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Table 5 Summary of OHIP-14 (N = 44 and respons...

OHIP domainMinimumMaximumMeanSDFunctional limitation072.341.70Physical pain071.161.51Psychological discomfort081.642.27Physical disability080.751.77Psychological disability081.182.11Social disability080.611.40Handicap080.701.71Total0648.49.7Table 5 Summary of OHIP-14 (N = 44 and response range 0–8)

Table 4 Correlation analyses : Patient experience ...

Outcome variablesCorrelationsSpearman’s rhoP valueOHRQoLOral health compared0.596

Table 3 Patient-reported outcomes : Patient experi...

QuestionResponseFrequencyOral healthVery good/good81.8%Quality of LifeVery good/good90.9%General healthVery good/good81.8%Pain after hip operationExcessive35.0%Satisfaction hip operationVery85.7%Post op infection in hip siteNo95.3%Visible scar on hipYes48.8%Acceptable scarYes20 of 21aReduced sensibility on hip siteNo86.0%Problem walkingNo92.9%Augmented bone block still presentNo6.8%New augmentatio...

Table 2 Patients’ demographic and lifestyle-rela...

VariableFrequencyN or Mean ± SD%Patients Female2454.5 Male2045.5Age (years)61.16 ± 13.10 Age at operation53.73 ± 13.07 Time from augmentation to completing questionnaire (months)93.55 ± 31.75 Civil status Married3068.2 Single1125.0 Widow(er)36.8Housing Alone1227.3 With another person2352.3 > two persons920.5Education Up to primary711.3 Up to secondary23...

Table 1 Summary of questions : Patient experience ...

CategoryResponseQuestion (1) Perceived health-status  General health“Very good” to “bad”  Oral health“Very good” to “bad”  Overall quality of life“Excellent” to “bad” (2) Lifestyle-related  Smoking“Yes,” “no,” or “sometimes”  Appetite“Good” to “bad” (3) Donor site-related  Pain“Yes” and “no”  Infection“Yes” a...

About this article : Patient experience following ...

Gjerde, C.G., Shanbhag, S., Neppelberg, E. et al. Patient experience following iliac crest-derived alveolar bone grafting and implant placement. Int J Implant Dent 6, 4 (2020). https://doi.org/10.1186/s40729-019-0200-8 Download citation Received: 10 October 2019 Accepted: 11 December 2019 Published: 05 February 2020 DOI: https://doi.org/10.1186/s40729-019-0200-8

Rights and permissions : Patient experience follow...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...

Supplementary information : Patient experience fol...

A self-administered questionnaire.

Additional information : Patient experience follow...

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Ethics declarations : Patient experience following...

The Ethics Committee was contacted in 2015, and no ethical approval was needed since this was then considered a quality control study. Written consent was obtained from all participants. Not applicable. Cecilie G Gjerde, Siddharth Shanbhag, Evelyn Neppelberg, Kamal Mustafa, and Harald Gjengedal declare that they have no competing interests.

Author information : Patient experience following ...

Correspondence to Cecilie G. Gjerde.

Author information : Patient experience following ...

Department of Oral and Maxillofacial Surgery, Institute of Clinical Dentistry, University of Bergen, Årstadveien 19, 5009, Bergen, Norway Cecilie G. Gjerde & Evelyn Neppelberg Centre for Clinical Dental Research, Institute of Clinical Dentistry, University of Bergen, Bergen, Norway Cecilie G. Gjerde, Siddharth Shanbhag & Kamal Mustafa Department of Oral and Maxillofacial Surgery, Head an...

Funding : Patient experience following iliac crest...

This work was partially funded by the Research Council of Norway through the BEHANDLING project (grant no. 273551) and TROND MOHN Foundation, Norway (BFS2018TMT10).

Acknowledgements : Patient experience following il...

The staff and surgeons at the Department of Oral and Maxillofacial Surgery, Head and Neck Clinic, Haukeland University Hospital, Bergen. Randi Aursland, master student, who helped collecting data. The patients included in this study.

References : Patient experience following iliac cr...

Landes CA, Bundgen L, Laudemann K, Ghanaati S, Sader R. Patient satisfaction after prosthetic rehabilitation of bone-grafted alveolar clefts with nonsubmerged ITI Straumann dental implants loaded at three months. Cleft Palate Craniofac J. 2012;49(5):601–8. Reisine S, Freilich M, Ortiz D, Pendrys D, Shafer D, Taxel P. Quality of life improves among post-menopausal women who received bone augment...

References : Patient experience following iliac cr...

Locker D, Allen F. What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol. 2007;35(6):401–11. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90(11):1264–70. Slade GD. Assessing change in quality of life using the Oral Health Impact Profile. Community Dent Oral Epidemiol. 1998;26...

References : Patient experience following iliac cr...

Hill NM, Horne JG, Devane PA. Donor site morbidity in the iliac crest bone graft. Aust N Z J Surg. 1999;69(10):726–8. Finkemeier CG. Bone-grafting and bone-graft substitutes. J Bone Joint Surg Am. 2002;84-A(3):454–64. Hernigou P, Desroches A, Queinnec S, Flouzat Lachaniette CH, Poignard A, Allain J, et al. Morbidity of graft harvesting versus bone marrow aspiration in cell regenerative thera...

References : Patient experience following iliac cr...

Schaaf H, Lendeckel S, Howaldt HP, Streckbein P. Donor site morbidity after bone harvesting from the anterior iliac crest. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(1):52–8. Sakkas A, Wilde F, Heufelder M, Winter K, Schramm A. Autogenous bone grafts in oral implantology-is it still a “gold standard”? A consecutive review of 279 patients with 456 clinical procedures. Int J I...

Abbreviations : Patient experience following iliac...

Health-related quality of life Oral Health Impact Profile-14 Oral health-related quality of life Patient-reported outcome measures Quality of life

Availability of data and materials : Patient exper...

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Conclusions : Patient experience following iliac c...

Favorable OHRQoL and satisfaction were reported after advanced reconstruction with iliac crest-derived grafts and implant treatment in orally compromised patients. However, this treatment requires substantial resources including hospitalization and sick leave.

Discussion : Patient experience following iliac cr...

Patients in our study reported satisfaction with the augmentation and implant installation, and as these patients were orally compromised before the operation, their satisfaction with getting fixed teeth most likely improved their perceived oral health condition. This might also, in part, explain why they reported good OHRQoL. Thus, our findings indicate that a majority of patients tolerate the au...

Discussion : Patient experience following iliac cr...

An important finding in this study is that a majority of patients were very satisfied after iliac crest-derived alveolar bone grafting and implant therapy. Although 90% of the patients in our study had successful bone grafting, only 70.1% reported implant survival together with prosthetic rehabilitation after 1 year. These figures are lower than those reported in previous studies [2, 3, 9]. A rev...

Results : Patient experience following iliac crest...

The correlation analyses performed did not show a significant correlation between the complications at the donor site and implant loss (Table 4). The mean OHIP-14 score (Table 5) was 8.4 ± 9.7 (range 0–56) in 44 patients of whom 35 patients scored 14 or less. Nine patients scored a total sum of 1 [1], i.e. “hardly ever” impact on any single item and “at no time” on the remaining ...

Results : Patient experience following iliac crest...

