Evaluation of Multidisciplinary Approach in Long-Term Missing Tooth Rehabilitation in 18 to 24 Years Age Group Using Implant: A Clinical Study

采用种植体对18至24岁年龄组长期缺失牙进行多学科联合修复的临床研究

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Abstract

BACKGROUND: Tooth loss in young adults impacts aesthetics, function, and psychological well-being. Dental implants provide a long-term solution; however, their success depends on a multidisciplinary approach, involving orthodontics, periodontics, prosthodontics, and surgical collaboration. This study evaluates the clinical success and patient satisfaction following multidisciplinary implant therapy in individuals aged 18-24 years. METHODS: A prospective clinical study was conducted on 30 patients (40 implants). Preoperative assessments included bone volume, periodontal health, and orthodontic space optimization. Implants (Straumann, bone-level) were placed following Cone beam computed tomography (CBCT)-guided protocols and restored after a 3-month healing period. Primary outcome measures, included implant stability (ISQ), marginal bone loss (MBL), gingival index (GI), and patient satisfaction (VAS score). Data were analyzed using paired t-tests and repeated-measures Analysis of Variance (ANOVA). RESULTS: At 12 months, implant success was 100%, with ISQ increasing significantly (P < 0.001). Mean MBL was 0.74 mm ± 0.11 mm, within acceptable clinical limits. GI scores remained stable, indicating healthy peri-implant tissues. Patient satisfaction improved significantly (VAS score from 3.40 to 9.50, P < 0.001). CONCLUSION: Multidisciplinary implant rehabilitation in young adults is predictable and effective, ensuring optimal stability, periodontal health, and patient satisfaction. Comprehensive treatment planning and long-term follow-ups are recommended.

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