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Dental implant placement in alveolar cleft patients: a retrospective comparative study on clinical and aesthetic outcomes

Alberga, J. M., Stellingsma, K., Meijer, H. J. A., Oostenbrink, H. A., Vissink, A. & Raghoebar, G. M., 22-Feb-2020, In : International Journal of Oral and Maxillofacial Surgery. 8 p.

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  • Dental implant placement in alveolar cleft patients_ a retrospective comparative study on clinical and aesthetic outcomes

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DOI

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±0.4mm in cleft patients and -0.2±0.4mm 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.

Original languageEnglish
Number of pages8
JournalInternational Journal of Oral and Maxillofacial Surgery
Publication statusE-pub ahead of print - 22-Feb-2020

ID: 119034330