Vtcdclq"fg"Kpxguvkicek„p

Guvwfkq"fg"cuqekcek„p"gpvtg"gphgtogfcfgu"ukuvfiokecu"{"gn"
htcecuq"fg"korncpvgu"fgpvcngu
Uvwf{"qh"cuuqekcvkqp"dgvyggp"u{uvgoke"fkugcugu"cpf"fgpvcn"
korncpv"hcknwtg
Fqo piwg|"L3."Cew‚c"L4."Tqlcu"O5."Dcjcoqpfgu"L4."Ocvwu"U7

RESUMEN

Fgufg" nqu" kpkekqu" fg" nc" ektwi c" fg" korncpvgu" qtcngu." ug" jc" tgeqogpfcfq" gzenwkt" q" nkokvct" c" ekgtvqu" rcekgpvgu" eqp" rtqdngocu" fg" ucnwf" q" j dkvqu" fg"
vcdcswkuoq0"Nqu"gphgtogfcfgu"et„pkecu"pq"vtcpuokukdngu"fg"ucnwf."pq"uqp"eqpukfgtcfqu"wpc"eqpvtckpfkecek„p"cduqnwvc"rctc"nc"wvknk|cek„p"fg"korncpvgu"
qtcngu."rgtq"uk"ug"fgdg"gxcnwct"eqp"fgvcnng"gn"vkrq"fg"gphgtogfcf"rtgugpvg.""rqt"ugt"wp"rqvgpekcn"tkguiq"swg"rqft c"chgevct"gn"rtqeguq"fg"qugqkpvgitcek„p0"
Jc{"ekgtvcu"eqpfkekqpgu"ukuvfiokecu."eqoq"nc"quvgqrqtquku."gphgtogfcfgu"ectfkqxcuewnctgu."fkcdgvgu"ognnkvwu."g""jkrqvktqkfkuoq."cu "eqoq"vcodkfip."gn"
j dkvq"fg"hwoct."swg"kpekfgp"uqdtg"gn"fizkvq."nc"uqdtgxkfc"q"gn"htcecuq"fg"nqu"korncpvgu0"Gn"rtqr„ukvq"fg"nc"kpxguvkicek„p"tgcnk|cfc."gu"fgvgtokpct"uk"gzkuvg"
cuqekcek„p"gpvtg"nqu"htcecuqu"fg"nqu"korncpvgu"fgpvcngu"{"ncu"gphgtogfcfgu"ukuvfiokecu"gp"nc"rqdncek„p"fg"rcekgpvgu"uqogvkfqu"c"ektwi c"fg"korncpvgu"
fgpvcngu"fgn"jqurkvcn"Ucp"Lqufi"fg"Ucpvkciq"fg"Ejkng0
Ug"tgcnk|„"wp"guvwfkq"fg"vkrq"qdugtxcekqpcn"fg"ect evgt"tgvtqurgevkxq"{"ncu"xctkcdngu"guvwfkcfcu"hwgtqp"ncu"gphgtogfcfgu"ukuvfiokecu"*quvgqrqtquku."
jkrgtvgpuk„p."fkcdgvgu."g"jkrqvktqkfkuoq+"{"nqu"etkvgtkqu"wvknk|cfqu"rctc"nc"gxcnwcek„p"fg"ucnwf"fg"korncpvgu"hwgtqp"nqu"fgn"Eqpitguq"Kpvgtpcekqpcn"fg"
Korncpvqnqi c"Qtcn"fg"Rkuc."gp"fqpfg"htcecuq"gu"gn"vfitokpq"wucfq"rctc"nqu"korncpvgu"swg"tgswkgtgp"gn"tgvktq"q"{c"ug"jcp"rgtfkfq0"Guvcu"xctkcdngu"ug"
tgikuvtctqp"fgufg"nc"Ýejc"en pkec"{"fwtcpvg"wp"gzcogp"en pkeq."gp"wpc"Ýejc"fg"tgeqngeek„p"fg"fcvqu0"Guvq"rgtokvk„."fguetkdkt"xctkcdngu"{"uw"fkuvtkdwek„p."
rquvgtkqtogpvg"cpcnk|ct"nqu"fcvqu"qdvgpkfqu"gpeqpvtcpfq"gxkfgpekcu"fg"cuqekcek„p"guvcf uvkecogpvg"x nkfcu0"Rctc"guvg"guvwfkq"rqfgoqu"eqpenwkt."swg"
gn"cp nkuku"fg"ecfc"wpc"fg"ncu"xctkcdngu"ukuvfiokecu"eqoq"uqp"nc"jkrgtvgpuk„p."encukÝecek„p"CUC"KK."rtgugpvcp"wpc"cuqekcek„p"eqp"gn"htcecuq"fg"korncpvgu"
fgpvcngu."pq"cu "nc"quvgqrqtquku."jkrqvktqkfkuoq."fkcdgvgu."gfcf."guvcfq"pwvtkekqpcn."igpgtq"{"gn"jcdkvq"fg"hwoct0
Rev. Clin. Periodoncia Implantol. Rehabil. Oral Vol. 6(1); 9-13, 2013.

Palabras clave: Htcecuq"korncpvgu."gphgtogfcfgu"ukuvfiokecu."eqpfkekqpgu"ukuvfiokecu."qugqkpvgitcek„p0

ABSTRACT

Ukpeg"vjg"dgikppkpi"qh"qtcn"korncpv"uwtigt{"kv"jcu"dggp"tgeqoogpfgf"vq"gzenwfg"qt"nkokv"egtvckp"rcvkgpvu"ykvj"jgcnvj"kuuwgu"qt"uoqmkpi"jcdkvu0"Vjg"
ejtqpke"pqp/eqoowpkecdng"fkugcugu"ctg"pqv"eqpukfgtgf"cp"cduqnwvg"eqpvtckpfkecvkqp"vq"vjg"wug"qh"qtcn"korncpvu."dwv"vjg"v{rg"qh"fkugcug"ujqwnf"dg"
gxcnwcvgf"kp"fgvckn."cu"c"rqvgpvkcn"tkum"vjcv"eqwnf"chhgev"vjg"rtqeguu"qh"quugqkpvgitcvkqp0
Vjgtg"ctg"egtvckp"u{uvgoke"eqpfkvkqpu."uwej"cu"quvgqrqtquku."ectfkqxcuewnct"fkugcug."fkcdgvgu"ognnkvwu."cpf"j{rqvj{tqkfkuo."cu"ygnn"cu"vjg"jcdkv"qh"uoqmkpi."
vjcv"chhgev"vjg"uweeguu."uwtxkxcn"qt"hcknwtg"qh"vjg"korncpvu0"Vjg"rwtrqug"qh"vjg"kpxguvkicvkqp"ku"vq"fgvgtokpg"yjgvjgt"vjgtg"ku"cp"cuuqekcvkqp"dgvyggp"vjg"hcknwtg"
qh"fgpvcn"korncpvu"cpf"u{uvgoke"fkugcugu"kp"vjg"rqrwncvkqp"qh"rcvkgpvu"wpfgtiqkpi"fgpvcn"korncpv"uwtigt{"qh"Ucp"Lqufi"fg"Ucpvkciq"fg"Ejkng"Jqurkvcn0
Yg" eqpfwevgf" c" tgvtqurgevkxg" qdugtxcvkqpcn" uvwf{" cpf" vjg" xctkcdngu" uvwfkgf" ygtg" u{uvgoke" fkugcugu" *quvgqrqtquku." j{rgtvgpukqp." fkcdgvgu." cpf"
j{rqvj{tqkfkuo+"cpf"vjg"etkvgtkc"wugf"vq"cuuguu"vjg"jgcnvj"qh"korncpvu"ygtg"vjqug"qh"vjg"Kpvgtpcvkqpcn"Eqpitguu"qh"Qtcn"Korncpvqnqi{"qh"Rkuc."yjgtg"
ÐhcknwtgÑ"ku"vjg"vgto"wugf"hqt"korncpvu"tgswktkpi"tgoqxcn"qt"vjcv"ygtg"cntgcf{"nquv0"Vjgug"xctkcdngu"ygtg"tgeqtfgf"htqo"vjg"enkpkecn"tgeqtf"cpf"fwtkpi"c"
enkpkecn"gzcokpcvkqp."kp"c"fcvc"eqnngevkqp"ujggv0"Vjku"cnnqygf"vq"fguetkdg"xctkcdngu"cpf"vjgkt"fkuvtkdwvkqp."cpf"vjgp"vq"cpcn{|g"vjg"fcvc"vq"hkpf"uvcvkuvkecnn{"
xcnkf"gxkfgpeg0"Hqt"vjku"uvwf{"yg"ecp"eqpenwfg"vjcv"vjg"cpcn{uku"qh"gcej"qh"vjg"xctkcdngu"uwej"cu"u{uvgoke"j{rgtvgpukqp"qt"CUC"KK."jcxg"cp"cuuqekcvkqp"
ykvj"vjg"hcknwtg"qh"fgpvcn"korncpvu."dwv"pqv"quvgqrqtquku."j{rqvj{tqkfkuo."fkcdgvgu."cig."pwvtkvkqpcn"uvcvwu."igpfgt"cpf"ekictgvvg"uoqmkpi0
Rev. Clin. Periodoncia Implantol. Rehabil. Oral Vol. 6(1); 9-13, 2013.

Key words: Failure implants, systemic diseases, systemic conditions, osseointegration.

