Clinical-statistical study on oral rehabilitation methods using dental implants.

Area of Science:

• Dental implantology
• Prosthodontics
• Osteogenesis stimulation

Background:

• Dental implants are the primary method for restoring dentition functionally and aesthetically.
• Understanding implant-tissue interaction and osteogenesis is crucial for implant success.

Purpose of the Study:

• To compare the efficacy of prosthetic treatments using dental implants alone versus implants with abutment teeth.
• To evaluate failure rates and complications associated with different prosthetic reconstructions.

Main Methods:

• A seven-year longitudinal study (2016-2023) with evaluations at one, two, three, and five years.
• Utilized MedCalc® statistical software for analysis.

Main Results:

• Prosthetic reconstruction with dental implants and natural teeth abutments showed a 43-fold increase in failure rates compared to implant-only rehabilitation.
• Osteoporosis and diabetes mellitus significantly elevated failure rates by 32 and 20 times, respectively.
• Gingival inflammation occurred in approximately 50% of patients in both treatment groups, with complications typically emerging two years post-treatment.

Conclusions:

• Combining dental implants with natural teeth abutments for prosthodontic reconstruction is associated with substantially higher failure rates.
• Systemic conditions like osteoporosis and diabetes mellitus are critical risk factors for dental implant failure.
• Close monitoring for gingival inflammation and other complications is essential for patients undergoing prosthetic restoration with dental implants, particularly around the two-year mark.