The final sample consisted of 44 patients that responded and completed the questionnaire, giving a response rate of 74.6%: 24 women and 20 men, mean age of 61.2 years ± 13.1 (range 27–82 years). The mean time from augmentation surgery until completing the questionnaire was 7.8 years ± 2.65 (range 1.9–12 years). Summary of demographic and lifestyle-related data is presented (Tabl...

Methods : Patient experience following iliac crest...

Implants were placed 4–6 months after the grafting procedure. The implant installations were performed by different oral surgeons (not in the hospital) and different implant systems were used. The implants installed into the augmented bone were allowed to heal for an additional 4–6 months before loading. The records of the original 69 patients were examined with regard to (1) grafting sit...

Methods : Patient experience following iliac crest...

This cross-sectional retrospective cohort study was based on records from all patients (n = 69) who underwent advanced alveolar augmentation with autologous iliac bone grafts at the Department of Oral and Maxillofacial Surgery, Haukeland University Hospital, Bergen, Norway, over 10 years (2002–2012). These patients were orally compromised with severe chewing problems as well as speech diff...

Background : Patient experience following iliac cr...

Health-related QoL (HRQoL) is a dynamic concept referring to an individual’s subjective assessment and perspective of current general health condition as well as functional, social, and emotional well-being [23, 24]. Most people regard oral health as important for QoL, and this is mediated through the concept of oral health-related QoL (OHRQoL) [25]. In this regard, OHRQoL is an important PROM i...

Background : Patient experience following iliac cr...

Insufficient alveolar bone volume, as a result of periodontal disease, trauma, congenital anomalies and/or resorption atrophy, often presents a clinical challenge for optimal placement of dental implants for prosthetic rehabilitation. In such cases, augmentation of alveolar bone, with either autologous bone, allogeneic, xenogeneic, or alloplastic biomaterials, is a prerequisite for placing implant...

Abstract : Patient experience following iliac cres...

The objective of this study was to assess patient-reported outcomes such as satisfaction and quality of life after advanced alveolar bone augmentation with anterior iliac crest grafting and implant treatment in orally compromised patients. This cross-sectional retrospective cohort study included 59 patients (29 women and 30 men) with major functional problems, who underwent advanced alveolar augm...

Table 5 Summary of OHIP-14 (N = 44 and respons...

OHIP domainMinimumMaximumMeanSDFunctional limitation072.341.70Physical pain071.161.51Psychological discomfort081.642.27Physical disability080.751.77Psychological disability081.182.11Social disability080.611.40Handicap080.701.71Total0648.49.7Table 5 Summary of OHIP-14 (N = 44 and response range 0–8)

Table 4 Correlation analyses : Patient experience ...

Outcome variablesCorrelationsSpearman’s rhoP valueOHRQoLOral health compared0.596

Table 3 Patient-reported outcomes : Patient experi...

QuestionResponseFrequencyOral healthVery good/good81.8%Quality of LifeVery good/good90.9%General healthVery good/good81.8%Pain after hip operationExcessive35.0%Satisfaction hip operationVery85.7%Post op infection in hip siteNo95.3%Visible scar on hipYes48.8%Acceptable scarYes20 of 21aReduced sensibility on hip siteNo86.0%Problem walkingNo92.9%Augmented bone block still presentNo6.8%New augmentatio...

Table 2 Patients’ demographic and lifestyle-rela...

VariableFrequencyN or Mean ± SD%Patients Female2454.5 Male2045.5Age (years)61.16 ± 13.10 Age at operation53.73 ± 13.07 Time from augmentation to completing questionnaire (months)93.55 ± 31.75 Civil status Married3068.2 Single1125.0 Widow(er)36.8Housing Alone1227.3 With another person2352.3 > two persons920.5Education Up to primary711.3 Up to secondary23...

Table 1 Summary of questions : Patient experience ...

CategoryResponseQuestion (1) Perceived health-status  General health“Very good” to “bad”  Oral health“Very good” to “bad”  Overall quality of life“Excellent” to “bad” (2) Lifestyle-related  Smoking“Yes,” “no,” or “sometimes”  Appetite“Good” to “bad” (3) Donor site-related  Pain“Yes” and “no”  Infection“Yes” a...

About this article : Patient experience following ...

Gjerde, C.G., Shanbhag, S., Neppelberg, E. et al. Patient experience following iliac crest-derived alveolar bone grafting and implant placement. Int J Implant Dent 6, 4 (2020). https://doi.org/10.1186/s40729-019-0200-8 Download citation Received: 10 October 2019 Accepted: 11 December 2019 Published: 05 February 2020 DOI: https://doi.org/10.1186/s40729-019-0200-8

Rights and permissions : Patient experience follow...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were ...

Supplementary information : Patient experience fol...

A self-administered questionnaire.

Additional information : Patient experience follow...

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Ethics declarations : Patient experience following...

The Ethics Committee was contacted in 2015, and no ethical approval was needed since this was then considered a quality control study. Written consent was obtained from all participants. Not applicable. Cecilie G Gjerde, Siddharth Shanbhag, Evelyn Neppelberg, Kamal Mustafa, and Harald Gjengedal declare that they have no competing interests.

Author information : Patient experience following ...

Correspondence to Cecilie G. Gjerde.

Author information : Patient experience following ...

Department of Oral and Maxillofacial Surgery, Institute of Clinical Dentistry, University of Bergen, Årstadveien 19, 5009, Bergen, Norway Cecilie G. Gjerde & Evelyn Neppelberg Centre for Clinical Dental Research, Institute of Clinical Dentistry, University of Bergen, Bergen, Norway Cecilie G. Gjerde, Siddharth Shanbhag & Kamal Mustafa Department of Oral and Maxillofacial Surgery, Head an...

Funding : Patient experience following iliac crest...

This work was partially funded by the Research Council of Norway through the BEHANDLING project (grant no. 273551) and TROND MOHN Foundation, Norway (BFS2018TMT10).

Acknowledgements : Patient experience following il...

The staff and surgeons at the Department of Oral and Maxillofacial Surgery, Head and Neck Clinic, Haukeland University Hospital, Bergen. Randi Aursland, master student, who helped collecting data. The patients included in this study.

References : Patient experience following iliac cr...

Landes CA, Bundgen L, Laudemann K, Ghanaati S, Sader R. Patient satisfaction after prosthetic rehabilitation of bone-grafted alveolar clefts with nonsubmerged ITI Straumann dental implants loaded at three months. Cleft Palate Craniofac J. 2012;49(5):601–8. Reisine S, Freilich M, Ortiz D, Pendrys D, Shafer D, Taxel P. Quality of life improves among post-menopausal women who received bone augment...

References : Patient experience following iliac cr...

Locker D, Allen F. What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol. 2007;35(6):401–11. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90(11):1264–70. Slade GD. Assessing change in quality of life using the Oral Health Impact Profile. Community Dent Oral Epidemiol. 1998;26...

References : Patient experience following iliac cr...

Hill NM, Horne JG, Devane PA. Donor site morbidity in the iliac crest bone graft. Aust N Z J Surg. 1999;69(10):726–8. Finkemeier CG. Bone-grafting and bone-graft substitutes. J Bone Joint Surg Am. 2002;84-A(3):454–64. Hernigou P, Desroches A, Queinnec S, Flouzat Lachaniette CH, Poignard A, Allain J, et al. Morbidity of graft harvesting versus bone marrow aspiration in cell regenerative thera...

