Implantological treatment in patients with atrophic maxillas
Keywords:
DENTAL PROSTHESIS, DENTAL IMPLANTATION, OSSEOINTEGRATION, AMBULATORY SURGICAL PROCEDURES.Abstract
Background: the rehabilitation of patients with atrophic maxillas is almost impossible as the retention of the conventional prostheses is not fulfilled, so the implant-supported ones are the solution for this problem.
Objective: to describe the results of the implantological treatment in patients with atrophic maxillas and retention problems with the conventional prosthesis, attended to at the Dr. Gustavo Aldereguía Lima General Teaching Hospital of Cienfuegos, from September 2014 to April 2016.
Methods: a prospective, descriptive study was conducted on a group of 41 patients with atrophic maxillas, to whom two ball-and-socket implants were placed, at the department of maxillofacial surgery of the aforementioned hospital and during the period herein declared. The variables included age, sex, length, diameter, osseointegration, prosthesis use and results.
Results: there was a prevalence of the male sex (56,1 %) and of the 60 to 69 age group (46,3 %). There was osseointegration of the implants in almost their totality (94,3 %). The mostly used length was 10 mm (70,1 %) where most of the implant failures were concentrated. The diameter of 3,2 mm was successful in 51,7 % of the implants. Most of the patients reported using the prosthesis all the time (90,2 %), accepting the treatment received for having fulfilled their expectations and describing it as good.
Conclusions: the treatment with implant-supported prostheses in total toothless people with atrophic maxillas was effective.
Downloads
References
Spiekermann H, Donath K, Jovanovic S, Richter J. Atlas de Implantología. Barcelona: Masson; 1995.
Weiss CM, Weiss A. How to recognize a Mainstream case. In: Principles and Practice of Implant Dentistry. St. Louis: Mosby; 2011. p. 3-7.
Singh PP, Norman A. Atlas of Oral Implantology. 3rd ed. Missouri: Mosby Elsevier; 2010.
Piatelli M, Favero G, Scarano A, Orsini G, Piatelli A. Bone reactions to anorganic bovine (Bio-Oss) used in sinus augmentation procedures: a histologic long-term report of 20 cases in humans. Int J Oral Maxillofac Implants [revista en internet]. 1999 [citado 18 octubre 2017]; 14(6): 835-40 Disponible en: https://www. ncbi.nlm.nih.gov/pubmed/10612920.
Beauballet B, Morales D, Vila D. Síntesis histórica de la especialidad de Cirugía Maxilofacial en Cuba. Rev Cub Estomatol [revista en internet]. 2013 [citado 18 octubre 2017]; 50(3). Disponible en: http://scielo.sld. cu/scielo.php?script=sci_arttext&pid=S0034-75072013000300010.
Morales Navarro D. Doctor Diego Meneses Almeida. Rev Cubana de Estomatol [revista en internet]. 2013 [citado 18 octubre 2017]; 49(1): 140. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid =S0034-75072013000100013.
Cícero J, Daudt W. Oseointegración: Evoluciones y perspectivas en la Odontología. En: Implantes Osteointegrados. Cirugía y Prótesis. São Paulo: Artes Médicas; 2003. p. 1-6.
Monzón Trujillo D, Martínez Brito I, Rodríguez Sarduy R, Piña Rodríguez JJ, Pérez Mír EA. Injertos óseos en implantología oral. Rev. Med. Electrón [revista en internet]. 2014 [citado 18 octubre 2017]; 36(4): 449-461. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242014000400007& lng=es.
del Prado Arroyo M, Fernández Galán M, Aragoneses Lamas JM. Técnicas quirúrgicas en el maxilar atrófico. Dental Tribune [en línea]. 2013 [citado 18 octubre 2017]. Disponible en: http://www.dental-tribune.com/articles/specialities/overview/15647_tecnicas_quirrgicas_en_el_maxilar_atrofico.html.
