Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series
Identifieur interne : 000950 ( Istex/Corpus ); précédent : 000949; suivant : 000951Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series
Auteurs : Sergio Matarasso ; Vincenzo Iorio Siciliano ; Marco Aglietta ; Gianmaria Andreuccetti ; Giovanni E. SalviSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2014-07.
Abstract
To assess the clinical and radiographic outcomes applying a combined resective and regenerative approach in the treatment of peri‐implantitis.
Url:
DOI: 10.1111/clr.12183
Links to Exploration step
ISTEX:F760E86723A39F40D88D75F2F2C01E97BA26880FLe document en format XML
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Published by John Wiley & Sons Ltd</licence></availability><date type="published" when="2014-07"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series</title><author xml:id="author-0000"><persName><forename type="first">Sergio</forename><surname>Matarasso</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>University Federico II</orgName><address><settlement type="city">Naples</settlement><country key="IT">Italy</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Vincenzo</forename><surname>Iorio Siciliano</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>University Federico II</orgName><address><settlement type="city">Naples</settlement><country key="IT">Italy</country></address></affiliation></author><author xml:id="author-0002" role="corresp"><persName><forename type="first">Marco</forename><surname>Aglietta</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>University Federico II</orgName><address><settlement type="city">Naples</settlement><country key="IT">Italy</country></address></affiliation><affiliation>Corresponding author: Dr Marco Aglietta Belpbergstrasse 1B 3123 Belp, Switzerland Tel.: +41 (0)77 41 67 186 Fax: +41 (0)31 819 20 96 e‐mail: agliettamarco@gmail.com</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Gianmaria</forename><surname>Andreuccetti</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>University Federico II</orgName><address><settlement type="city">Naples</settlement><country key="IT">Italy</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Giovanni E.</forename><surname>Salvi</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>School of Dental Medicine</orgName><orgName>University of Bern</orgName><address><settlement type="city">Bern</settlement><country key="CH">Switzerland</country></address></affiliation></author><idno type="istex">F760E86723A39F40D88D75F2F2C01E97BA26880F</idno><idno type="ark">ark:/67375/WNG-K4NJ0L73-6</idno><idno type="DOI">10.1111/clr.12183</idno><idno type="unit">CLR12183</idno><idno type="toTypesetVersion">file:CLR.CLR12183.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2014.25.issue-7</idno><idno type="product">CLR</idno><imprint><biblScope unit="vol">25</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="761">761</biblScope><biblScope unit="page" to="767">767</biblScope><biblScope unit="page-count">7</biblScope><date type="published" when="2014-07"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main" xml:id="clr12183-abs-0001"><head>Abstract</head>
Aim
<p>To assess the clinical and radiographic outcomes applying a combined resective and regenerative approach in the treatment of peri‐implantitis.</p>
Materials and methods
<p>Subjects with implants diagnosed with peri‐implantitis (i.e., pocket probing depth (<hi rend="fc">PPD</hi>) ≥5 mm with concomitant bleeding on probing (BoP) and ≥2 mm of marginal bone loss or exposure of ≥1 implant thread) were treated by means of a combined approach including the application of a deproteinized bovine bone mineral and a collagen membrane in the intrabony and implantoplasty in the suprabony component of the peri‐implant lesion, respectively. The soft tissues were apically repositioned allowing for a non‐submerged healing. Clinical and radiographic parameters were evaluated at baseline and 12 months after treatment.</p>
Results