INTRODUCCIÓN " Nc"tgncek„p"fg"ncu"eqpfkekqpgu"ukuvfiokecu"eqp"gn"htcecuq"fg"nqu"

" Ncu"gphgtogfcfgu"et„pkecu"pq"vtcpuokukdngu"{"ncu"eqpfkekqpgu"
ukuvfiokecu" rwgfgp" chgevct" c" nqu" vglkfqu" qtcngu." rwfkgpfq" cwogpvct" nc"
uwuegrvkdknkfcf" c" qvtcu" gphgtogfcfgu" q" kpvgthgtkt" eqp" nc" ekecvtk|cek„p0"
Guvcu" eqpfkekqpgu" ukuvfiokecu." eqoq" nc" quvgqrqtquku." gphgtogfcfgu"
ectfkqxcuewnctgu."fkcdgvgu"ognnkvwu."g"jkrqvktqkfkuoq."cu "eqoq"vcodkfip."
gn"j dkvq"fg"hwoct."kpekfgp"uqdtg"gn"fizkvq."nc"uqdtgxkfc"q"gn"htcecuq"fg"
los implantes dentales*3+0"Ncu"gphgtogfcfgu"ukuvfiokecu"uqp"vtcvcfcu"eqp"
ogfkecogpvqu"w"qvtqu"vtcvcokgpvqu."nqu"ewcngu"c"uw"xg|"rwgfgp"chgevct"
al proceso de la oseointegración*4+.
korncpvgu"jc"ukfq"guvwfkcfc"gp"guvqu"¿nvkoqu"c‚qu"rgtq"uwu"tguwnvcfqu"
uqp"rqeq"eqpenw{gpvgu0"Cnuccfk"tgikuvt„"wp"htcecuq"fg"wp"508'."gp"fqpfg"
gxcnw„"gn"korcevq"fg"nqu"hcevqtgu"nqecngu"{"ukuvfiokequ"gp"gn"htcecuq"fg"
los implantes*3+0"Uokvj"tgikuvt„"wp"4403'"fg"htcecuqu*5+"{"Oq{"qdvwxq"wp"
htcecuq"fg"wp"4046'(4)."nq"swg"fgowguvtc"wpc"cornkc"fkhgtgpekc"gp"nqu"
rqtegpvclgu"fg"htcecuqu"gpvtg"nqu"rtkpekrcngu"guvwfkqu"rwdnkecfqu0"
" Ug" jcp" fguetkvq" fkuvkpvqu" etkvgtkqu" fg" gxcnwcek„p" fgn" fizkvq"
q" htcecuq" fg" nqu" korncpvgu" fgpvcngu0" Nqu" etkvgtkqu" fg" gxcnwcek„p" o u"
tgeqpqekfqu" uqp" nqu" fg" Cndtgmvuuqp" rtqrwguvqu" gn" c‚q" 3;:8*7+ y
oqfkÝecfqu"gp"3;:;*8+0"Lcogu"gp"3;;5."etg„"wpc"guecnc"fg"gxcnwcek„p"

30"Ektwlcpq"Fgpvkuvc0"Wpkfcf"fg"Ektwi c0"Fgrctvcogpvq"fg"Guvqocvqnqi c."Wpkxgtukfcf"fg"Vcnec0"Vcnec."Ejkng0

40"Ektwlcpq"Fgpvkuvc0"Korncpvqnqi c."Wpkfcf"Fgpvcn"Jqurkvcn"Ucp"Lqufi0"Ucpvkciq."Ejkng0"
50"Ektwlcpq"Fgpvkuvc0"Oue0"Wpkfcf"fg"Rgtkqfqpekc0"Fgrctvcogpvq"fg"Guvqocvqnqi c."Wpkxgtukfcf"fg"Vcnec0"Vcnec."Ejkng0
60"Ektwlcpq"Fgpvkuvc0"Wpkxgtukfcf"fg"Vcnec0"Vcnec."Ejkng0
70"Ektwlcpq"Fgpvkuvc0"Oue0"Wpkfcf"fg"Rgtkqfqpekc0"Fgrctvcogpvq"fg"Guvqocvqnqi c."Wpkxgtukfcf"fg"Vcnec0"Vcnec."Ejkng0

Correspondencia autor: Lwcp"H0"Fqo piwg|"F c|0"Ugtikq"Ocvwu0"lfqo piwg|Bwvcnec0en1ugocvwuBwvcnec0en0"Guewgnc"fg"Qfqpvqnqi c."Wpkxgtukfcf"

fg"Vcnec0"Vcnec0"Vtcdclq"tgekdkfq"gn"4:129142340"Crtqdcfq"rctc"uw"rwdnkecek„p"gn"33134142340

