Acta Scientific Dental Sciences (ISSN: 2581-4893)

Case Report Volume 4 Issue 10

Four Year Follow Up of Immediate Provizionalization of Osseointegrated Dental Implant in Patient with Rheumatoid Polyarthritis

Rym Masmoudi, Hela Jegham*, Hend Ouertani and Mohamed Bassem Khattech

Department of Medicine and Dental Surgery, Military Hospital, Montfleury, Tunis, Tunisia

*Corresponding Author: Hela Jegham, Professor, Department of Medicine and Dental Surgery, Military Hospital, Montfleury, Tunis, Tunisia.

Received: August 24, 2020; Published: September 23, 2020



Introduction: Successful osseointegration and long term maintenance of endoosseous dental implant are influenced by implant to bone interface requiring continual bone remodeling. Many factors can influence bone remodeling and lead to osseointegration failure. Rheumatoid polyarthritis (RA) is a systemic autoimmune disease characterized by bone damage. Anti-rheumatic drugs such as Methotrexate and Glycocorticoid have deleterious effects on bone metabolism and turnover.

Aim: The aim of this report is to answer to the question whether RA and anti-rheumatic drugs can be a real contraindication for implant treatment.

Observation: A lady was referred for the replacement of the teeth N°14 lost after root fracture. The patient history revealed a Rheumatoid Arthritis diagnosed since 2 years. We decide to suggest her for an implant with immediate provisional crown. The crown was not loaded at the day of surgery. Six months later, the definitive crown was cemented. The implant fulfilled osseointegration clinically and at X-Rays. After 4 years we noticed marginal bone stability.

Conclusion: Although several animal and in vitro studies recorded a negative effect of anti-rheumatic drugs on bone healing many clinical reports showed that patient with RA can be successfully treated with implants but we still need more clinical studies to reinforce our findings.

Keywords: Dental Implants; Rheumatoid Arthritis; Osseointegration; Methotrexate; Glucocorticosteroids



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Citation: Hela Jegham., et al. “Four Year Follow Up of Immediate Provizionalization of Osseointegrated Dental Implant in Patient with Rheumatoid Polyarthritis". Acta Scientific Dental Sciences 4.10 (2020): 53-56.


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