Ερευνητικό υλικό ΕΚΠΑ

The impact of glucocorticosteroids administered for systemic diseases on the osseointegration and survival of dental implants placed without bone grafting—A retrospective study in 31 patients

Αγγλικά

Purpose To evaluate the impact of glucocorticosteroids, administered for the treatment of systemic diseases, on the osseointegration and survival of dental implants placed without bone grafting. Materials and methods A retrospective study was conducted in search of patients treated with dental implants while receiving glucocorticosteroid therapy for various systemic diseases. In these cases, a conventional two-stage surgical protocol was used, without bone regeneration procedures. The osseointegration was clinically and radiographically tested at the uncovering of the implants. The follow-up after loading was set at a minimum of 3 years. Results A total of 31 patients were included in the study. Of the 105 dental implants placed, 104 were osseointegrated (99%). No bone absorption was radiographically noted at the uncovering of the osseointegrated implants. All of the osseointegrated implants were successfully loaded for the prosthetic restoration. The mean follow-up period after loading was 71 months, with an implant survival rate of 99%. Conclusions Glucocorticosteroid intake for systemic diseases does not have a significant impact on the osseointegration and the 3-year survival of dental implants placed with a conventional two-stage surgical protocol and without bone grafting. Therefore, it should not be considered a contraindication for dental implant placement. © 2017 European Association for Cranio-Maxillo-Facial Surgery

2017

Petsinis, V.
Kamperos, G.
Alexandridi, F.
Alexandridis, K.

Journal of Cranio-Maxillofacial Surgery

Churchill Livingstone

45

8

1197-1200

methylprednisolone; prednisolone; glucocorticoid, adult; aged; Article; clinical article; corticosteroid therapy; female; follow up; human; male; mandible; maxilla; middle aged; osseointegration; retrospective study; survival rate; systemic disease; tooth implant; bone transplantation; drug effect; osseointegration; prosthesis complication; time factor, Adult; Aged; Bone Transplantation; Dental Implants; Female; Glucocorticoids; Humans; Male; Middle Aged; Osseointegration; Prosthesis Failure; Retrospective Studies; Time Factors

https://doi.org/10.1016/j.jcms.2017.05.023

10.1016/j.jcms.2017.05.023

https://pergamos.lib.uoa.gr/uoa/dl/object/2990489