Outcomes of oral rehabilitation with implant-assisted prosthesis in patients with Parkinson’s Disease: a systematized Review
DOI:
https://doi.org/10.59334/ROV.v2i45.708Keywords:
Parkinson disease, dental implants, implant supported, overdenture, Dental ProsthesisAbstract
Introduction: Parkinson’s disease (PD), the second most common neurodegenerative disorder, affects 2–3% of individuals over the age of 65 and compromises quality of life due to its motor and non-motor symptoms, as well as the adverse oral health effects of pharmacological treatment. These limitations, together with motor dysfunction, hinder the use of conventional removable prostheses, making implant-assisted prostheses a promising alternative. Nevertheless, there remains a lack of consensus regarding their long-term outcomes.
Objective: To analyze the available scientific evidence on the clinical outcomes of implant-assisted prosthesis in patients with Parkinson’s disease, focusing on patient satisfaction and long-term implant-related complications.
Materials and Methods: A systematized literature search was conducted in the PubMed, Scopus, and Web of Science databases, considering publications in English between 2000 and 2025. Case reports and case series addressing the rehabilitation of adult patients with Parkinson’s disease using implant-assisted prosthesis and providing information on patient satisfaction and/or implant-related complications were included. An additional inclusion criterion was a clinical follow-up of ≥ 12 months. After applying filters and selection criteria, a total of 6 studies were included for analysis.
Results: In the analyzed studies, most patients reported significant improvements in masticatory ability, functional adaptation to the prosthesis, and even benefits in quality of life related to eating, gastrointestinal improvements, and oral well-being. However, despite the high level of satisfaction, both prosthetic and biological long-term complications were reported in a considerable proportion of cases.
Conclusions: Oral rehabilitation of patients with Parkinson’s disease using implant-assisted prosthesis is associated with a high level of satisfaction. Nevertheless, there is a high prevalence of long-term prosthetic and biological complications, possibly related to disease-specific factors such as poor oral hygiene and the presence of bruxism. Longitudinal studies and robust clinical trials are required to establish more standardized and effective protocols for this population.
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