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Assessment of Various Risk Factors for Biological and Mechanical/Technical Complications in Fixed Implant Prosthetic Therapy: A Retrospective Study

The goals of this research were to determine the influence of several factors on implants’ biological and technical complications in posterior fixed implant prosthetic therapy. Materials and methods: The study group consisted of 67 edentulous patients (mean age: 63.88 ± 11.709 yrs; 20 males, 47 fema...

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Autores principales: Bardis, Dimitrios, Agop-Forna, Doriana, Pelekanos, Stavros, Chele, Nicolae, Dascălu, Cristina, Török, Roland, Török, Bianca, Cristea, Ioana, Bardi, Panagiota Moulavasili, Forna, Norina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378676/
https://www.ncbi.nlm.nih.gov/pubmed/37510085
http://dx.doi.org/10.3390/diagnostics13142341
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author Bardis, Dimitrios
Agop-Forna, Doriana
Pelekanos, Stavros
Chele, Nicolae
Dascălu, Cristina
Török, Roland
Török, Bianca
Cristea, Ioana
Bardi, Panagiota Moulavasili
Forna, Norina
author_facet Bardis, Dimitrios
Agop-Forna, Doriana
Pelekanos, Stavros
Chele, Nicolae
Dascălu, Cristina
Török, Roland
Török, Bianca
Cristea, Ioana
Bardi, Panagiota Moulavasili
Forna, Norina
author_sort Bardis, Dimitrios
collection PubMed
description The goals of this research were to determine the influence of several factors on implants’ biological and technical complications in posterior fixed implant prosthetic therapy. Materials and methods: The study group consisted of 67 edentulous patients (mean age: 63.88 ± 11.709 yrs; 20 males, 47 females) with implant prosthetic therapy for posterior edentulism. A total of 76 implant-supported fixed partial dentures (IP-FPDs) and 178 implants were assessed using clinical and paraclinical assessments. Risk factors for biological complications (peri-implantitis) and technical complications were determined by using the Pearson Chi-squared test and multivariate analysis. Results: The implant success (the absence of biological and mechanical/technical complications) was 66.30%. The prevalence of biological complications was 13.5%. The prevalence of technical complications was 28.70%. Variables that were associated with a higher risk of peri-implantitis were poor oral hygiene and bruxism. In univariate analysis, poor oral hygiene increased the risk of peri-implantitis 5.778 times and bruxism 5.875 times. Variables that were associated with a higher risk of mechanical/technical complications were age group > 60 yrs, smoking, history of periodontal disease, and bruxism. In univariate analysis, the risk of technical complications increased 4.14 times for patients in the age group > 60 years (vs. age group 40–60 years) and 20.5 times for patients with bruxism. Bruxism and smoking were significant predictors of mechanical/technical complications in the multivariate model. Conclusions: In univariate models, patients with poor oral hygiene and bruxism have an increased risk of peri-implantitis. In multivariate models, we did not identify significant predictors of peri-implantitis. Age group > 60 yrs, smoking, history of periodontal disease, bone grafting, and bruxism are risk factors for the increase in the mechanical/technical complication rate. In the multivariate model, smoking and bruxism are significant predictors of the mechanical/technical complications.
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spelling pubmed-103786762023-07-29 Assessment of Various Risk Factors for Biological and Mechanical/Technical Complications in Fixed Implant Prosthetic Therapy: A Retrospective Study Bardis, Dimitrios Agop-Forna, Doriana Pelekanos, Stavros Chele, Nicolae Dascălu, Cristina Török, Roland Török, Bianca Cristea, Ioana Bardi, Panagiota Moulavasili Forna, Norina Diagnostics (Basel) Article The goals of this research were to determine the influence of several factors on implants’ biological and technical complications in posterior fixed implant prosthetic therapy. Materials and methods: The study group consisted of 67 edentulous patients (mean age: 63.88 ± 11.709 yrs; 20 males, 47 females) with implant prosthetic therapy for posterior edentulism. A total of 76 implant-supported fixed partial dentures (IP-FPDs) and 178 implants were assessed using clinical and paraclinical assessments. Risk factors for biological complications (peri-implantitis) and technical complications were determined by using the Pearson Chi-squared test and multivariate analysis. Results: The implant success (the absence of biological and mechanical/technical complications) was 66.30%. The prevalence of biological complications was 13.5%. The prevalence of technical complications was 28.70%. Variables that were associated with a higher risk of peri-implantitis were poor oral hygiene and bruxism. In univariate analysis, poor oral hygiene increased the risk of peri-implantitis 5.778 times and bruxism 5.875 times. Variables that were associated with a higher risk of mechanical/technical complications were age group > 60 yrs, smoking, history of periodontal disease, and bruxism. In univariate analysis, the risk of technical complications increased 4.14 times for patients in the age group > 60 years (vs. age group 40–60 years) and 20.5 times for patients with bruxism. Bruxism and smoking were significant predictors of mechanical/technical complications in the multivariate model. Conclusions: In univariate models, patients with poor oral hygiene and bruxism have an increased risk of peri-implantitis. In multivariate models, we did not identify significant predictors of peri-implantitis. Age group > 60 yrs, smoking, history of periodontal disease, bone grafting, and bruxism are risk factors for the increase in the mechanical/technical complication rate. In the multivariate model, smoking and bruxism are significant predictors of the mechanical/technical complications. MDPI 2023-07-11 /pmc/articles/PMC10378676/ /pubmed/37510085 http://dx.doi.org/10.3390/diagnostics13142341 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bardis, Dimitrios
Agop-Forna, Doriana
Pelekanos, Stavros
Chele, Nicolae
Dascălu, Cristina
Török, Roland
Török, Bianca
Cristea, Ioana
Bardi, Panagiota Moulavasili
Forna, Norina
Assessment of Various Risk Factors for Biological and Mechanical/Technical Complications in Fixed Implant Prosthetic Therapy: A Retrospective Study
title Assessment of Various Risk Factors for Biological and Mechanical/Technical Complications in Fixed Implant Prosthetic Therapy: A Retrospective Study
title_full Assessment of Various Risk Factors for Biological and Mechanical/Technical Complications in Fixed Implant Prosthetic Therapy: A Retrospective Study
title_fullStr Assessment of Various Risk Factors for Biological and Mechanical/Technical Complications in Fixed Implant Prosthetic Therapy: A Retrospective Study
title_full_unstemmed Assessment of Various Risk Factors for Biological and Mechanical/Technical Complications in Fixed Implant Prosthetic Therapy: A Retrospective Study
title_short Assessment of Various Risk Factors for Biological and Mechanical/Technical Complications in Fixed Implant Prosthetic Therapy: A Retrospective Study
title_sort assessment of various risk factors for biological and mechanical/technical complications in fixed implant prosthetic therapy: a retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378676/
https://www.ncbi.nlm.nih.gov/pubmed/37510085
http://dx.doi.org/10.3390/diagnostics13142341
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