Dental implants in patients with autoimmune mucocutaneous diseases
Ashot TORCHYAN, Nikolaos SOUKOULIS, Nadia THEOLOGIE-LYGIDAKIS
Department of Oral and Maxillofacial Surgery, School of Dentistry, National and Kapodistrian University of Athens (Head: Professor N. G. Papadogeorgakis)
Hellenic Archives of Oral & Maxillofacial Surgery (2017) 2, 79-90
SUMMARY: Since the survival of a dental implant sup- ported restoration depends on the condition of the bone and soft tissues in the area, autoimmune mucocutaneous diseases, predominantly oral lichen planus , epidermolysis bullosa, scleroderma, pemphigus vulgaris and Sjogren's syndrome, and their relationship with the prognosis of implants is of particular interest.
Although there are no published clarified guidelines on the placement of dental implants in patients with oral lichen planus to date, it appears that the success rate of implants in patients with oral lichen planus is similar to that in healthy subjects.
Epidermolysis bullosa is a mucocutaneous disease and does not appear to affect the bone. Thus, implant placement in these patients is a realistic solution.
On the other hand, dental implant supported prosthetic restorations are not well documented in patients with systemic sclerosis and in patients with pemphigus vul- garis, and the background knowledge is not sufficient to suggest a standardized approach to the issue.
Finally, from the existing bibliographic data it seems that surgical implant placement is not contraindicated in pa- tients with Sjogren's syndrome but, on the contrary, rehabilitation of these patients with implant retained restorations provides solutions and contributes to the comfort and improvement of their quality of life.
KEY WORDS: dental implants, autoimmune mucocutaneous diseases, oral lichen planus , epidermolysis bullosa, scleroderma, pemphigus vulgaris, Sjogren's syndrome
REFERENCES
Alantar A, Cabane J, Hachulla E, Princ G, Ginisty D, Hassin M, Sorel M, Maman L, Pilat A, Mouthon L.: Recommendations for the care of oral involvement in patients with systemic sclerosis. Arthritis Care Res (Hoboken). Aug;63(8):1126-33, 2011.
Altin N1, Ergun S, Katz J, Sancakli E, Koray M, Tanyeri H.: Implant-sup- ported oral rehabilitation of a patient with pemphigus vulgaris: a clinical report. J Prosthodont. Oct;22(7):581-6, 2013.
Baptist BA.: Fixed implant supported rehabilitation of partially edentu- lous posterior maxilla in a patient with systematic scleroderma: a case report. Implant Dent. Feb;25(1):155-9, 2016.
Bencharit S, Reside GJ, Howard-Williams EL: Complex prosthodontic treatment with dental implants for a patient with polymyalgia rheumatica: a clinical report. Int J Oral Maxillofac Implants. 25:1241-1245, 2010.
Binon PP.: Thirteen-year follow-up of a mandibular implant-supported fixed complete denture in a patient with Sjogren's Syndrome: a clinical report. J Prosthet Dent. 5:409-413, 2005.
Candel-Marti ME, Ata-Ali J, Penarrocha-Oltra D, Penarrocha-Diago MA, Bagan JV: Dental implants in patients with oral mucosal al- terations: An update. Med Oral Patol Oral Cir Bucal. Sep 1;16 (6):e787-93, 2011.
Czerninski R, Eliezer M, Wilensky A, Soskolne A.: Oral lichen planus and dental implants- a retrospective study. Clin Implant Dent Relat Res 15:234-242, 2013.
Diz P., Scully C., Sanz M.: Dental implants in the medically compro- mised patient: a review. Journal of Dentistry. 41:195-206, 2013.
Doucet GC , Morrison AD.: Bilateral mandibular condylisis from sys- temic sclerosis : Case report of surgical correction with bilateral total temporomandibular joint replacement. Craniomaxillofac Trauma Reconstr. 4(1):11-18, 2011.
Ergun S.: Dental Implant Therapy in Patients Affected by Oral Mucosal Diseases. Int J Oral Dent Health 1:003, 2015.
Esposito SJ, Camisa C, Morgan M.: Implant retained over-dentures for two patients with severe lichen planus: a clinical report. J Prosthet Dent. 89:6–10, 2003.
Hernandez G, Lopez-Pintor RM, Arriba L, Torres J, de Vicente JC.: Implant treatment in patients with oral lichen planus: a prospec- tive-controlled study. Clinical Oral Implants Research 23:726–32, 2012.
Holzinger D, Seemann R, Matoni N, Ewers R, Millesi W, Wutzl A.: Ef- fect of dental implants on bisphosphonate-related osteonecrosis of the jaws. J Oral Maxillofac Surg. Oct;72(10): 1937.e1-8, 2014.
