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Tomina DC, Petruțiu ȘA, Crișan B, Leucuța DC, Dinu CM. Influence of Periodontal Status and Prosthetic Treatment on Survival and Success Rates in Implant Therapy: A 5-Year Retrospective Follow-Up Study. J Clin Med 2023; 12:4275. [PMID: 37445310 DOI: 10.3390/jcm12134275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 05/30/2023] [Accepted: 06/24/2023] [Indexed: 07/15/2023] Open
Abstract
The objective of the present study was to evaluate the 5-year outcome of dental implant therapy and assess the survival, success, and biological and technical complications. A periodontal and prosthetic-oriented evaluation was conducted on the variables that can influence the long-term predictability of implant therapy. A total of 615 patients and 1427 dental implants from a private clinic (MedArtis Dent, Cluj-Napoca, Romania) were enrolled in the study. The study was a longitudinal cohort with data collected retrospectively from physical/digital dental records in combination with a cross-sectional clinical/radiological examination. Results showed that periodontal diagnosis at baseline had a significant impact on the marginal bone loss prediction. Data showed that the cylindrical implant with an internal 45° medium taper connection experienced a higher rate of bone resorption compared to the tapered implant with the 5° internal connection. Screw-retained restorations and overdentures showed a statistical decrease in the marginal bone level height when compared to the cemented restorations. Data from our study suggest that not only is there a powerful association between recall visits and the rate of complications in dental implant treatment, but a lack of professional maintenance predicts a higher bone level loss during the 5-year interval.
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Affiliation(s)
- Darius Cătălin Tomina
- Department of Periodontology, Faculty of Dentistry, University of Medicine and Pharmacy Iuliu Hațieganu, 400012 Cluj-Napoca, Romania
- MedArtis Dent Private Dental Clinic, 400130 Cluj-Napoca, Romania
| | - Ștefan Adrian Petruțiu
- Department of Periodontology, Faculty of Dentistry, University of Medicine and Pharmacy Iuliu Hațieganu, 400012 Cluj-Napoca, Romania
- MedArtis Dent Private Dental Clinic, 400130 Cluj-Napoca, Romania
| | - Bogdan Crișan
- MedArtis Dent Private Dental Clinic, 400130 Cluj-Napoca, Romania
- Department of Maxillofacial Surgery and Implantology, Faculty of Dentistry, University of Medicine and Pharmacy Iuliu Hațieganu, 400012 Cluj-Napoca, Romania
| | - Daniel-Corneliu Leucuța
- Department of Medical Informatics and Biostatistics, Iuliu Hatieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania
| | - Cristian Mihail Dinu
- MedArtis Dent Private Dental Clinic, 400130 Cluj-Napoca, Romania
- Department of Oral and Cranio-Maxillofacial Surgery, Faculty of Dentistry, University of Medicine and Pharmacy Iuliu Hațieganu, 400012 Cluj-Napoca, Romania
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Băbțan AM, Vesa ȘC, Boșca BA, Crișan M, Mihu CM, Băciuț MF, Dinu C, Crișan B, Câmpian RS, Feurdean CN, Ionel A, Bezugly A, Bordea IR, Ilea A. High-Frequency Ultrasound Assessment of Skin and Oral Mucosa in Metabolic Syndrome Patients-A Cross-Sectional Study. J Clin Med 2021; 10:jcm10194461. [PMID: 34640479 PMCID: PMC8509493 DOI: 10.3390/jcm10194461] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 09/16/2021] [Accepted: 09/24/2021] [Indexed: 12/01/2022] Open
Abstract
Background: Exogenous factors (such as sun exposure, smoking habits, and diet) and endogenous (inflammatory status, general diseases) have a direct influence on skin and soft tissue characteristics. The study’s objective was to assess the impact of metabolic syndrome (MS) on characteristics of skin layers in sun-exposed and non-exposed maxillofacial tissues evaluated by high-frequency ultrasound (HFU), as a potential diagnosis and monitoring tool for the aging process. Material and methods: The present study included 102 subjects (24 with MS; 78 without MS). Anthropometric parameters and disease history were recorded, and blood samples were harvested in order to assess biochemical parameters of MS. Sun-exposed skin (zygomatic region) and non-exposed oral mucosa of the lower lip were assessed using HFU (DUB® cutis, Taberna Pro Medicum) with a 22 MHz probe. Results: Patients with cardiac disease had significantly lower values for epidermis density (p = 0.002). Gender was independently linked to the aged dermis depth (p < 0.001), aged dermis no. of px (pixels) (p < 0.001), dermis depth (p < 0.001), dermis no. of px (p < 0.001), and subcutaneous tissue density (p < 0.001). Patients with MS had thinner epidermis (p = 0.008) and thinner aged dermis (p = 0.037) when compared to non-MS subjects. Conclusion: Patients with MS had thinner epidermis and a lower epidermis number of pixels in sun-exposed skin. Women had lower epidermis density and thicker dermis in sun-exposed skin. Our study showed that HFU, as a non-invasive investigation approach, is useful to diagnose and monitor the aging process in skin and oral mucosa, correlated with skin phenotype pathological conditions.
