Incidência das doenças peri-implantares em indivíduos reabilitados com implantes osseointegrados
Objective: To determine the incidence of peri-implant diseases and associated factors in individuals who underwent rehabilitation treatment with dental implants at the Department of Dentistry of the Federal University of Rio Grande do Norte in the last 18 years, after an interval of seven years t...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/28190 |
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| Resumo: | Objective: To determine the incidence of peri-implant diseases and associated
factors in individuals who underwent rehabilitation treatment with dental
implants at the Department of Dentistry of the Federal University of Rio Grande
do Norte in the last 18 years, after an interval of seven years that they were
attended. Materials and Methods: This was a longitudinal study, in which 155
patients were examined for periodontal and peri-implant clinical parameters in
2012 (baseline). Seven years later, 35 patients returned for further evaluation of
the following parameters: plaque and gingival bleeding scores, periodontal and
peri-implant bleeding on probing, periodontal and peri-implant probing depth,
gingival retraction, clinical attachment level, keratinized mucosa, implant
mobility and suppuration. Radiographic examination was performed to observe
the presence of supracrestal exposure of the implant threads and misfits
between implant / intermediate and intermediate / prosthesis. The association
between independent and dependent variables was tested by Pearson's chisquare and Fisher's exact test with subsequent Multiple Logistic Regression for
a significance level of 95%. Results: Peri-implant mucositis was the most
frequent diagnosis (54.3%) and peri-implantitis was 28.6% at patient level and
53,3% and 26,7% at implant level, respectively. From the Multiple Logistic
Regression at implant level was observed associations between peri-implant
disease and keratinized mucosa (p = 0.05; RPaj = 2.813), cemented prosthesis
(p = 0.019; RPaj = 5.204) and prosthetic failures (p = 0.007; RPaj = 6.950).
Conclusion: The abscence of keratinized mucosa, cemented prosthesis and
prosthetic defects may have a positive association for the development of periimplant diseases, after seven years since the first clinical examination. |
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