Hygienic maintenance in patients with maxillae atrophy and in oncological patients with maxillary resection rehabilitated with zygomatic implants: A nested monocentric prospective cohort study.

Objective: To assess peri‐implant soft tissues condition, comparing clinical parameters of implants placed in patients with atrophic upper jaws and patients who underwent maxillary resection for oncological reasons. Background: Zygomatic implants (ZIs) in oncologic patients could be affected by more...

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Publicado en:International Journal of Dental Hygiene Vol. 22; no. 3; pp. 696 - 703
Autores principales: Pellegrino, Gerardo, Bertacci, Angelica, Relics, Daniela, Ferri, Agnese, Grande, Francesco, Felice, Pietro
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
      vid: 22
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/idh.12776
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        atl: Hygienic maintenance in patients with maxillae atrophy and in oncological patients with maxillary resection rehabilitated with zygomatic implants: A nested monocentric prospective cohort study.
      aug:
        au:
          Pellegrino, Gerardo
          Bertacci, Angelica
          Relics, Daniela
          Ferri, Agnese
          Grande, Francesco
          Felice, Pietro
        affil: Department of Biomedical and Neuromotor Sciences (DiBiNeM), School of Dentistry, University of Bologna, Bologna, Italy
      sug:
        subj:
          Maxilla Pathology
          Atrophy
          Maxillary Diseases Surgery
          Zygoma Surgery
          Prostheses and Implants
          Prosthesis-Related Infections Prevention and Control
          Prosthesis Care Evaluation
          Oral Hygiene Evaluation
          Cancer Patients Psychosocial Factors
          Human
          Male
          Female
          Middle Age
          Aged
          Prospective Studies
          Oral Health Evaluation
          Probability
          Descriptive Statistics
          Confidence Intervals
          Clinical Assessment Tools
          Oncology Surgery
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objective: To assess peri‐implant soft tissues condition, comparing clinical parameters of implants placed in patients with atrophic upper jaws and patients who underwent maxillary resection for oncological reasons. Background: Zygomatic implants (ZIs) in oncologic patients could be affected by more complications compared to implants placed in atrophic maxillae. The soft tissue condition is an essential requirement for implant success, but few studies have investigated this topic. Methods: A nested monocentric prospective parallel cohort (atrophic vs. oncological patients) study was performed. Clinical visits and professional hygiene sessions were performed every three months, and bleeding on probing (BOP), probing pocket depth (PPD), gingival index (GI), plaque index (PI) and implant mobility were recorded by a blind outcome assessor. Results: In total, 77 ZIs placed in 21 patients were evaluated: 54 (70.1%) ZIs were inserted in patients belonging to the atrophic cohort (PAM) and 23 (29.9%) ZIs in the oncologic cohort (OP). The probability of having BOP at the considered mean follow‐up (27 months) was 24.8% (95% CI 19.0–31.9) for PAM and 22.9% (95% CI 15.1–33.9) OP. The mean PPD values were 2.78 ± 1.28 (range 1–8) in PAM and 2.91 ± 1.98 (range 0–10) in OP. None of the implants showed mobility. No associations between group belongingness and the entity of PPD, PI, GI and the risk of BOP were found, adjusting for the considered confounding factors (age, smoking and implant position). Conclusions: Under a strict supportive hygiene therapy protocol ZIs in oncologic patients showed similar peri‐implant tissue conditions to that of patients with maxillary atrophy.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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