scholarly journals Outcomes of dental implants in young patients with congenital versus non-congenital missing teeth

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yousef Al Najam ◽  
Ali Tahmaseb ◽  
Dorothee Wiryasaputra ◽  
Eppo Wolvius ◽  
Brunilda Dhamo

Abstract Objective This cross-sectional study aims to investigate the effect of the cause of missing teeth on the survival and subjective success of dental implant treatment (DIT) in young patients with missing teeth due to non-congenital causes (tooth loss) in comparison to patients with missing teeth because of congenital causes (hypodontia and oligodontia). Material and methods All patients were asked 7 questions to extract information about the survival and subjective success of DIT. Implant survival function was designed using the Kaplan-Meier analysis. Differences in implant success outcomes were studied using binary logistic regression analysis. Results One hundred ten patients aged 18 to 40 years old were included, whereof 32 patients with tooth loss, 25 patients with hypodontia and 53 patients with oligodontia. In the tooth loss group, implant survival reached 96.9%; in the hypodontia group 96.0%; and in the oligodontia group 88.7%. Regarding subjective implant success, patient satisfaction was significantly higher (p < 0.040) among patients with congenital missing teeth in comparison to patients with tooth loss. Other implant success components showed no statistically significant difference (p > 0.050) between the groups. Conclusion The cause of missing teeth does not influence implant survival. However, the cause of missing teeth does have a significant impact on patient satisfaction (implant success), ascertaining young patients with congenital missing teeth as more satisfied of DIT than young patients with tooth loss. Clinical relevance Young patients with tooth agenesis and with an increased number of missing teeth are more content about the treatment with dental implants than patients with tooth loss. Furthermore, a consensus regarding the assessment of implant success is an essential concern for clarification.

2011 ◽  
pp. 96-103
Author(s):  
Quang Hai Nguyen ◽  
Toai Nguyen

1. Background: Loss of permanent teeth is very common, affected chewing function, speech and aesthetics; restoration of missing teeth with dental implant has several advantages, but we need thoroughly study the clinical and X ray features at the position at missing teeth, then to select the type of implant and make the best plan for the dental implant patients. 2. Materials and method: Cross-section descriptive study. From January 2009 to November 2010, study with 56 patients with 102 implants of MIS and Megagen systems at the Faculty of Odonto-Stomatology, Hue College of Medicine and Pharmacy and Vietnam-Cuba Hospital in Ha Noi. 3. Results: Distributed equally in male and female, common ages 40 – 59 (55,4%), the majority of missing teeth occurs in the lower jaw (63,8%) and especially, the teeth 36 and 46 (25,4%). The majority of missing teeth due to dental caries, dental pulp and apical diseases (64,7%) of the molar teeth (51,9%); the most position of missing tooth have enough bone for dental implants (87,3%), time of tooth loss and bone status in the position of tooth loss are related to each other (p < 0,01). Diameter and length of implant usually used 4.0 – 6.0 mm (63,7%) and 8.5 – 13.0 mm (83,3%). 4. Conclusion: Clinical and X ray features of edentulous patients has an important role in determining the type of implants and treatment planning of dental implants. Key words: Loss of permanent teeth, X ray and clinical features, Dental implant.


2020 ◽  
Vol 14 (1) ◽  
pp. 440-449
Author(s):  
Khaled Alzahrani ◽  
Abdulrahman Mohammed Alnafisah ◽  
Khalid Gohormallah Alzahrani ◽  
Khalid Ghalib Alharbi

Objective: The aim of the study is to assess knowledge, attitude and practices of dental implants among dental interns in Saudi Arabia Materials and Methods: A self-designed, close-ended questionnaire was distributed among 205 interns chosen by stratified random sampling technique. The questionnaire consisted of 28 items pertaining to demographic characteristics, knowledge and practices of dental implants. Responses were coded and entered into spreadsheet software (Microsoft Excel 16.0.) and analyzed using Statistical Package for Social Sciences (SPSS, IBM Version 22.0) and contingency tables and chi-square test (χ2). Results: The majority of the participants were males (64.4%), between 24-26 years of age (64%) and had a GPA between 4-5 (63.4%). The majority of the participants gained knowledge of dental implants through theoretical lectures (98.5%), and most of them (80%) knew, what material, an implant was made up of. Almost all participants (91.7%) knew that dental implants had surface modifications. Most (64.4%) believed that case selection is the most important criteria for the success of dental implant therapy, and this differed significantly among participants with respect to GPA (p=0.03). Many participants (60%) believed that the most important advantage of dental implants over fixed prosthesis is that reduction of adjacent tooth is not needed, and this differed significantly between males and females (p=0.026). There was a significant difference (p<0.001) between males and females when it came to confidence in independently restoring teeth using dental implants. 63% of the participants were confident to use dental implants in their future practice. Conclusion: Knowledge of dental implants among dental interns is satisfactory, but this study reveals that participants lack practical experience and would like to acquire more clinical skills. Limitations: The response rate of participants from each university was low, which made comparisons between different universities difficult because sample size from some universities was very small, which could not produce statistically accurate results.


