Serveur d'exploration sur le patient édenté

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Peri‐implantitis: from diagnosis to therapeutics

Identifieur interne : 000077 ( France/Analysis ); précédent : 000076; suivant : 000078

Peri‐implantitis: from diagnosis to therapeutics

Auteurs : Tung Nguyen-Hieu [France] ; Alain Borghetti [France] ; Gérard Aboudharam [France]

Source :

RBID : ISTEX:ABA4CBF97BE06F3166C406814D479008F731D48C

Descripteurs français

English descriptors

Abstract

Peri‐implantitis is an infection of the tissue around an implant, resulting in the loss of supporting bone. Risk factors for peri‐implantitis consist of a history of periodontitis, dental plaque, poor oral hygiene, smoking, alcohol consumption and diabetes. A clinical diagnosis indicates inflammatory signs including bleeding on probing with or without suppuration and a peri‐implant pocket depth ≥5 mm. A radiograph shows images of marginal bone loss ≥2 mm. A differential diagnosis of peri‐implant mucositis, occlusal overload, retrograde peri‐implantitis and inflammatory implant periapical lesions suggests the appropriate treatment in each case. The non‐surgical treatment of peri‐implantitis, including a mechanical treatment alone or combined with antiseptics or antibiotics can improve clinical parameters in the short term but residual defects may still persist. Surgical treatment such as guided bone regeneration results in a gain of clinical attachment level and bone reconstruction in the long term. The limited effect of laser‐assisted therapy needs to be further evaluated. The concept of prevention based on early detection and regular maintenance plays a principal role in reducing the occurrence of peri‐implantitis.

Url:
DOI: 10.1111/j.2041-1626.2012.00116.x


Affiliations:


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ISTEX:ABA4CBF97BE06F3166C406814D479008F731D48C

