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Int J Oral Maxillofac Surg. 2019 Feb 28. pii: S0901-5027(19)30069-4. doi: 10.1016/j.ijom.2019.02.005. [Epub ahead of print]

Dental implants in patients with Sjögren's syndrome: a case series and a systematic review.

Author information

1
Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden. Electronic address: bruno.chrcanovic@mau.se.
2
Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden. Electronic address: jeno.kisch@mau.se.
3
Department of Prosthodontics, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden. Electronic address: ann.wennerberg@odontologi.gu.se.

Abstract

The purpose of this study was to assess the clinical outcomes of dental implants in patients with Sjögren's syndrome (SS). The study consisted of two parts: report of a case series and a systematic review of the literature. The results of the clinical series revealed that 19 patients received 107 implants and were followed for a mean of 125months. Two patients lost three implants (failure rate 2.8%, 3/107). At the last follow-up, there was a mean marginal bone loss (MBL) of -2.190±1.384 mm; estimated MBL after 30 years was 4.39mm. The review identified 18 studies, resulting in 19 studies for analysis including the present clinical series. A total of 712 implants were placed in 186 patients; 705 implants were followed up for a mean of 72.5 months (failure rate 4.1%, 29/705; failed at a mean time of 12.9±31.7months). The probability of failure was 2.8% (95% confidence interval 1.6-4.1%). Primary SS patients had a lower implant failure rate (2.5%, 3/118) than secondary SS patients (6.5%, 12/184). In conclusion, dental implants should be considered by dentists as a viable treatment option for patients with SS, as the failure rate is fairly low. SS patients may, however, present a higher MBL around implants than patients from the general population.

KEYWORDS:

Sjögren’s syndrome; dental implant; failure; marginal bone loss; oral rehabilitation

PMID:
30827571
DOI:
10.1016/j.ijom.2019.02.005

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