References : Patient experience following iliac cr...

Schaaf H, Lendeckel S, Howaldt HP, Streckbein P. Donor site morbidity after bone harvesting from the anterior iliac crest. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(1):52–8. Sakkas A, Wilde F, Heufelder M, Winter K, Schramm A. Autogenous bone grafts in oral implantology-is it still a “gold standard”? A consecutive review of 279 patients with 456 clinical procedures. Int J I...

Abbreviations : Patient experience following iliac...

Health-related quality of life Oral Health Impact Profile-14 Oral health-related quality of life Patient-reported outcome measures Quality of life

Availability of data and materials : Patient exper...

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Conclusions : Patient experience following iliac c...

Favorable OHRQoL and satisfaction were reported after advanced reconstruction with iliac crest-derived grafts and implant treatment in orally compromised patients. However, this treatment requires substantial resources including hospitalization and sick leave.

Discussion : Patient experience following iliac cr...

Patients in our study reported satisfaction with the augmentation and implant installation, and as these patients were orally compromised before the operation, their satisfaction with getting fixed teeth most likely improved their perceived oral health condition. This might also, in part, explain why they reported good OHRQoL. Thus, our findings indicate that a majority of patients tolerate the au...

Discussion : Patient experience following iliac cr...

An important finding in this study is that a majority of patients were very satisfied after iliac crest-derived alveolar bone grafting and implant therapy. Although 90% of the patients in our study had successful bone grafting, only 70.1% reported implant survival together with prosthetic rehabilitation after 1 year. These figures are lower than those reported in previous studies [2, 3, 9]. A rev...

Results : Patient experience following iliac crest...

The correlation analyses performed did not show a significant correlation between the complications at the donor site and implant loss (Table 4). The mean OHIP-14 score (Table 5) was 8.4 ± 9.7 (range 0–56) in 44 patients of whom 35 patients scored 14 or less. Nine patients scored a total sum of 1 [1], i.e. “hardly ever” impact on any single item and “at no time” on the remaining ...

Results : Patient experience following iliac crest...

The final sample consisted of 44 patients that responded and completed the questionnaire, giving a response rate of 74.6%: 24 women and 20 men, mean age of 61.2 years ± 13.1 (range 27–82 years). The mean time from augmentation surgery until completing the questionnaire was 7.8 years ± 2.65 (range 1.9–12 years). Summary of demographic and lifestyle-related data is presented (Tabl...

Methods : Patient experience following iliac crest...

Implants were placed 4–6 months after the grafting procedure. The implant installations were performed by different oral surgeons (not in the hospital) and different implant systems were used. The implants installed into the augmented bone were allowed to heal for an additional 4–6 months before loading. The records of the original 69 patients were examined with regard to (1) grafting sit...

Methods : Patient experience following iliac crest...

This cross-sectional retrospective cohort study was based on records from all patients (n = 69) who underwent advanced alveolar augmentation with autologous iliac bone grafts at the Department of Oral and Maxillofacial Surgery, Haukeland University Hospital, Bergen, Norway, over 10 years (2002–2012). These patients were orally compromised with severe chewing problems as well as speech diff...

Background : Patient experience following iliac cr...

Health-related QoL (HRQoL) is a dynamic concept referring to an individual’s subjective assessment and perspective of current general health condition as well as functional, social, and emotional well-being [23, 24]. Most people regard oral health as important for QoL, and this is mediated through the concept of oral health-related QoL (OHRQoL) [25]. In this regard, OHRQoL is an important PROM i...

Background : Patient experience following iliac cr...

Insufficient alveolar bone volume, as a result of periodontal disease, trauma, congenital anomalies and/or resorption atrophy, often presents a clinical challenge for optimal placement of dental implants for prosthetic rehabilitation. In such cases, augmentation of alveolar bone, with either autologous bone, allogeneic, xenogeneic, or alloplastic biomaterials, is a prerequisite for placing implant...

Abstract : Patient experience following iliac cres...

The objective of this study was to assess patient-reported outcomes such as satisfaction and quality of life after advanced alveolar bone augmentation with anterior iliac crest grafting and implant treatment in orally compromised patients. This cross-sectional retrospective cohort study included 59 patients (29 women and 30 men) with major functional problems, who underwent advanced alveolar augm...

Table 2 Included literature : Dental implants in p...

Implant Author Year Reference Study type Patients Primary disease in BP patients (n) ...

Table 1 PubMed literature search with the total nu...

Topic Identified (n) Included (n) Outcome osteonecrosis risk. ST (bisphosphonate OR denosumab) AND osteonecrosis jaw AND  ...

About this article : Dental implants in patients t...

Walter, C., Al-Nawas, B., Wolff, T. et al. Dental implants in patients treated with antiresorptive medication – a systematic literature review. Int J Implant Dent 2, 9 (2016). https://doi.org/10.1186/s40729-016-0041-7 Download citation Received: 26 September 2015 Accepted: 23 March 2016 Published: 04 April 2016 DOI: https://doi.org/10.1186/s40729-016-0041-7

Rights and permissions : Dental implants in patien...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...

Additional information : Dental implants in patien...

The authors Christian Walter, Bilal Al-Nawas, Tim Wolff, Eik Schiegnitz, and Knut A. Grötz declare that they have no competing interests. All authors designed the review. TW made the primary literature acquisition that was evaluated by the other others. All authors interpreted the data. CW drafted the manuscript that was revised by the other authors. All authors read and approved the final manus...

Author information : Dental implants in patients t...

Department of Oral and Maxillofacial Surgery – Plastic Surgery of the Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131, Mainz, Germany Christian Walter, Bilal Al-Nawas & Eik Schiegnitz Department of Oral and Maxillofacial Surgery of the Dr. Horst Schmidt Clinic, Ludwig-Erhard-Str. 100, 65199, Wiesbaden, Germany Tim Wolff & Knut A. Grötz You can also search for this author in...

References : Dental implants in patients treated w...

Krimmel M, Ripperger J, Hairass M, Hoefert S, Kluba S, Reinert S. Does dental and oral health influence the development and course of bisphosphonate-related osteonecrosis of the jaws (BRONJ)? Oral Maxillofac Surg. 2014;18(2):213–8. doi:10.1007/s10006-013-0408-3. Tsao C, Darby I, Ebeling PR, Walsh K, O'Brien-Simpson N, Reynolds E, et al. Oral health risk factors for bisphosphonate-associated jaw...

References : Dental implants in patients treated w...

DeBaz C, Hahn J, Lang L, Palomo L. Dental Implant Supported Restorations Improve Quality of Life in Osteoporotic Women. Int J Dent. 2015;2015:451923. doi:10.1155/2015/451923. Grötz KA, Al-Nawas B. Persisting alveolar sockets-a radiologic symptom of BP-ONJ? J Oral Maxillofac Surg. 2006;64(10):1571–2. doi:10.1016/j.joms.2006.05.041. Hutchinson M, O'Ryan F, Chavez V, Lathon PV, Sanchez G, Hatche...

References : Dental implants in patients treated w...

