Abstrait

An Innovative Approach to Dental Implantation in Medically Compromised Patients. Narrow Implants � Yes or No?

Ilia Mushayev, Rafael Sarikov and Hava Mushayev

Objectives: To locate approaches to diagnosis and treatment in patients suffering from chronic illnesses with the aim of prolonging the lifetime of the dental implants and the rehabilitation that is installed on the implants and to minimize bone absorption around the implant. Material and methods: This research work was done on the basis of clinical cases. From 2010 to 2015, we treated 370 people whose ages ranged from 31 to 94 years and who suffered from primary or secondary teeth loss. A total of 1113 titanium implants varying in diameter were placed, ranged from 3 mm to 6 mm in diameter. The length of the implants ranged from 5 mm to 18 mm. All patients were divided into two clinical groups based on the presence or absence of chronic illness. The first group of 177 patients had compensated (balanced) chronic diseases. The second group of 193 patients were in good health. Results: Out of 1113 implants, 1062 survived, which constitutes a success rate of 93.7%. It was found that the greater the diameter of the implant, the more complications occurred around the area of the implant. Complications and rejection of implants were found to be statistically significant for larger diameter implants if the patient had a chronic disease. Conclusion: The larger the diameter of the implant, the higher percentage of bone absorption in the chronically ill patients, especially during the time frame of 1-6 months. There were also increasing complications with this group around the area of the implants.