2016 Excel Annual Spt Application – Efficacy of rotary, non-surgical and combined endodontic techniques in removing media-based root canal fillings from straight root canal systems: computed tomography analysis
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2016 Excel Annual Spt Application
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Institute of Biometrics and Medical Statistics, University of Freiburg, Faculty of Medicine, Medical Center 79104 Freiburg, Germany
Materials received: 2020 May 17 / Revised: 2020 June 10 / Accepted: 2020 June 21 / Published: 2020 June 25
The main aim of this study is to present the factors influencing regular participation in a systematic post-transplant care program (supportive transplant therapy; SIT) and the level of patient adaptation during a 10-year follow-up period. From 2005 to 2008, we identified 524 transplants and 233 implant-reconstructed patients at our study center. They were instructed to complete the SIT recall program every 3 months. In 2019, a prospective clinical cohort study demonstrated 10-year follow-up rates. Data were evaluated annually in regression analysis to identify contributing factors. Violation rates increased during this period (4.8%, 1 year; 39.7%, 10 years). In total, lesions were observed in four patients (1.7%) with 10 implants. “Age”, “gender”, “diabetes” and “complexity of surgical cases” showed no association with patient consent. “Smoking” and “cardiovascular disease” significantly affected patients within a decade, while “number of implants per patient,” “type of implanted prosthesis,” and “prevention program experience” became important several years later. Years. A 3-month SIT program is highly recommended for patients undergoing implant rehabilitation, and approximately 60% of them adhere to continued rehabilitation after 10 years. Previous experience with preventive programs, increasing the number of implants per patient, and removing implant-stored prostheses can have a significant impact on patient adaptation.
In recent decades, dental implants have become a widely accepted concept for rehabilitation after tooth loss. Like natural teeth, implants are exposed to oral biofilms. Therefore, they are at risk of developing periodontitis, an inflammatory disease similar to gingivitis in natural teeth.
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Supportive dentistry (SPT) is widely recognized as a necessary follow-up treatment after successful periodontal treatment. The goal of SPT is to prevent recurrence of gingivitis and subsequent recurrence of gingivitis. SPT has been shown to contribute significantly to the long-term preservation of deteriorated teeth [1, 2, 3]. Further tooth loss has been described as a relatively rare event under conditions of adequate SPT [4, 5, 6, 7, 8, 9, 10, 11].
Unfortunately, existing literature shows that patient adherence to SPT is generally inadequate [12, 13, 14]. Patients with one or more dental implants have been found to have a significantly higher compliance rate than patients without implants [15]. However, it seems possible to achieve a higher level of patient adaptation by improving patient communication and motivation at the end of active treatment [16].
As with SPT, specific oral hygiene measurements and implant treatment are thought to help maintain healthy soft and hard tissues around the implant [17]. This condition has no characteristic signs of inflammation [18] and preservation of soft and hard tissue volume [19]. During peri-implant soft tissue inflammation, the microbial biofilm balance and the human host response to the peri-implant tissue are compromised [20]. The occurrence of peri-implant inflammation is regulated by various risk factors, leading to the development of peri-implant mucositis, which some researchers consider to be a precursor to peri-implantitis and subsequent implant loss [21, 22].
Peri-implantitis is defined as an inflammatory condition of the soft and hard tissues surrounding the implant, as a pathological condition that causes progressive bone loss around the implant [22]. Several studies have identified poor plaque control as a major risk factor for peri-implantation morbidity, but other studies have not found this association [26]. Specific Supportive Implant Therapy (SIT) programs have been developed to enhance and improve plaque control to ensure continued tissue health around the implant. In addition, communication with the patient should explain the importance of regular maintenance of the implant and motivate the patient to continue treatment. A systematic review and meta-analysis concluded that systematic post-transplant care “reduces the incidence of peri-transplant morbidity” [27]. However, data on patient adherence to SIT, especially in private practice, are lacking in the literature.
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Therefore, the aim of this prospective study was to evaluate patient acceptability and potential influencing factors of a systematic SIT program in private practice over a 10-year follow-up period.
Data for this prospective study were collected in a private dental clinic (North Hessia Implant Center) which focused on dental implants. A prospective, non-interventional study design based on analysis of primary patient data obtained from patient records was used. We evaluated patient adherence to SIT over a 10-year period. At the study center, 233 patients with a total of 524 implants were fitted with implant-supported overdentures and initially counseled on implant care and oral hygiene. In addition, a post-transplant care (SIT) program was offered to all patients for 3 months. This study was approved by the Ethics Committee of the Albert Ludwig University Freiburg, Germany (No. 261/19). Our study was conducted according to the STROBE guidelines. The study was registered internationally in the German Clinical Trials Register (DRKS 00016570) in 2019. January 13
All patients identified from 2005 January 1 to 2008 December 31 These patients were contacted and asked to participate in the study after receiving written information about the purpose. and current research progress. Patients who gave written informed consent and met the following inclusion criteria were included.
The following implant systems were used: Ankylos (Dentsply Friadent, Mannheim, Germany), Branemark (Nobel Biocare, Gothenburg, Sweden), ITI Bonefit (Straumann, Freiburg, Germany), Astra Tech Implant System (Dentsply Friadent, Mannheim, Germany), and 3i (Biomet 3i, Karlsruhe, Germany).
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At the beginning of treatment, ie. any. When the concept of treatment is introduced, the importance of post-transplant care to prevent peri-implant morbidity is explained to all patients. Therefore, lifelong SIT for every patient has been reported as an important part of implant therapy.
All implants were placed after extraction of unrecoverable teeth or after at least 3-4 months of healing according to the manufacturer’s recommended protocol. A structured prosthetic workflow was followed for denture production, and all dentures were supplied by a single dental laboratory (BK Zahntechnik, Hofgeismar, Germany). All clinical procedures were performed by the same physician (EF). After fitting the dentures, all patients were given instructions on how to care for the dentures and oral hygiene with plaque control was again explained. We recommend a 3-month withdrawal period for each patient. Emphasizes the goal of maintaining treatment efforts and costs over the long term. At this stage, the first SIT was performed for each patient.
During each examination session, oral hygiene instructions were repeated, and the teeth and implants were professionally cleaned. A detailed description of our EEP process has been published previously [28, 29].
The effect of different variables on annual compliance, the overall compliance rate across time periods, and the effect of high or low compliance on clinical parameters were assessed using logistic regression analysis. Means and standard deviations were calculated to determine percentages of the data. All calculations were performed using STATA 16.1 statistical software (StataCorp LP, College Station, TX, USA). The level of significance was set at P < 0.05.
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A total of 233 patients were included in our study
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