Carmagnola D, Celestino S, Abati S. Dental and periodontal history of oncologic patients on parenteral bisphosphonates with or without osteonecrosis of the jaws: a pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(6):e10–5. doi:10.1016/j.tripleo.2008.07.011. Jabbour Z, El-Hakim M, Mesbah-Ardakani P, Henderson JE, Albuquerque Jr R. The outcomes of conservative and surgical ...

References : Dental implants in patients treated w...

Marx RE, Sawatari Y, Fortin M, Broumand V. Bisphosphonate-induced exposed bone (osteonecrosis/osteopetrosis) of the jaws: risk factors, recognition, prevention, and treatment. J Oral Maxillofac Surg. 2005;63(11):1567–75. doi:10.1016/j.joms.2005.07.010. Al-Sabbagh M, Robinson FG, Romanos G, Thomas MV. Osteoporosis and bisphosphonate-related osteonecrosis in a dental school implant patient popula...

References : Dental implants in patients treated w...

Javed F, Almas K. Osseointegration of dental implants in patients undergoing bisphosphonate treatment: a literature review. J Periodontol. 2010;81(4):479–84. doi:10.1902/jop.2009.090587. Bedogni A, Bettini G, Totola A, Saia G, Nocini PF. Oral bisphosphonate-associated osteonecrosis of the jaw after implant surgery: a case report and literature review. J Oral Maxillofac Surg. 2010;68(7):1662–6...

References : Dental implants in patients treated w...

Grötz KA, Piesold JU, Al-Nawas B. Bisphosphonat-assoziierte Kiefernekrose (BP-ONJ) und andere Medikamenten-assoziierte Kiefernekrosen. 2012. AWMF online. Walter C, Al-Nawas B, Frickhofen N, Gamm H, Beck J, Reinsch L, et al. Prevalence of bisphosphonate associated osteonecrosis of the jaws in multiple myeloma patients. Head Face Med. 2010;6:11. doi:10.1186/1746-160X-6-11. Walter C, Sagheb K, Bit...

Abbreviations : Dental implants in patients treate...

bisphosphonate bisphosphonate-associated osteonecrosis of the jaws C-terminal telopeptide of the type I collagen patients intervention control outcome preferred reporting items for systematic reviews and meta-analyses protocols quality of life search term temporomandibular joint

Conclusions : Dental implants in patients treated ...

Successful implant therapy is feasible in patients receiving antiresorptive therapy. The risk of osteonecrosis development needs to be explained to the patient. An individual risk assessment is essential, taking the primary disease with the medication and further wound-healing-compromising diseases and medications into account. If possible, bone augmentations should be avoided, and a perioperative...

Discussion : Dental implants in patients treated w...

The use of bone markers is discussed controversially in the literature, and no clear recommendation can be given at the moment [1, 8]. In these cases, where an implant is planned, a perioperative antimicrobial prophylaxis should be administered, similar to the prophylaxis suggested in other surgical procedures performed in these patients, since this seems to be a tool to decrease BP-ONJ frequency ...

Discussion : Dental implants in patients treated w...

Dental implants can improve the Qol in patients with antiresorptive therapy (bisphosphonate/denosumab) [44] analogous to patients without antiresorptive therapy [48]. A recently performed systematic review on masticatory performance, bite force, nutritional state and patient’s satisfaction showed that implant-supported dentures were associated with high patient satisfaction regarding denture com...

Discussion : Dental implants in patients treated w...

Even latest guidelines and statements dealing with medication associated osteonecrosis of the jaws such as the American [7, 8], Scottish [47], Swiss [6] or German [1] do not address implant therapy in these patients in detail. Due to this lack of data a systematic literature review was performed to fill this gap. Unfortunately the literature dealing with this topic is very sparse and consists main...

Results : Dental implants in patients treated with...

No articles could be found regarding the prognosis of the remaining dentition depending on implant therapy, neither for patients with bisphosphonate nor denosumab treatment. There are no reliable parameters indicating the success of implants in patients with anti-resorptive therapy. The risk of osteonecrosis development has already been described in the chapter referring to the osteonecrosis risk...

Results : Dental implants in patients treated with...

The literature dealing with this topic can be separated into two groups: BP-ONJ case series for which varying amounts are caused by dentures in patients with malignant and benign diseases [2, 33–42] and studies performed on BP patients with dentures analyzing the frequency of BP-ONJ [15, 43]. Here as well, no imbalance regarding the dignity of the primary disease could be found. Jabbour descr...

Results : Dental implants in patients treated with...

Out of 606 articles 556 articles were excluded because they were either duplicates, case reports, narrative reviews, case series with less than 5 cases or were not associated with the topic at all (Table 1 and Fig. 1). Some of the articles analyzed more than one outcome and are referred to several times. Since the available literature is very inhomogeneous with a low level of evidence a statisti...

Review : Dental implants in patients treated with ...

A table was generated and used to collect the relevant information.

Review : Dental implants in patients treated with ...

A systematic review was performed in accordance with the preferred reporting items for systematic reviews and meta-analyses protocols (PRISMA-P), The review was performed using the PICO design. Patients: For which subclientel of patients with antiresorptive therapy Intervention: do dental implants have a benefit Control: compared to forgoing dental implants Outcome: in regards to oral rehabil...

Introduction : Dental implants in patients treated...

A similar scenario is well known in patients with radiation of the jaws. Initially, radiation therapy was seen as a contraindication for implant insertion [14] because of osteoradionecrosis. In Germany meanwhile, implants are covered by the health insurance by law in some of these patients (§28 SGB V Sozialgesetzbuch). Due to xerostomia sufficient fixation of a denture is rather complicated, and ...

Introduction : Dental implants in patients treated...

Bisphosphonate-associated osteonecrosis of the jaws (BP-ONJ) is a well-known side effect in patients receiving bisphosphonates (BP) due to e.g. osteoporosis, multiple myeloma or malignant diseases with metastases to the bone; prevalences range between 0.1% for patients with primary osteoporosis to 1% in patients with secondary osteoporosis and up to about 20% for special high risk subpopulations o...

Abstract : Dental implants in patients treated wit...

Bisphosphonate-associated osteonecrosis of the jaws (BP-ONJ) is triggered by inflammatory processes. Typical trigger factors are periodontal disease, denture pressure sores, and surgical interventions such as tooth extractions. Unfortunately there is only little data on how to proceed with implant therapy in patients with bisphosphonate treatment. This topic is not addressed in the German guidelin...

Fig. 5. Total score for physical and psychological...

Fig. 5. Total score for physical and psychological disabilities before (gray) and after (hatched) sinus augmentation according to indications Fig. 5. Total score for physical and psychological disabilities before (gray) and after (hatched) sinus augmentation according to indications

Fig. 4. Total score for functional limitations bef...

Fig. 4. Total score for functional limitations before (gray) and after (hatched) sinus augmentation according to indications Fig. 4. Total score for functional limitations before (gray) and after (hatched) sinus augmentation according to indications

Fig. 3. Total score for complaints due to surgical...

Fig. 3. Total score for complaints due to surgical procedure pre-operative, post-operative, and recently Fig. 3. Total score for complaints due to surgical procedure pre-operative, post-operative, and recently

Fig. 2. Cumulative survival rate according to Kapl...

