Pages: 57-66

Abstract

This cross-sectional radiographic study aims to evaluate the prevalence and extent of peri-implant bone loss in patients with systemic conditions and to explore associations with age, gender, and specific systemic diseases. The study analyzed 306 patient records from dental clinics, focusing on those with systemic conditions and dental implants placed at least one year prior. Periapical radiographs were assessed for mesial and distal bone loss, classified into three levels (Class I, II, and III). Data were statistically analyzed using SPSS, with a significance level set at p ≤ 0.05. Among participants, diabetes mellitus was the most prevalent systemic condition (60%), followed by hypertension (13.3%). Bone loss was observed in 26.7% of patients, with Class I (mild) being the most common (65.9%). Gender-based analysis revealed a higher prevalence and severity of bone loss in females (38% prevalence) compared to males (23%). Age-wise, bone loss prevalence significantly increased with age (p = 0.002), with 83% of patients aged 50+ experiencing bone loss. Systemic diseases such as diabetes and hypertension are strongly associated with increased peri-implant bone loss, particularly in older adults and females. Radiographic evaluations are crucial for early detection and management of peri-implant bone loss in patients with systemic conditions to enhance the long-term success of dental implants.

Keywords: Dental implants, Bone loss, Systemic diseases, Implant failure

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