<p>Eleven subjects with 11 implants were treated and completed the 12‐month follow‐up. No implant was lost yielding a 100% survival rate. At baseline, the mean <hi rend="fc">PPD</hi> and mean clinical attachment level (<hi rend="fc">CAL</hi>) were 8.1 ± 1.8 mm and 9.7 ± 2.5 mm, respectively. After 1 year, a mean <hi rend="fc">PPD</hi> of 4.0 ± 1.3 mm and a mean <hi rend="fc">CAL</hi> of 6.7 ± 2.5 mm were assessed. The differences between the baseline and the follow‐up examinations were statistically significant (<hi rend="italic">P</hi> = 0.001). The mucosal recession increased from 1.7 ± 1.5 at baseline to 3.0 ± 1.8 mm at the 12‐month follow‐up (<hi rend="italic">P</hi> = 0.003). The mean% of sites with BoP+ around the selected implants decreased from 19.7 ± 40.1 at baseline to 6.1 ± 24.0 after 12 months (<hi rend="italic">P</hi> = 0.032).</p><p>The radiographic marginal bone level decreased from 8.0 ± 3.7 mm at baseline to 5.2 ± 2.2 mm at the 12‐month follow‐up (<hi rend="italic">P</hi> = 0.000001). The radiographic fill of the intrabony component of the defect amounted to 93.3 ± 13.0%.</p>
Conclusion
<p>Within the limits of this study, a combined regenerative and resective approach for the treatment of peri‐implant defects yielded positive outcomes in terms of <hi rend="fc">PPD</hi> reduction and radiographic defect fill after 12 months.</p></abstract><textClass><keywords><term xml:id="clr12183-kwd-0001">bone loss</term><term xml:id="clr12183-kwd-0002">bone substitutes</term><term xml:id="clr12183-kwd-0003">dental implants</term><term xml:id="clr12183-kwd-0004">guided bone regeneration</term><term xml:id="clr12183-kwd-0005">peri‐implantitis</term><term xml:id="clr12183-kwd-0006">periodontitis</term><term xml:id="clr12183-kwd-0007">transmucosal healing</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="clr12183" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id></idGroup><titleGroup><title sort="CLINICAL ORAL IMPLANTS RESEARCH" type="main">Clinical Oral Implants Research</title><title type="short">Clin. Oral Impl. Res.</title></titleGroup></publicationMeta><publicationMeta level="part" position="70"><doi origin="wiley">10.1111/clr.2014.25.issue-7</doi><copyright ownership="publisher">Copyright © 2014 John Wiley & Sons A/S</copyright><numberingGroup><numbering type="journalVolume" number="25">25</numbering><numbering type="journalIssue">7</numbering></numberingGroup><coverDate startDate="2014-07">July 2014</coverDate></publicationMeta><publicationMeta level="unit" position="10" status="forIssue" type="article"><doi>10.1111/clr.12183</doi><idGroup><id type="unit" value="CLR12183"></id></idGroup><countGroup><count number="7" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Original Articles</title></titleGroup><copyright ownership="publisher">© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</copyright><eventGroup><event date="2013-03-30" type="manuscriptAccepted"></event><event agent="SPS" date="2013-04-08" type="xmlCreated"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.3.2 mode:FullText" date="2014-06-13"></event><event type="publishedOnlineEarlyUnpaginated" date="2013-05-08"></event><event type="firstOnline" date="2013-05-08"></event><event type="publishedOnlineFinalForm" date="2014-06-13"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-08"></event></eventGroup><numberingGroup><numbering type="pageFirst">761</numbering><numbering type="pageLast">767</numbering></numberingGroup><correspondenceTo><lineatedText><line><b>Corresponding author:</b></line><line><i>Dr Marco Aglietta</i></line><line>Belpbergstrasse 1B 3123 Belp,</line><line>Switzerland</line><line>Tel.: +41 (0)77 41 67 186</line><line>Fax: +41 (0)31 819 20 96</line><line>e‐mail: <email>agliettamarco@gmail.com</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="clr12183-cit-1001"><author><familyName>Matarasso</familyName> <givenNames>S</givenNames></author>, <author><familyName>Iorio Siciliano</familyName> <givenNames>V</givenNames></author>, <author><familyName>Aglietta</familyName> <givenNames>M</givenNames></author>, <author><familyName>Andreuccetti</familyName> <givenNames>G</givenNames></author>, <author><familyName>Salvi</familyName> <givenNames>GE</givenNames></author>. <articleTitle>Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series</articleTitle>. <journalTitle>Clin. Oral Impl. Res.</journalTitle> <vol>25</vol>, <pubYear year="2014">2014</pubYear>, <pageFirst>761</pageFirst>–<pageLast>767</pageLast> doi: <accessionId ref="info:doi/10.1111/clr.12183">10.1111/clr.12183</accessionId></citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR12183.