Peri-Implant Tissue Findings in Bone Grafted Oral Cancer Patients Compared to non Bone Grafted Patients without Oral Cancer
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Auteurs : Jan Wolff ; Hideki Agata ; George K. Sándor ; Suvi HaimiSource :
- Journal of Oral & Maxillofacial Research [ 2029-283X ] ; 2012.
Abstract
The aim of this study was to compare microbiological, histological, and mechanical findings from tissues around osseointergrated dental implants in patients who had undergone tumour resection and subsequent bone grafting with non bone grafted patients without a history of oral cancer and to develop an effective tool for the monitoring of the peri-implant tissues. A third aim was to assess and compare the masticatory function of the two patient groups after reconstruction with dental implants.
A total of 20 patients were divided into 2 groups. The first group was edentulous and treated with dental implants without the need for bone grafting. The second edentulous group, with a history of oral cancer involving the mandible, received onlay bone grafts with concurrent placement of dental implants. Microbiological, histological, mechanical and biochemical assessment methods, crevicular fluid flow rate, hygiene-index, implant mobility, and the masticatory function were analysed and compared in both patient groups.
The microbiological examinations showed no evidence of the three most common
pathogenic bacteria:
The crevicular fluid volume and grade of gingival inflammation around the dental implants were related. Peri-implant tissue findings were similar in the two patient groups despite the history of oral cancer and the need for bone grafting at the time of dental implant placement.
Url:
DOI: 10.5037/jomr.2011.2402
PubMed: 24421999
PubMed Central: 3886081
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Jan Wolff<affiliation><nlm:aff id="aff1"><institution>Oral and Maxillofacial Unit, University of Tampere</institution><addr-line>Tampere</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff2"><institution>Division of Molecular Therapy, Advanced Clinical Research Center, The Institute of Medical Science, The University of Tokyo</institution><addr-line>Tokyo</addr-line><country>Japan.</country></nlm:aff><wicri:noCountry code="nlm country">Japan.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff3"><institution>Department of Oral and Maxillofacial Surgery, University of Oulu</institution><addr-line>Oulu</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff4"><institution>Regea–Institute for Regenerative Medicine, University of Tampere</institution><addr-line>Tampere</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff4"><institution>Regea–Institute for Regenerative Medicine, University of Tampere</institution><addr-line>Tampere</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff4"><institution>Regea–Institute for Regenerative Medicine, University of Tampere</institution><addr-line>Tampere</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Peri-Implant Tissue Findings in Bone Grafted Oral Cancer Patients Compared to non Bone Grafted Patients without Oral Cancer</title><author><name sortKey="Wolff, Jan" sort="Wolff, Jan" uniqKey="Wolff J" first="Jan" last="Wolff">Jan Wolff</name><affiliation><nlm:aff id="aff1"><institution>Oral and Maxillofacial Unit, University of Tampere</institution><addr-line>Tampere</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation></author><author><name sortKey="Agata, Hideki" sort="Agata, Hideki" uniqKey="Agata H" first="Hideki" last="Agata">Hideki Agata</name><affiliation><nlm:aff id="aff2"><institution>Division of Molecular Therapy, Advanced Clinical Research Center, The Institute of Medical Science, The University of Tokyo</institution><addr-line>Tokyo</addr-line><country>Japan.</country></nlm:aff><wicri:noCountry code="nlm country">Japan.</wicri:noCountry></affiliation></author><author><name sortKey="Sandor, George K" sort="Sandor, George K" uniqKey="Sandor G" first="George K." last="Sándor">George K. Sándor</name><affiliation><nlm:aff id="aff3"><institution>Department of Oral and Maxillofacial Surgery, University of Oulu</institution><addr-line>Oulu</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff4"><institution>Regea–Institute for Regenerative Medicine, University of Tampere</institution><addr-line>Tampere</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation></author><author><name sortKey="Haimi, Suvi" sort="Haimi, Suvi" uniqKey="Haimi S" first="Suvi" last="Haimi">Suvi Haimi</name><affiliation><nlm:aff id="aff4"><institution>Regea–Institute for Regenerative Medicine, University of Tampere</institution><addr-line>Tampere</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24421999</idno><idno type="pmc">3886081</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3886081</idno><idno type="RBID">PMC:3886081</idno><idno type="doi">10.5037/jomr.2011.2402</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000693</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000693</idno><idno type="wicri:Area/Pmc/Curation">000693</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000693</idno><idno