Longitudinal Study Focused on Dental Implant Osseointegration and Quality of Life by Adolescent Patients

Czech version

Authors: J. Papež ¹; T. Dostálová ¹; P. Kříž ¹; S. Polášková ²; J. Feberová ²; L. Štěpánek ²
Authors‘ workplace: Stomatologická klinika dětí a dospělých 2. LF UK a FN Motol, Praha ¹; Ústav vědeckých informací, 2. LF UK a FN Motol, Praha ²
Published in: Česká stomatologie / Praktické zubní lékařství, ročník 115, 2015, 4, s. 45-52
Category: Original articles

Věnováno prof. MUDr. Tatjaně Dostálové, DrSc., MBA k významnému životnímu jubileu

Overview

Objectives:
By adolescent patients we can often meet with traumatic tooth loss and anodontia. Dental care of adolescent patients without own teeth, is not easy. Nowadays we use for reconstruction of teeth especially dental implants. Anthropological age determination for implant insertion is important and prosthodontic methods can be often applied only after multidisciplinary therapy. The successful rehabilitation of the patient with dental implants depends on correct indication, optimal implant insertion, functional and psychosocial adaptation. Quality of life is significantly influenced by satisfaction or dissatisfaction with dental treatment.

The aims of this study are twofold. Firstly, to evaluate the long term treatment of adolescent/young adult patients after multidisciplinary therapy, including implants insertion and CAD CAM prosthetic reconstruction. Secondly, to assess changes in quality of life before and after insertion of the dental implant.

Material and methods:
A prospective study of 73 implants (Osseo Speed™ ASTRA TECH Implant System™, Ltd, UK) was prepared. The patients at implants surgery ranged from 16 to 23 years of age (13 men and 20 women; average age 20.4 years). The patients were followed up for a 6-year period. The aesthetic appearance was checked mainly from the point of view of vertical position of the framework, loss of bone marginal support, patient satisfaction, and quality of life after patient rehabilitation. Also, the effect of microthread on the maintenance of marginal bone level was evaluated. All patients involved in the study completed an anonymous questionnaire investigating the quality of life, which was focused on their oral health and was created on the basis of a questionnaire Geriatric Oral Health Assessment Index. Individual scores of all questions of the questionnaire recorded before and after implantation were compared for each question. The significance of these differences was assessed using Wilcoxon signed-rank tests.

Results and conclusions:
Successful long-term results depend mainly on stable osseointegration, the same or increasing bone height in the cervical cap. The implants with a diameter of 3–4.5 mm, which are surrounded 2–3 mm bone showed statistically significant bone level increase. The emphasis in young patients should be placed on completion of the development of the facial skeleton and the superstructure on individual designs using CAD CAM techniques. Our study showed that function, speech, esthetics, self-image was directly connected with multidisciplinary therapy including implant insertion. Quality of life is markedly affected by the amount of satisfaction or dissatisfaction with their dental therapy. Taste sensation of course had no influence on implants presence. Implants presence of course had no influence on taste sensation.

Keywords:
osseointegration – dental implant – quality of life – adolescent patient – growth and evolution of mandible and maxilla

Sources

1. Adell, R., Lekholm, U., Rocker, B., Branemark, P. I.: A 15-years study of osseointegrated implants in the treatment of the edentulous jaw. Int. J. Oral Surg., roč. 10, 1981, č. 6, s. 387–416.

2. Albrektsson, T., Zarb, G., Worthington, P., Eriksson, R. A.: The longterm efficacy of currently used dental implants. A review and proposed criteria for success. Int. J. Oral Maxillofac. Implants, roč. 1, 1986, č. 1, s. 11–25.

3. Atchison, K. A., Dolan, T. A.: Development of the geriatric oral health assessment index. J. Dent. Educ., roč. 54, 1990, č. 11, s. 680–687.

4. Cibirka, R. M., Razzoog, M., Lang, B. R.: Critical evaluation of patient responses to dental implant therapy. J. Prosthet. Dent., roč. 78, 1997, č. 6, s. 574–581.

5. Fuster-Torres, M. A., Albalat-Estela, S., Alcañiz-Raya, M., Peñarrocha-Diago, M.: CAD / CAM dental systems in implant dentistry: update. Med. Oral Patol. Oral Cir. Bucal., roč. 14, 2009, č. 3, s. 141–145.

6. Hassel, B., Farman, A. G.: Skeletal maturation evaluation using cervical vertebrae. Am. J. Orthod. Dentofacial Orthop., roč. 107, 1995, č. 1, s. 58–65.

7. Heydecke, G., Thomason, J. M., Lund, J. P., Feine, J. S.: The impact of conventional and implant supported prostheses on social and sexual activities in edentulous adults. Results from a randomized trial 2 months after treatment J. Dent., roč. 33, 2005, č. 8, s. 649–657.

8. Iseri, H., Solow, B.: Continued eruption of maxillary incisors and first molars in girls from 9 to 25 years, studies by the implant method. Eur. J. Orthod., roč.18, 1996, č. 3, s. 246–256.

9. Krasnicanova, H., Lesny, P.: Kompendium pediatricke Auxologie. Čes.-slov. Pediat. 2001, č. 7, s. 412–416.

10. Kříž, P., Seydlova, M., Dostalova, T., Valenta, Z., Chleborad, K., Zvarova, J., Feberova, J., Hippmannn, R.: Dental implants and improvement of oral health-related quality of life Community. Dent. Oral Epidemiol., roč. 40, 2012, Suppl. 1, s. 65–70.

11. Lee, D. W., Choi, Y. S., Park, K. H., Kim, C. S., Moon, I. S.: Effect of microthread on the maintenance of marginal bone level: a 3-year prospective study. Clin. Oral Implants Res., roč. 18, 2007, č. 4, s. 465–470.

12. Mishra, S. K., Chowdhary, N., Chowdhary, R.: Dental implants in growing children, J. Indian Soc. Pedod. Prev. Dent., roč. 31, 2013, č. 1, s. 3–9.

13. Schrotenboer, J., Tsao, Y. P., Kinariwala, V., Wang, H. L.: Effect of microthreads and platform switching on crestal bone stress levels: a finite element analysis. J. Periodontol., roč. 79, 2008, č. 11, s. 2166–2172.

14. Tanner, J. M., Whitehouse, R. H., Cameron, N., Marshall, W. A., Healy, M. J. R.: Assessment of skeletal maturity and prediction of adult height (TW2 Method). Goldstein H. ed., 2nd ed. London, UK: Academic Press, 1983.

15. Thilander, B., Odman, J., Jemt, T.: Single implants in the up-per incisor region and their relationship to the adjacent teeth. An 8-year follow-up study. Clin. Oral Implants Res., roč. 10, 1999, č. 5, s. 346–55.

16. Verhoeven, J. W., Cune, M. S., de Putter, C.: Reliability of some clinical parameters of evaluation in implant dentistry. J. Oral Rehabil., roč. 27, 2000, č. 3, s. 211–216.

Labels

Maxillofacial surgery Orthodontics Dental medicine

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Article was published in

Czech Dental Journal

2015 Issue 4