9
 Tgx0"Enkp0"Rgtkqfqpekc"Korncpvqn0"Tgjcdkn0"Qtcn"Xqn0"8*3+=";/35."42350
fg" nc" ucnwf" fg" nqu" korncpvgu." swg" rquvgtkqtogpvg" hwg" fgucttqnncfc" {"
eqorngogpvcfc" rqt" Okuej." ukgpfq" gp" gn" c‚q" 4229" gp" gn" Eqpitguq"
Internacional de Implantología Oral de Pisa, donde se llegó a consenso,
fgucttqnncpfq" wp" ukuvgoc" fg" ewcvtq" rtwgdcu" en pkecu" swg" gxcn¿cp"
ncu" eqpfkekqpgu" fg" nqu" korncpvgu" fgpvcngu0" Guvcu" 6" eqpfkekqpgu" swg"
ug" fguetkdgp" uqp<" ¡zkvq." uwrgtxkxgpekc" ucvkuhcevqtkc." uwrgtxkxgpekc"
eqortqogvkfc"{"htcecuq"fg"nqu"korncpvgu0"Gn"htcecuq"fg"nqu"korncpvgu"gu"
wp"vfitokpq"wucfq"rctc"nqu"korncpvgu"swg"tgswkgtgp"gn"tgvktq"q"{c"ug"jcp"
perdido*9+.
" Jcuvc"gn"oqogpvq"gzkuvg"gxkfgpekc"fg"swg"ncu"vcucu"fg"fizkvq"
fg" nqu" vtcvcokgpvqu" eqp" korncpvgu" uqp" cnvcu." ukp" godctiq" nqu" htcecuqu"
ug"rtqfwegp."rqt"nq"swg"wp"cp nkuku"swg""rgtokvc""fgvgtokpct"nqu"hcevqtgu"
swg"eqpvtkdw{gp"cn"htcecuq."rqft c"nkokvct"nc"kpekfgpekc"fg"guvqu*:+, en los
rcekgpvgu" swg" rtgugpvcp" guvqu" hcevqtgu." fg" guvc" okuoc" hqtoc" qtkgpvct"
cn"rcekgpvg"{"cn"en pkeq"gp"gn"rtqeguq"fg"rncpkÝecek„p"fgn"vtcvcokgpvq"{"
eqpugpvkokgpvq"kphqtocfq*;+.
" Gp" dcug" c" nq" cpvgtkqtogpvg" gzrwguvq." guvg" vtcdclq" vkgpg" gn"
rtqr„ukvq" fg" fgvgtokpct." uk" gzkuvg" cuqekcek„p" gpvtg" nqu" htcecuqu" fg" nqu"
korncpvgu" fgpvcngu" {" ncu" gphgtogfcfgu" ukuvfiokecu" gp" nc" rqdncek„p" fg"
rcekgpvgu" uqogvkfqu" c" ektwi c" fg" korncpvgu" fgpvcngu" fgn" jqurkvcn" Ucp"
Lqufi" fg" Ucpvkciq" fg" Ejkng." c" vtcxfiu" fg" wp" guvwfkq" tgvtqurgevkxq" eqp"
gn" Ýp" fg" qdvgpgt" kphqtocek„p" swg" guvcdng|ec" nc" rqukdng" tgncek„p" fg" ncu"
gphgtogfcfgu"ukuvfiokecu"{"gn"htcecuq"fg"nqu"korncpvgu0
MATERIAL Y MÉTODOS
" Ug"tgcnk|„"wp"guvwfkq"fg"eqtvg"vtcpuxgtucn"gp"gn"swg"vqfcu"ncu"
ogfkekqpgu" {" tgikuvtqu" ug" jkekgtqp" gp" wpc" uqnc" qecuk„p." rqt" nq" swg" pq"
gzkuvkgtqp"rgt qfqu"fg"ugiwkokgpvq0"Fg"nqu"rcekgpvgu"uqogvkfqu"c"ektwi c"
fg"korncpvgu"gn"c‚q"422;"rqt"gn"gswkrq"fg"gurgekcnkuvcu"fgn"jqurkvcn."ug"
obtuvo una muestra por medio de un muestreo de casos consecutivos en
fqpfg"ug"tgikuvtctqp"ncu"fkuvkpvcu"eqpfkekqpgu"ukuvfiokecu"fg"ecfc"rcekgpvg."
fg" cewgtfq" cn" tgikuvtq" fg" nc" Ýejc" en pkec" cn" oqogpvq" fg" ugt" qrgtcfq" {"
se evaluaron las distintas condiciones clínicas de acuerdo a los criterios
fg"Rkuc"rgtokvkgpfq"fgvgtokpct"htcecuq."c"nq"ogpqu"wp"c‚q"fgurwfiu"fg"
gpeqpvtcug" gn" korncpvg" gp" hwpek„p0" Cn" tgcnk|ct" gn" owguvtgq" eqpugewvkxq"
de casos, se les solicito a los pacientes participar en el estudio, previo
tgikuvtq"{"tgnngpcfq"fgn"eqpugpvkokgpvq"kphqtocfq0"Fqu"ektwlcpqu"fgpvkuvcu."
tgcnk|ctqp" gn" tgikuvtq" {" nc" gxcnwcek„p" en pkec" fg" nqu" rcekgpvgu" rtgxkq"
consenso, en el mismo momento de acuerdo a los Criterios de Pisa.
Criterios de Inclusión
" Nc" ugngeek„p" fg" nqu" rcekgpvgu" kpenwkfqu" gp" gn" guvwfkq" hwgtqp"
pacientes pertenecientes al programa de implantes dentales del hospital
Ucp"Lqufi."qrgtcfqu"fwtcpvg"gn"c‚q"422;."swg"rtgugpvctcp"Ýejcu"en pkecu"
completas, accesibilidad de llamado para examen y evaluación.
Criterios de Exclusión
" Ug"gzenw{gtqp"fg"guvg"guvwfkq"nqu"rcekgpvgu"swg"pq"cegrvctqp"
rctvkekrct"gp"gn"guvwfkq."swg"pq"Ýtoctqp"gn"eqpugpvkokgpvq"kphqtocfq"{"
uwu"Ýejcu"en pkecu"pq"ug"gpeqpvtcdcp"nqu"fcvqu"eqorngvqu0
Variables Registradas
c0"Rcekgpvg
̋" Gfcf<" Fcvqu" qdvgpkfqu" fg" nc" Ýejc" en pkec" fgn" rcekgpvg" {" fg" nc" Ýejc"
eqphgeekqpcfc"rctc"gn"gzcogp0
̋"Ifipgtq<"Fcvqu"qdvgpkfqu"fg"nc"Ýejc"en pkec"fgn"rcekgpvg"{"fg"nc"Ýejc"
eqphgeekqpcfc"rctc"gn"gzcogp0
̋" Gphgtogfcf" q" Eqpfkek„p" Ukuvfiokec<" Ug" eqpukfgt„" ewcnswkgt"
gphgtogfcf"tgikuvtcfc"fgpvtq"fg"nc"Ýejc"en pkec."swg"kpenw{c"quvgqrqtquku."
jkrgtvgpuk„p."fkcdgvgu."jkrqvktqkfkuoq"{"fg"gpeqpvtctug"wpc"gphgtogfcf"
pq"ogpekqpcfc"ug"eqpukfgt„"fgpvtq"fg"nc"ecvgiqt c"fg"qvtc"gphgtogfcf0
̋" Guvcfq" Pwvtkekqpcn<" Ug" qdvwxkgtqp" ncu" ogfkfcu" cpvtqrqofivtkecu"
fg" rguq" gp" mknqitcoqu" {" vcnnc" gp" ogvtqu." fgufg" nc" Ýejc" en pkec0"
Fgvgtokpcpfq"gn"guvcfq"pwvtkekqpcn"ogfkcpvg"gn" pfkeg"fg"ocuc"eqtrqtcn"
ugi¿p"nqu"etkvgtkqu"fg"nc"QOU."swg"ug"encukÝecp"gp"gpÞcswgekfq."pqtocn."
sobrepeso, obesidad, mórbido.
̋" Guvcfq" H ukeq" fgn" Rcekgpvg<" Ugi¿p" etkvgtkqu" fg" nc"Cogtkecp" Uqekgv{""
10
Fqo piwg|"L"{"eqnu0
Anesthesiologis*32+."swg"fgvgtokpc"gn"guvcfq"h ukeq"fgn"rcekgpvg."ogfkcpvg"
nc" encukÝecek„p" CUC." ug" encukÝe„" c" nqu" rcekgpvgu" ugi¿p" gn" tgikuvtq" fg"
cpguvgukc"qdvgpkfq"fg"nc"Ýejc"en pkec0"
̋"Vcdcswkuoq<"Fcvqu"qdvgpkfqu"fg"nc"Ýejc"en pkec"fgn"rcekgpvg"{"fg"nc"
Ýejc"eqphgeekqpcfc"rctc"gn"gzcogp."fgÝpkgpfq"hwocfqt"q"pq"hwocfqt0
d0"Korncpvg
" Ug" tgcnk|„" wp" gzcogp" en pkeq" kpvtcqtcn." gp" fqpfg" ug" gxcnw„"
rtqhwpfkfcf"cn"uqpfclg"fg"nqu"korncpvgu0"Ug"ugngeekqp„"rctc"gn"guvwfkq"gn"
korncpvg"swg"rtgugpv„"rtqhwpfkfcfgu"cwogpvcfcu"{"rgqtgu"eqpfkekqpgu"
en pkecu0"Ug"fgvgtokp„"gn""htcecuq"fg"nqu"korncpvgu"gp"dcug"c"nqu"ukiwkgpvgu"
criterios establecidos en el Congreso Internacional de Implantología Oral
gp"Rkuc."ewcnswkgtc"fg"nqu"ukiwkgpvgu<"*3+"Fqnqt"c"nc"rcnrcek„p."rgtewuk„p"q"
nc"hwpek„p."*4+"Nc"oqxknkfcf"jqtk|qpvcn"{1q"xgtvkecn."*5+"Rfitfkfc"rtqitgukxc"
fg"jwguq"pq"eqpvtqncfc."*6+"Gzwfcfq"pq"eqpvtqncfq."*7+"O u"fg"72'"nc"
rfitfkfc" fg" jwguq" cntgfgfqt" fgn" korncpvg0" Nqu" korncpvgu" kpecrcegu" fg"
ugt"tguvcwtcfqu"vcodkfip"hwgtqp"eqpukfgtcfqu"htcecuq."korncpvgu"swg"ug"
encuentran todavía en boca o se han perdido se registraron como un
htcecuq"gp"vqfqu"nqu"fcvqu"guvcf uvkequ*9+.
̋" Oqxknkfcf< Presencia o ausencia de movilidad clínica en el implante
qdugtxcfc"eqp"ncu"hwgt|cu"xgtvkecngu"w"jqtk|qpvcngu"gp"722"i."ukoknct"c"nc"
gxcnwcek„p"wvknk|cfc"gp"nqu"fkgpvgu*9+.
̋" Fqnqt<" Rtgugpekc" q" cwugpekc" fg" fqnqt" c" nc" rgtewuk„p." gp" hwpek„p" {"
reposo*9+.
̋" Rtqhwpfkfcf" cn" Uqpfclg<" Ug" tgcnk|„" wp" tgikuvtq" eqp" wpc" uqpfc"
rgtkqfqpvcn" oknkogvtcfc." fg" 8" ukvkqu." 5" ogfkekqpgu" rqt" xguvkdwnct" {" 5"
ogfkekqpgu"rqt"rcncvkpq0"Nqu"xcnqtgu"hwgtqp"ugrctcfqu"gp"rtqhwpfkfcfgu"
oc{qtgu"c"9"{"ogpqtgu"c"9"oo*9+.
̋"Gzwfcfq< Presencia o ausencia de exudado durante el examen*9+.
" Ug" kpfke„" wpc" tcfkqitch c" tgvtqcnxgqnct" fg" eqpvtqn" fg" nc" |qpc"
donde se ubica este implante dental, con las siguientes características:
rgn ewnc"Ukorng"FH"7:."wnvtcurggf"fg"53z630"Nc"ewcngu"hwgtqp"vqocfcu"
rqt" wp" u„nq" qrgtcfqt" {" eqp" gn" okuoq" gswkrq" tcfkqit Ýeq0" Guvcu"
tcfkqitch cu" hwgtqp" kphqtocfcu" rqt" fqu" gurgekcnkuvcu" gp" dcug" c" nqu"
siguientes parámetros:
̋" Tgcduqtek„p" ïugc" Octikpcn<" Rfitfkfc" „ugc" >" 4" oo0" Rfitfkfc" „ugc"
gpvtg"4"{"6"oo0"Rfitfkfc"„ugc"gpvtg"6"oo"{"nc"okvcf"fgn"korncpvg0"Rfitfkfc"
„ugc"@"72'"fgn"korncpvg"qdvgpkfc"fg"nc"tcfkqitch c"fg"eqpvtqn."ogfkfq"
desde la parte más superior del implante*9+.
̋"Tcfkqnwekffi|"Crkecn<"Kocigp"tcfkqn¿ekfc"cntgfgfqt"fgn"korncpvg"fgpvcn"
swg"ug"gpewgpvtc"rtgugpvg"q"cwugpvg."gp"nc"tcfkqitch c"fg"eqpvtqn0
̋" Cpvgegfgpvgu" fg" Rfitfkfc" fg" Korncpvgu<" Ug" tgikuvtctqp" vqfqu" nqu"
cpvgegfgpvgu"fg"rfitfkfc"fg"korncpvgu"gp"dcug"c"nqu"fcvqu"qdvgpkfqu"gp"
nc"Ýejc"en pkec"{""fwtcpvg"gn"gzcogp"en pkeq0"
" Vqfqu" nqu" fcvqu" hwgtqp" kpitgucfqu" c" rncpknnc" Gzegn" Oketquqhv"
QhÝeg" Gzegn" 4229" eqp" ukuvgoc" rctc" rtqvgeek„p" fg" fcvqu." ugi¿p"
eqfkÝecek„p" fguetkvc" cpvgtkqtogpvg0" Ug" wvknk|„" gn" rtqitcoc" guvcf uvkeq"
URUU"3702."rctc"nc"qdvgpek„p"fg"nqu"tguwnvcfqu""guvcf uvkequ"fguetkrvkxqu"
y analíticos. La evaluación de las características de la población y las
variables en estudio, se desarrolló mediante estadística descriptiva a
vtcxfiu" fg<" ogfkfcu" fg" tguwogp." p¿ogtqu." rqtegpvclgu." fkuvtkdwekqpgu"
{" htgewgpekcu0" Nc" gxcnwcek„p" fg" nc" rqukdng" cuqekcek„p" gpvtg" gn" htcecuq"
fg"nqu"korncpvgu"{"ncu"gphgtogfcfgu"ukuvfiokecu"ug"tgcnk|„"ogfkcpvg"wp"
cp nkuku"dkxctkcfq"fg"nc"xctkcdng"htcecuq"xctkcdng"tgurwguvc."gp"tgncek„p"
eqp" ncu" xctkcdngu" ukuvfiokecu" xctkcdng" gzrqukek„p" qdvgpkfcu" fwtcpvg" nc"
recolección de datos, por medio de una regresión logística simple para la
obtención de un Odds Ratio.
" Guvg" guvwfkq" hwg" crtqdcfq" rqt" gn" Eqokvfi" fg" ¡vkec" fg" nc"
Wpkxgtukfcf"fg"Vcnec0
RESULTADOS
" Nc"owguvtc"guvwfkcfc"hwg"fg"wp"vqvcn"fg"94"rcekgpvgu0"Nc"gfcf"
ogfkc" fg" nqu" rcekgpvgu" eqttgurqpfk„" c" 8305" c‚qu" eqp" wpc" fguxkcek„p"
guv pfct" fg" 3:047" {" gn" :30;6'" fg" nc" owguvtc" gtcp" owlgtgu0" Fg" ncu"
gphgtogfcfgu" cpcnk|cfcu" gp" guvqu" rcekgpvgu" ug" qdvwxq" swg" 3:028'"
rtgugpvctqp"quvgqrqtquku."wp"780;6'"eqp"jkrgtvgpuk„p."3:'"eqp"fkcdgvgu."
3:028'"eqp"jkrqvktqkfkuoq"{"7;094'"fg"nqu"rcekgpvgu"ogpekqpctqp"vgpgt"
 Guvwfkq"fg"cuqekcek„p"gpvtg"gphgtogfcfgu"ukuvfiokecu"{"gn"htcecuq"fg"korncpvgu"fgpvcngu