Isidor F, Brondum K, Hansen HJ, et al.: Outcome of treatment with implant-retained dental prostheses in patients with Sjogren Syn- drome. Int J Oral Maxillofac Implants. 5:736-743, 1999.
Korfage A, Raghoebar GM, Arends S, Meiners PM, Visser A, Kroese FG, Bootsma H, Vissink A: Dental implants in patients with Sjo- gren’s syndrome. Clin Implant Dent Relat Res. Oct;18(5):937-945, 2016.
Langer Y, Cardash HS, Tal H.: Use of dental implants in the treatment of patients with scleroderma: a clinical report. J Prosthet Dent. Dec;68(6):873-5, 1992.
Larrazabal-Morón C., Boronat-López A., Peñarrocha-Diago M., Peñar- rocha-Diago M.: Oral Rehabilitation With Bone Graft and Simul- taneous Dental Implants in a Patient With Epidermolysis Bullosa: A Clinical Case Report. J Oral Maxillofac Surg 67:1499-1502, 2009.
Lee H, Al Mardini M, Ercoli C, Smith M: Oral rehabilitation of a com- pletely edentulous epidermolysis bullosa patient with an implant- supported prosthesis: A clinical report. J Prosthet Dent 97:65-9, 2007.
López-Jornet P, Camacho-Alonso F, Sánchez-Siles M.: Dental implants in patients with oral lichen planus: a cross-sectional study. Clin Im- plant Dent Relat Res. Feb;16(1):107-15, 2014.
McCartan BE1, Healy CM.: The reported prevalence of oral lichen planus: a review and critique. J Oral Pathol Med. Sep;37(8): 447- 53, 2008.
Oliveira MA1, Ortega KL, Martins FM, Maluf PS, Magalhães MG.: Re- cessive dystrophic epidermolysis bullosa-oral rehabilitation using stereolithography and immediate endosseous implants. Spec Care Dentist. Jan-Feb;30(1):23-6, 2010.
Pan J, Shirota T, Ohno K, et al: Effect of ovariectomy on bone remod- eling adjacent to hydroxyapatite-coated implants in the tibia of mature rats. J Oral Maxillofac Surg 58:877-882, 2000.
Patel K, Welfare R, Coonar HS.: The provision of dental implants and a fixed prosthesis in the treatment of a patient with scleroderma: a clinical report. J Prosthet Dent. Jun;79(6):611-2, 1998.
Payne AG, Lownie JF, Van Der Linden WJ.: Implant-supported pros- theses in patients with Sjogren's Syndrome: A clinical report on three patients. Int J Oral Maxillofac Implants. 12:679-685, 1997.
Peñarrocha-Diago M, Serrano C, Sanchis J. M., Silvestre F. J., Bagan J.V.: Placement of endosseous implants in patients with oral epider- molysis bullosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90:587-90, 2000.
Peñarrocha-Oltra D, Aloy-Prósper A, Ata-Ali J, Peñarrocha-Diago M, Peñarrocha-Diago M: Implants placed simultaneously with partic- ulated bone graft in patients diagnosed with recessive dystrophic epidermolysis bullosa. J Oral Maxillofac Surg 70:e51-e57, 2012.
Peñarrocha-Oltra D, Peñarrocha-Diago M, Balaguer-Martínez J, Ata- Ali J, Peñarrocha-Diago M: Full-arch fixed prosthesis supported by four implants in patients with recessive dystrophic epidermol- ysis bullosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112:e4-e10, 2011.
Peñarrocha M, Rambla J, Balaguer J, Serrano C, Silvestre J, Bagán J.V.: Complete Fixed Prostheses Over Implants in Patients With Oral Epidermolysis Bullosa. J Oral Maxillofac Surg 65:103-106, 2007.
Petruzzi M1, De Benedittis M, Cortelazzi R, Milillo L, Lucchese A, Ser- pico R, Grassi FR.: Implant rehabilitation in patients with oral lichen planus: an overview. Clin Oral Investig. Oct;16(5):1347-52, 2012. Reichart PA.: Oral lichen planus and dental implants. Report of 3 cases.
Int J Oral Maxillofac Surg 35:37–40, 2006.
Scully C, Hobkirk J, Dios PD: Dental endosseous implants in the med- ically compromised patient. J Oral Rehabil 34:590-599, 2007.
Spinato S, Soardi CM, Zane AM.: A mandibular implant-supported fixed complete dental prosthesis in a patient with Sjogren syn- drome: case report. Implant Dent. 19(3):178-83, 2010.
