A patient with meningeal melanomatosis treated for periodontal disease with a bone regeneration procedure and dental implants: clinical and behavioral management to support medical compliance.
Identifieur interne : 000B12 ( PubMed/Corpus ); précédent : 000B11; suivant : 000B13A patient with meningeal melanomatosis treated for periodontal disease with a bone regeneration procedure and dental implants: clinical and behavioral management to support medical compliance.
Auteurs : R. Tizzoni ; L. Veneroni ; C A ClericiSource :
- ORAL & implantology [ 1974-5648 ] ; 2013.
Abstract
During the last three decades dental implants have become increasingly used in partially edentulous periodontally compromised patients. The type of bacteria in the peri-implant sulcus is influenced by the periodontal bacteria present on the surfaces of the remaining teeth. Peri-implant sulci of partially edentulous individuals harbour more motile rods and spirochetes than those of fully edentulous individuals. If Peri-implantitis arises, it may lead to implant failure. This complication occurs more frequently in patients with poor oral hygiene. This is a site-specific bacterial infection similar to that caused by periodontal bacteria around teeth and it should be prevented.
PubMed: 24772265
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A patient with meningeal melanomatosis treated for periodontal disease with a bone regeneration procedure and dental implants: clinical and behavioral management to support medical compliance.</title><author><name sortKey="Tizzoni, R" sort="Tizzoni, R" uniqKey="Tizzoni R" first="R" last="Tizzoni">R. Tizzoni</name><affiliation><nlm:affiliation>Private practice, Milan, Italy;</nlm:affiliation></affiliation></author><author><name sortKey="Veneroni, L" sort="Veneroni, L" uniqKey="Veneroni L" first="L" last="Veneroni">L. Veneroni</name><affiliation><nlm:affiliation>Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy;</nlm:affiliation></affiliation></author><author><name sortKey="Clerici, C A" sort="Clerici, C A" uniqKey="Clerici C" first="C A" last="Clerici">C A Clerici</name><affiliation><nlm:affiliation>Specialist in Clinical Psychology, Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24772265</idno><idno type="pmid">24772265</idno><idno type="wicri:Area/PubMed/Corpus">000B12</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000B12</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A patient with meningeal melanomatosis treated for periodontal disease with a bone regeneration procedure and dental implants: clinical and behavioral management to support medical compliance.</title><author><name sortKey="Tizzoni, R" sort="Tizzoni, R" uniqKey="Tizzoni R" first="R" last="Tizzoni">R. Tizzoni</name><affiliation><nlm:affiliation>Private practice, Milan, Italy;</nlm:affiliation></affiliation></author><author><name sortKey="Veneroni, L" sort="Veneroni, L" uniqKey="Veneroni L" first="L" last="Veneroni">L. Veneroni</name><affiliation><nlm:affiliation>Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy;</nlm:affiliation></affiliation></author><author><name sortKey="Clerici, C A" sort="Clerici, C A" uniqKey="Clerici C" first="C A" last="Clerici">C A Clerici</name><affiliation><nlm:affiliation>Specialist in Clinical Psychology, Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy.</nlm:affiliation></affiliation></author></analytic><series><title level="j">ORAL & implantology</title><idno type="ISSN">1974-5648</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">During the last three decades dental implants have become increasingly used in partially edentulous periodontally compromised patients. The type of bacteria in the peri-implant sulcus is influenced by the periodontal bacteria present on the surfaces of the remaining teeth. Peri-implant sulci of partially edentulous individuals harbour more motile rods and spirochetes than those of fully edentulous individuals. If Peri-implantitis arises, it may lead to implant failure. This complication occurs more frequently in patients with poor oral hygiene. This is a site-specific bacterial infection similar to that caused by periodontal bacteria around teeth and it should be prevented.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">24772265</PMID><DateCompleted><Year>2014</Year><Month>04</Month><Day>28</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1974-5648</ISSN><JournalIssue CitedMedium="Print"><Volume>6</Volume><Issue>3</Issue><PubDate><Year>2013</Year><Month>Mar</Month></PubDate></JournalIssue><Title>ORAL & implantology</Title><ISOAbbreviation>Oral Implantol (Rome)</ISOAbbreviation></Journal><ArticleTitle>A patient with meningeal melanomatosis treated for periodontal disease with a bone regeneration procedure and dental implants: clinical and behavioral management to support medical compliance.