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SM ISO690:2012 BARDIS, Dimitrios, AGOP-FORNA, Doriana, PELEKANOS, Stavros, CHELE, Nicolae, DASCALU, Cristina Gena, TOROK, Roland, TOROK, 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. In: Diagnostics, 2023, vol. 13, pp. 1-14. ISSN -. DOI: https://doi.org/10.3390/diagnostics13142341 |
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Diagnostics | |
Volumul 13 / 2023 / ISSN - /ISSNe 2075-4418 | |
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DOI:https://doi.org/10.3390/diagnostics13142341 | |
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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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Cuvinte-cheie dental implants, implant failure, implant-supported fixed partial dentures, peri-implantitis, periodontal disease, prosthetic success, risk factors |
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