Estudo epidemiológico retrospectivo das próteses sobre implantes realizadas no curso de cirurgias avançadas em implantodontia da ABO/Muriaé no período de 2016 a 2018

Abstract

This study was conducted with the objective of carrying out a retrospective epidemiological survey, through the clinical records of patients treated by the course of advanced surgeries in implantology of the Brazilian Association of Dentistry - ABO/Muriaé. Specifically, the aim was to identify the main flaws in implant treatments carried out in the course, specifically in the prosthetic phase. For this, the occurrence of Primary Losses was evaluated, with implant removal during the osseointegration period, before the installation of the prosthesis. But the main focus was the verification of cases of Late Loss, considering the treatments that demanded removal of the implant and the prosthesis, after installation of the prosthesis in the implant (follow-up of one year after the installation of the prosthesis). The importance of the study highlights a number of factors, since the ABO facilitates costs, adequately prepares the professional to perform advanced surgeries, which allows a practice that is based on guided planning, seeking to know the patient regarding the medical and clinical history, physical conditioning and health, to plan treatment based on an effective diagnosis. Thus, the data collected for the research were mapped from the clinical records of candidates for oral rehabilitation by implant placement, computing the data on the performance of osseointegrated dental implants in the period between January 2016 and December 2018 in the Specialization course. in Advanced Surgery in Implantology at ABO – Muriaé. The methodology was based on the Literature Review including characterization of reconstructive, surgical, prosthetic (implantodontic) procedures, complications according to implantation time (trans, post and previous), including the possibility of loss (primary or late). In addition to this revisional theoretical framework, data analysis was carried out, evaluating the total sample of the period consisting of 74 medical records that were considered included or excluded, according to the final delivery with or without success. The data from the medical records consolidate the initial and final date, treatment sequence, personal data, semi-structured questionnaire (doctor), Diagnosis (ICD 10), treatment plan, images and surgical reports. The literature contemplated the documented cases, making it possible to discuss the results that proved to be very positive (greater than 90%) compared to reports of similar studies. However, the limitations were mainly evidenced by disagreement in planning, lack of return, due to financial problems, dissatisfaction, from candidates; on the other hand, incomplete data and treatment, omission of relevant information such as dates, highlighting failures in the turnover of students/interns working in Advanced Surgery courses. A careful review of these behaviors, greater precision in the terminologies used, with the possible elaboration of a more uniform medical record/book, as well as a personalized annual callback are the possible recommendations, due to failures that made it difficult to make greater use of the Database than the institution made available. Keywords: Dental Implants. Osseointegration. Reconstructive, Surgical and Implantology Procedures. Primary and Late Loss.