Fig. 2. Cumulative survival rate according to Kaplan–Meier and sinus augmentation procedure Fig. 2. Cumulative survival rate according to Kaplan–Meier and sinus augmentation procedure

Fig. 1. Flow chart of patients included in the stu...

Fig. 1. Flow chart of patients included in the study Fig. 1. Flow chart of patients included in the study

Table 3 Mean value and standard deviation for the ...

Item Mean ± SD pre-operative Mean ± SD post-operative Mean ± SD in the last time Have you felt pain in your mouth? ...

Table 2 Mean value and standard deviation for the ...

Item Mean ± SD before sinus lift Mean ± SD after sinus lift p value Have you felt tense because of problems with your teeth, mouth or dentures? ...

Table 1 Mean value and standard deviation for the ...

Item Mean ± SD before sinus lift Mean ± SD after sinus lift p value Have you had difficulty chewing any foods? ...

About this article : Impact of maxillary sinus aug...

Schiegnitz, E., Kämmerer, P.W., Sagheb, K. et al. Impact of maxillary sinus augmentation on oral health-related quality of life. Int J Implant Dent 3, 10 (2017). https://doi.org/10.1186/s40729-017-0072-8 Download citation Received: 20 November 2016 Accepted: 12 March 2017 Published: 28 March 2017 DOI: https://doi.org/10.1186/s40729-017-0072-8

Rights and permissions : Impact of maxillary sinus...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...

Author information : Impact of maxillary sinus aug...

Department of Oral and Maxillofacial Surgery, Plastic Surgery, University Medical Centre of the Johannes Gutenberg-University, Augustusplatz 2, 55131, Mainz, Germany E. Schiegnitz, K. Sagheb, A. Pabst, B. Al-Nawas & M. O. Klein Department of Oral and Maxillofacial Surgery, Plastic Surgery, University of Rostock, Rostock, Germany P. W. Kämmerer Department of Prosthodontics, University of ...

References : Impact of maxillary sinus augmentatio...

Stellingsma K, Bouma J, Stegenga B, Meijer HJ, Raghoebar GM. Satisfaction and psychosocial aspects of patients with an extremely resorbed mandible treated with implant-retained overdentures. A prospective, comparative study. Clin Oral Implants Res. 2003;14(2):166–72. Heydecke G, Locker D, Awad MA, Lund JP, Feine JS. Oral and general health-related quality of life with conventional and implant d...

References : Impact of maxillary sinus augmentatio...

Locker D. Self-esteem and socioeconomic disparities in self-perceived oral health. J Public Health Dent. 2009 Winter;69(1):1-8. Allen PF, McMillan AS, Walshaw D. A patient-based assessment of implant-stabilized and conventional complete dentures. J Prosthet Dent. 2001;85(2):141–7. Ohrn K, Jonsson B. A comparison of two questionnaires measuring oral health-related quality of life before and aft...

References : Impact of maxillary sinus augmentatio...

Al-Nawas B, Schiegnitz E. Augmentation procedures using bone substitute materials or autogenous bone—a systematic review and meta-analysis. Eur J Oral Implantol. 2014 Summer;7 Suppl 2:S219-34. Derks J, Hakansson J, Wennstrom JL, Tomasi C, Larsson M, Berglundh T. Effectiveness of implant therapy analyzed in a Swedish population: early and late implant loss. J Dent Res. 2015;94(3 Suppl):44S–51S...

Conclusions : Impact of maxillary sinus augmentati...

Within the limitations of this study, the results demonstrated a high long-term survival for sinus augmentation procedures and significant improvement of OHRQoL after this procedure. Therefore, sinus augmentation procedures are highly valuable treatment options in implant dentistry.

Discussion : Impact of maxillary sinus augmentatio...

In order to measure OHRQoL in the present study, a specific and shortened questionnaire based on the validated and reliable OHIP score was developed to consider representative impairments of maxillary sinus augmentation like sinusitis and to relieve the clinical application. In a cross sectional study, Allen et McMillan proofed that a shortened OHIP-14 version showed a similar ability to assess OH...

Discussion : Impact of maxillary sinus augmentatio...

The clinical and radiological outcomes of sinus augmentation procedures have been published in several studies [1, 3, 6, 7]. However, little data on the physical and psychological impact of this procedure on the patient is available yet. The present study evaluated pre-operative and post-treatment OHRQoL self-assessment scores of patients treated with dental implants after sinus augmentation proce...

Results : Impact of maxillary sinus augmentation o...

Concerning functional limitations, all posed questions showed significant better values for OHRQoL after sinus augmentation procedure than before the treatment (p 

Results : Impact of maxillary sinus augmentation o...

After an average time in situ of 41.2 ± 27 months (3.4 years; range 0–96 months), 40 of the 863 implants were lost. These results indicated an in situ rate of 95.4%. One-year and five-year survival rate according to Kaplan–Meier were 95.4 and 94.4%. In patients receiving an external sinus lift an in situ rate of 95.1% and in patients with an internal sinus lift an in situ rate of 96.4%...

Methods : Impact of maxillary sinus augmentation o...

The Kaplan–Meier survival function was applied for the description of survival rates. To examine the statistical difference between survival rates, a log-rank test was used. Implant-related data were calculated. For statistical comparison of the paired questions and the total scores, a Wilcoxon test was applied. The intention of this study was descriptive, exploratory without a primary hypothesi...

Methods : Impact of maxillary sinus augmentation o...

This retrospective study addresses the oral health-related quality of life after maxillary sinus augmentation. Therefore, all patients that received an implantation after maxillary sinus augmentation in the Department of Oral and Maxillofacial Surgery of the University Medical Centre Mainz, Germany, between July 2002 and December 2007 were included in this study. There were no specific exclusion c...

Background : Impact of maxillary sinus augmentatio...

In conclusion, little information is available about patient’s perception of sinus augmentation procedures. The aim of the present study was to assess whether sinus augmentation procedures together with implant placement and prosthetic rehabilitation improve quality of life in dental patients using a modified German OHIP and to examine the survival rates after this procedure.

Background : Impact of maxillary sinus augmentatio...

Rehabilitation of completely and partial edentulous patients with dental implants has proved to be a safe and predictable procedure [1–3]. However, reduced bone height and the proximity of the maxillary sinus are challenging limitations for dental implant placement in the posterior maxilla [3]. Besides the use of short and tilted implants [4], one of the most frequently used surgical techniques ...

Abstract : Impact of maxillary sinus augmentation ...

The aim of this study was to measure the oral health-related quality of life (OHRQoL) after maxillary sinus augmentation to determine the physical and psychological impact of this procedure for the patient. Three hundred sixteen patients treated with an external or internal maxillary sinus augmentation and a total of 863 implants in the Department of Oral and Maxillofacial Surgery, Johannes Guten...

Fig. 3. Forest plot of quality of life. A statisti...

Fig. 3. Forest plot of quality of life. A statistically significant improvement was observed in the quality of life parameter with mini implants than standard implants Fig. 3. Forest plot of quality of life. A statistically significant improvement was observed in the quality of life parameter with mini implants than standard implants

Fig. 2. Risk of bias of the included studies : Com...

Fig. 2. Risk of bias of the included studies Fig. 2. Risk of bias of the included studies

Fig. 1. PRISMA flow diagram : Comparison of patien...