2017 ◽  
Vol 11 (01) ◽  
pp. 135-140 ◽  
Author(s):  
Ayesha Hanif ◽  
Saima Qureshi ◽  
Zeeshan Sheikh ◽  
Haroon Rashid

ABSTRACTAfter tooth loss, an individual may seek tooth replacement so that his/her function and esthetics could be restored. Clinical prosthodontics, during the past decade, has significantly improved and developed according to the advancements in the science and patient's demands and needs. Conventional options in prosthodontics for substituting a missing single tooth include the removable partial denture, partial and full coverage bridgework, and resin-bonded bridgework. Dental implants have gained increasing popularity over the years as they are capable of restoring the function to near normal in both partial and completely edentulous arches. With substantial evidence available, fixed implant-supported prosthesis are fully acknowledged as a reliable treatment option for the replacement of single or multiple missing teeth nowadays. While dental implants are increasingly becoming the choice of replacement for missing teeth, the impediments associated with them are progressively emerging too.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Pietro Garofalo ◽  
Alessandro Griffa ◽  
Georges Dumas ◽  
Flavio Perottino

Fungus ball of maxillary sinus generally affects immunocompetent and nonatopic subjects. Although endoscopic removal is the current gold standard treatment, removal is at times difficult due to an accumulation of fungal elements in the anterior ad inferior recesses. Aim. To present our experience of maxillary fungus ball treated by the “gauze technique” that avoids these removal difficulties. Materials and Methods. A retrospective, cross-sectional, and descriptive study of 25 patients affected by maxillary fungus ball was carried out: 19 were treated by the “gauze technique” and 6 were treated without “gauze technique.” Results. A comparison was made between the two groups for surgery procedure time, length of hospitalization, time from surgery to nasal unpacking, complications, and postsurgical patient satisfaction. The only statistically significant difference observed was a shorter surgical procedure time (p<0.05) for the “gauze technique.” Conclusions. The data obtained in this study demonstrated that the “gauze technique” is a safe, simple, and quick technique, able to reduce surgery procedure time whilst providing excellent functional outcomes and patient satisfaction.


2016 ◽  
Vol 34 (15) ◽  
pp. 1780-1786 ◽  
Author(s):  
Joanne F. Kelvin ◽  
Bridgette Thom ◽  
Catherine Benedict ◽  
Jeanne Carter ◽  
Stacie Corcoran ◽  
...  

Purpose A cancer and fertility program was established at a large cancer center to support clinicians in discussing treatment-related fertility risks and fertility preservation (FP) options with patients and in referring patients to reproductive specialists. The program provides resources, clinician education, and fertility clinical nurse specialist consultation. This study evaluated the program’s impact on patient satisfaction with information received. Patients and Methods Retrospective cross-sectional surveys assessed satisfaction before (cohort 1 [C1]) and after (cohort 2 [C2]) program initiation. Questionnaires were investigator-designed, gender-specific, and anonymous. Results Most C1 (150 males, 271 females) and C2 (120 males, 320 females) respondents were 2 years postdiagnosis; the most frequently reported cancers were testicular, breast, and lymphoma. A significant difference in satisfaction with the amount of information received was seen between C1 and C2. For males, satisfaction with information on fertility risks was high in both cohorts but significantly greater in C2 for information on sperm banking (χ2 = 9.3, P = .01) and finding a sperm bank (χ2 = 13.3, P = .001). For females, satisfaction with information was significantly greater in C2 for information on fertility risks (χ2 = 62.1, P < .001), FP options (χ2 = 71.9, P < .001), help with decision making (χ2 = 80.2, P < .001), and finding a reproductive endocrinologist (χ2 = 60.5, P < .001). Among patients who received and read information materials, 96% of males and 99% of females found them helpful. Among C2 females, fertility clinical nurse specialist consultation was associated with significantly greater satisfaction with information on FP options (χ2 = 11.2, P = .004), help with decision making (χ2 = 10.4, P = .006), and finding a reproductive endocrinologist (χ2 = 22.6, P < .001), with 10% reporting lack of knowledge as a reason for not pursuing FP. Conclusion Improvements in patient satisfaction with information received demonstrate the potential for fertility programs in cancer care settings to improve the quality of clinician-patient discussions about fertility.


