Resumo
Introdução:A reabilitação oral com implantes dentários em pessoas vivendo com HIV (PVH) ainda é um tópico pouco estudo na literatura, especialmente, pelo risco de saúde devido a imunodeficiência humana, logo o intuito desse trabalho é relatar a reabilitação oral all on four superior com regeneração óssea guiada (ROG) em PVH com acompanhamento de 2 anos.Relato de Caso:Paciente sexo masculino, 58 anos, portador do HIV há 15 anos e usuário de TARV durante 14 anos e sem histórico prévio de alergias apresentou-se na cidade de Belém com a queixa principal de perda dentária, insatisfação no uso de prótese parcial removível provisória, descontentamento estético e funcional. No exame clínico observou-se presença de dentes superiores com periodontite grau II, sistemicamente paciente apresentava saúde satisfatória e liberação médica. Foi indicado exodontia dos dentes afetados pela periodontite, instalação de instalação dos implantes cone morse (12: 3.8x11mm/ 22: 3.8x11mm/ 15: 3.8x13mm/ 25: 3.8x13mm), ROG com enxerto ósseo xenógeno recoberto por membrana de colágeno reabsorvível para preenchimento de alvéolo e confecção de prótese protocolo superior pela técnica all on four. Conclusão: É do conhecimento dos autores, que este é o primeiro caso de all on fourcom ROG em PVH no norte do Brasil. Através deste caso observou-se que implantes dentários são uma opção viável de reabilitação oral quando o paciente está imunocompetente devido o tratamento adequado, demonstrando a possibilidade de longevidade de implantes dentários nessa população chave.
Referências
Brånemark PI. Osseointegration and its experimental background. J Prosthet Dent. 1983; 50(3): 399-410.
van Steenberghe D. Periodontal aspects of osseointegrated oral implants modum Branemark. Dent Clin North Am. 1988; 32(2): 355-70.
Oh SL, Shiau HJ, Reynolds MA. Survival of dental implants at sites after implant failure: A systematic review. J Prosthet Dent. 2020; 123(1): 54-60.
Hultin M, Komiyama A, Klinge B. Supportive therapy and the longevity of dental implants: a systematic review of the literature. Clin Oral Implants Res. 2007; 18 Suppl 3:50-62.
Lemos CAA, Verri FR, Cruz RS, Santiago Júnior JF, Faverani LP, Pellizzer EP. Survival of dental implants placed in HIV-positive patients: a systematic review. Int J Oral Maxillofac Surg. 2018; 47(10): 1336-1342.
Takamiya AS, Goiato MC, Gennari Filho H. Effect of smoking on the survival of dental implants. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2014; 158(4):650-3.
Fonseca RRS, Carvalho CA, Rodrigues TMS, Cavaleiro RMS, Menezes SAF, Machado LFA. Severe Necrotizing Periodontitis in an HIV-Infected Patient: Case Report and Non-Surgical Treatment. Clin Adv Periodontics. 2021; 11(2):59-63.
Sivakumar I, Arunachalam S, Choudhary S, Buzayan MM. Does HIV infection affect the survival of dental implants? A systematic review and meta-analysis. J Prosthet Dent. 2021; 125(6): 862-869.
Gay-Escoda C, Pérez-Álvarez D, Camps-Font O, Figueiredo R. Long-term outcomes of oral rehabilitation with dental implants in HIV-positive patients: A retrospective case series. Med Oral Patol Oral Cir Bucal. 2016, 1; 21(3): e385-91.
Sivakumar I, Arunachalam S, Choudhary S, Mahmoud-Buzayan M, Tawfiq O, Sharan J. Do Highly Active Antiretroviral Therapy Drugs in the Management of HIV Patients Influence Success of Dental Implants? AIDS Rev. 2020; 22(1): 3-8.
Joint United Nations Programme on HIV/AIDS (UNAIDS). Global HIV & AIDS statistics — Fact sheet [Internet]. 2021. Available from: https://www.unaids.org/en/resources/fact-sheet. (Accessed on 8th January 2022).
Wolday D, Legesse D, Kebede Y, Siraj DS, McBride JA, Striker R. Immune recovery in HIV-1 infected patients with sustained viral suppression under long-term antiretroviral therapy in Ethiopia. PLoS One. 2020, 22; 15(10):e0240880.
