCESS OF DENTAL IMPLANTS IN FAISALABAD

Main Article Content

Uswah Fatima Javaid
Saba Anjum
Sakina Qazi
Asma Hafeez
Alishba Moeen
Rania Chaudhry

Keywords

Dental implants, periodontal status, prosthetic treatment, survival rate, success rate, implant outcomes

Abstract

Background: Dental implants are often used to replace lost teeth, but prosthetic care and periodontal health are two aspects that affect their long-term effectiveness.
Objective: This study aimed to evaluate the impact of periodontal status and prosthetic treatment on the survival and success rates of dental implants, with a focus on their combined effects on long-term outcomes.
Methodology: A retrospective cohort study was conducted at Madina Teaching Hospital, Faisalabad, Pakistan, between January 2024 to December 2024. The 318 patients who had dental implants inserted and repaired and were at least 18 years old were included. Information was gathered on occlusal design, prosthetic therapy, implant type, location, and periodontal health. Clinical and radiological criteria were used to evaluate implant survival and success, and statistical analyses, such as logistic regression and chi-square tests, were carried out to examine correlations between factors and implant outcomes.
Results: The success rate (95.33%) and survival rate (98.00%) of implants were greater in individuals with healthy periodontal tissue than in those with treated periodontitis (94.64% survival, 90.00% success). While full arch prosthesis had the lowest survival (94.00%) and success rates (89.58%), single crowns had the best survival (97.50%) and success rates (94.00%). Significant correlations between survival and success rates and prosthetic therapy, implant site, implant type, and periodontal health were discovered.
Conclusion: Dental implant outcomes are strongly influenced by periodontal health and prosthetic therapy; patients with single crown restorations and healthy periodontiums show higher outcomes.
Abstract 210 | PDF Downloads 183

References

1. Esposito M, Ardebili Y, Worthington HV. Interventions for replacing missing teeth: different types of dental implants. Cochrane database of systematic reviews. 2014(7). https://doi.org/10.1002/14651858.CD003815.pub4.
2. Jaber MA, Jaber AM, Elameen AM, Elameen FM. Evaluating the Efficacy, Durability, and Clinical Implications of Zirconia vs. Titanium Dental Implants: A Comprehensive Review. doi: 10.20944/preprints202408.0331.v1.
3. Alghamdi A, Al-Motari K, Sundar C, Jansen JA, Alghamdi H. Dental implants treatment: Clinical indications. InDental Implants and Bone Grafts 2020 Jan 1 (pp. 23-42). Woodhead Publishing. https://doi.org/10.1016/B978-0-08-102478-2.00002-7.
4. Sousa V, Mardas N, Farias B, Petrie A, Needleman I, Spratt D, Donos N. A systematic review of implant outcomes in treated periodontitis patients. Clinical oral implants research. 2016 Jul;27(7):787-844. https://doi.org/10.1111/clr.12684.
5. Kinane, D., Stathopoulou, P. & Papapanou, P. Periodontal diseases. Nat Rev Dis Primers 3, 17038 (2017). https://doi.org/10.1038/nrdp.2017.38
6. Benedek C, Kerekes-Máthé B, Bereșescu L, Buka IZ, Bardocz-Veres Z, Geréb I, Mártha KI, Jánosi KM. Influencing Factors Regarding the Severity of Peri-Implantitis and Peri-Implant Mucositis. Diagnostics (Basel). 2024 Jul 19;14(14):1573. doi: 10.3390/diagnostics14141573.
7. Ong CT, Ivanovski S, Needleman IG, Retzepi M, Moles DR, Tonetti MS, Donos N. Systematic review of implant outcomes in treated periodontitis subjects. Journal of clinical periodontology. 2008 May;35(5):438-62. https://doi.org/10.1111/j.1600-051X.2008.01207.x.
8. Jansson H, Wahlin Å, Johansson V, Åkerman S, Lundegren N, Isberg PE, Norderyd O. Impact of periodontal disease experience on oral health–related quality of life. Journal of periodontology. 2014 Mar;85(3):438-45. https://doi.org/10.1902/jop.2013.130188.
9. Ionescu RN, Totan AR, Imre MM, Țâncu AM, Pantea M, Butucescu M, Farcașiu AT. Prosthetic materials used for implant-supported restorations and their biochemical oral interactions: A narrative review. Materials. 2022 Jan 28;15(3):1016. https://doi.org/10.3390/ma15031016.
10. Aldowish AF, Alsubaie MN, Alabdulrazzaq SS, Alsaykhan DB, Alamri AK, Alhatem LM, Algoufi JF, Alayed SS, Aljadani SS, Alashjai AM, Alamari AS. Occlusion and Its Role in the Long-Term Success of Dental Restorations: A Literature Review. Cureus. 2024 Nov 7;16(11):e73195. doi: 10.7759/cureus.73195.
11. Dewan SK, Arora A, Sehgal M, Khullar A. Implant failures: A broader perspective. Journal of Dental Implants. 2015 Jan 1;5(1):53-9. DOI: 10.4103/0974-6781.154441.
12. Sousa V, Mardas N, Farias B, Petrie A, Needleman I, Spratt D, Donos N. A systematic review of implant outcomes in treated periodontitis patients. Clinical oral implants research. 2016 Jul;27(7):787-844. https://doi.org/10.1111/clr.12684.
13. Zangrando MS, Damante CA, Sant'Ana AC, Rubo de Rezende ML, Greghi SL, Chambrone L. Long‐term evaluation of periodontal parameters and implant outcomes in periodontally compromised patients: a systematic review. Journal of periodontology. 2015 Feb;86(2):201-21. https://doi.org/10.1902/jop.2014.140390.
14. Buser D, Sennerby L, De Bruyn H. Modern implant dentistry based on osseointegration: 50 years of progress, current trends and open questions. Periodontology 2000. 2017 Feb;73(1):7-21. https://doi.org/10.1111/prd.12185
15. Heinemann F, Hasan I, Bourauel C, Biffar R, Mundt T. Bone stability around dental implants: Treatment related factors. Annals of Anatomy-Anatomischer Anzeiger. 2015 May 1;199:3-8. https://doi.org/10.1016/j.aanat.2015.02.004.
16. Monje A, Suarez F, Galindo‐Moreno P, García‐Nogales A, Fu JH, Wang HL. A systematic review on marginal bone loss around short dental implants (< 10 mm) for implant‐supported fixed prostheses. Clinical oral implants research. 2014 Oct;25(10):1119-24. https://doi.org/10.1111/clr.12236.
17. Zitzmann NU, Krastl G, Hecker H, Walter C, Weiger R. Endodontics or implants? A review of decisive criteria and guidelines for single tooth restorations and full arch reconstructions. International endodontic journal. 2009 Sep;42(9):757-74. https://doi.org/10.1111/j.1365-2591.2009.01561.x