qvtc"gphgtogfcf0"Gn"e newnq"fgn"KOE"rctc"guvcdngegt"gn"guvcfq"pwvtkekqpcn" Tabla 3." Fkuvtkdwek„p" fg" ncu" xctkcdngu" rctc" fgvgtokpct" htcecuq" uw" htgewgpekc" {"
fg"nqu"rcekgpvgu"oquvt„"swg"gn"59072'"ug"gpeqpvtcdc"eqp"uqdtgrguq"{" proporción.
wp"530;6'"eqp"wp"guvcfq"pwvtkekqpcn"pqtocn0"Gp"tgncek„p"c"nc"encukÝecek„p"
CUC"fg"guvqu"rcekgpvgu."54"eqttgurqpfkgtqp"c"CUC"K"{"59"c"CUC"KK0"Fg"nqu" Variables Clínicas Frecuencia Proporción
94"rcekgpvgu"cpcnk|cfqu."43"gtcp"hwocfqtgu"*Vcdnc"3+0 Movilidad
" Ug""gpeqpvt„"htcecuq"fg"korncpvgu"gp"36"rcekgpvgu"*Vcdnc"4+0 Presente 2 2.78
" Cn" gzcogp" en pkeq" ug" gpeqpvt„" swg" uqnq" 4" rcekgpvgu" eqp" Ausente 70 97.22
oqxknkfcf" fgn" korncpvg." wp" rcekgpvg" rtgugpv„" rtqhwpfkfcf" cn" uqpfclg" @"
Dolor
90" Fwtcpvg" gn" gzcogp" tcfkqit Ýeq" tgcnk|cfq." 8" rcekgpvgu" rtgugpvctqp"
tcfkqnwekffi|"crkecn"{"57"rcekgpvgu"rtgugpvctqp"tgcduqtek„p"„ugc"octikpcn" Ukp 72 100
ogpqt"c"4"oo0" Eqp 0 0
" Fg"cewgtfq"c"nc"tgxkuk„p"fg"ncu"Ýejcu"en pkecu"{"c"nc"gpvtgxkuvc" Rtqhwpfkfcf"cn"Uqpfclg"œ"9
rgtuqpcn" ug" gpeqpvt„" swg" 8" rcekgpvgu" rtgugpvctqp" cpvgegfgpvgu" fg" <7 71 98.61
rfitfkfc" fg" korncpvgu0" Pkpi¿p" rcekgpvg" rtgugpv„" fqnqt." pk" gzwfcfq" fgn" œ"9 1 1.39
korncpvg"ugngeekqpcfq"fwtcpvg"gn"gzcogp"*Vcdnc"5+0
Exudado
" Fg" cewgtfq" cn" cp nkuku" fg" tgitguk„p" nqi uvkec" ukorng" gpvtg"
htcecuq"{"ncu"xctkcdngu"ukuvfiokecu"*quvgqrqtquku."fkcdgvgu."jkrqvktqkfkuoq." Ukp 72 100
qvtc"gphgtogfcf."guvcfq"pwvtkekqpcn"{"ugzq+"pq"hwgtqp"guvcf uvkecogpvg" Eqp 0 0
ukipkÝecvkxcu" *xcnqt" r@20227+0" Rctc" nc" xctkcdng" jkrgtvgpuk„p" ug" qdvwxq" Tgcduqtek„p"ðugc"Tcfkqit Þec
wp" QT" fg" 8." nq" ewcn" hwg" guvcf uvkecogpvg" ukipkÝecvkxq0" Gn" guvcfq"CUC" Rgtfkfc"„ugc">"4"oo 35 48.61
KK" rtgugpv„" wp" QT" fg" 6073." nq" ewcn" vcodkfip" hwg" guvcf uvkecogpvg"
Rgtfkfc"„ugc"gpvtg"4"{"6"oo 29 40.28
ukipkÝecvkxq0"Nc"xctkcdng"gfcf."cwpswg"hwg"guvcf uvkecogpvg"ukipkÝecvkxc."
qdvwxq"wp"QT"fg"3029"*Vcdnc"6+0 Rgtfkfc"„ugc"@"6"oo"jcuvc"nc"okvcf" 5 6.94
fgn"korncpvg
Rgtfkfc"„ugc"@"c"nc"okvcf"fgn"korncpvg 3 4.17
Tabla 1." Fkuvtkdwek„p" fg" ncu" gphgtogfcfgu" ukuvfiokecu." {" eqpfkekqpgu" fg" uw" Tcfkqnwekfg|"Crkecn"Tcfkqit Þec
htgewgpekc"{"rtqrqtek„p0
Presente 6 8.33
Variables Sistémicas Frecuencia Proporción Ausente 66 91.67
Osteoporosis Antecedentes de Pérdida
Presente 13 18.06 Pq 66 91.67
Ausente 59 81.94 Uk 6 8.33
Hipertensión Total 72 100.00
Presente 41 56.94
Ausente 31 43.06 Tabla 4."Tgitguk„p"nqi uvkec"gp"fqpfg"ug"etw|cp"ncu"gphgtogfcfgu"{"eqpfkekqpgu"
ukuvfiokecu"fgn"rcekgpvg0
Diabetes
Presente 18 25.00 Fracaso Odd Ratio P [95% Conf. Interval]
Ausente 54 75.00 Edad 1.07 0.018* 1.01 / 1.13
Hipotiroidismo Genero 0.71 0.684 0.13 / 3.65
Presente 13 18.06 Osteoporosis 1.30 0.715 0.30 / 5.56
Ausente 59 81.94 Hipertensión 6 0.027* 1.23 / 29.21
Otra Enfermedad Diabetes 1.92 0.307 0.54 / 6.74
Presente 43 59.72 Hipotiroidismo 2.17 0.262 0.55 / 8.48
Ausente 29 40.28 Otraenfermedad 1.89 0.325 0.53 / 6.74
Estado Nutricional Enutricional 1.32 0.414 0.67 / 2.60
GpÞcswgekfq 1 1.39 Asa I 0.15 0.021 0.031 /0.75
Pqtocn 23 31.94 Asa II 4.51 0.032* 1.13 / 17.89
Uqdtgrguq 27 37.50 Asa III 2.15 0.543 0.18 / 25.59
Qdguq 19 26.39 Fuma 0.34 0.187 0.06 / 1.68
O„tdkfq 2 2.78
,"Guvcf uvkecogpvg"ukipkÝecvkxqu0
Estado Físico(10)
I 32 44.44
II 37 51.39 DISCUSIÓN
III 3 4.17
" Gzkuvg" pwogtquc" nkvgtcvwtc" swg" tgncekqpc" ncu" gphgtogfcfgu"
Fuma
ukuvfiokecu" eqp" gn" htcecuq" fg" nqu" korncpvgu" fgpvcngu0" Ukp" godctiq." nqu"
Pq 51 70.83 tguwnvcfq" jcp" ukfq" fku okngu" fgdkfq" c" swg" ug" jcp" wvknk|cfq" fkuvkpvqu"
Uk 21 29.17 etkvgtkqu"cn"oqogpvq"fg"fgÝpkt"gn"htcecuq"fg"korncpvgu."guvqu"etkvgtkqu"ug"
Total 72 100.00 jcp"rgthgeekqpcfq"eqp"gn"cxcpeg"fg"nc"kpxguvkicek„p"gp"gn"vkgorq0
Con respecto a los resultados obtenidos en relación a
htcecuq" fg" nqu" korncpvgu" fgpvcngu" {" nc" gfcf." ug" jc" rquvwncfq" swg" ug"
igpgtc" wp" ogpqt" crqtvg" ucpiw pgq" {" wpc" fkuokpwek„p" fg" ncu" efinwncu"
Tabla 2."Fkuvtkdwek„p"fgn"htcecuq"fg"nqu"korncpvgu"ugi¿p"nqu"etkvgtkqu."uw"htgewgpekc" gp" nqu" rcekgpvgu" oc{qtgu." swg" rqft cp" cnvgtct" nc" crqukek„p" fg" jwguq="
y proporción.
ukp" godctiq." nc" ekecvtk|cek„p" „ugc" {" owequc" fgurwfiu" fg" nc" kpugtek„p"
swkt¿tikec"fg"nqu"korncpvgu"pq"eqpuvkvw{g"wp"rtqdngoc"korqtvcpvg"gpvtg"
Variables Clínicas Frecuencia Proporción
nqu" rcekgpvgu" oc{qtgu" eqorctcfqu" eqp" nqu" l„xgpgu0" Nqu" guvwfkqu"
Fracaso cpcnk|cfqu"owguvtcp"tguwnvcfqu"fku okngu."Oq{(4), en su estudio encontró
Presente 14 19.44 wp"tkguiq"tgncvkxq"fg"htcecuq"fg"korncpvgu"fgpvcngu"fg"4046."gp"tgncek„p"
Ausente 58 80.56 c" nc" gfcf." guvqu" xcnqtgu" eqttgurqpfgp" c" rcekgpvgu" fg" 82" c" 9;" c‚qu0"
Jwvvqp*46+."gp"uw"guvwfkq"vcorqeq"gpeqpvt„"cuqekcek„p"gpvtg"gn"htcecuq"{"
nc"gfcf0"Nqu"tguwnvcfqu"fg"pwguvtq"guvwfkq"cttqlcp"swg"nc"gfcf"ogfkc"fg"