Λάσκαρης Γ. Κλινική Στοματολογία: Διάγνωση-Θεραπεία. 2012:290-92.
Department of Oral and Maxillofacial Surgery, School of Dentistry, National and Kapodistrian University of Athens (Head: Professor N. G. Papadogeorgakis)
Hellenic Archives of Oral & Maxillofacial Surgery (2017) 2, 79-90
SUMMARY: Since the survival of a dental implant sup- ported restoration depends on the condition of the bone and soft tissues in the area, autoimmune mucocutaneous diseases, predominantly oral lichen planus , epidermolysis bullosa, scleroderma, pemphigus vulgaris and Sjogren's syndrome, and their relationship with the prognosis of implants is of particular interest.
Although there are no published clarified guidelines on the placement of dental implants in patients with oral lichen planus to date, it appears that the success rate of implants in patients with oral lichen planus is similar to that in healthy subjects.
Epidermolysis bullosa is a mucocutaneous disease and does not appear to affect the bone. Thus, implant placement in these patients is a realistic solution.
On the other hand, dental implant supported prosthetic restorations are not well documented in patients with systemic sclerosis and in patients with pemphigus vul- garis, and the background knowledge is not sufficient to suggest a standardized approach to the issue.
Finally, from the existing bibliographic data it seems that surgical implant placement is not contraindicated in pa- tients with Sjogren's syndrome but, on the contrary, rehabilitation of these patients with implant retained restorations provides solutions and contributes to the comfort and improvement of their quality of life.
KEY WORDS: dental implants, autoimmune mucocutaneous diseases, oral lichen planus , epidermolysis bullosa, scleroderma, pemphigus vulgaris, Sjogren's syndrome
REFERENCES
Alantar A, Cabane J, Hachulla E, Princ G, Ginisty D, Hassin M, Sorel M, Maman L, Pilat A, Mouthon L.: Recommendations for the care of oral involvement in patients with systemic sclerosis. Arthritis Care Res (Hoboken). Aug;63(8):1126-33, 2011.
Altin N1, Ergun S, Katz J, Sancakli E, Koray M, Tanyeri H.: Implant-sup- ported oral rehabilitation of a patient with pemphigus vulgaris: a clinical report. J Prosthodont. Oct;22(7):581-6, 2013.
Baptist BA.: Fixed implant supported rehabilitation of partially edentu- lous posterior maxilla in a patient with systematic scleroderma: a case report. Implant Dent. Feb;25(1):155-9, 2016.
Bencharit S, Reside GJ, Howard-Williams EL: Complex prosthodontic treatment with dental implants for a patient with polymyalgia rheumatica: a clinical report. Int J Oral Maxillofac Implants. 25:1241-1245, 2010.
Binon PP.: Thirteen-year follow-up of a mandibular implant-supported fixed complete denture in a patient with Sjogren's Syndrome: a clinical report. J Prosthet Dent. 5:409-413, 2005.
Candel-Marti ME, Ata-Ali J, Penarrocha-Oltra D, Penarrocha-Diago MA, Bagan JV: Dental implants in patients with oral mucosal al- terations: An update. Med Oral Patol Oral Cir Bucal. Sep 1;16 (6):e787-93, 2011.
Czerninski R, Eliezer M, Wilensky A, Soskolne A.: Oral lichen planus and dental implants- a retrospective study. Clin Implant Dent Relat Res 15:234-242, 2013.
Diz P., Scully C., Sanz M.: Dental implants in the medically compro- mised patient: a review. Journal of Dentistry. 41:195-206, 2013.
Doucet GC , Morrison AD.: Bilateral mandibular condylisis from sys- temic sclerosis : Case report of surgical correction with bilateral total temporomandibular joint replacement. Craniomaxillofac Trauma Reconstr. 4(1):11-18, 2011.
Ergun S.: Dental Implant Therapy in Patients Affected by Oral Mucosal Diseases. Int J Oral Dent Health 1:003, 2015.
Esposito SJ, Camisa C, Morgan M.: Implant retained over-dentures for two patients with severe lichen planus: a clinical report. J Prosthet Dent. 89:6–10, 2003.
Hernandez G, Lopez-Pintor RM, Arriba L, Torres J, de Vicente JC.: Implant treatment in patients with oral lichen planus: a prospec- tive-controlled study. Clinical Oral Implants Research 23:726–32, 2012.
Holzinger D, Seemann R, Matoni N, Ewers R, Millesi W, Wutzl A.: Ef- fect of dental implants on bisphosphonate-related osteonecrosis of the jaws. J Oral Maxillofac Surg. Oct;72(10): 1937.e1-8, 2014.