2020 ◽  
Author(s):  
Nan Hu ◽  
Ke Xu ◽  
Chao Gong ◽  
Xizhen Xu

Abstract Background: To investigate the bidirectional association between tooth loss and hypertensionMethods: PubMed, EMBASE, OVID were searched through May, 2020. Longitudinal and cross-sectional studies reporting the association between tooth loss and hypertension were included. We quantitatively analyzed the basic framework and study characteristics, and then pooled estimate effects with 95% confidence intervals (CIs) of outcomes of each included studies using random-effects meta-analysis.Results: This systematic review included sixteen studies involving about 188,000 participants. Quantitatively summarized results suggested, compared to individuals who have lost fewer than ten teeth, there was no significantly difference in the incidence of hypertension among participants who lost more than ten teeth (OR: 1.09, 95%CI: 0.93,1.28). Besides, there is no significant difference of incident hypertension between individuals who ever lost teeth and never lost teeth (OR:1.03, 95% CI: 0.85,1.25). There was a significant association between hypertension and incidence of tooth loss (OR: 1.33, 95% CI: 1.04,1.70). Subgroup analysis by study design, age, gender ratio and religion showed statistically significant association between hypertension and incidence of tooth loss in specific subgroups.Conclusions: This meta-analysis identified hypertension as a significantly risk factor of tooth loss while tooth loss was not an efficient predictor for incident hypertension. Considering the limited number of available researches and drawback of cross-sectional studies, more high-quality prospective studies of large sample sizes are needed to understand details of this bidirectional association. Since both tooth loss and hypertension are worldwide problems, our study provides new and comprehensive evidence for the prevention in oral complication of hypertensive patients.


2017 ◽  
Vol 1 (2) ◽  

Background: Hypodontia or congenitally missing teeth is among dental anomalies with different prevalence in each region. The aim of this study was to evaluate the prevalence of congenitally missing permanent teeth in Aseer region population. Materials and Methods: A descriptive, retrospective and cross-sectional study was done. Panoramic radiographs of 1050 patients (370 girls and 680 boys), 12-40 years old, were collected. The radiographs were studied for evidence of congenitally missing teeth. Data were analyzed using Paired t-test, Mann-Whitney test, Fisher exact test and Chi-square test (0.05). Results: Prevalence of congenitally missing teeth was totally 7.42%. The most frequent congenitally missing teeth was mandibular second premolars (28.21%) followed by maxillary second premolars (25.64%). Upper jaw showed significantly higher number of congenitally missing teeth (P value 0.001). According to Chi-square test, congenital missing teeth were found approximately 7.42% in both females and males and there were no statistically significant difference between sexes (P 0.19). Conclusion: The prevalence of congenitally missing teeth (CMT) in Aseer region permanent dentition was 7.42%. The most common congenitally missing teeth were mandibular second premolar fallowed by maxillary second premolars.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Kader Cesur Aydin ◽  
Selin Gaş

SummaryBackground/Aim: Panoramic radiographs have been used widely for pre-implant evaluation and the preparation of treatment protocols. Panoramic radiography is often the first choice method for the implant placements because it gives information on the overall shape of the jaws, the position of the maxillary sinus floor and the nasal cavity floor, and vertical position of the mandibular canal and the mental foramen in relation to dental implants. The specific aim of the present study was to evaluate 10-year survival rate of dental implants by analysis of dental panoramic radiographs.Material and Methods: This retrospective study was conducted on 507 panoramic radiographs of 156 implant patients. Initial oral health status, proceedings of Restorative/Endodontic treatments before implant placement, missing number of teeth and edentulism types, finalization of implant related prosthetic treatments during controls, implant quality scorings at baseline/ controls and implant fails were analyzed.Results: The study results reveal statistically significant difference between the performed R/E treatment rates, according to the need for R/E treatments (p= 0.008). During the initial radiograph 96.1% of the implants were successful and 3.9% had satisfactory survival. At last control 86% of the implants were successful, 10.3% had satisfactory survival, 1% had impairment in survival and 2.8% were unsuccessful. The change in the last control compared to the initial radiograph is statistically significant (p= 0.000) regarding satisfactory survival.Conclusion: Long-term implant survival is not significantly affected by gender, age, type of edentulism, the presence of periodontal disease, R/E treatment needs, implant location, prosthesis type, and the presence of multiple implants.


e-GIGI ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 362
Author(s):  
Juliatri Juliatri ◽  
Pritartha S. Anindita