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Affiliation(s)
- Anida Maria Băbțan
- Oral Rehabilitation Department, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Babeș Street No. 15, 400012 Cluj-Napoca, Cluj County, Romania; (A.M.B.); (R.S.C.); (C.N.F.); (A.I.); (A.I.)
| | - Ștefan Cristian Vesa
- Pharmacology, Toxicology and Clinical Pharmacology Department, Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Marinescu Street No. 23, 400337 Cluj-Napoca, Cluj County, Romania
- Correspondence: ; Tel.: +40-740125980
| | - Bianca Adina Boșca
- Histology Department, Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Pasteur Street No. 4, 400349 Cluj-Napoca, Cluj County, Romania; (B.A.B.); (M.C.); (C.M.M.)
| | - Maria Crișan
- Histology Department, Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Pasteur Street No. 4, 400349 Cluj-Napoca, Cluj County, Romania; (B.A.B.); (M.C.); (C.M.M.)
| | - Carmen Mihaela Mihu
- Histology Department, Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Pasteur Street No. 4, 400349 Cluj-Napoca, Cluj County, Romania; (B.A.B.); (M.C.); (C.M.M.)
| | - Mihaela Felicia Băciuț
- Maxillofacial Surgery and Implantology Department, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Cardinal Iuliu Hossu Street No. 37, 400029 Cluj-Napoca, Cluj County, Romania; (M.F.B.); (C.D.); (B.C.)
| | - Cristian Dinu
- Maxillofacial Surgery and Implantology Department, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Cardinal Iuliu Hossu Street No. 37, 400029 Cluj-Napoca, Cluj County, Romania; (M.F.B.); (C.D.); (B.C.)
| | - Bogdan Crișan
- Maxillofacial Surgery and Implantology Department, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Cardinal Iuliu Hossu Street No. 37, 400029 Cluj-Napoca, Cluj County, Romania; (M.F.B.); (C.D.); (B.C.)
| | - Radu Septimiu Câmpian
- Oral Rehabilitation Department, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Babeș Street No. 15, 400012 Cluj-Napoca, Cluj County, Romania; (A.M.B.); (R.S.C.); (C.N.F.); (A.I.); (A.I.)
| | - Claudia Nicoleta Feurdean
- Oral Rehabilitation Department, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Babeș Street No. 15, 400012 Cluj-Napoca, Cluj County, Romania; (A.M.B.); (R.S.C.); (C.N.F.); (A.I.); (A.I.)
| | - Anca Ionel
- Oral Rehabilitation Department, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Babeș Street No. 15, 400012 Cluj-Napoca, Cluj County, Romania; (A.M.B.); (R.S.C.); (C.N.F.); (A.I.); (A.I.)
| | - Artur Bezugly
- Dermatology and Cosmetology Department, Academy of Postgraduate Education of the Russian Federal Medical-Biological Agency, 123098 Moscow, Russia;
| | - Ioana Roxana Bordea
- Oral Health Department, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Babeș Street No. 15, 400012 Cluj-Napoca, Cluj County, Romania;
| | - Aranka Ilea
- Oral Rehabilitation Department, Faculty of Dentistry, “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, Babeș Street No. 15, 400012 Cluj-Napoca, Cluj County, Romania; (A.M.B.); (R.S.C.); (C.N.F.); (A.I.); (A.I.)
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