</ArticleTitle><Pagination><MedlinePgn>75-81</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">During the last three decades dental implants have become increasingly used in partially edentulous periodontally compromised patients. The type of bacteria in the peri-implant sulcus is influenced by the periodontal bacteria present on the surfaces of the remaining teeth. Peri-implant sulci of partially edentulous individuals harbour more motile rods and spirochetes than those of fully edentulous individuals. If Peri-implantitis arises, it may lead to implant failure. This complication occurs more frequently in patients with poor oral hygiene. This is a site-specific bacterial infection similar to that caused by periodontal bacteria around teeth and it should be prevented.</AbstractText><AbstractText Label="AIM" NlmCategory="OBJECTIVE">This study was conducted to radiographically evaluate hard tissue response around 6 implants, over a 2-year period, in a previously surgically treated patient affected by severe chronic periodontitis. Psychological considerations and behavioral management of the patient are described.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A complex implant-perio-prosthodontic case of a 54-year-old man affected by meningeal melanomatosis with a history of generalized severe chronic periodontitis was recruited. A comprehensive periodontal examination around teeth was accomplished before periodontal and implant treatment. After diagnostic work-up, compromised teeth from 1.3 to 2.3 and from 3.2 to 4.2 were extracted. Tooth 1.7 was also extracted. Afterwards fixed provisional restoration rehabilitated all the natural dentition and the missing teeth. Endodonthic therapies were conducted on all the teeth due to high dentinal sensitivity and pre-prosthodontic crown reconstructions performed. Periodontal surgery with modified Widman flaps were then accomplished on all the teeth. Three months later four maxillary implants in position 1.3,1.1,2.1,2.3 and two mandibular implants in position 4.2,3.2 were inserted. During mandibular implants positioning, the mental mussels were isolated and detached to achieve proper guided bone regeneration. During implant surgery, due to systemic conditions concern, the patient underwent intravenous sedation. Five months later the implants and the teeth were rehabilitated with fixed metal-ceramic bridges. Regarding the upper prosthetic rehabilitation, the incisors marginal edges were kept vertical to the nasal spine, due to lack of previous reference points. According to the reference points previously determined, the difference in bone level between radiographs taken at implants insertion and at the maintenance appointments was calculated.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The health of the periodontally treated teeth resulted greatly enhanced. The mean alveolar bore loss was 0,30 mm after a 2-year observation period.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The control of the periodontal disease before implant insertion in patients with severe chronic periodontitis is of paramount importance, as well as a regular maintenance program is essential for the health of the periodontal and peri-implant tissues. The management of patients with complex needs requires a multidisciplinary team designed to meet all the patient's needs on various levels.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tizzoni</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Private practice, Milan, Italy;</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Veneroni</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy;</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Clerici</LastName><ForeName>C A</ForeName><Initials>CA</Initials><AffiliationInfo><Affiliation>Specialist in Clinical Psychology, Department of Pathophysiology and Transplantation - University of Milan, Milan, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>04</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Oral Implantol (Rome)</MedlineTA><NlmUniqueID>101574127</NlmUniqueID><ISSNLinking>1974-5648</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Adv Prosthodont. 2012 Nov;4(4):210-7</RefSource><PMID Version="1">23236573</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Periodontol. 2000 Nov;71(11):1699-707</RefSource><PMID Version="1">11128917</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Sci Prog. 1995;78 ( Pt 1):19-34</RefSource><PMID Version="1">7597416</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Pract Periodontics Aesthet Dent. 1993 Dec;5(9):79-80, 82</RefSource><PMID 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Source="NLM">PMC3982304</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">bacterial colonization</Keyword><Keyword MajorTopicYN="N">bone loss</Keyword><Keyword MajorTopicYN="N">dental implants</Keyword><Keyword MajorTopicYN="N">patient compliance</Keyword><Keyword MajorTopicYN="N">periodontally compromised patients</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>4</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>4</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>4</Month><Day>29</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24772265</ArticleId><ArticleId IdType="pmc">PMC3982304</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour 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