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Publication
ReabilitaĆ§Ć£o de doentes periodontais com implantes osteointegrados
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Advisor(s)
Abstract(s)
A periodontite Ć© uma das patologias com maior impacto na sociedade atual, dada a sua elevada prevalĆŖncia. Na medida em que Ć© uma das principais causas de perda dentĆ”ria, durante a idade adulta, os pacientes periodontais representam um dos principais grupos de candidatos Ć terapia implantar. A reabilitaĆ§Ć£o de pacientes sem fatores de risco locais/sistĆ©micos com o recurso Ć Implantologia, demonstra elevadas taxas de sucesso/sobrevivĆŖncia a longo prazo, apresentando estes, uma incidĆŖncia reduzida de periimplantite, quando acompanhados em consultas anuais de manutenĆ§Ć£o implantar. A presenƧa de periimplantite constituĆ a principal ameaƧa ao sucesso do(s) implante(s), a longo prazo. Os pacientes periodontais, devem ser considerados pacientes de risco Ć reabilitaĆ§Ć£o implantar, jĆ” que apresentam um maior risco de periimplantite, perda Ć³ssea e consequentemente um menor sucesso, a longo prazo. A saĆŗde periimplantar Ć© altamente dependente da saĆŗde periodontal. Assim, para que seja realizada a reabilitaĆ§Ć£o destes pacientes atravĆ©s da terapia implantar, Ć© indispensĆ”vel que, anteriormente Ć colocaĆ§Ć£o de implantes, a patologia esteja controlada e que os pacientes sejam acompanhados regularmente em consultas de manutenĆ§Ć£o implantar e periodontal, de forma a perpetuar os resultados alcanƧados apĆ³s a fase ativa do tratamento. Adicionalmente, outros fatores de risco relacionados com o paciente e fatores implantolĆ³gicos, que determinam um maior risco de desenvolvimento de periimplantite em pacientes sem histĆ³ria pregressa de patologia periodontal, atuam de forma sinĆ©rgica em pacientes com histĆ³ria pregressa de periodontite.
Esta revisĆ£o tem como principal objetivo a determinaĆ§Ć£o da correlaĆ§Ć£o existente entre a colocaĆ§Ć£o de implantes em pacientes periodontais e o desenvolvimento de periimplantite.
Due to its high prevalence, Periodontitis is one of the oral pathologies that most affects the society nowadays. Since its one of the major causes of dental loss, throughout adulthood, periodontal patients are one of the major candidates for the Implant Therapy. The Implant Rehabilitation in patients without local/systemic risk factors associated has shown high rates of success/survival in the long-term. These patients demonstrated a reduced incidence of periimplantitis, when implantĀ“s maintenance is annualy assured. The diagnosis of periimplantitis is one of the major threat for the success of the implant(s) in the long-therm. Periodontal patients should be considered high-risk patients for implant placement, since they present a higher risk for the development of periimplantitis and bone loss, that in long term lead to an inferior success of implants, in the long term. The Peri-Implant Health relies heavily on the Periodontal Health. Thus in order for the rehabilitation of these patients to happen, through Implant Therapy, is mandatory that, before implant placement, the periodontal pathology is already controlled. Also the patients need to be enroll regularly in implant/periodontal maintenance in order to perpetuate the results achieved after the active phase of treatment. Additionally, other risk factors relative to the patient and implantology factors, that determine a higher risk for the development of periimplantitis in patients that have no prior history of periodontitis, act synergistically in patients with a history of periodontitis. The main objective of this review is to determinate the existing correlation between the placement of implants in periodontal patients and the development of Periimplantitis.
Due to its high prevalence, Periodontitis is one of the oral pathologies that most affects the society nowadays. Since its one of the major causes of dental loss, throughout adulthood, periodontal patients are one of the major candidates for the Implant Therapy. The Implant Rehabilitation in patients without local/systemic risk factors associated has shown high rates of success/survival in the long-term. These patients demonstrated a reduced incidence of periimplantitis, when implantĀ“s maintenance is annualy assured. The diagnosis of periimplantitis is one of the major threat for the success of the implant(s) in the long-therm. Periodontal patients should be considered high-risk patients for implant placement, since they present a higher risk for the development of periimplantitis and bone loss, that in long term lead to an inferior success of implants, in the long term. The Peri-Implant Health relies heavily on the Periodontal Health. Thus in order for the rehabilitation of these patients to happen, through Implant Therapy, is mandatory that, before implant placement, the periodontal pathology is already controlled. Also the patients need to be enroll regularly in implant/periodontal maintenance in order to perpetuate the results achieved after the active phase of treatment. Additionally, other risk factors relative to the patient and implantology factors, that determine a higher risk for the development of periimplantitis in patients that have no prior history of periodontitis, act synergistically in patients with a history of periodontitis. The main objective of this review is to determinate the existing correlation between the placement of implants in periodontal patients and the development of Periimplantitis.
Description
DissertaĆ§Ć£o para obtenĆ§Ć£o do grau de Mestre no Instituto UniversitĆ”rio Egas Moniz
Keywords
Implantologia Periodontite Periimplantite Fatores de risco