Dental implant placement in alveolar cleft patients: a retrospective comparative study on clinical and aesthetic outcomes |
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| Affiliation: | 1. Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands;2. Department of Implant Dentistry, University of Groningen, University Medical Centre Groningen, Dental School, Groningen, The Netherlands;1. Department of Oral and Maxillofacial Surgery, Hebrew University–Hadassah, Jerusalem, Israel;2. Department of Pathology, Faculty of Medicine, Hebrew University–Hadassah, Jerusalem, Israel;3. Department of ENT, Faculty of Medicine, Hebrew University–Hadassah, Jerusalem, Israel;4. Arab American University–AAUP, Palestinian Authority;1. Department of Oral and Maxillofacial Surgery, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil;2. Oral and Maxillofacial Surgery, Hospital São Lucas, Porto Alegre, Brazil;3. Department of Oral and Maxillofacial Surgery, Hospital del Salvador, Providencia, Región Metropolitana, Chile;4. Department of Oral and Maxillofacial Surgery, Hospital San Borja Arriarán, Santiago, Chile;5. Oral and Maxillofacial Surgery, Universidad de Chile, Santiago, Chile;6. Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain;7. Institute of Maxillofacial Surgery, Teknon Medical Centre, Barcelona, Spain;1. Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands;2. Department of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands;1. Oral Surgery and Implantology Department, Faculty of Dentistry, University of Barcelona, Barcelona, Spain;2. Fundació Institut d’Investigació Biomedica de Bellvitge (IDIBELL Institute), L’Hospitalet de Llobregat, Barcelona, Spain;3. Private Practice, Padua, Italy;4. Department of Periodontology and Implant Dentistry, University of Padua, Padua, Italy |
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| Abstract: | The aim of this retrospective study was to assess the clinical and aesthetic outcomes, and patient satisfaction, following dental implant therapy in cleft patients. Implant survival, changes in marginal bone level, pocket probing depths, plaque and bleeding indices, aesthetics, and patient satisfaction were assessed in 17 alveolar cleft patients and 17 matched controls. At follow-up (mean 72.4 ± 46.4 months), one implant had been lost in the cleft group. Mean marginal bone loss at follow-up was −0.4 ± 0.4 mm in cleft patients and −0.2 ± 0.4 mm in controls. Aesthetics of the peri-implant soft tissues (pink aesthetic score) were less favourable (P = 0.025) in cleft patients (5.0 ± 1.9) than in controls (6.5 ± 1.7), while peri-implant parameters were comparable in the two groups. Overall patient satisfaction was 8.6 ± 0.9 in cleft patients and 8.9 ± 1.1 in controls (P = 0.331). In cleft patients, no difference in aesthetics was observed between patients who received additional bone augmentation at 3 months prior to implant placement and those who did not (P = 0.092). Dental implant therapy in cleft patients is associated with high implant survival, minor marginal bone loss, healthy peri-implant soft tissues, and high patient satisfaction. Only the aesthetics of the soft tissues was worse in cleft patients compared to augmented non-cleft patients. |
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| Keywords: | cleft lip palate alveolar bone grafting dental implants single tooth aesthetics patient satisfaction |
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