Dental implants in dentate primary and secondary Sjogren's syndrome patients: A multicenter prospective cohort study: a multicenter prospective cohort study
Maarse, Floor; Fennis, Willem; Twisk, Jos W R; Korfage, Anke; Santing, Hendrik J; den Hartog, Laurens; Muradin, Marvick S M; Maningky, Melvin S; Raghoebar, Gerry M; Vissink, Arjan; Brand, Henk S; Jager, Derk Hendrik Jan
(2022) Clinical Oral Implants Research, volume 33, issue 11, pp. 1157 - 1170
(Article)
Abstract
Objectives: To prospectively assess the clinical performance and patient-reported outcomes of dental implants in dentate patients with primary and secondary Sjögren's syndrome (pSS and sSS, respectively) compared to patients without SS. Materials and Methods: Thirty-seven implants were placed in 17 patients with pSS/sSS and 26 implants in 17 non-SS patients
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to replace missing (pre)molars. Clinical performance, marginal bone-level changes, patient satisfaction, and oral health-related quality of life (OHRQoL) were assessed at 1 (T1), 6 (T6), 12 (T12), and 18 (T18) months after placement of the superstructure. Marginal bone-level changes were measured on standardized dental radiographs. Clinical parameters included implant and crown survival, plaque, bleeding and gingival indices, and probing depth. Patient satisfaction and OHRQoL were assessed with validated questionnaires. Results: Implant survival at T18 was 100% in the patients with pSS/sSS and 96.2% in the non-SS group. Mean marginal bone loss at T18 did not differ between patients with pSS/sSS and non-SS patients, 1.10 ± 1.04 and 1.04 ± 0.75 mm, respectively (p =.87). Clinical performance was good with no differences between the groups for all outcome measures (p >.05). OHRQoL in patients with pSS/sSS had improved significantly after placement of implant supported crowns at all measuring moments compared to baseline (p <.05). Nevertheless, patient satisfaction and OHRQoL remained significantly higher for patients without SS at all measuring moments (p <.05). Conclusion: Dental implants can be successfully applied in dentate patients with pSS/sSS and have a positive effect on OHRQoL.
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Keywords: dental implants, prosthodontics, Sjögren's syndrome, xerostomia, Oral Surgery, Journal Article
ISSN: 0905-7161
Publisher: Blackwell Munksgaard
Note: Funding Information: This study was funded by unconditional research grants from Foundation NutsOhra (FNO), Amsterdam, the Netherlands and Biohorizons Inc, Birmingham, AL, USA. No other conflicts of interest can be identified. We would like to thank all the participants of this study. We also like to thank Maxillofacial Dental Laboratory G. van Dijk, Groningen, the Netherlands, for fabricating the individualized X-ray holders and superstructures. Funding Information: This study was funded by unconditional research grants from Foundation NutsOhra (FNO), Amsterdam, the Netherlands and Biohorizons Inc, Birmingham, AL, USA. No other conflicts of interest can be identified. We would like to thank all the participants of this study. We also like to thank Maxillofacial Dental Laboratory G. van Dijk, Groningen, the Netherlands, for fabricating the individualized X‐ray holders and superstructures. Publisher Copyright: © 2022 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd.
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