Awad MA, Lund JP, Dufresne E, Feine JS. Comparing the efficacy of implantretained overdentures and conventional dentures among middle-aged edentulous patients: satisfaction and functional assessment. Int J Prosthodont [revista en internet]. 2003 [citado 18 octubre 2017]; 16(2): 117-22. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/12737240.
Albaker AM. The oral health-related quality of life in edentulous patients treated with conventional dentures. Gerodontology [revista en internet]. 2013 [citado 18 octubre 2017]; 30(1): 61-6. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1741-2358.2012.00645.x/full.
Martín M. Satisfacción del paciente desdentado total y evolución clínica tras el tratamiento rehabilitador sobre implantes [Tesis doctoral]. Madrid: Universidad complutense de Madrid; 2013[citado 18 de octubre 2017]. Disponible en: http://eprints.ucm.es/23466/1/T34874.pdf.
Pan S, Awad M, Thomason JM, Dufresne E, Kobayashi T, Kimoto S, et al. Sex differences in denture satisfaction. J Dent [revista en internet]. 2008 [citado 18 octubre 2017]; 36(5): 301-8. Disponible en: http://www.sciencedirect.com/science/article/pii/S0300571208000511.
Esquival RI, Jimenez J. The effect of the use of dental prostheses on perceptions of oral health. ADM [revista en internet]. 2012 [citado 18 octubre 2017]; 69(2). Disponible en: http://www.medigraphic.com/ pdfs/adm/od-2012/od122f.pdf.
Pérez O, Velasco E, Rodríguez O, González L. Resultados del tratamiento con implantes dentales en la fase quirúrgica. Rev Cub Estomatol [revista en internet]. 2013 [citado 18 octubre 2017]; 50(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75072013000400003.
González R, Naval L, Muñoz MF, Sastre J, Rodríguez FJ, Gil-Díez JL. Cirugía preprotésica e implantológica en pacientes con atrofia maxilar severa. Med Oral Patol Oral Cir Bucal [revista en internet]. 2005 [citado 18 octubre 2017]; 10(4). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1698-44 472005000400009
Sánchez MA, Álvarez JC, Corral E, González R, Alves J, Párraga G, et al. Revisión bibliográfica de Implantología Bucofacial del año 2010. Avances en Periodoncia [revista en internet]. 2012 [citado 18 octubre 2017]; 24(2). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-6585 2012000200003.
Azañón Hernández R, Martínez Lara I, Ferrer Gallego J, Marzo Alzota R. Pertinencia del uso de implantes dentales cortos en pacientes con atrofia ósea severa: revisión de la literatura. Avances en Periodoncia e Implantología Oral [revista en internet]. 2013 [citado 18 octubre 2017]; 25(3): 153-164. Disponible en: http://scielo.isciii.es/pdf/peri/v25n3/original3.pdf.
Mestre R, Sánchez MA, Berini L, Gay C. Estudio del grado de satisfacción en pacientes edéntulos totales tratados con implantes. Avances en Periodoncia [revista en internet]. 2001 [citado 18 octubre 2017]; 13(2). Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-6585200100020005.
Grogono AL, Lancaster DM, Finger IM. Dental implants: a survey of patients' attitudes. J Prosthet Dent. 2012; J Prosthet Dent[revista en internet]. 1989 [citado 18 octubre 2017]; 62(5): 573-6. Disponible en: http://www.sciencedirect.com/science/article/pii/0022391389900826.
Downloads
Published
How to Cite
Issue
Section
License
This journal provides free and immediate access to its content under the principle that making research freely available to the public supports a greater exchange of global knowledge. This means that the authors transfer the copyright to the journal, so that copies and distribution of the contents can be made by any means, as long as the authors' acknowledgment is maintained. These terms are a reflection that the journal assumes copyright under Creative Commons licenses, specifically under a Creative Commons Attribution 4.0 International license.
Registration and submission of articles to the journal is free. The processing, including review, editing and publication, is completely free of charge.