Fig. 1. PRISMA flow diagram Fig. 1. PRISMA flow diagram

Table 2 Grading the strength of evidence : Compari...

Comparison of parameters between standard and mini-implants for implant-supported overdenture: Outcomes Parameter values No. of participants (studies) ...

Table 1 List of included studies : Comparison of p...

Author Participant Intervention Comparator Outcome De Souza 2015[8] ...

About this article : Comparison of patient satisfa...

Sivaramakrishnan, G., Sridharan, K. Comparison of patient satisfaction with mini-implant versus standard diameter implant overdentures: a systematic review and meta-analysis of randomized controlled trials. Int J Implant Dent 3, 29 (2017). https://doi.org/10.1186/s40729-017-0092-4 Download citation Received: 12 April 2017 Accepted: 22 June 2017 Published: 01 July 2017 DOI...

Rights and permissions : Comparison of patient sat...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...

Ethics declarations : Comparison of patient satisf...

Gowri Sivaramakrishnan and Kannan Sridharan declare that they have no competing interests. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Author information : Comparison of patient satisfa...

Department of Oral Health, College of Medicine, Nursing and Health Sciences, Fiji National University, Brown Street, Suva, Fiji Gowri Sivaramakrishnan Department of Pharmacology, Fiji National University, Extension Street, Suva, Fiji Kannan Sridharan You can also search for this author in PubMed Google Scholar You can also search for this author in ...

Acknowledgements : Comparison of patient satisfact...

We acknowledge Cochrane reviews for utilizing RevMan software for generating the pooled results and Forest plots. No source of funding.

References : Comparison of patient satisfaction wi...

Download references

References : Comparison of patient satisfaction wi...

Kumari P, Verma M, Sainia V, Gupta A, Gupta R, Gill S. Mini-implants, mega solutions: a case series. J Prosthodont. 2015. doi:10.1111/jopr.12382. Jackson BJ. Fixed partial denture treatment with mini dental implants. J Oral Implantol. 2014;40:744–50. Flanagan D, Mascolo A. The mini dental implant in fixed and removable prosthetics: a review. J Oral Implantol. 2011;37 Spec No:123–32. doi:10.1...

Conclusion : Comparison of patient satisfaction wi...

However, considering the results obtained from available evidence, mini-implants tend to provide good patient satisfaction compared to standard diameter implants when used for implant-supported overdentures. The results of this meta-analysis should be interpreted keeping in the mind the limited availability of data to be included. This paper would serve as a basis for future research comparing min...

Discussion : Comparison of patient satisfaction wi...

This study is an attempt to identify patient satisfaction with mini-implant overdentures compared to standard diameter implant-supported overdentures in completely edentulous patients. Implant-supported overdentures have been reported to offer many advantages like decreased bone resorption, reduced prosthesis movement, better esthetics, better occlusion and tooth positioning, improved occlusal loa...

Results : Comparison of patient satisfaction with ...

A total of 183 articles were identified using the search strategy. Screening of these papers yielded four studies comparing mini-implant-retained overdentures and standard diameter implant overdentures and were found eligible to be included in the systematic review [8,9,10,11]. Two studies [8, 11] comparing patient satisfaction between the groups were included for the meta-analysis. The PRISMA flo...

Materials and methodology : Comparison of patient ...

The protocol for this review was registered with International prospective register of systematic reviews (PROSPERO) with the registration number CRD42016043075. The review protocol can be accessed at https://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42016043075. A through literature search was conducted and was completed on 9 July 2016. The primary database used was MEDLINE (via PubMed...

Review : Comparison of patient satisfaction with m...

Implants have been considered to improve treatment outcomes of completely edentulous patients with anatomical challenges compromising the retention and stability. The root form dental implants which are 3–5 mm in diameter are considered standard diameter implants while less than 3 mm diameter implants are termed mini-implants [1]. Initially, mini-implants were used as a temporary measure, with...

Abstract : Comparison of patient satisfaction with...

Mini-implants have certain advantages over standard size implants which are being tested in various randomized controlled trials. This systematic review and meta-analysis aims to compare conventional implant overdentures to mini-implant-retained overdentures as regards to patient satisfaction. Electronic databases were searched for eligible studies data required were extracted. The extracted data ...

Fig. 3. Forest plot of quality of life. A statisti...

Fig. 3. Forest plot of quality of life. A statistically significant improvement was observed in the quality of life parameter with mini implants than standard implants Fig. 3. Forest plot of quality of life. A statistically significant improvement was observed in the quality of life parameter with mini implants than standard implants

Fig. 2. Risk of bias of the included studies : Com...

Fig. 2. Risk of bias of the included studies Fig. 2. Risk of bias of the included studies

Fig. 1. PRISMA flow diagram : Comparison of patien...

Fig. 1. PRISMA flow diagram Fig. 1. PRISMA flow diagram

Table 2 Grading the strength of evidence : Compari...

Comparison of parameters between standard and mini-implants for implant-supported overdenture: Outcomes Parameter values No. of participants (studies) ...

Table 1 List of included studies : Comparison of p...

Author Participant Intervention Comparator Outcome De Souza 2015[8] ...

About this article : Comparison of patient satisfa...

Sivaramakrishnan, G., Sridharan, K. Comparison of patient satisfaction with mini-implant versus standard diameter implant overdentures: a systematic review and meta-analysis of randomized controlled trials. Int J Implant Dent 3, 29 (2017). https://doi.org/10.1186/s40729-017-0092-4 Download citation Received: 12 April 2017 Accepted: 22 June 2017 Published: 01 July 2017 DOI...

Rights and permissions : Comparison of patient sat...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...

Ethics declarations : Comparison of patient satisf...

Gowri Sivaramakrishnan and Kannan Sridharan declare that they have no competing interests. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Author information : Comparison of patient satisfa...

Department of Oral Health, College of Medicine, Nursing and Health Sciences, Fiji National University, Brown Street, Suva, Fiji Gowri Sivaramakrishnan Department of Pharmacology, Fiji National University, Extension Street, Suva, Fiji Kannan Sridharan You can also search for this author in PubMed Google Scholar You can also search for this author in ...

Acknowledgements : Comparison of patient satisfact...

We acknowledge Cochrane reviews for utilizing RevMan software for generating the pooled results and Forest plots. No source of funding.

References : Comparison of patient satisfaction wi...

Download references

References : Comparison of patient satisfaction wi...

Kumari P, Verma M, Sainia V, Gupta A, Gupta R, Gill S. Mini-implants, mega solutions: a case series. J Prosthodont. 2015. doi:10.1111/jopr.12382. Jackson BJ. Fixed partial denture treatment with mini dental implants. J Oral Implantol. 2014;40:744–50. Flanagan D, Mascolo A. The mini dental implant in fixed and removable prosthetics: a review. J Oral Implantol. 2011;37 Spec No:123–32. doi:10.1...

Conclusion : Comparison of patient satisfaction wi...

However, considering the results obtained from available evidence, mini-implants tend to provide good patient satisfaction compared to standard diameter implants when used for implant-supported overdentures. The results of this meta-analysis should be interpreted keeping in the mind the limited availability of data to be included. This paper would serve as a basis for future research comparing min...

Discussion : Comparison of patient satisfaction wi...

