employee from 01.01.2015 to 01.01.2026
Russian Federation
UDC 616.314-089
CSCSTI 76.29
The widespread prevalence of cardiovascular disease is a pressing global health issue. The economic and social consequences associated with the increased disability of the working-age population define this disease as the "scourge of the 21st century." In dental clinics, patients' polymorbidity dictates the need for comprehensive treatment approaches due to the impact of cardiovascular disease on the postoperative period. The study focused on the postoperative period and the development of complications following dental implantation in patients with chronic heart failure. The aim of the study was to examine post-implant complications in patients with different functional classes of chronic heart failure. Methodology. 311 edentulous patients participated in the study, including 215 with chronic heart failure. Based on the diagnostic evaluation, a decision was made to perform dental implantation and subsequent correction with prosthetic appliances. Results of the study. Pain in the area of the surgical wound on the 3rd day after dental implantation was observed in all groups, but the severity was significantly higher in patients with CHF III FC (NYHA), occurring in 84.7 % (n = 49). Edema of the mucoperiosteal flap decreased by the 14th day of observation in patients of all groups: in respondents with CHF I FC (NYHA) – from 83.3 % (n = 50) to 10 % (n = 6) of episodes, in the subgroup of individuals with CHF III FC (NYHA) from 91.3 % (n = 42) to 28.2 % (n = 13) of cases. By the 3rd month after dental implantation, peri-implantitis with bone resorption developed in patients of all groups, but the highest values were observed in the CHF III FC (NYHA) subgroup – 26.1 % (n = 12) of cases. After stopping the inflammatory process, due to the progression of peri-implantitis, removal of implants was performed in 1.8 % (n = 2) of patients with CHF II FC (NYHA) cases versus 15.2 % (n = 7) of the CHF III FC (NYHA) subgroup. Conclusions. High complication rates in patients with NYHA III HF indicate that the severity of heart failure influences the course of the postoperative period.
peri-implantation mucositis, peri-implantitis, chronic heart failure, dental implantation, post-implantation complications
1. Gus'kov A.V., Abdurahmanova M.A., Nikiforov A.A., Oleynikov A.A., Kokunova A.S. Diagnosticheskaya znachimost' provospalitel'nyh citokinov pri planirovanii dental'noy implantacii u pacientov s obschesomaticheskimi patologiyami. Rossiyskiy mediko-biologicheskiy vestnik imeni akademika I.P.Pavlova. 2023;31(3):501-510. [Gus'kov A.V., Abdurakhmanova M.A., Nikiforov A.A., Oleynikov A.A., Kokunova A.S. Diagnostic Significance of Proinflammatory Cytokines in Planning Dental Implantation in Patients with General Somatic Pathologies. I.P. Pavlov Russian Medical Biological Herald. 2023;31(3):501-510. (In Russ.)]. https://doi.org/10.17816/PAVLOVJ108371
2. Lakman I.A., Dolgalev A.A., Usmanova I.N., Senina V.O., Zolotaev K.E., Stomatov D.V. i dr. Metaanaliz klinicheskih issledovaniy vozniknoveniya biologicheskih oslozhneniy pri ustanovke dental'nyh implantatov pri saharnom diabete. Klinicheskaya stomatologiya. 2024;27(2):122-129. [Lakman I.A., Dolgalev A.A., Usmanova I.N., Senina V.O., Zolotaev K.E., Stomatov D.V. et al. Meta-analysis of clinical studies on the occurrence of biological complications in patients with diabetes with dental implants. Clinical Dentistry (Russia). 2024;27(2):122-129. (In Russ.)]. https://doi.org/10.37988/1811-153X_2024_2_122
3. Alves C.H., Russi K.L., Rocha N.C., Bastos F., Darrieux M., Parisotto T.M. et al. Host-microbiome interactions regarding peri-implantitis and dental implant loss. Journal of translational medicine. 2022;20(1):425. https://doi.org/10.1186/s12967-022-03636-9
4. Barão V.A.R., Costa R.C., Shibli J.A., Bertolini M., Souza J.G.S. Emerging titanium surface modifications: The war against polymicrobial infections on dental implants. Brazilian Dental Journal. 2022;33(1):1-12. https://doi.org/10.1590/0103-6440202204860
5. Chen L., Tong Z., Luo H., Qu Y., Gu X., Si M. Titanium particles in peri-implantitis: distribution, pathogenesis and prospects. International journal of oral science. 2023;15(1):49. https://doi.org/10.1038/s41368-023-00256-x
6. Corrao G., Mazzola G.C., Lombardi N., Marvaso G., Pispero A., Baruzzi E. et al. Oral Surgery and Osteoradionecrosis in Patients Undergoing Head and Neck Radiation Therapy: An Update of the Current Literature. Biomedicines. 2023;11(12):3339. https://doi.org/10.3390/biomedicines11123339
7. Fleming E., Afful J., Griffin S.O. Prevalence of tooth loss among older adults: United States, 2015-2018. NCHS Data Brief. 2020;(368):1-8. https://www.cdc.gov/nchs/data/databriefs/db368-h.pdf
8. Illand C., Destruhaut F., Porporatti A.L., Wulfman C., Naveau A., Rignon-Bret C. Implant survival rate in mandible reconstructed with free fibula flaps after oral tumors: A systematic review and meta-analysis. The International journal of oral & maxillofacial implants. 2023;38(5):976-985. https://doi.org/10.11607/jomi.10373
9. Jain N, Dutt U, Radenkov I, Jain S. WHO’s global oral health status report 2022: actions, discussion and implementation. Oral diseases. 2024;30(2):73-79. https://doi.org/10.1111/odi.14516
10. Savarese G., Becher P.M., Lund L.H., Seferovic P., Rosano G.M.C., Coats A.J.S. Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovascular Research. 2022;118(17): 3272–3287. https://doi.org/10.1093/cvr/cvac013
11. Seki K., Hasuike A., Iwano Y., Hagiwara Y. Influence of antihypertensive medications on the clinical parameters of anodized dental implants: a retrospective cohort study. International Journal of Implant Dentistry . 2020;6:32. https://doi.org/10.1186/s40729-020-00231-9
12. Wagner J., Spille J.H., Wiltfang J., Naujokat H. Systematic review on diabetes mellitus and dental implants: an update. International journal of implant dentistry. 2022;8:1. https://doi.org/10.1186/s40729-021-00399-8
13. WHO. Cardiovascular diseases (CVDs). Available at: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)?ysclid=mp6s4l4cs6662183591
14. Yang Y., Hu H., Zeng M., Chu H., Gan Z., Duan J. et al. The survival rates and risk factors of implants in the early stage: a retrospective study. BMC Oral Health. 2021;21:293. https://doi.org/10.1186/s12903-021-01651-8