Abstract: Tooth loss can occur due to various causes including caries and periodontal disease. Dental clerkship students are expected to have a good level of understanding of dental and oral health, therefore, they can prevent tooth loss due to dental and oral diseases such as caries or periodontal disease. This study was aimed to obtain the description of tooth loss among dental clerkship students at Program Studi Pendidikan Dokter Gigi, Faculty of Medicine, Sam Ratulangi University (PSPDG FK Unsrat) Manado. This was a descriptive study with a cross sectional design using total sampling method. Data were collected by means of questionnaires containing the identity and status of respondents with tooth loss, and were analyzed to determine the frequency and distribution of tooth loss. Out of a total of 228 students, 156 students filled in the questionnaires with a response rate of 68.4%. The results showed that 103 or 66% of respondents experienced tooth loss of one or more teeth and the total number of all missing teeth were 240 teeth. Caries was the most prominent cause of tooth loss, as many as 144 teeth or 60%. Of the 240 missing teeth, 202 teeth were not replaced with dentures. In conclusion, the prevalence of tooth loss among dental clerkship students at PSPDG FK Unsrat was 66%. Caries was the most common cause of tooth loss. Most of the missing teeth were not replaced with dentures for various reasons.Keywords: tooth loss; dental student  Abstrak: Kehilangan gigi dapat terjadi akibat berbagai hal di antaranya karies dan penyakit periodontal. Mahasiswa tahap profesi dokter gigi diharapkan memiliki tingkat pemahaman tentang kesehatan gigi dan mulut yang baik sehingga dapat mencegah kehilangan gigi yang disebabkan oleh penyakit gigi dan mulut seperti karies atau penyakit periodontal. Penelitian ini bertujuan untuk mengetahui gambaran kehilangan gigi pada mahasiswa tahap profesi dokter gigi di Program Studi Pendidikan Dokter Gigi Fakultas Kedokteran Universitas Sam Ratulangi (PSPDG FK Unsrat) Manado. Jenis penelitian ialah deskriptif dengan desain potong lintang. Penentuan sampel dengan metode total sampling. Data dikumpulkan menggunakan kuesioner yang berisi identitas dan status kehilangan gigi responden, dan dianalisis untuk mengetahui frekuensi dan distribusi kehilangan gigi responden. Dari total 228 mahasiswa, sebanyak 156 mahasiswa mengisi kuesioner dengan response rate sebesar 68,4%. Hasil penelitian menun-jukkan 103 atau 66% responden mengalami kehilangan satu atau lebih gigi dengan jumlah keseluruhan gigi yang hilang 240 gigi. Karies merupakan penyebab kehilangan gigi paling tinggi yaitu sebanyak 144 gigi atau 60%. Dari 240 gigi yang hilang, sebanyak 202 gigi tidak dibuatkan gigi tiruan. Simpulan penelitian ini ialah prevalensi kehilangan gigi pada mahasiswa tahap profesi PSPDG FK Unsrat sebesar 66%. Karies merupakan penyebab kehilangan gigi paling tinggi. Sebagian besar gigi yang hilang tidak dibuatkan gigi tiruan dengan berbagai alasan.Kata kunci: kehilangan gigi; mahasiswa kedokteran gigi


2022 ◽  
Vol 54 (4) ◽  
pp. 321-327
Author(s):  
Kamran Ahmed Khan ◽  
Dileep Kumar ◽  
Ayaz Hussain Shaikh ◽  
Sanam Khowaja ◽  
Mehboob Ali ◽  
...  

Objectives: Acute coronary syndrome (ACS) at a younger age is now becoming a crucial problem. This study determined the effect of gender on the clinical findings and outcomes of young patients (≤ 45 years) with ACS. Methodology: In this descriptive cross sectional study, young patients (≤45 years) who presented with ACS and underwent coronary angiography were recruited. The comparison of clinical profile, angiographic findings, in-hospital, and 90-days mortality between genders were made. Results: A total of 335 young patients with ACS were included, 80.6% of whom were men. A significant difference was found between men and women in terms of mean age: 38±6 vs. 40±5 (p=0.014), hypertension: 37.8% vs. 58.5% (p=0.002), diabetes: 17.4% vs. 35.4% (p=0.001), smoking: 50.4% vs. 6.2% (p≤0.001), use of smokeless tobacco: 14.1% vs. 4.6% (p=0.037), median time from symptom onset to first medical contact: 270 [420–165] minutes vs. 346 [499.5–240] minutes (p=0.047), ST-segment elevation myocardial infarction (STEMI) 89.6% vs. 78.5% (p=0.015), non-ST-elevation myocardial infarction (NSTEMI) 8.5% vs. 18.5% (p=0.019), and three-vessel disease (3VD) 10.7% vs. 21.5% (p=0.019), respectively. In-hospital and 90-day mortality rates were 0.4% vs. 3.1% (p=0.097) and 1.5% vs. 4.6% (p=0.136) for men and women, respectively. Conclusion: Women tended to have a higher age at presentation, more frequent traditional risk factors, late presentation after symptom onset, frequent NSTEMI, and 3VD, whereas men were distinct with frequent STEMI and higher tobacco use. In addition, women trended to have a higher in-hospital as well as short-term mortality than men did.


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