Girometti N, Nwokolo N, McOwan A, Whitlock G. Outcomes of acutely HIV-1-infected individuals following rapid antiretroviral therapy initiation. Antivir Ther. 2017; 22(1):77-80.
Ata-Ali J, Ata-Ali F, Di-Benedetto N, Bagán L, Bagán JV. Does HIV infection have an impact upon dental implant osseointegration? A systematic review. Med Oral Patol Oral Cir Bucal. 2015, 1; 20(3):e347-56.
Rajnay ZW, Hochstetter RL. Immediate placement of an endosseous root-form implant in an HIV-positive patient: report of a case. J Periodontol. 1998; 69(10):1167-71.
Baron M, Gritsch F, Hansy AM, Haas R. Implants in an HIV-positive patient: a case report. Int J Oral Maxillofac Implants. 2004; 19(3): 425-30.
Shetty K, Achong R. Dental implants in the HIV-positive patient--case report and review of the literature. Gen Dent. 2005; 53(6): 434-7; quiz 438, 446.
Strietzel FP, Rothe S, Reichart PA, Schmidt-Westhausen AM. Implant-prosthetic treatment in HIV-infected patients receiving highly active antiretroviral therapy: report of cases. Int J Oral Maxillofac Implants. 2006; 21(6): 951-6.
Stevenson GC, Riano PC, Moretti AJ, Nichols CM, Engelmeier RL, Flaitz CM. Short-term success of osseointegrated dental implants in HIV-positive individuals: a prospective study. J Contemp Dent Pract. 2007, 1; 8(1): 1-10.
Kolhatkar S, Khalid S, Rolecki A, Bhola M, Winkler JR. Immediate dental implant placement in HIV-positive patients receiving highly active antiretroviral therapy: a report of two cases and a review of the literature of implants placed in HIV-positive individuals. J Periodontol. 2011; 82(3): 505-11.
Oliveira MA, Gallottini M, Pallos D, Maluf PS, Jablonka F, Ortega KL. The success of endosseous implants in human immunodeficiency virus-positive patients receiving antiretroviral therapy: a pilot study. J Am Dent Assoc. 2011; 142(9): 1010-6.
Stasko SB, Kolhatkar S, Bhola M. Sinus Floor Elevation and Implant Placement via the Crestal and Lateral Approach in Patients with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome: Report of Two Cases. Clin Adv Periodontics. 2014; 4(4): 217-225.
Gherlone EF, Capparé P, Tecco S, Polizzi E, Pantaleo G, Gastaldi G, et al. Implant Prosthetic Rehabilitation in Controlled HIV-Positive Patients: A Prospective Longitudinal Study with 1-Year Follow-Up. Clin Implant Dent Relat Res. 2016; 18(4):725-34.
Capparé P, Teté G, Romanos GE, Nagni M, Sannino G, Gherlone EF. The 'All-on-four' protocol in HIV-positive patients: A prospective, longitudinal 7-year clinical study. Int J Oral Implantol (Berl). 2019; 12(4): 501-510.
Casula L, Poli A, Clemente T, Artuso G, Capparé P, Gherlone EF. Prevalence of peri-implantitis in a sample of HIV-positive patients. Clin Exp Dent Res. 2021; 7(6):1002-1013.
Nastri L, Moretti A, Migliaccio S, Paoletta M, Annunziata M, Liguori S, et al. Do Dietary Supplements and Nutraceuticals Have Effects on Dental Implant Osseointegration? A Scoping Review. Nutrients. 2020, 20; 12(1):268.
Li X, Tang L, Lin YF, Xie GF. Role of vitamin C in wound healing after dental implant surgery in patients treated with bone grafts and patients with chronic periodontitis. Clin Implant Dent Relat Res. 2018; 20(5):793-798.
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Copyright (c) 2023 Douglas Voss de Oliveira, José Thiers Carneiro Junior, Carlos Eduardo Vieira da Silva Gomes, Roberta Pimentel de Oliveira, Renata Pimentel de Oliveira, Silvio Augusto Fernandes de Menezes, Ricardo Fonseca