This study is an attempt to identify patient satisfaction with mini-implant overdentures compared to standard diameter implant-supported overdentures in completely edentulous patients. Implant-supported overdentures have been reported to offer many advantages like decreased bone resorption, reduced prosthesis movement, better esthetics, better occlusion and tooth positioning, improved occlusal loa...

Results : Comparison of patient satisfaction with ...

A total of 183 articles were identified using the search strategy. Screening of these papers yielded four studies comparing mini-implant-retained overdentures and standard diameter implant overdentures and were found eligible to be included in the systematic review [8,9,10,11]. Two studies [8, 11] comparing patient satisfaction between the groups were included for the meta-analysis. The PRISMA flo...

Materials and methodology : Comparison of patient ...

The protocol for this review was registered with International prospective register of systematic reviews (PROSPERO) with the registration number CRD42016043075. The review protocol can be accessed at https://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42016043075. A through literature search was conducted and was completed on 9 July 2016. The primary database used was MEDLINE (via PubMed...

Review : Comparison of patient satisfaction with m...

Implants have been considered to improve treatment outcomes of completely edentulous patients with anatomical challenges compromising the retention and stability. The root form dental implants which are 3–5 mm in diameter are considered standard diameter implants while less than 3 mm diameter implants are termed mini-implants [1]. Initially, mini-implants were used as a temporary measure, with...

Abstract : Comparison of patient satisfaction with...

Mini-implants have certain advantages over standard size implants which are being tested in various randomized controlled trials. This systematic review and meta-analysis aims to compare conventional implant overdentures to mini-implant-retained overdentures as regards to patient satisfaction. Electronic databases were searched for eligible studies data required were extracted. The extracted data ...

Table 1 Comparison of OHIP-14

Table 1 Comparison of OHIP-14 and its domains in the pre-and postoperative periods OHIP-14 Preoperative Postoperative P value Median (min-max) D1 6 (2–8) 0 (0–3) 0.002 D2 5 (1–8) 0 (0–3) 0.002 D3 7.5 (1–8) 0 (0–4) 0.002 D4 7.5 (2–8) 0 (0–1) 0.002 D5 8 (3–8) 0 (0–4) 0.002 D6 2 (0–8) 0 (0–0) 0.003 D7 4 ...

Figure 8. Final aspect

  Figure 8. Final aspect

Figure 7. Panoramic radiography of the follow-up

  Figure 7. Panoramic radiography of the follow-up

Figure 6. Tomographic scan of the follow-up

  Figure 6. Tomographic scan of the follow-up

Figure 5. Mini-pillar guide

Figure 5. a Mini-pillar guide. b Installation of the mini-pillars. c Protectors on the mini-pillars. d Relief of the prosthesis on the mini-pillars

Figure 4. Insertion of the implant

  Figure 4. Insertion of the implant. a Prototyped surgical guide installed and stabilized. b Long transmaxillary implants are placed on both sides of the maxilla. c Long transmaxillary implant placement with the final insertion using a ratchet or tufted wrench

Figure 3. Surgical guide

  Figure 3. Surgical guide. a Surgical guide in occlusal view. b Surgical guide in frontal view. c Prototyped model of the atrophic maxilla

Figure 2. Maxillary computed tomography. a Axial ...

  Figure 2. Maxillary computed tomography. a Axial view. b Coronal view

Figure 1. Schematic drawing of the transmaxillary ...

  Figure 1. Schematic drawing of the transmaxillary implant. Perforation is made using the 2.0 mm lance implant, for giving guidance and stability to the next drill, using the 3.0 mm implant

References: Long transmaxillary implants

References Alzarea BK. Assessment and evaluation of quality of life (OHRQoL) of patients with dental im-plants using the Oral Health Impact Profile (OHIP-14) - a clinical study. J Clin Diagn Res. 2016;10:57–60. Aparicio C, Manresa C, Francisco K, Ouazzani W, Claros P, Potau JM, Aparicio A. The long-term use of zygomatic implants: a 10-year clinical and radiographic report. Clin Implant D...

Discussion: Long transmaxillary implants

Discussion Considering the particularities of rehabilitation treatments with implants, such as patients with the atrophic edentulous maxilla, and particularly rehabilitation using long implants, this study aimed to assess the impact of using a modified long transmaxillary implant, placed horizontally on the OHRQoL of patients with the atrophic maxilla. The missing teeth impair mastication ...

Results: Long transmaxillary implants

Results The study consisted of 12 individuals, with 10 (83.3%) females and two (16.7%) males. The mean age of the sample was 55.83 ± 2.78 years. A total of 12 maxillary atrophic patients were rehabilitated, 10 using the transmaxillary implants. Of these, two patients rehabilitated with the transmaxillary implant required postoperative adjustments because the implants were lost. In the first c...

Materials and methods: Long transmaxillary implant...

  Surgical procedures External antisepsis was performed on the face using 2% Riorex chlorhexidine digluconate (Rioquímica, São José do Rio Preto, SP, Brazil) and intrabuccal (intraoral) antisepsis was performed using digluconate 0.12% chlorhexidine (Colgate, São Paulo, SP, Brazil). The entire maxilla was anesthetized using 4% articaine and 1:100,000 epinephrine (DFL, Rio de Janeiro, Brazil)...

Materials and methods: Long transmaxillary implant...

The transmaxillary implant is more conservative than the zygomatic implant, because it is installed only in the lower third of the maxilla. The zygomatic implant can reach noble regions of the face and can cause serious risks of injury to support structures, including the face, eye socket, and infratemporal fossa. Long transmaxillary implants are positioned horizontally in the maxillary bone, unli...

Materials and methods: Long transmaxillary implant...

Materials and methods Ethical aspects This retrospective case series was approved by the local Research Ethics Committee (CAAE 98088718.5.0000.0093). Patients were informed of the nature of the study and procedures, according to the Free and Informed Consent Term. Additionally, this study followed the Helsinki guidelines [19]. Study design Twelve adult patients of both sexes were evaluated. ...

Background: Long transmaxillary implants (1)

Background The introduction of osseointegrated implants is considered one of the greatest breakthroughs in dentistry [4]. Dental implants have been used in edentulous jaws to improve the retention and stability of complete dentures. Attachment to implants, in addition to improving stability and functional aspects, increases patient satisfaction [7, 8]. In addition, implant connection improves ...

Long transmaxillary implants

Long transmaxillary implants improve oral health-related quality of life of patients with atrophic jaws-a case series Abstract Background The advancement of contemporary dentistry is related to the improvement of existing techniques, materials, and technology, consistently for improving people’s oral health, which can ultimately reflect better quality of life. This study aimed to evaluate t...

Table 3 Mean value and standard deviation for the ...

Item Mean ± SD pre-operative Mean ± SD post-operative Mean ± SD in the last time Have you felt pain in your mouth? 0.9 ± 1.1 1.2 ± 1.0 0.3 ± 0.6 Have you had difficulties with your mouth opening? 0.2 ± 0.6 0.5 ± 0.9 0.1 ± 1.0 Have you had painful gums? 0.9 ± 1.0 1.0 ± 1.1 0.5 ± 0.8 Have you had a ...

