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Terapia com implantes no paciente com periodontite: revisão narrativa das indicações, riscos e manutenção a longo prazo
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_2022106370 | 670.71 KB | Adobe PDF |
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Abstract(s)
Nas últimas décadas, os implantes dentários tornaram-se um tratamento de rotina na reabilitação de pacientes edêntulos. No entanto, o número de pacientes afetados por doenças peri-implantares tem aumentado significativamente. A literatura indica que a presença ou história de periodontite é um dos fatores de risco mais frequentes para a peri-implantite.
Objetivo: o objetivo desta revisão é descrever: os riscos, as complicações biológicas e a manutenção a longo prazo da terapia com implantes em pacientes periodontais.
Métodos: foi efetuada uma pesquisa eletrónica da literatura entre 2003 e 2023, utilizando as bases de dados Pubmed, Science Direct e Wiley online library. Todos os estudos incluídos avaliaram os resultados comparando pacientes periodontalmente comprometidos com pacientes saudáveis, ambos submetidos a terapia com implantes. Apenas foram incluídos estudos longitudinais e revisões sistemáticas que incluíssem estudos longitudinais com um mínimo de 3 anos de seguimento.
Resultados: foi efetuada uma pesquisa de 560 títulos, tendo sido encontrados 13 artigos que cumpriam os critérios de seleção. Os pacientes com um historial de periodontite tinham um risco mais elevado de peri-implantite do que os indivíduos que nunca tinham tido periodontite. Os pacientes com um historial de periodontite e que não cumprem os cuidados periodontais de suporte correm um maior risco de complicações biológicas e de perda de implantes.
Conclusões: os indivíduos com periodontite tratada podem submeter-se à terapia com implantes, mas devem ser considerados como tendo um risco potencial acrescido de peri-implantite. A terapia periodontal de suporte parece ser um fator chave para aumentar a sobrevivência dos implantes a longo prazo.
In recent decades, dental implants have become a routine treatment in the rehabilitation of edentulous patients. However, the number of patients affected by peri-implant diseases has significantly increased. The literature indicates that the presence or history of periodontitis is one of the most frequent risk factors for peri-implantitis. Objective: the objective of this review is to describe: the risks, biological complications and long-term maintenance of implant therapy in periodontal patients. Methods: an electronic literature search was carried out between 2003 and 2023 using the Pubmed, Science Direct and Wiley online library databases. All included studies evaluated the results by comparing periodontally compromised patients with healthy ones, both undergoing implant therapy. Only longitudinal study and systematic review that included longitudinal studies with a minimum of 3 years follow-up were included. Result: a search of 560 titles was carried out, leaving 13 articles that met the selection criteria. Patients with a history of periodontitis had a higher risk of peri-implantitis than individuals who had never had periodontitis. Patients with a history of periodontitis and non-compliant with supportive periodontal care are at higher risk of biological complications and implant loss. Conclusions: individuals with treated periodontitis can undergo implant therapy, but should be considered at increased potential risk of peri-implantitis. Supportive periodontal therapy appears to be a key factor in increasing long-term implant survival.
In recent decades, dental implants have become a routine treatment in the rehabilitation of edentulous patients. However, the number of patients affected by peri-implant diseases has significantly increased. The literature indicates that the presence or history of periodontitis is one of the most frequent risk factors for peri-implantitis. Objective: the objective of this review is to describe: the risks, biological complications and long-term maintenance of implant therapy in periodontal patients. Methods: an electronic literature search was carried out between 2003 and 2023 using the Pubmed, Science Direct and Wiley online library databases. All included studies evaluated the results by comparing periodontally compromised patients with healthy ones, both undergoing implant therapy. Only longitudinal study and systematic review that included longitudinal studies with a minimum of 3 years follow-up were included. Result: a search of 560 titles was carried out, leaving 13 articles that met the selection criteria. Patients with a history of periodontitis had a higher risk of peri-implantitis than individuals who had never had periodontitis. Patients with a history of periodontitis and non-compliant with supportive periodontal care are at higher risk of biological complications and implant loss. Conclusions: individuals with treated periodontitis can undergo implant therapy, but should be considered at increased potential risk of peri-implantitis. Supportive periodontal therapy appears to be a key factor in increasing long-term implant survival.
Description
Keywords
Periodontite Doença periodontal Implantes dentários Falha do implante Perimplantite Fatores de risco Terapia periodontal de suporte Conformidade do paciente Periodontitis Periodontal disease Dental implants Implant failure Perimplantitis Risk factors Supportive periodontal therapy Patient compliance