Tissue level implants in healthy versus medically compromised patients: a cohort comparative study.

Area of Science:

• Dental Implantology
• Oral Surgery
• Periodontology

Background:

• Medically compromised patients often present with conditions impacting oral health.
• Dental implants in these patients have demonstrated predictable outcomes and high survival rates.
• This study compares implant outcomes in healthy versus medically compromised individuals.

Purpose of the Study:

• To compare implant survival and success rates in healthy versus medically compromised patients.
• To evaluate soft tissue response to tissue-level implants in both groups.
• To assess marginal bone level changes after one year.

Main Methods:

• Seventy-two patients (36 healthy, 36 medically compromised) received one tissue-level implant.
• Medically compromised patients had conditions like cardiovascular disease, diabetes, or osteoporosis.
• Implant survival, success, soft tissue response, and marginal bone levels were measured at baseline and 1-year follow-up.

Main Results:

• Overall, 72 implants were placed with a high survival rate.
• No statistically significant differences in implant success or survival rates were found between healthy and medically compromised patients.
• While healthy patients experienced a slight mean loss of keratinized tissue, medically compromised patients showed a mean gain.

Conclusions:

• Tissue-level implants demonstrate comparable short-term (1-year) success, failure, and survival rates in both healthy and medically compromised individuals.
• No significant differences in marginal bone level were observed between the groups.
• Soft tissue response varied slightly, with a gain in medically compromised patients and a loss in healthy patients.