Isidor F, Brondum K, Hansen HJ, et al.: Outcome of treatment with implant-retained dental prostheses in patients with Sjogren Syn- drome. Int J Oral Maxillofac Implants. 5:736-743, 1999.
Korfage A, Raghoebar GM, Arends S, Meiners PM, Visser A, Kroese FG, Bootsma H, Vissink A: Dental implants in patients with Sjo- gren’s syndrome. Clin Implant Dent Relat Res. Oct;18(5):937-945, 2016.
Langer Y, Cardash HS, Tal H.: Use of dental implants in the treatment of patients with scleroderma: a clinical report. J Prosthet Dent. Dec;68(6):873-5, 1992.
Larrazabal-Morón C., Boronat-López A., Peñarrocha-Diago M., Peñar- rocha-Diago M.: Oral Rehabilitation With Bone Graft and Simul- taneous Dental Implants in a Patient With Epidermolysis Bullosa: A Clinical Case Report. J Oral Maxillofac Surg 67:1499-1502, 2009.
Lee H, Al Mardini M, Ercoli C, Smith M: Oral rehabilitation of a com- pletely edentulous epidermolysis bullosa patient with an implant- supported prosthesis: A clinical report. J Prosthet Dent 97:65-9, 2007.
López-Jornet P, Camacho-Alonso F, Sánchez-Siles M.: Dental implants in patients with oral lichen planus: a cross-sectional study. Clin Im- plant Dent Relat Res. Feb;16(1):107-15, 2014.
McCartan BE1, Healy CM.: The reported prevalence of oral lichen planus: a review and critique. J Oral Pathol Med. Sep;37(8): 447- 53, 2008.
Oliveira MA1, Ortega KL, Martins FM, Maluf PS, Magalhães MG.: Re- cessive dystrophic epidermolysis bullosa-oral rehabilitation using stereolithography and immediate endosseous implants. Spec Care Dentist. Jan-Feb;30(1):23-6, 2010.
Pan J, Shirota T, Ohno K, et al: Effect of ovariectomy on bone remod- eling adjacent to hydroxyapatite-coated implants in the tibia of mature rats. J Oral Maxillofac Surg 58:877-882, 2000.
Patel K, Welfare R, Coonar HS.: The provision of dental implants and a fixed prosthesis in the treatment of a patient with scleroderma: a clinical report. J Prosthet Dent. Jun;79(6):611-2, 1998.
Payne AG, Lownie JF, Van Der Linden WJ.: Implant-supported pros- theses in patients with Sjogren's Syndrome: A clinical report on three patients. Int J Oral Maxillofac Implants. 12:679-685, 1997.
Peñarrocha-Diago M, Serrano C, Sanchis J. M., Silvestre F. J., Bagan J.V.: Placement of endosseous implants in patients with oral epider- molysis bullosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90:587-90, 2000.
Peñarrocha-Oltra D, Aloy-Prósper A, Ata-Ali J, Peñarrocha-Diago M, Peñarrocha-Diago M: Implants placed simultaneously with partic- ulated bone graft in patients diagnosed with recessive dystrophic epidermolysis bullosa. J Oral Maxillofac Surg 70:e51-e57, 2012.
Peñarrocha-Oltra D, Peñarrocha-Diago M, Balaguer-Martínez J, Ata- Ali J, Peñarrocha-Diago M: Full-arch fixed prosthesis supported by four implants in patients with recessive dystrophic epidermol- ysis bullosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112:e4-e10, 2011.
Peñarrocha M, Rambla J, Balaguer J, Serrano C, Silvestre J, Bagán J.V.: Complete Fixed Prostheses Over Implants in Patients With Oral Epidermolysis Bullosa. J Oral Maxillofac Surg 65:103-106, 2007.
Petruzzi M1, De Benedittis M, Cortelazzi R, Milillo L, Lucchese A, Ser- pico R, Grassi FR.: Implant rehabilitation in patients with oral lichen planus: an overview. Clin Oral Investig. Oct;16(5):1347-52, 2012. Reichart PA.: Oral lichen planus and dental implants. Report of 3 cases.
Int J Oral Maxillofac Surg 35:37–40, 2006.
Scully C, Hobkirk J, Dios PD: Dental endosseous implants in the med- ically compromised patient. J Oral Rehabil 34:590-599, 2007.
Spinato S, Soardi CM, Zane AM.: A mandibular implant-supported fixed complete dental prosthesis in a patient with Sjogren syn- drome: case report. Implant Dent. 19(3):178-83, 2010.
Λάσκαρης Γ. Κλινική Στοματολογία: Διάγνωση-Θεραπεία. 2012:290-92.
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