Dental implants and bone augmentation in HIV-infected patients under HAART: Case report and review of the literature.
The present study reviewed the literature regarding dental implants in HIV-infected patients and reports the long-term follow-up of three clinical cases of patients under HAART that received bone augmentation and dental implants. The first case presents a young patient with a large defect in the mandible, as a consequence of a longitudinal fracture, that was treated with guided bone regeneration (GBR) previously to implant placement. The second case reported is middle-aged man with a fractured upper lateral incisor treated with immediate placement and simultaneous GBR to repair the dehiscence due to the buccal bone resorption. The third case shows an elderly patient that underwent sinus lifting with the simultaneous placement of two implants. All cases were treated after patients were medically controlled and followed for at least 10 years. Controlled HIV-infected patients undergoing HAART may be candidates to implant rehabilitation, as long as their plasmatic HIV viral load and CD4+ T lymphocytes count are within the parameters that indicate immune stability. Long-term stability of soft and hard tissues can be obtained maintaining function and esthetics. However, stronger evidence, based on prospective, controlled clinical trials is needed to provide the dental and medical teams with conclusive data.
Postgraduate Program in Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil. Av. Alfredo Baltazar da Silveira, 580-cobertura, Recreio dos Bandeirantes, Rio de Janeiro, Brazil.
Fábio
F
Vidal
ADITIV lab, Rio de Janeiro, Brazil. Avenida João Cabral de Melo Neto, 350 bloco 1, loja A, Barra da Tijuca, Rio de Janeiro, Brazil.
Rafael
R
Vidal
Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, Hospital Universitário Clementino Fraga Filho-Rua Professor Rodolpho Paulo Rocco, 325, 2nd floor-Ilha do Fundão, Rio de Janeiro, Brazil.
Jeter
J
Bochnia
Postgraduate Program in Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil. Av. Alfredo Baltazar da Silveira, 580-cobertura, Recreio dos Bandeirantes, Rio de Janeiro, Brazil.
Rodrigo Carvalho
RC
de Souza
Postgraduate Program in Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil. Av. Alfredo Baltazar da Silveira, 580-cobertura, Recreio dos Bandeirantes, Rio de Janeiro, Brazil.
Lucio Souza
LS
Gonçalves
D000328:Adult; D000540:Alveolar Ridge Augmentation; D023241:Antiretroviral Therapy, Highly Active; D001862:Bone Resorption / Q000601:surgery; D015921:Dental Implants; D004955:Esthetics, Dental; D005260:Female; D048091:Guided Tissue Regeneration; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014082:Tooth Fractures / Q000601:surgery
D015921:Dental Implants
AIDS; HAART; HIV; bone augmentation; dental implants