11
 Tgx0"Enkp0"Rgtkqfqpekc"Korncpvqn0"Tgjcdkn0"Qtcn"Xqn0"8*3+=";/35."42350
nqu"rcekgpvgu"gu"fg"83052"c‚qu"pq"gpeqpvt pfqug"wp"cuqekcek„p"gpvtg"nc"
gfcf"{"gn"htcecuq"fg"nqu"korncpvgu"eqp"wp"QT"fg"3029"*KE"302313035+0"Gu"
korqtvcpvg"ug‚cnct"swg"nc"gfcf"rwgfg"ugt"wp"hcevqt"fg"tkguiq"cuqekcfq"c"
htcecuq"fg"korncpvgu."rgtq"ecdg"ogpekqpct"swg"nc"owguvtc"ugngeekqpcfc"
guv " fkuvtkdwkfc" fg" wpc" hqtoc" gp" swg" nqu" rcekgpvgu" swg" ug" vtcvctqp"
eqp" korncpvgu" gtcp" fg" cntgfgfqt" fg" nqu" 82" c‚qu." {" swg" igpgtcnogpvg"
rtgugpvcp" qvtqu" hcevqtgu" cuqekcfqu" eqp" gphgtogfcfgu" ukuvfiokecu" swg"
rwgfgp" gpeqpvtctug" kpxqnwetcfqu." cfgo u" gn" kpvgtxcnq" fg" eqpÝcp|c"
kpfkec"swg"pq"jc{"hwgt|c"fg"cuqekcek„p0
" Nqu" tguwnvcfqu" fg" nqu" ctv ewnqu" swg" cpcnk|cp" gn" htcecuq" fg"
nqu" korncpvgu." gp" tgncek„p" c" quvgqrqtquku." uqp" eqpvtqxgtukcngu0" Ugi¿p"
Ognncfq*33+, los pacientes con osteoporosis no tienen contraindicaciones
para la colocación de implantes dentales. Los pasos a seguir antes de
eqogp|ct"wp"vtcvcokgpvq"swkt¿tikeq"eqp"korncpvgu"pq"uqp"fkhgtgpvgu"fg"
nqu"rcekgpvgu"ukp"quvgqrqtquku0"Ukp"godctiq."gn"tkguiq"fg"quvgqpgetquku"
ocpfkdwnct"gp"rcekgpvgu"eqp"quvgqrqtquku"vtcvcfqu"eqp"dkhquhqpcvqu"gu"
ow{" dclc." nqu" rcekgpvgu" fgdgp" ugt" kphqtocfqu" {" vkgpgp" swg" Ýtoct" wp"
consentimiento con la inclusión de este punto concreto*33+0"Gp"guvg"ugpvkfq."
wp"guvwfkq"ecpcfkgpug"kpfkec"swg"pq"gzkuvg"tgncek„p"gpvtg"nc"quvgqrqtquku"
{" nc" rfitfkfc" fg" korncpvgu." qdvgpkgpfq" xcnqtgu" r" pq" ukipkÝecpvgu" rctc"
cuqekct" quvgqrqtquku" eqp" htcecuq" q" rgtfkfc" fgn" korncpvg*34+0" Dgemgt*35+,
en otro estudio norteamericano, compara casos de pacientes con
quvgqrqtquku" eqp" rcekgpvgu" eqpvtqngu." ug‚cncpfq" wpc" fkhgtgpekc" gp" nqu"
htcecuqu"c"hcxqt"fg"nqu"rcekgpvgu"swg"uwht cp"quvgqrqtquku"46'"xgtuwu"
3:'"cwpswg"tgÝgtgp"swg"gu"o u"korqtvcpvg"gn"gzcogp"nqecn"xkuwcn"fg"nc"
ecnkfcf"fg"jwguq"fkurqpkdng"gp"nc"hwvwtc"nqecnk|cek„p"fg"nqu"korncpvgu"swg"
qvtqu"ofivqfqu"fgpukvqofivtkequ"rctc"xcnqtct"gn"rqukdng"tkguiq"fg"htcecuq"
del implante en pacientes con osteoporosis. Alsaadi en su estudio del
korcevq" fg" ncu" gphgtogfcfgu" ukuvfiokecu" {" gn" htcecuq" fg" korncpvgu"
vgortcpq." qdvwxq" wp" xcnqt" r" fg" 20223" eqp" wpc" cuqekcek„p" ukipkÝecvkxc"
gpvtg" nqu" htcecuqu" vgortcpqu" fg" nqu" korncpvgu" {" nc" quvgqrqtquku*3+0" Gp"
otro estudio de Alsaadi*36+."swg"guvwfk„"gn"korcevq"fg"ncu"gphgtogfcfgu"
ukuvfiokecu"{"gn"htcecuq"fg"korncpvgu"gp"3;"rcekgpvgu"swg"rtgugpvcdcp"
quvgqrqtquku."eqp"wp"htcecuq"35046'"fg"nqu"rcekgpvgu"eqp"quvgqrqtquku."
pq"gpeqpvt„"cuqekcek„p"gpvtg"gn"htcecuq"vctf q"fg"nqu"korncpvgu"fgpvcngu"
{"nc"quvgqrqtquku."swg"eqkpekfg"eqp"nqu"tguwnvcfqu"fg"pwguvtq"guvwfkq"{c"
swg"nqu"xcnqtgu"qdvgpkfqu"pq"uqp"guvcf uvkecogpvg"ukipkÝecvkxqu0"Ugi¿p"
lo expuesto anteriormente parece importante determinar la calidad y
cantidad del hueso en los pacientes con osteoporosis mediante el examen
xkuwcn"fwtcpvg"gn"rtqegfkokgpvq"swkt¿tikeq."rctc"cu "gxkvct"gn"htcecuq"fgn"
korncpvg." {c" swg" nqu" gz ogpgu" fgpukvqofivtkequ" pq" cttqlcp" tguwnvcfqu"
eqpenw{gpvgu0"Vcodkfip."gu"korqtvcpvg"eqpukfgtct"gn"vtcvcokgpvq"ofifkeq"
tgekdkfq" rqt" gn" rcekgpvg." {c" swg" ug" jcp" tgrqtvcfq" tkguiqu" fg" htcecuq"
gp" owlgtgu." rquv" ogpqrcwukc." rtqxqecpfq" quvgqpgetquku" fgdkfq" c" gn"
ogfkecogpvq" kpfkecfq" gp" gn" vtcvcokgpvq" ofifkeq." swg" rqft cp" igpgtct"
htcecuqu"fg"korncpvgu"fgpvcngu0
" Gn" htcecuq" fg" nqu" korncpvgu" gp" rcekgpvgu" eqp" jkrgtvgpuk„p="
nc"nkvgtcvwtc"gu"guecuc"cn"vtcvct"nc"jkrgtvgpuk„p"eqoq"gphgtogfcf"rqt"u "
uqnc."ukpq"swg"nc"kpenw{g"fgpvtq"fg"ncu"gphgtogfcfgu"ectfkqxcuewnctgu0"
Guvqu"guvwfkqu"kpfkecp"swg"pq"jc{"cuqekcek„p"gpvtg"guvc"gphgtogfcf"{"
gn"htcecuq"fg"nqu"korncpvgu"fgpvcngu0"Mjcfkxk*37+."gp"uw"guvwfkq"tgcnk|„"wp"
cp nkuku"fg"468"rcekgpvgu"fkxkfkfqu"gp"vtgu"itwrqu."gn"itwrq"swg"eqpvgp c"
c"nqu"jkrgtvgpuqu"vwxq"wp"htcecuq"q"rfitfkfc"fg"korncpvgu"fg"340:'."nc"
fkhgtgpekc"eqp"gn"itwrq"eqpvtqn."gpvtg"guvcu"vcucu"fg"rfitfkfc"pq"hwgtqp"
guvcf uvkecogpvg" ukipkÝecvkxcu0" Oq{(4)." gp" uw" cp nkuku" fg" 424" rcekgpvgu"
eqp" jkrgtvgpuk„p." qdvwxq" htcecuq" gp" 4;" rcekgpvgu" eqp" jkrgtvgpuk„p." pq"
gpeqpvtcpfq"cuqekcek„p"gpvtg"gn"htcecuq"fg"nqu"korncpvgu"g"jkrgtvgpuk„p0"
Alsaadi*4+." gp" uw" guvwfkq" swg" gxcn¿q" gn" htcecuq" vctf q" fg" korncpvgu"
qdvwxq" swg" 85" rcekgpvgu" vgp cp" jkrgtvgpuk„p" {" fg" guvqu" 36" rcekgpvgu"
rtgugpvcdcp" htcecuq." pq" gpeqpvtcpfq" cuqekcek„p" eqp" jkrgtvgpuk„p0"
Los resultados obtenidos en nuestro estudio se contraponen con los
expuestos anteriormente, mostrando una asociación mediante el OR de
8" {" wp" KE" fg" 304514;043." gu" fgekt" swg" rtgugpvc" 8" xgegu" o u" htcecuqu"
