OSSEOINTEGRATED DENTAL IMPLANTS SUPPORTING FIXED PROSTHESIS IN PATIENTS WITH SYSTEMIC DISEASES: A 7-YEAR RETROSPECTIVE CLINICAL STUDY FOLLOW-UP

The aim of this retrospective clinical study was to evaluate predictability and implants survival rate (first outcome) and marginal bone loss (second outcome) in implant-prosthetic rehabilitation in patients with systemic diseases as diabetes and cardiovascular diseases (hypertension, arrhythmias, cardiomyopathy and valvular insufficiency or stenosis). The sample of 104 participants was divided into two groups according to degree of edentulousness, single or partial. The first group included patients requiring single implant-prosthetic rehabilitations, the second group requiring multiple implant-prosthetic rehabilitations. A total of 298 teeth were extracted. Three months later, 197 dental implants were placed in the edentulous sites and loaded according to the deferred method. The predictability of the treatment, and thus implant survival, was assessed by periodic clinical and radiographic checks at 7 years follow-up. Marginal bone levels were assessed by comparing intraoral X-ray measurements. Any intra-and post-surgical complications was recorded. Within the limits of this study, implant-prosthetic rehabilitation in patients with systemic diseases could be safely applied in both the patient's health and in relation to implant survival rate and marginal bone loss.