Is Down syndrome a risk factor or contraindication for dental implants? A systematic review.

Autor: Sales PHDH; PhD student, Postgraduate Program in Dentistry, Department of Prosthesis and Oral and Maxillofacial Surgery, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil. Electronic address: salespedro@gmail.com., Barros AWP; MSc student, Postgraduate Program in Dentistry, Department of Prosthesis and Oral and Maxillofacial Surgery, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil., de Lima FJC; Adjunct Professor, Institute of Health and Biological Sciences, Federal University of Alagoas (UFAL), Maceió, Alagoas, Brazil., Carvalho AAT; Adjunct Professor, Department of Clinical and Preventive Dentistry, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil., Leão JC; Full Professor, Department of Clinical and Preventive Dentistry, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil.
Jazyk: angličtina
Zdroj: The Journal of prosthetic dentistry [J Prosthet Dent] 2023 Apr; Vol. 129 (4), pp. 531-537. Date of Electronic Publication: 2021 Jul 28.
DOI: 10.1016/j.prosdent.2021.06.031
Abstrakt: Statement of Problem: Whether oral rehabilitation with dental implants in patients with Down syndrome leads to an increased complication rate is unclear.
Purpose: The purpose of this systematic review was to determine the effectiveness of dental implants placed in patients with Down syndrome and whether the condition is a risk factor or contraindication for dental implant placement.
Material and Methods: Searches were conducted in 6 databases, including the non-peer-reviewed literature, up to February 2021 by 2 independent reviewers according to established inclusion and exclusion criteria to answer this question: Is Down syndrome a risk factor or contraindication for oral rehabilitation with dental implants?
Results: A total of 655 studies were initially found in the databases. Five were included in this systematic review, all of which were observational studies. A total of 50 patients with 186 implants were evaluated, with a reported effectiveness of 79.1%. The risk of bias assessment determined that 3 of the 5 studies had a high risk of bias.
Conclusions: Treatment with dental implants in patients with Down syndrome is a suitable option, but more complications are to be expected than with patients without this condition. Controlled studies with better methodological design and less risk of bias should be developed to improve the scientific evidence for the treatment of these patients.
(Copyright © 2021 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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