fg" korncpvgu" wp" kpfkxkfwq" eqp" jkrgtvgpuk„p." swg" wpq" ukp" jkrgtvgpuk„p0"
Al comparar los resultados obtenidos en nuestro estudio con los antes
gzrwguvqu" uwtigp" fkhgtgpvgu" fwfcu." {c" swg" gp" nqu" vtcdclqu" fg" Oq{" {"
Cnuccfk." nc" ecpvkfcf" fg" rcekgpvgu" cpcnk|cfqu" gu" owejq" oc{qt." nqu"
ofivqfqu"guvcf uvkequ"pq"hwgtqp"nqu"okuoqu."cfgo u"ncu"rqdncekqpgu"uqp"
fkuvkpvcu" {c" swg" gp" Ejkng" guvc" gphgtogfcf" gu" wp" rcvqnqi c" rtgxcngpvg"
gp"nc"rqdncek„p"cfwnvc."{"swg"guvg"guvwfkq"vwxq"wp"rtqogfkq"fg"gfcf"fg"
830520"Ugt c"korqtvcpvg"gxcnwct"nc"ogfkecek„p"swg"guv p"tgekdkgpfq"{c"
swg"pkpi¿p"guvwfkq"jceg"ogpek„p"c"guvq."vcorqeq"gn"vkgorq"fg"fwtcek„p"
fg"nc"gphgtogfcf"{"gn"itcfq"fg"jkrgtvgpuk„p"rtgugpvg"gp"gn"rcekgpvg."nq"
swg"rqft c"kpÞwkt"gp"gn"htcecuq"fg"nqu"korncpvgu"fgpvcngu0
" Fkuvkpvqu" guvwfkqu" jcegp" ogpek„p" swg" nc" fkcdgvgu" rtqxqec"
12
Fqo piwg|"L"{"eqnu0
rtqdngocu" eqp" nc" ekecvtk|cek„p." fwtcpvg" nc" qugqkpvgitcek„p0" Gp" wp"
guvwfkq"rtqurgevkxq"tgcnk|cfq"rqt"Qnuqp*38+."nqu"korncpvgu"htcecuctqp"gp"
36"rcekgpvgu"fkcdfivkequ"rqt"oqxknkfcf0"Nqu"htcecuqu"guvcdcp"cuqekcfqu"
ukipkÝecvkxcogpvg" c" nc" fwtcek„p" fg" nc" fkcdgvgu" {" c" nc" nqpikvwf" fg" nqu"
korncpvgu0" Nq" swg" kpfkec" fg" ekgtvq" oqfq" swg" uk" gzkuvg" wpc" cuqekcek„p"
gpvtg"nc"fkcdgvgu"{"gn"htcecuq"fg"nqu"korncpvgu0"Gp"gn"guvwfkq"tgcnk|cfq"
rqt" Oq{(4)." 6:" rcekgpvgu" rtgugpvcp" fkcdgvgu." 37" rcekgpvgu" rtgugpvctqp"
htcecuq"fg"korncpvgu."rtgugpvcpfq"wp"tkguiq"tgncvkxq"fg"4097."eqp"nq"swg"
owguvtc"wpc"cuqekcek„p"gpvtg"gn"htcecuq"fg"nqu"korncpvgu"{"nc"fkcdgvgu."
independiente del control de esta. Alsaadi*3+, en su estudio presentó un
rcekgpvg"eqp"htcecuq"fg"korncpvgu"eqp"fkcdgvgu"vkrq"K."gp"nqu"rcekgpvgu""
eqp" fkcdgvgu" vkrq" KK." 55" rtgugpvcdcp" nc" eqpfkek„p" rgtq" pkpiwpq" eqp"
htcecuq." rqt" nq" swg" pq" gpeqpvt„" cuqekcek„p" gpvtg" gn" vkrq" fg" fkcdgvgu" {"
htcecuq" fg" korncpvgu0" Cnuccfk*4+." gp" uw" guvwfkq" fg" htcecuq" vctf q" fg"
korncpvgu"pq"rtgugpv„"htcecuq"gp"nqu"55"rcekgpvgu"swg"vgp cp"fkcdgvgu."
rqt" nq" swg" pq" gpeqpvt„" cuqekcek„p" eqp" nc" eqpfkek„p0" C" rguct" fg" swg"
la literatura describe asociación, los resultados de nuestro estudio no
owguvtcp"pkpiwpc"cuqekcek„p"gpvtg"fkcdgvgu"{"htcecuq0"Gn"vtcvcokgpvq"fg"
implantes dentales sigue siendo contraindicado en pacientes con diabetes
{" ocn" eqpvtqn" ogvcd„nkeq0"Cu " okuoq." ug" cuqekc" htgewgpvgogpvg" eqp" nc"
qdgukfcf" {" ncu" gphgtogfcfgu" ectfkqxcuewnctgu." fgdkfq" c" nqu" ghgevqu"
negativos de la hiperglicemia asociada con la microangiovasculopatía y
nc"cewowncek„p"fg"rncec"gp"nqu"vglkfqu"rgtkkorncvctkqu"fwtqu"{"dncpfqu*39+.
Gu"korqtvcpvg"ogpekqpct"swg"pwguvtq"guvwfkq"rtgugpv„"wp"p¿ogtq"dclq"
fg" rcekgpvgu" fkcdfivkequ." c" rguct" fg" swg" guvc" rcvqnqi c" cn" kiwcn" swg" nc"
hipertensión es prevalente en la población chilena.
" Gn"jkrqvktqkfkuoq"gu"wpc"gphgtogfcf"dcuvcpvg"guvwfkcfc."jc{"
rqecu"eqpenwukqpgu"eqp"tgurgevq"cn"htcecuq"fg"nqu"korncpvgu"gp"tgncek„p"
eqp"guvc"gphgtogfcf0"Nc"nkvgtcvwtc"ug‚cnc"swg"pq"gu"wp"hcevqt"fg"tkguiq"
fg"htcecuq"fg"korncpvgu."guvq"gu"korqtvcpvg"fg"cpcnk|ct"rqtswg"nc"hcnvc"
fg" jqtoqpc" vktqkfgc" vkgpg" ghgevqu" uqdtg" nc" tgoqfgncek„p" fgn" jwguq." nq"
cual puede atraer un problema al tratamiento con implantes dentales.
Attard*3:+." tgcnk|„" wp" guvwfkq" fg" ecuqu" {" eqpvtqngu" uqdtg" rcekgpvgu" eqp"
hipotiroidismo, los pacientes hipotiroideos presentaron complicaciones
gp" nqu" vglkfqu" dncpfqu" fgurwfiu" fg" nc" rtkogtc" " gvcrc" fg" nc" ektwi c" {" nc"
rfitfkfc" „ugc" cntgfgfqt" fg" nqu" korncpvgu" hwg" oc{qt" cn" c‚q" fg" ectic.""
gp" eqorctcek„p" eqp" nc" rfitfkfc" „ugc" fg" nqu" rcekgpvgu" eqpvtqngu0" Ukp"
godctiq."pq"ug"gpeqpvt„"fkhgtgpekcu"guvcf uvkecogpvg"ukipkÝecvkxcu"gpvtg"
nqu"fqu"itwrqu"gp"gn"p¿ogtq"fg"htcecuqu"fg"nqu"korncpvgu0"Cnuccfk*3+, en
uw"guvwfkq"fg"htcecuq"fg"korncpvgu"pq"qdvwxq"xcnqtgu"guvcf uvkecogpvg"
ukipkÝecvkxq" gpvtg" gn" jkrqvktqkfkuoq" {" htcecuq0" Guvg" okuoq" cwvqt." gp" uw"
guvwfkq" fg" htcecuq" vctf q" fg" korncpvgu" fgpvcngu" cpcnk|„" 47" rcekgpvgu"
eqp" jkrqvktqkfkuoq." pq" gpeqpvtcpfq" cuqekcek„p" eqp" htcecuq*4+. Los
tguwnvcfqu" qdvgpkfqu" gp" pwguvtq" guvwfkq." pq" uqp" fkhgtgpvgu" c" nqu"
gzrwguvqu"cpvgtkqtogpvg."uwiktkgpfq"swg"nqu""rcekgpvgu"jkrqvktqkfgqu"gp"
eqpvtqn"ofifkeq."pq"guv p"gp"oc{qt"tkguiq"fg"htcecuq"fg"nqu"korncpvgu0"
Fg"cewgtfq"c"nq"swg"kpfkec"Cvvctf."ugt c"fg"tgngxcpekc"guvwfkct"c"guvqu"
rcekgpvgu"rqt"ogfkq"fg"gz ogpgu."swg"fgvgtokpgp"nc"ecnkfcf"„ugc."{c"
swg"fiuvc"eqpfkek„p"chgevct c"cn"rtqeguq"fg"tgoqfgncek„p0
" Nc" Uqekgfcf" Cogtkecpc" fg" Cpguvgukqnqi c*3;+, restringe las
ektwi cu"{"vtcvcokgpvq"eqp"korncpvgu"qtcngu"c"rcekgpvgu"CUC"K"q"CUC"KK0"
