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Clinical and radiographic peri‐implant outcomes of short dental implants placed in posterior jaws of patients with treated generalized aggressive periodontitis: A 3‐year follow‐up study
Author(s) -
Akram Zohaib,
Vohra Fahim,
Sheikh Saeed A.,
Albaijan Refal,
Bukhari Ishfaq A.,
Hussain Mudassir
Publication year - 2019
Publication title -
clinical implant dentistry and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.338
H-Index - 85
eISSN - 1708-8208
pISSN - 1523-0899
DOI - 10.1111/cid.12761
Subject(s) - medicine , maxilla , bleeding on probing , aggressive periodontitis , dentistry , implant , radiography , mandible (arthropod mouthpart) , periodontitis , orthodontics , surgery , botany , biology , genus
Background Studies assessing clinical and radiographic peri‐implant parameters around short dental implants (SDIs) in treated generalized aggressive periodontitis (GAgP) patients are scant. Objectives This 3‐year follow‐up study aimed to compare the clinical peri‐implant and radiographic bone status around SDIs placed in partially edentulous patients treated for GAgP and periodontally healthy patients and to assess the implant success rate between both the groups. Materials and Methods A total of seven patients clinically diagnosed with GAgP and seven periodontally healthy patients was included in the clinical study. Forty‐eight (29 maxilla; 19 mandible) and 11 (8 maxilla; 3 mandible) SDIs were placed in the GAgP group and healthy group, respectively. Plaque index (PI), bleeding on probing (BOP), probing depth (PD), and clinical attachment level (CAL) were recorded at six sites around all teeth and implants. Marginal bone loss (MBL) was studied incorporating in a specialized software and examined on a calibrated computer display screen with the help of an image analyzer. Patient satisfaction was recorded using a questionnaire sheet that contained questions regarding esthetics and function of the restorations. Results The implant survival rate after 3 years was 81.25%. BOP and CAL around SDIs of GAgP patients were significantly higher than in periodontally healthy subjects ( P = .01) throughout the follow‐up. CAL around the teeth of GAgP patients was significantly greater during the follow‐up than around the teeth of periodontal healthy subjects ( P = .02). The PI and BOP between the teeth and implants showed no statistical significant difference. The mean PD at teeth was 0.4 mm greater than at implants. Implants showed significantly increased attachment loss than teeth ( P = .01). The overall mean satisfaction of visual analogue scale was 12.8 ± 1.45. Conclusion This short‐term follow‐up study indicates SDIs remain functionally stable in the posterior jaws of treated GAgP patients.