Table 2 Mean value and standard deviation

Item Mean ± SD before sinus lift Mean ± SD after sinus lift p value Have you felt tense because of problems with your teeth, mouth or dentures? 1.8 ± 1.1 0.8 ± 1.0

Table 1 Mean value and standard deviation

Item Mean ± SD before sinus lift Mean ± SD after sinus lift p value Have you had difficulty chewing any foods? 1.6 ± 1.2 0.4 ± 0.7

Figure 5. Total score for physical and psychologic...

  Figure 5. Total score for physical and psychological disabilities before (gray) and after (hatched) sinus augmentation according to indications

Figure 4. Total score for functional limitations b...

  Figure 4. Total score for functional limitations before (gray) and after (hatched) sinus augmentation according to indications

Figure 3. Total score for complaints

  Figure 3. Total score for complaints due to surgical procedure pre-operative, post-operative, and recently

Figure 2. Cumulative survival rate

  Figure 2. Cumulative survival rate according to Kaplan–Meier and sinus augmentation procedure  

Figure 1. Flow chart of patients included in the s...

Figure 1. Flow chart of patients included in the study Figure 1. Flow chart of patients included in the study

References : Impact of maxillary sinus augmentatio...

References Al-Nawas B, Schiegnitz E. Augmentation procedures using bone substitute materials or autogenous bone—a systematic review and meta-analysis. Eur J Oral Implantol. 2014 Summer;7 Suppl 2:S219-34. Derks J, Hakansson J, Wennstrom JL, Tomasi C, Larsson M, Berglundh T. Effectiveness of implant therapy analyzed in a Swedish population: early and late implant loss. J Dent Res. 2015;94(...

Discussion : Impact of maxillary sinus augmentatio...

  The authors concluded that in clinical decision-making regarding donor site for bone graft harvesting, patients and clinicians should consider expected decrease in HRQoL if deciding to use extra-oral donor sites. Therefore, the authors recommended to prefer intra-oral donor sites whenever possible. In a recent study of Nickenig et al., OHIP-G 21 was evaluated in 8689 patients with variou...

Discussion : Impact of maxillary sinus augmentatio...

In this prospective study, health-related quality of life questionnaire was given to 76 patients evaluating patient perception of recovery in the four areas pain, oral function, general activity, and other symptoms. The results showed that average and maximal pain peaked on post-operative day 1 and improved on post-operative days 4 and 5. Difficulty in mouth opening was greatest on pos...

Discussion : Impact of maxillary sinus augmentatio...

Discussion The clinical and radiological outcomes of sinus augmentation procedures have been published in several studies. However, little data on the physical and psychological impact of this procedure on the patient is available yet. The present study evaluated pre-operative and post-treatment OHRQoL self-assessment scores of patients treated with dental implants after sinus augmentation ...

Results : Impact of maxillary sinus augmentation (...

In the subcategory physical and psychological disabilities, all questions had significant better values after the sinus lift (p 

Results : Impact of maxillary sinus augmentation (...

Results Survival analysis After an average time in situ of 41.2 ± 27 months (3.4 years; range 0–96 months), 40 of the 863 implants were lost. These results indicated an in situ rate of 95.4%. One-year and five-year survival rate according to Kaplan–Meier were 95.4 and 94.4%. In patients receiving an external sinus lift an in situ rate of 95.1% and in patients with an internal sinus...

Methods : Impact of maxillary sinus augmentation o...

Methods Study design and subjects This retrospective study addresses the oral health-related quality of life after maxillary sinus augmentation. Therefore, all patients that received an implantation after maxillary sinus augmentation in the Department of Oral and Maxillofacial Surgery of the University Medical Centre Mainz, Germany, between July 2002 and December 2007 were included in this stu...

Background : Impact of maxillary sinus augmentatio...

Background Rehabilitation of completely and partial edentulous patients with dental implants has proved to be a safe and predictable procedure. However, reduced bone height and the proximity of the maxillary sinus are challenging limitations for dental implant placement in the posterior maxilla. Besides the use of short and tilted implants, one of the most frequently used surgical techniques fo...

Impact of maxillary sinus augmentation on oral hea...

Abstract Background The aim of this study was to measure the oral health-related quality of life (OHRQoL) after maxillary sinus augmentation to determine the physical and psychological impact of this procedure for the patient. Methods Three hundred sixteen patients treated with an external or internal maxillary sinus augmentation and a total of 863 implants in the Department of Oral and Maxi...

Reference : Dental implants in patients treated wi...

Abbreviations BP: bisphosphonate BP-ONJ: bisphosphonate-associated osteonecrosis of the jaws CTX: C-terminal telopeptide of the type I collagen PICO: patients intervention control outcome PRISMA-P: preferred reporting items for systematic reviews and meta-analyses protocols QoL: quality of life ST: search term TMJ: temporomandibular joint ...

Discussion : Dental implants in patients treated w...

Next to this, the patients need to be compliant with an appropriate motivation for oral hygiene and the necessary skills to transfer this. Infectious foci should be treated before implant therapy to further reduce the risk of osteonecrosis development. The surgical sites should be followed up clinically (persisting sharp bone edges without any tendency to remodel) and radiologically (e...

Discussion : Dental implants in patients treated w...

Although there are only very few cases in the literature with augmentation of bone/sinus lift, these procedures are linked to a functioning vascular recipient site with working osteoclastic resorption and osteoblastic bone formation, and this is compromised in patients with antiresorptive therapy. Due to the denudation of the bone at the recipient site the vascular situation might be e...

Discussion : Dental implants in patients treated w...

Discussion Even latest guidelines and statements dealing with medication associated osteonecrosis of the jaws such as the American, Scottish, Swiss or German do not address implant therapy in these patients in detail. Due to this lack of data a systematic literature review was performed to fill this gap. Unfortunately the literature dealing with this topic is very sparse and consists mainl...

Results : Dental implants in patients treated with...

Nibbe analyzed 128 patients with IV BP or denosumab separated into 3 groups. In the first group 5 out of 60 patients with no denture had an osteonecrosis (8%), in the 2nd group 5 out of 34 patients with a fixed partial denture had an osteonecrosis 15%, and in the 3rd group 11 out of 34 patients with a removable denture had an osteonecrosis (32%). Kyrgidis determined that dentures increase the ris...

Results : Dental implants in patients treated with...

Results Out of 606 articles 556 articles were excluded because they were either duplicates, case reports, narrative reviews, case series with less than 5 cases or were not associated with the topic at all (Table 1 and Fig. 1). Some of the articles analyzed more than one outcome and are referred to several times. Since the available literature is very inhomogeneous with a low level of evidence a...

Introduction : Dental implants in patients treated...

Introduction Bisphosphonate-associated osteonecrosis of the jaws (BP-ONJ) is a well-known side effect in patients receiving bisphosphonates (BP) due to e.g. osteoporosis, multiple myeloma or malignant diseases with metastases to the bone; prevalences range between 0.1% for patients with primary osteoporosis to 1% in patients with secondary osteoporosis and up to about 20% for special high risk ...

Dental implants in patients treated with antiresor...

Dental implants in patients treated with antiresorptive medication – a systematic literature review Abstract Objective Bisphosphonate-associated osteonecrosis of the jaws (BP-ONJ) is triggered by inflammatory processes. Typical trigger factors are periodontal disease, denture pressure sores, and surgical interventions such as tooth extractions. Unfortunately there is only little data on how...