AGE AND GENDER DIFFERENCES OF RISK FACTORS OF OSSEOINTEGRATION DEFECT IN PERSONS W ITH DENTAL IMPLANTATION
Journal Title: Праці Наукового товариства ім. Шевченка - Year 2015, Vol 43, Issue 2
Abstract
Of importance among the diseases related with a personal lifestyle is bone tissue (BT) pathology, for signs o f osteopenia and osteoporosis often appear early, and in 90% o f cases the complications of the osseointegration in case o f dental implantation are explained by improper examination before the planning treatment. Controversial views on the interconnection o f the bone transformation in accordance with the constitutional and anthropometric peculiarities indicate to the necessity to determine the risk factors of osseointegration defect taking into account age and gender differences. The aim o f this research was to determine the risk factors structure o f complications connected with prognosis o f osseointegration disorders after dental implantation considering gender and age aspects. Material and methods. Our cohort study was based on the retrospective investigation o f 45 (18 men and 27 women) patient histories and the results o f analysis of computed tomograms o f the patients with different dental health, who underwent dental implantation in "MM" clinic (in the period from 2010 to 2015) without and with bone augmentation alveolar part o f maxilla and mandibula. We measured BT density in the periapical and pericoronal parts o f alveolar processes in maxilla and alveolar part o f mandibula in places o f adentia and symmetrical areas during the treatment and in 1.5-2 years after the completion o f osseointegration of dental implants. In addition, we analyzed the risk factors o f osseointegration defect from the perspective o f medical and demographic, and social aspects, as well as cofactors and local risks dependent on systemic diseases. Results and discussion. Osteoplasty and sinus lift procedure were applied in 27% o f total cases. We have analyzed 30 histories o f diseases and determined the differences in BT density in persons o f the same age but o f different gender. Osteopenic changes in osseous tissue were found at the age in 67% o f women and 45% o f men in 45-55 years; osteoporotic changes were found in 17% o f female patients and 9% o f male patients. The structure o f changes in BT density in the 50-72-year-olds, which causes prolongation o f the osseointegration period, reached 70% in women, and 50% in men. Risk factors facilitating early changes in BT density and adentia included the female sex, age 50+, excess weight and obesity, urban lifestyle, and low physical activity due to office work. Conclusions: A comprehensive and adequate examination o f patients in order to plan the approaches to choose tactic and treatment should take into account the age, gender, and microsocial factors. The comparison of BT density in the area o f adentia and a symmetrical area allows predicting the necessary range and technique o f surgical intervention.
Authors and Affiliations
Yulian KUKHLEVSKYY, Myron UHRYN, Zoriana MASNA
Keywords
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