Dentistry and Practices [ISSN: 2581-4990]

Abstract

Assessment of Dental Implant Success in Patients with History of Periodontitis: A Systematic Review

Author(s): Guirassy Mouhamadou Lamine, Mobio Gnaba Samson, Kane Aboubacar SidikiThissé, Boussehain Mariam, Diouf Abdoulaye, Samba DIOP, Seck-Diallo Adam, Benoist Henri Michel, Diallo Papa Demba

Introduction: A series of risk factors has been linked to the development of peri-implant disease, including: poor oral hygiene, diabetes, smoking and history of periodontitis. The microbiota associated with peri-implantitis is like that associated with periodontitis, and it was suggested that the deep periodontal pockets may act as a reservoir of bacteria and impacting the implant success rate. The objective of this work was to evaluate the parameters of implant success in patients with history of periodontal disease. 
Methods: A systematic review of the literature from 2004 to 2014 was carried out with an electronic search strategy in Medline, Embase, Cochrane Library and Dentistry and Oral Sciences Sources, supplemented by a manual search in journal of periodontology and implant dentistry. 
Results: The strategy has found 347 papers for inclusion in the study and after the application of filters and criteria; only 4 scientific articles were selected. The total population included in these 4 studies was 1945 subjects, including 1640 with periodontal disease and 305 without history of periodontitis. 
Conclusion: Subject to the methodological quality of the articles selected, it can be concluded that the history of periodontitis is not a contraindication to implant placement, but the rate of implant success depend on the severity and form of periodontitis. Therefore, the decision making of implant therapy in patients with history of periodontal disease must necessarily include a rigorous program of supportive periodontal therapy for implant long-term stability.

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