Terapia reabilitadora com implantes dentários em pacientes acometidos por displasias ósseas: revisão de literatura

Abstract

INTRODUCTION: Bone dysplasias are benign disorders of bone development, characterized by the replacement of normal bone by an excessive proliferation of fibrous connective tissue, and then these lesions undergo a maturation process, when structures similar to bone tissue or cementum are formed. Among these changes, fibrous dysplasia and cemento-osseous dysplasia are the most frequent. The conditions that alter the architecture of healthy bone tissue make surgical management difficult, making it a challenge for the clinician who intends to rehabilitate with dental implants. AIM: The aim of this study was to review the literature on the success of dental implant therapy in patients with fibrous dysplasia and cemento-osseous dysplasia. METHODOLOGY: A literature review was carried out with international articles published and available in the journals and databases of PubMed, Lilacs and SciELO. The inclusion criteria for the articles were: Clinical trials, cohort studies, case-control studies, case reports and case series of implants in cemento-osseous dysplasia and/or fibrous dysplasia. RESULTS: the initial search retrieve 180 articles, of which after the exclusion criteria were applied, only 8 studies were included in the review. The studies included were of the case report type, four of them about implant in fibrous dysplasia and another four in cemento-osseous dysplasia. Two articles reported dental implant failure, one in each studied lesion. CONCLUSION: Based on the resulting studies, we conclude that scientific evidence is insufficient to affirm a positive prognosis for the treatment, requiring further research.