Ugi¿p"nq"fkuewvkfq"gp"nc"tgxkuk„p"fg"Uwigtocp*32+, los implantes dentales
rwgfgp"ugt"eqpukfgtcfqu"rctc"cniwpqu"rcekgpvgu"CUC"KKK"fgurwfiu"fg"nc"
gxcnwcek„p"en pkec"rtgxkc"c"nc"ektwi c0"Nqu"rcekgpvgu"swg"tgekdgp"korncpvgu"
dentales generalmente se dividen en las dos primeras categorías del
guvcfq" h ukeq" fg" guvg" ukuvgoc" fg" encukÝecek„p0" Gn" vtcvcokgpvq" fgpvcn"
gp" nqu" rcekgpvgu" encukÝecfqu" eqoq" CUC" KX" ug" fgdg" rqurqpgt" jcuvc"
swg" gn" rcekgpvg" ugc" guvcdknk|cfq" {" oglqtcfq" rqt" nq" ogpqu" c" wp" CUC"
III*3;+0" Uokvj*5+." gp" uw" guvwfkq." cpcnk|„" c" 326" rcekgpvgu" fg" nqu" ewcngu" uw"
fkuvtkdwek„p"ugi¿p"gn"guvcfq"fg"ucnwf"hwg"fg"6405'"CUC"K."6:03'"CUC"KK."
;08'"CUC"KKK."cn"tgcnk|ct"nc"cuqekcek„p"gpvtg"guvc"encukÝecek„p"{"gn"htcecuq"
fg"nqu"korncpvgu"pq"uqp"guvcf uvkecogpvg"ukipkÝecvkxcu0"Nqu"tguwnvcfqu"
fg"guvg"guvwfkq."oquvtctqp"606'"CUC"K."7305;'"CUC"KK"{"6039'"CUC"KKK."
nq" ewcn" hwg" wpc" fkuvtkdwek„p" ow{" ukoknct." cn" tgcnk|ct" nc" cuqekcek„p" gpvtg"
gn" htcecuq" {" guvc" encukÝecek„p" qdvgpkfipfqug" wp" xcnqt" guvcf uvkecogpvg"
ukipkÝecvkxq."rctc"nc"encukÝecek„p"CUC"KK"tgrtgugpvcpfq"wp"cuqekcek„p"eqp"
htcecuq"fg"nqu"korncpvgu"eqp"wp"QT"fg"6073."gu"fgekt"swg"wp"rcekgpvg"
encukÝecfq" eqoq"CUC" KK." vkgpg" 6073" xgegu" o u" htcecuqu" fg" korncpvgu0""
Rqt"nq"swg"gu"korqtvcpvg"nc"xcnqtcek„p"fg"guvg"ukuvgoc"fg"encukÝecek„p."
rctc"fgvgtokpct"htcecuq."pwguvtq"guvwfkq"gp"igpgtcn"vkgpg"rcekgpvgu"CUC"
K"{"KK."nqu"rcekgpvgu"swg"rtgugpvctqp"gphgtogfcfgu"ukuvfiokecu"ngxgu"uqp"
CUC" KK." rqt" nq" swg" rqft c" ugt" wp" korqtvcpvg" etkvgtkq" fg" gxcnwcek„p" fg"
nqu"rcekgpvgu"ecpfkfcvqu"c"ektwi c0"Gu"rtqdcdng"swg"nc"pq"gzkuvgpekc"fg"
cuqekcek„p"eqp"rcekgpvgu"CUC"KKK."ug"fgdc"cn"dclq"p¿ogtq"fg"rcekgpvgu"
en esta muestra.
 Guvwfkq"fg"cuqekcek„p"gpvtg"gphgtogfcfgu"ukuvfiokecu"{"gn"htcecuq"fg"korncpvgu"fgpvcngu
" Uk" dkgp" gp" nc" nkvgtcvwtc" guv " enctcogpvg" fgoquvtcfc" wpc"
cuqekcek„p" gpvtg" gn" vcdcswkuoq" {" gn" htcecuq" fg" nqu" korncpvgu" fgpvcngu."
Dckp*42.43+." cpcnk|„" nc" tgik„p" fqpfg" ug" wdkecdc" gn" korncpvg" {" uk" nqu"
rcekgpvgu" gtcp" q" pq" hwocfqtgu." gpeqpvtcpfq" cuqekcek„p" eqp" htcecuq0"
Jcdujc*44+."gp"uw"guvwfkq"gpeqpvt„"wp"tkguiq"tgncvkxq"fg"3092"rctc"htcecuq"
vgortcpq"{"rctc"htcecuq"vctf q"wp"tkguiq"tgncvkxq"fg"30:9."gpeqpvt pfqug"
cuqekcfq"gn"vcdceq"c"htcecuq"fgn"korncpvg"fgpvcn0"Oq{(4), en su estudio
fg" 395" rcekgpvgu" hwocfqtgu" rtgugpvq" 42045'" fg" htcecuq" fg" nqu"
korncpvgu"fgpvcngu"gpeqpvtcpfq"wp"tkguiq"tgncvkxq"fg"3078."nq"swg"kpfkec"
wpc" cuqekcek„p" gpvtg" htcecuq" {" vcdcswkuoq0" Pwguvtq" guvwfkq" rtgugpv„"
tguwnvcfqu"fkhgtgpvgu"gp"eqorctcek„p"eqp"nqu"cpvgu"ogpekqpcfqu"{c"swg"
pq"jc{"wpc"tgncek„p"guvcf uvkecogpvg"ukipkÝecvkxc."guvq"rqft c"fgdgtug"
c"swg"nqu"rcekgpvgu"fgn"rtgugpvg"vtcdclq"gp"uw"oc{qt c"gtcp"hwocfqtgu"
nkxkcpqu."eqoq"gp"gn"cp nkuku"fg"Dcki"swg"ogpekqpc"swg"nqu"hwocfqtgu"
nkxkcpqu"c"oqfgtcfqu"pq"vkgpg"ghgevq"ukipkÝecvkxq"uqdtg"nc"vcuc"fg"htcecuq"
del implante*45+.
" Uk"dkgp"jc{"qvtcu"xctkcdngu"cpcnk|cfcu"gp"guvg"guvwfkq"eqoq="
qvtc" gphgtogfcf." guvcfq" pwvtkekqpcn" {" ifipgtq." guvcu" pq" rtgugpvctqp"
xcnqtgu"guvcf uvkecogpvg"ukipkÝecvkxqu0"Gp"ewcpvq"c"uk"nqu"rcekgpvgu"swg"
rtgugpvcp" gphgtogfcfgu" ukuvfiokecu" eqoq" nc" fkcdgvgu." jkrgtvgpuk„p" g"
jkrqvktqkfkuoq." swg" vkgpgp" cuqekcek„p" eqp" gphgtogfcfgu" ogvcd„nkecu."
eqoq"nc"qdgukfcf."nq"ewcn"rwgfg"ugt"wp"hcevqt"korqtvcpvg"c"eqpukfgtct"
eqoq"eqhcevqt"fg"htcecuq"fg"korncpvgu."nqu"tguwnvcfqu"fg"pwguvtq"guvwfkq"
cttqlctqp"swg"5907'"fg"nc"owguvtc"ug"gpeqpvtcdc"uqdtgrguq."rgtq"guvg"
guvcfq"pwvtkekqpcn"pq"hwg"cuqekcfq"c"htcecuq"fg"nqu"korncpvgu"fgpvcngu"{c"
swg"pq"hwg"guvcf uvkecogpvg"ukipkÝecvkxq0"
Las limitaciones de nuestro estudio son en relación a los
rqukdngu" uguiqu" swg" ug" rwgfgp" igpgtcp" fgdkfq" c" nqu" rtqdngocu" fg"
TGHGTGPEKCU"DKDNKQITèHKECU
30"Cnuccfk" I." Swkt{pgp" O." Mqo tgm"C." xcp" Uvggpdgtijg" F0" Korcev" qh" nqecn" cpf"
u{uvgoke"hcevqtu"qp"vjg"kpekfgpeg"qh"qtcn"korncpv"hcknwtgu."wr"vq"cdwvogpv"eqppgevkqp0"
L"Enkp"Rgtkqfqpvqn."4229="56<"832/8390
40"Cnuccfk" I." Swkt{pgp" O." Mqo tgm"C." xcp" Uvggpdgtijg" F0" Korcev" qh" nqecn" cpf"
u{uvgoke"hcevqtu"qp"vjg"kpekfgpeg"qh"ncvg"qtcn"korncpv"nquu0"Enkp"Qtcn"Korncpvu"Tgu,
422:="3;<"892/8980
50"Uokvj"TC."Dgtigt"T."Fqfuqp"VD0"Tkum"hcevqtu"cuuqekcvgf"ykvj"fgpvcn"korncpvu"kp"
healthy and medically compromised patients. Kpv"L"Qtcn"Oczknnqhce"Korncpvu."3;;4="
9<"589/5940
60"Oq{"R."Ogfkpc"F."Ujgvv{"X."Cijcnqq"V0"Fgpvcn"korncpv"hcknwtg"tcvgu"cpf"cuuqekcvgf"
tkum"hcevqtu0"Kpv"L"Qtcn"Oczknnqhce"Korncpvu."4227="42<"78;/7990
70"Cndtgmvuuqp" V." ¥ctd" I." Yqtvjkpivqp" R." Gtkmuuqp"CT0" Vjg" nqpi/vgto" ghÝece{" qh"
