Success of implant-prosthodontic therapy in oral rehabilitation of elderly patients

[S. Dragović]

99 str.

Medicinske nauke - stomatologija - Kliničke stomatološke nauke / Medical Sciences - Dentistry - Clinical Dental Sciences

Starost je u direktnoj vezi sa većinom faktora koji uzrokuju gubitak zuba. Specifičnost oralne rehabilitacije kod osoba starijih od 65 godina otežana je, jer je dentalna patologija često udružena sa sistemskim oboljenjima. Ubrzan razvoj oralne implantologije doprineo je sve većoj aktuelizaciji implantatno-protetske terapije kod ovih pacijenata. Cilj doktorske disertacije bio je da se ispita uspešnost implantatno–protetske terapije uz definisanje dijagnostičkih i terapijskih protokola u oralnoj rehabilitaciji starijih pacijenata. U studiju je uključeno 38 pacijenata starijih od 65 godina sa ukupno 168 implantata i 74 zubne nadoknade. Procena uspešnosti implantata urađena je koristeći kliničke i radiološke parametre. Izvršena je klinička evaluacija uspešnosti zubnih nadoknada u odnosu na pojavu komplikacija. Stopa preživljavanja utvrđena je i za implantate i za zubne nadoknade. Kvalitet života i zadovoljstvo pacijenata sprovedenom terapijom procenjivani su uz pomoć OHIP-14 upitnika i VAS. Ukupna stopa preživljavanja implantata na kraju desetogodišnjeg perioda praćenja iznosila je 94,3%. Ukupno 134 (79,8%) implantata ocenjeno je uspešno tj. bez spontanih ili bolova pri funkciji, bez mobilnosti, eksudacije i sa manje od 2 mm radiografskog gubitka kosti nakon hirurške ugradnje. Ukupna stopa preživljavanja zubnih nadoknada na kraju desetogodišnjeg perioda praćenja iznosila je 96,97%, a stopa uspešnosti 82,7% nakon 5 i 60,6% nakon 10 godina. Statistički značajno bolji kvalitet života registrovan je kod pacijenata starije životne dobi sa fiksnim zubnim nadoknadama na implantatima u odnosu na pacijente sa mobilnim zubnim nadoknadama. Primena implantatno–protetske rehabilitacije bila je uspešna kod pacijenata starije životne dobi nakon višegodišnjeg funkcionalnog opterećenja.

Aging is directly related to majority of factors that cause tooth loss. The specificity of oral rehabilitation in people over 65 years old is difficult because dental pathology is often associated with systemic diseases. The rapid development of oral implantology has contributed to the increasing popularity of implant-prosthodontic therapy in these patients. The goal of the doctoral dissertation was to examine the success of implant-prosthodontic therapy while defining diagnostic and therapeutic protocols in the oral rehabilitation of elderly patients. The study included 38 patients older than 65 years with a total of 168 implants and 74 dental prostheses. Assessment of implant success was done using clinical and radiological parameters. A clinical evaluation of the success of dental prostheses in relation to the occurrence of complications was performed. The survival rate was determined for both implants and dental restorations. Quality of life and patient satisfaction with the therapy were assessed by means of the OHIP-14 questionnaire and the VAS. The overall implant survival rate at the end of the ten-year follow-up period was 94.3%. A total of 134 (79.8%) implants were considered as successful i.e., with no spontaneous or functional pain, no mobility, exudation, and less than 2 mm of radiographic bone loss after surgical implantation. The overall survival rate of dental prostheses at the end of the ten-year follow-up period was 96.97%, and the success rate was 82.7% and 60.6% after 5 and 10 years respectively. Significantly better quality of life was registered in elderly patients with fixed dental prostheses compared to patients with mobile dental prostheses. Implant-prosthodontic rehabilitation was successful in elderly patients after many years of functional load.

Dentalni implantati, starost, kvalitet života, zubne nadoknade na implantatima, starije osobe, gerontostomatologija

Dental implants, Aging, Quality of Life, Dental Implant Prostheses, Elderly People, Gerodontology

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