Three-Dimensional Measurement of Bone Loss at Implants in Patients With Periodontal Disease
Identifieur interne : 000103 ( PascalFrancis/Checkpoint ); précédent : 000102; suivant : 000104Three-Dimensional Measurement of Bone Loss at Implants in Patients With Periodontal Disease
Auteurs : Marcus Kehl [Allemagne] ; Katrin Swierkot [Allemagne] ; Reiner Mengel [Allemagne]Source :
- Journal of periodontology : (1970) [ 0022-3492 ] ; 2011.
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Abstract
Background: The aim of this prospective study is to evaluate the three-dimensional marginal bone level around implants 5 to 15 years after loading in partially edentulous patients treated for generalized chronic periodontitis (GCP) and generalized aggressive periodontitis (GAgP). Methods: Seventeen patients with GCP and 17 patients with GAgP were treated with a total of 119 implants. Patients were examined clinically on a 3-month recall schedule after insertion of the superstructure, and radiographs were taken at fixed intervals. At the end of the observation period, cone-beam computed tomography was used for the analysis of the circumferential three-dimensional bone level (mesial, distal, buccal, and lingual/palatal) and determination of keratinized mucosa thickness (KMT). Results: In both groups, a significant bone loss at implants was observed buccally (GAgP group: 4.49 ± 2.93 mm; GCP group: 3.57 ± 2.94 mm) with significantly more average bone loss in patients with GAgP (3.00 ± 1.67 mm) compared to in patients with GCP (2.45 ± 1.08 mm). The lowest values for KMT in both groups were found in the anterior mandible (GAgP group: 0.99 ± 1.13 mm; GCP group: 0.82 ± 0.91 mm). There were significant correlations between clinical parameters and bone loss in mandibles of patients with GAgP. Conclusions: The lowest value for KMT in both groups was found in the mandible. Bone loss was observed buccally and was more pronounced in patients with GAgP, with a significant correlation with keratinized mucosa and increased inflammation.
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Philipps University</s1><s2>Marburg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author><author><name sortKey="Mengel, Reiner" sort="Mengel, Reiner" uniqKey="Mengel R" first="Reiner" last="Mengel">Reiner Mengel</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Periodontology, Dental School of Medicine, Philipps University</s1><s2>Marburg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno 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type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author><author><name sortKey="Swierkot, Katrin" sort="Swierkot, Katrin" uniqKey="Swierkot K" first="Katrin" last="Swierkot">Katrin Swierkot</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Periodontology, Dental School of Medicine, Philipps University</s1><s2>Marburg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author><author><name sortKey="Mengel, Reiner" sort="Mengel, Reiner" uniqKey="Mengel R" first="Reiner" last="Mengel">Reiner Mengel</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Periodontology, Dental School of Medicine, Philipps University</s1><s2>Marburg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of periodontology : (1970)</title><title level="j" type="abbreviated">J. periodontol. : (1970)</title><idno type="ISSN">0022-3492</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of periodontology : (1970)</title><title level="j" type="abbreviated">J. periodontol. : (1970)</title><idno type="ISSN">0022-3492</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar bone</term><term>Computerized axial tomography</term><term>Cone beam</term><term>Dental implant</term><term>Dentistry</term><term>Gingiva</term><term>Human</term><term>Measurement</term><term>Osteopenia</term><term>Periodontal disease</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Ostéopénie</term><term>Parodontopathie</term><term>Mesure</term><term>Tomodensitométrie</term><term>Homme</term><term>Os alvéolaire</term><term>Gencive</term><term>Dentisterie</term><term>Traitement</term><term>Implant dentaire</term><term>Faisceau conique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The aim of this prospective study is to evaluate the three-dimensional marginal bone level around implants 5 to 15 years after loading in partially edentulous patients treated for generalized chronic periodontitis (GCP) and generalized aggressive periodontitis (GAgP). Methods: Seventeen patients with GCP and 17 patients with GAgP were treated with a total of 119 implants. Patients were examined clinically on a 3-month recall schedule after insertion of the superstructure, and radiographs were taken at fixed intervals. At the end of the observation period, cone-beam computed tomography was used for the analysis of the circumferential three-dimensional bone level (mesial, distal, buccal, and lingual/palatal) and determination of keratinized mucosa thickness (KMT). Results: In both groups, a significant bone loss at implants was observed buccally (GAgP group: 4.49 ± 2.93 mm; GCP group: 3.57 ± 2.94 mm) with significantly more average bone loss in patients with GAgP (3.00 ± 1.67 mm) compared to in patients with GCP (2.45 ± 1.08 mm). The lowest values for KMT in both groups were found in the anterior mandible (GAgP group: 0.99 ± 1.13 mm; GCP group: 0.82 ± 0.91 mm). There were significant correlations between clinical parameters and bone loss in mandibles of patients with GAgP. Conclusions: The lowest value for KMT in both groups was found in the mandible. Bone loss was observed buccally and was more pronounced in patients with GAgP, with a significant correlation with keratinized mucosa and increased inflammation.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0022-3492</s0></fA01><fA03 i2="1"><s0>J. periodontol. : (1970)</s0></fA03><fA05><s2>82</s2></fA05><fA06><s2>5</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Three-Dimensional Measurement of Bone Loss at Implants in Patients With Periodontal Disease</s1></fA08><fA11 i1="01" i2="1"><s1>KEHL (Marcus)</s1></fA11><fA11 i1="02" i2="1"><s1>SWIERKOT (Katrin)</s1></fA11><fA11 i1="03" i2="1"><s1>MENGEL (Reiner)</s1></fA11><fA14 i1="01"><s1>Department of Periodontology, Dental School of Medicine, Philipps University</s1><s2>Marburg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></fA14><fA20><s1>689-699</s1></fA20><fA21><s1>2011</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>874</s2><s5>354000191524210050</s5></fA43><fA44><s0>0000</s0><s1>© 2011 INIST-CNRS. 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At the end of the observation period, cone-beam computed tomography was used for the analysis of the circumferential three-dimensional bone level (mesial, distal, buccal, and lingual/palatal) and determination of keratinized mucosa thickness (KMT). Results: In both groups, a significant bone loss at implants was observed buccally (GAgP group: 4.49 ± 2.93 mm; GCP group: 3.57 ± 2.94 mm) with significantly more average bone loss in patients with GAgP (3.00 ± 1.67 mm) compared to in patients with GCP (2.45 ± 1.08 mm). The lowest values for KMT in both groups were found in the anterior mandible (GAgP group: 0.99 ± 1.13 mm; GCP group: 0.82 ± 0.91 mm). There were significant correlations between clinical parameters and bone loss in mandibles of patients with GAgP. Conclusions: The lowest value for KMT in both groups was found in the mandible. 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