ewttgpvn{"wugf"fgpvcn"korncpvu<"C"tgxkgy"cpf"rtqrqugf"etkvgtkc"qh"uweeguu0"Kpv"L"Qtcn"
Oczknnqhce"Korncpvu."3;:8="3<"33/470
80"Uokvj"FG."¥ctd"IC0"Etkvgtkc"hqt"uweeguu"qh"quugqkpvgitcvgf"gpfquugqwu"korncpvu0"
L"Rtquvjgv"Fgpv."3;:;="84<"789/7940
90"Okuej"E."Rgtgn"O."Ycpi"J."Ucooctvkpq"I."Icnkpfq/Oqtgpq"R."Vtkuk"R"gv"cn0"Korncpv"
uweeguu." uwtxkxcn." cpf" hcknwtg<"Vjg" Kpvgtpcvkqpcn" Eqpitguu" qh" Qtcn" Korncpvqnqikuvu"
*KEQK+"Rkuc"Eqpugpuwu"Eqphgtgpeg0"Korncpv"Fgpv."422:="39<"7/370
:0" Rcvtkem" D/EY." Yknnkco" E/Y[0" Hcevqtu" eqpvtkdwvkpi" vq" korncpv" hcknwtg0" JMFL,
4227="40
;0"Dqtpuvgkp"O."Ekqpec"P."Oqodgnnk"C0"U{uvgoke"eqpfkvkqpu"cpf"vtgcvogpvu"cu"tkumu"
hqt"korncpv"vjgtcr{0"Kpv"L"Qtcn"Oczknnqhce"Korncpvu."422;="46"Uwrrn<"34/490
320"Uwigtocp"R."Dctdgt"O0"Rcvkgpv"ugngevkqp"hqt"gpfquugqwu"fgpvcn"korncpvu<"Qtcn"
and systemic considerations. Kpv"L"Qtcn"Oczknnqhce"Korncpvu."4224="39<"3;3/4230
330"Ognncfq/Xcngtq"C."Hgttgt/Icte c"LE."Ecnxq/Ecvcn "L."Ncdcki/Twgfc"E0"Korncpv"
vtgcvogpv"kp"rcvkgpvu"ykvj"quvgqrqtquku0"Ogf"Qtcn"Rcvqn"Qtcn"Ekt"Dwecn."4232="37<"
g74/790
340"Fcq"VV."Cpfgtuqp"LF."¥ctd"IC0"Ku"quvgqrqtquku"c"tkum"hcevqt"hqt"quugqkpvgitcvkqp"
qh"fgpvcn"korncpvuA"Kpv"L"Qtcn"Oczknnqhce"Korncpvu."3;;5=":<"359/3660
tgikuvtq"fg"fcvqu"rquvgtkqt"c"nc"ektwi c."{c"swg"guvqu"hwgtqp"tgeqrkncfqu"
fg"nc"Ýejc"en pkec0"Cfgo u."guvg"vkrq"fg"guvwfkq"pq"rgtokvg"guvcdngegt"wpc"
tgncek„p"ecwucn"fg"nc"gphgtogfcf"ukuvfiokec"gp"gn"htcecuq"fg"korncpvgu0"
" Guvwfkqu" fg" eqjqtvg" swg" tgikuvtgp" rct ogvtqu" dkgp" fgÝpkfqu"
{"cevwcnk|cfqu"fg"fizkvq"{"htcecuq"fg"korncpvgu"fgpvcngu"uqp"pgeguctkqu"
rctc" oczkok|ct" nc" kphqtocek„p" swg" ug" fkurqpg" fg" nqu" rcekgpvgu." rctc"
swg" guvqu" {" pquqvtqu" eqoq" rtqhgukqpcngu" rqfcoqu" vqoct" fgekukqpgu"
kphqtocfcu"{"dcucfcu"gp"gxkfgpekc"ekgpv Ýec."eqp"tgurgevq"c"nqu"tkguiqu"
{"dgpgÝekqu"fgn"vtcvcokgpvq"eqp"korncpvgu"fgpvcngu0"
" Rctc" guvg" guvwfkq" rqfgoqu" eqpenwkt." swg" gn" cp nkuku" fg" ecfc"
wpc"fg"ncu"xctkcdngu"ukuvfiokecu"eqoq"uqp"nc"jkrgtvgpuk„p."encukÝecek„p"
CUC"KK."rtgugpvcp"wpc"cuqekcek„p"eqp"gn"htcecuq"fg"korncpvgu"fgpvcngu."
no así la osteoporosis, hipotiroidismo, diabetes, edad, estado nutricional,
ifipgtq"{"gn"j dkvq"fg"hwoct0
CONFLICTO DE INTERESES
" Guvc" kpxguvkicek„p" hwg" gpvgtcogpvg" Ýpcpekcfc" eqp" tgewtuqu"
fg"nqu"cwvqtgu"swg"rgtvgpgegp"cn"Fgrctvcogpvq"fg"Guvqocvqnqi c"fg"nc"
Wpkxgtukfcf"fg"Vcnec0"Nqu"cwvqtgu"pq"fgenctcp"eqpÞkevq"fg"kpvgtfiu0
350" Dgemgt" Y." Jwlqgn" RR." Dgemgt" DG." Yknnkpijco" J0" Quvgqrqtquku" cpf" korncpv"
hcknwtg<"Cp"gzrnqtcvqt{"ecug/eqpvtqn"uvwf{0"L"Rgtkqfqpvqn."4222="93<"847/8530
360"Cnuccfk"I."Swkt{pgp"O."Okejkngu"M."Vgwijgnu"Y."Mqo tgm"C."xcp"Uvggpdgtijg"
F0"Korcev"qh"nqecn"cpf"u{uvgoke"hcevqtu"qp"vjg"kpekfgpeg"qh"hcknwtgu"wr"vq"cdwvogpv"
eqppgevkqp"ykvj"oqfkÝgf"uwthceg"qtcn"korncpvu0"L"Enkp"Rgtkqfqpvqn."422:="57<"73/790
370" Mjcfkxk" X." Cpfgtuqp" L." ¥ctd" IC0" Ectfkqxcuewnct" fkugcug" cpf" vtgcvogpv"
qwveqogu"ykvj"quugqkpvgitcvkqp"uwtigt{0"L"Rtquvjgv"Fgpv."3;;;=":3<"755/7580
380"Qnuqp"LY."Ujgtpqhh"CH."Vctnqy"LN."Eqnygnn"LC."Uejggv|"LR."Dkpijco"UH0"Fgpvcn"
gpfquugqwu" korncpv" cuuguuogpvu" kp" c" v{rg" 4" fkcdgvke" rqrwncvkqp<" C" rtqurgevkxg"
study. Kpv"L"Qtcn"Oczknnqhce"Korncpvu."4222="37<":33/:3:0
390"Lcxgf"H."Tqocpqu"IG0"Korcev"qh"fkcdgvgu"ognnkvwu"cpf"in{egoke"eqpvtqn"qp"vjg"
quugqkpvgitcvkqp" qh" fgpvcn" korncpvu<"C" u{uvgocvke" nkvgtcvwtg" tgxkgy0" L" Rgtkqfqpvqn,
422;=":2<"393;/39520
3:0"Cvvctf"PL."¥ctd"IC0"C"uvwf{"qh"fgpvcn"korncpvu"kp"ogfkecnn{"vtgcvgf"j{rqvj{tqkf"
patients. Enkp"Korncpv"Fgpv"Tgncv"Tgu."4224="6<"442/4530
3;0" Ocnqpg{" YL." Ygkpdgti" OC0" Korngogpvcvkqp" qh" vjg" Cogtkecp" Uqekgv{" qh"
Cpguvjgukqnqikuvu" Rj{ukecn" Uvcvwu" encuukÝecvkqp" u{uvgo" kp" rgtkqfqpvcn" rtcevkeg0" L"
Rgtkqfqpvqn."422:="9;<"3346/33480
420"Dckp"EC0"Uoqmkpi"cpf"korncpv"hcknwtg/dgpgÝvu"qh"c"uoqmkpi"eguucvkqp"rtqvqeqn0"
Kpv"L"Qtcn"Oczknnqhce"Korncpvu."3;;8="33<"978/97;0
430"Dckp"EC."Oq{"RM0"Vjg"cuuqekcvkqp"dgvyggp"vjg"hcknwtg"qh"fgpvcn"korncpvu"cpf"
cigarette smoking. Kpv"L"Qtcn"Oczknnqhce"Korncpvu."3;;5=":<"82;/8370
440" Jcdujc" G0" Uwtxkxcn" qh" quugqkpvgitcvgf" fgpvcn" korncpvu" kp" uoqmgtu" cpf" pqp/
uoqmgtu"uwtxkxcn"qh"quugqkpvgitcvgf"fgpvcn"korncpvu"kp"uoqmgtu"cpf"pqp/uoqmgtu0"
Vqtqpvq<"Wpkxgtukv{"qh"Vqtqpvq."42220
450"Dcki"OT."Tclcp"O0"Ghhgevu"qh"uoqmkpi"qp"vjg"qwveqog"qh"korncpv"vtgcvogpv<"C"
nkvgtcvwtg"tgxkgy0"Kpfkcp"L"Fgpv"Tgu."4229="3:*6+<"3;2/3;70
460"Jwvvqp"L."Jgcvj"O."Ejck"L."Jctpgvv"L."Lgov"V."Lqjpu"T"gv"cn0"Hcevqtu"tgncvgf"vq"
uweeguu"cpf"hcknwtg"tcvgu"cv"5/{gct"hqnnqy/wr"kp"c"ownvkegpvgt"uvwf{"qh"qxgtfgpvwtgu"
uwrrqtvgf"d{"Dt‹pgoctm"korncpvu0"Kpv"L"Qtcn"Oczknnqhce"Korncpvu."3;;7="32<"55/640
13