type="wicri:Area/Pmc/Checkpoint">000767</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000767</idno><idno type="wicri:Area/Ncbi/Merge">000835</idno><idno type="wicri:Area/Ncbi/Curation">000835</idno><idno type="wicri:Area/Ncbi/Checkpoint">000835</idno><idno type="wicri:Area/Main/Merge">001A98</idno><idno type="wicri:Area/Main/Curation">001A89</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Peri-Implant Tissue Findings in Bone Grafted Oral Cancer Patients Compared to non Bone Grafted Patients without Oral Cancer</title><author><name sortKey="Wolff, Jan" sort="Wolff, Jan" uniqKey="Wolff J" first="Jan" last="Wolff">Jan Wolff</name><affiliation><nlm:aff id="aff1"><institution>Oral and Maxillofacial Unit, University of Tampere</institution><addr-line>Tampere</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation></author><author><name sortKey="Agata, Hideki" sort="Agata, Hideki" uniqKey="Agata H" first="Hideki" last="Agata">Hideki Agata</name><affiliation><nlm:aff id="aff2"><institution>Division of Molecular Therapy, Advanced Clinical Research Center, The Institute of Medical Science, The University of Tokyo</institution><addr-line>Tokyo</addr-line><country>Japan.</country></nlm:aff><wicri:noCountry code="nlm country">Japan.</wicri:noCountry></affiliation></author><author><name sortKey="Sandor, George K" sort="Sandor, George K" uniqKey="Sandor G" first="George K." last="Sándor">George K. Sándor</name><affiliation><nlm:aff id="aff3"><institution>Department of Oral and Maxillofacial Surgery, University of Oulu</institution><addr-line>Oulu</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff4"><institution>Regea–Institute for Regenerative Medicine, University of Tampere</institution><addr-line>Tampere</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation></author><author><name sortKey="Haimi, Suvi" sort="Haimi, Suvi" uniqKey="Haimi S" first="Suvi" last="Haimi">Suvi Haimi</name><affiliation><nlm:aff id="aff4"><institution>Regea–Institute for Regenerative Medicine, University of Tampere</institution><addr-line>Tampere</addr-line><country>Finland.</country></nlm:aff><wicri:noCountry code="nlm country">Finland.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of Oral & Maxillofacial Research</title><idno type="eISSN">2029-283X</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>ABSTRACT</title><sec sec-type="objectives"><title>Objectives</title><p>The aim of this study was to compare microbiological, histological, and
mechanical findings from tissues around osseointergrated dental implants in
patients who had undergone tumour resection and subsequent bone grafting
with non bone grafted patients without a history of oral cancer and to
develop an effective tool for the monitoring of the peri-implant tissues. A
third aim was to assess and compare the masticatory function of the two
patient groups after reconstruction with dental implants.</p></sec><sec sec-type="material and methods"><title>Material and Methods</title><p>A total of 20 patients were divided into 2 groups. The first group was
edentulous and treated with dental implants without the need for bone
grafting. The second edentulous group, with a history of oral cancer
involving the mandible, received onlay bone grafts with concurrent placement
of dental implants. Microbiological, histological, mechanical and
biochemical assessment methods, crevicular fluid flow rate, hygiene-index,
implant mobility, and the masticatory function were analysed and compared in
both patient groups.</p></sec><sec sec-type="results"><title>Results</title><p>The microbiological examinations showed no evidence of the three most common
pathogenic bacteria: <italic>Porphyromonas gingivalis</italic>, <italic>Prevotella intermedius</italic>,
<italic>Actinobacillus actinomycetencomitans</italic>. A causal relationship between specific
microbes and peri-implant inflammation could not be found. All biopsies in
both patient groups revealed early signs of soft tissue peri-implant
inflammation.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>The crevicular fluid volume and grade of gingival inflammation around the
dental implants were related. Peri-implant tissue findings were similar in
the two patient groups despite the history of oral cancer and the need for
bone grafting at the time of dental implant placement.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kolokythas, A" uniqKey="Kolokythas A">A Kolokythas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chung, We" uniqKey="Chung W">WE Chung</name></author><author><name sortKey="Rubenstein, Je" uniqKey="Rubenstein J">JE Rubenstein</name></author><author><name sortKey="Phillips, Km" uniqKey="Phillips K">KM Phillips</name></author><author><name sortKey="Raigrodski, Aj" uniqKey="Raigrodski A">AJ Raigrodski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sandor, Gk" uniqKey="Sandor G">GK Sàndor</name></author><author><name sortKey="Carmichael, Rp" uniqKey="Carmichael R">RP Carmichael</name></author><author><name sortKey="Binahmed, A" uniqKey="Binahmed A">A Binahmed</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lachmann, S" 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