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series</title><title type="shortAuthors">Matarasso et al</title></titleGroup><creators><creator affiliationRef="#clr12183-aff-0001" creatorRole="author" xml:id="clr12183-cr-0001"><personName><givenNames>Sergio</givenNames> <familyName>Matarasso</familyName></personName></creator><creator affiliationRef="#clr12183-aff-0001" creatorRole="author" xml:id="clr12183-cr-0002"><personName><givenNames>Vincenzo</givenNames> <familyName>Iorio Siciliano</familyName></personName></creator><creator affiliationRef="#clr12183-aff-0001" corresponding="yes" creatorRole="author" xml:id="clr12183-cr-0003"><personName><givenNames>Marco</givenNames> <familyName>Aglietta</familyName></personName></creator><creator affiliationRef="#clr12183-aff-0001" creatorRole="author" xml:id="clr12183-cr-0004"><personName><givenNames>Gianmaria</givenNames> <familyName>Andreuccetti</familyName></personName></creator><creator affiliationRef="#clr12183-aff-0002" creatorRole="author" xml:id="clr12183-cr-0005"><personName><givenNames>Giovanni E.</givenNames> <familyName>Salvi</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="IT" type="organization" xml:id="clr12183-aff-0001"><orgDiv>Department of Periodontology</orgDiv> <orgName>University Federico II</orgName> <address><city>Naples</city> <country>Italy</country></address></affiliation><affiliation countryCode="CH" type="organization" xml:id="clr12183-aff-0002"><orgDiv>Department of Periodontology</orgDiv> <orgDiv>School of Dental Medicine</orgDiv> <orgName>University of Bern</orgName> <address><city>Bern</city> <country>Switzerland</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="clr12183-kwd-0001">bone loss</keyword><keyword xml:id="clr12183-kwd-0002">bone substitutes</keyword><keyword xml:id="clr12183-kwd-0003">dental implants</keyword><keyword xml:id="clr12183-kwd-0004">guided bone regeneration</keyword><keyword xml:id="clr12183-kwd-0005">peri‐implantitis</keyword><keyword xml:id="clr12183-kwd-0006">periodontitis</keyword><keyword xml:id="clr12183-kwd-0007">transmucosal healing</keyword></keywordGroup><abstractGroup><abstract type="main" xml:id="clr12183-abs-0001" xml:lang="en"><title type="main">Abstract</title><section xml:id="clr12183-sec-0001"><title type="main">Aim</title><p>To assess the clinical and radiographic outcomes applying a combined resective and regenerative approach in the treatment of peri‐implantitis.</p></section><section xml:id="clr12183-sec-0002"><title type="main">Materials and methods</title><p>Subjects with implants diagnosed with peri‐implantitis (i.e., pocket probing depth (<fc>PPD</fc>) ≥5 mm with concomitant bleeding on probing (BoP) and ≥2 mm of marginal bone loss or exposure of ≥1 implant thread) were treated by means of a combined approach including the application of a deproteinized bovine bone mineral and a collagen membrane in the intrabony and implantoplasty in the suprabony component of the peri‐implant lesion, respectively. The soft tissues were apically repositioned allowing for a non‐submerged healing. Clinical and radiographic parameters were evaluated at baseline and 12 months after treatment.</p></section><section xml:id="clr12183-sec-0003"><title type="main">Results</title><p>Eleven subjects with 11 implants were treated and completed the 12‐month follow‐up. No implant was lost yielding a 100% survival rate. At baseline, the mean <fc>PPD</fc> and mean clinical attachment level (<fc>CAL</fc>) were 8.1 ± 1.8 mm and 9.7 ± 2.5 mm, respectively. After 1 year, a mean <fc>PPD</fc> of 4.0 ± 1.3 mm and a mean <fc>CAL</fc> of 6.7 ± 2.5 mm were assessed. The differences between the baseline and the follow‐up examinations were statistically significant (<i>P</i> = 0.001). The mucosal recession increased from 1.7 ± 1.5 at baseline to 3.0 ± 1.8 mm at the 12‐month follow‐up (<i>P</i> = 0.003). The mean% of sites with BoP+ around the selected implants decreased from 19.7 ± 40.1 at baseline to 6.1 ± 24.0 after 12 months (<i>P</i> = 0.032).</p><p>The radiographic marginal bone level decreased from 8.0 ± 3.7 mm at baseline to 5.2 ± 2.2 mm at the 12‐month follow‐up (<i>P</i> = 0.000001). The radiographic fill of the intrabony component of the defect amounted to 93.3 ± 13.0%.</p></section><section xml:id="clr12183-sec-0004"><title type="main">Conclusion</title><p>Within the limits of this study, a combined regenerative and resective approach for the treatment of peri‐implant defects yielded positive outcomes in terms of <fc>PPD</fc> reduction and radiographic defect fill after 12 months.