Percorrer por autor "Fekair, Linda Khedidja"
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- Dental implants for elderly patients: benefits and limitations, comprehensive reviewPublication . Fekair, Linda Khedidja; Pereira, JorgeThis comprehensive review aims to evaluate the clinical outcomes and therapeutic relevance of dental implants in elderly patients, considering factors such as implant survival, functional results, hygiene maintenance, and prosthetic choice. A systematic search was conducted across three databases (PubMed/MEDLINE, Scopus, and Cochrane Library) using predefined inclusion criteria targeting studies on patients aged 65 and older. Eligible studies included systematic reviews, randomized controlled trials, cohort studies, and case series. Data were extracted and assessed for methodological quality using the Joanna Briggs Institute critical appraisal tools. Due to heterogeneity across studies, results were synthesized qualitatively. Twelve studies were included, reflecting a wide diversity of clinical contexts and patient profiles. Implant survival rates ranged from 91% to 100% over follow-up periods extending up to 17 years. Outcomes were consistently favorable, even in patients over 80 years of age or with comorbidities. Overdentures supported by two mandibular implants were particularly effective among institutionalized or dependent elderly individuals, improving comfort, chewing efficiency, and quality of life. Fixed prostheses were better suited to autonomous and highly motivated patients. Poor hygiene, reduced dexterity, and cognitive decline emerged as critical challenges in implant maintenance among the elderly. Dental implants are a safe and effective rehabilitation option for elderly patients, provided that treatment is adapted to their general health, functional autonomy, and oral hygiene capacity. Age alone should not be considered a limiting factor. Overdentures offer a reliable compromise between function and maintainability, especially in dependent patients. Further clinical research is required to support evidence-based decision-making in very elderly or institutionalized populations, and to develop simplified prosthetic designs and caregiver-oriented hygiene protocols.