Clinical and radiographic evaluation of dental implants in alveolar fissure area

Abstract

Introduction

The cleft lip and palate are malformations that cause important impacts not only aesthetic, auditory and phonetic, but also in the social integration of its bearer.

Objective

To evaluate the clinical and radiographic aspects of osteointegratable implants in a region of cleft lip and palate installed in a reference center in Salvador, Bahia.

Material and method

An observational study was carried out in which all the patients who performed osseointegrated dental implants in the area of ​​alveolar fissure were enrolled between September 2014 and October 2016. After analyzing the records, implants were obtained that obtained secondary stability observed through bidigital locking at the time of the installation of the cicatrisers, as well as previous reconstruction with iliac crest graft, type of cleft, as well as complementary grafts performed in an outpatient setting and correlation of these with the success rate of the implants installed in that unit.

Result

Fifteen implants were installed in 10 patients with different types of fissures. The clinical success rate was 80% of the implants, and radiographically, in only one case there was suspicion of failure in the new bone formation.

Conclusion

Implants located in a region of fissure in the patients of the reference center in Salvador-Bahia presented clinically secondary stability and suggestive bone neoformation clinically and radiographically at levels similar to those described in the literature.

Descriptors:
Dental implants; cleft palate; biocompatible materials