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series</title></titleInfo><name type="personal"><namePart type="given">Sergio</namePart><namePart type="family">Matarasso</namePart><affiliation>Department of Periodontology, University Federico II, Naples, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Vincenzo</namePart><namePart type="family">Iorio Siciliano</namePart><affiliation>Department of Periodontology, University Federico II, Naples, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marco</namePart><namePart type="family">Aglietta</namePart><affiliation>Department of Periodontology, University Federico II, Naples, Italy</affiliation><affiliation>Belpbergstrasse 1B 3123 Belp,SwitzerlandTel.: +41 (0)77 41 67 186Fax: +41 (0)31 819 20 96e‐mail:</affiliation><affiliation>E-mail: agliettamarco@gmail.com</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gianmaria</namePart><namePart type="family">Andreuccetti</namePart><affiliation>Department of Periodontology, University Federico II, Naples, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Giovanni E.</namePart><namePart type="family">Salvi</namePart><affiliation>Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-07</dateIssued><dateCreated encoding="w3cdtf">2013-04-08</dateCreated><dateValid encoding="w3cdtf">2013-03-30</dateValid><edition>Matarasso S, Iorio Siciliano V, Aglietta M, Andreuccetti G, Salvi GE. Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series. Clin. Oral Impl. Res. 25, 2014, 761–767 doi: 10.1111/clr.12183</edition><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>To assess the clinical and radiographic outcomes applying a combined resective and regenerative approach in the treatment of peri‐implantitis.</abstract><abstract>Subjects with implants diagnosed with peri‐implantitis (i.e., pocket probing depth (PPD) ≥5 mm with concomitant bleeding on probing (BoP) and ≥2 mm of marginal bone loss or exposure of ≥1 implant thread) were treated by means of a combined approach including the application of a deproteinized bovine bone mineral and a collagen membrane in the intrabony and implantoplasty in the suprabony component of the peri‐implant lesion, respectively. The soft tissues were apically repositioned allowing for a non‐submerged healing. Clinical and radiographic parameters were evaluated at baseline and 12 months after treatment.</abstract><abstract>Eleven subjects with 11 implants were treated and completed the 12‐month follow‐up. No implant was lost yielding a 100% survival rate. At baseline, the mean PPD and mean clinical attachment level (CAL) were 8.1 ± 1.8 mm and 9.7 ± 2.5 mm, respectively. After 1 year, a mean PPD of 4.0 ± 1.3 mm and a mean CAL of 6.7 ± 2.5 mm were assessed. The differences between the baseline and the follow‐up examinations were statistically significant (P = 0.001). The mucosal recession increased from 1.7 ± 1.5 at baseline to 3.0 ± 1.8 mm at the 12‐month follow‐up (P = 0.003). The mean% of sites with BoP+ around the selected implants decreased from 19.7 ± 40.1 at baseline to 6.1 ± 24.0 after 12 months (P = 0.032). The radiographic marginal bone level decreased from 8.0 ± 3.7 mm at baseline to 5.2 ± 2.2 mm at the 12‐month follow‐up (P = 0.000001). The radiographic fill of the intrabony component of the defect amounted to 93.3 ± 13.0%.</abstract><abstract>Within the limits of this study, a combined regenerative and resective approach for the treatment of peri‐implant defects yielded positive outcomes in terms of PPD reduction and radiographic defect fill after 12 months.</abstract><subject><genre>keywords</genre><topic>bone loss</topic><topic>bone substitutes</topic><topic>dental implants</topic><topic>guided bone regeneration</topic><topic>peri‐implantitis</topic><topic>periodontitis</topic><topic>transmucosal healing</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><titleInfo type="abbreviated"><title>Clin. Oral Impl. Res.</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">0905-7161</identifier><identifier type="eISSN">1600-0501</identifier><identifier type="DOI">10.1111/(ISSN)1600-0501</identifier><identifier type="PublisherID">CLR</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>25</number></detail><detail type="issue"><caption>no.</caption><number>7</number></detail><extent unit="pages"><start>761</start><end>767</end><total>7</total></extent></part></relatedItem><identifier type="istex">F760E86723A39F40D88D75F2F2C01E97BA26880F</identifier><identifier type="ark">ark:/67375/WNG-K4NJ0L73-6</identifier><identifier type="DOI">10.1111/clr.12183</identifier><identifier type="ArticleID">CLR12183</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 John Wiley & Sons A/S© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/F760E86723A39F40D88D75F2F2C01E97BA26880F/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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