Le document en format XML

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<name sortKey="Borghetti, Alain" sort="Borghetti, Alain" uniqKey="Borghetti A" first="Alain" last="Borghetti">Alain Borghetti</name>
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<title level="j" type="main">Journal of Investigative and Clinical Dentistry</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alcohol consumption</term>
<term>Antibiotic</term>
<term>Antibiotic therapy</term>
<term>Antimicrobial</term>
<term>Antimicrobial therapy</term>
<term>Antimicrobial treatment</term>
<term>Attachment gain</term>
<term>Autogenous</term>
<term>Autogenous bone graft</term>
<term>Becker</term>
<term>Blackwell publishing asia</term>
<term>Blind group</term>
<term>Blood clots</term>
<term>Bone defects</term>
<term>Bone destruction</term>
<term>Bone graft</term>
<term>Bone level</term>
<term>Bone loss</term>
<term>Bone reconstruction</term>
<term>Bone regeneration</term>
<term>Bone resorption</term>
<term>Buccal dehiscence</term>
<term>Case report</term>
<term>Chlorhexidine</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clin periodontol</term>
<term>Clinical attachment level</term>
<term>Clinical diagnosis</term>
<term>Clinical parameters</term>
<term>Clinical results</term>
<term>Clinical signs</term>
<term>Clinical studies</term>
<term>Clinical study</term>
<term>Collagen membrane</term>
<term>Consensus report</term>
<term>Curette</term>
<term>Debridement</term>
<term>Decontamination</term>
<term>Defect</term>
<term>Dent</term>
<term>Dental implants</term>
<term>Dental plaque</term>
<term>Differential diagnosis</term>
<term>Early detection</term>
<term>Genotype</term>
<term>Gingival recession</term>
<term>Graft</term>
<term>Granulation</term>
<term>Granulation tissue</term>
<term>Healthy implants</term>
<term>Implant</term>
<term>Implant insertion</term>
<term>Implant loss</term>
<term>Implant surface</term>
<term>Implant surface characteristics</term>
<term>Implant therapy</term>
<term>Implant treatment</term>
<term>Important role</term>
<term>Infectious agents</term>
<term>Insertion</term>
<term>Keratinized gingiva</term>
<term>Keratinized mucosa</term>
<term>Lang</term>
<term>Laser</term>
<term>Laser irradiation</term>
<term>Lesion</term>
<term>Lindahl</term>
<term>Local application</term>
<term>Long term</term>
<term>Marginal bone level</term>
<term>Marginal bone loss</term>
<term>Maxilla</term>
<term>Maxillofac</term>
<term>Mechanical debridement</term>
<term>Mechanical therapy</term>
<term>Mechanical treatment</term>
<term>Membrane</term>
<term>Microbiological</term>
<term>Mucositis</term>
<term>Nanocrystalline hydroxyapatite</term>
<term>Occlusal</term>
<term>Occlusal overload</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Periapical</term>
<term>Periimplant</term>
<term>Periimplant mucositis</term>
<term>Periimplantitis</term>
<term>Periodontal</term>
<term>Periodontitis</term>
<term>Periodontol</term>
<term>Pilot study</term>
<term>Plaque</term>
<term>Plastic curettes</term>
<term>Pocket depth</term>
<term>Polymerase chain reaction</term>
<term>Radiographic</term>
<term>Recent study</term>
<term>Regeneration</term>
<term>Regular maintenance</term>
<term>Renvert</term>
<term>Resective</term>
<term>Resective surgery</term>
<term>Residual defects</term>
<term>Resorbable membrane</term>
<term>Risk factors</term>
<term>Schwarz</term>
<term>Short term</term>
<term>Smoker</term>
<term>Statistical difference</term>
<term>Study group</term>
<term>Subgingival</term>
<term>Substitutive</term>
<term>Substitutive material</term>
<term>Surgical</term>
<term>Surgical therapy</term>
<term>Surgical treatment</term>
<term>Systematic review</term>
<term>Titanium</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Alcohol consumption</term>
<term>Antibiotic</term>
<term>Antibiotic therapy</term>
<term>Antimicrobial</term>
<term>Antimicrobial therapy</term>
<term>Antimicrobial treatment</term>
<term>Attachment gain</term>
<term>Autogenous</term>
<term>Autogenous bone graft</term>
<term>Becker</term>
<term>Blackwell publishing asia</term>
<term>Blind group</term>
<term>Blood clots</term>
<term>Bone defects</term>
<term>Bone destruction</term>
<term>Bone graft</term>
<term>Bone level</term>
<term>Bone loss</term>
<term>Bone reconstruction</term>
<term>Bone regeneration</term>
<term>Bone resorption</term>
<term>Buccal dehiscence</term>
<term>Case report</term>
<term>Chlorhexidine</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clin periodontol</term>
<term>Clinical attachment level</term>
<term>Clinical diagnosis</term>
<term>Clinical parameters</term>
<term>Clinical results</term>
<term>Clinical signs</term>
<term>Clinical studies</term>
<term>Clinical study</term>
<term>Collagen membrane</term>
<term>Consensus report</term>
<term>Curette</term>
<term>Debridement</term>
<term>Decontamination</term>
<term>Defect</term>
<term>Dent</term>
<term>Dental implants</term>
<term>Dental plaque</term>
<term>Differential diagnosis</term>
<term>Early detection</term>
<term>Genotype</term>
<term>Gingival recession</term>
<term>Graft</term>
<term>Granulation</term>
<term>Granulation tissue</term>
<term>Healthy implants</term>
<term>Implant</term>
<term>Implant insertion</term>
<term>Implant loss</term>
<term>Implant surface</term>
<term>Implant surface characteristics</term>
<term>Implant therapy</term>
<term>Implant treatment</term>
<term>Important role</term>
<term>Infectious agents</term>
<term>Insertion</term>
<term>Keratinized gingiva</term>
<term>Keratinized mucosa</term>
<term>Lang</term>
<term>Laser</term>
<term>Laser irradiation</term>
<term>Lesion</term>
<term>Lindahl</term>
<term>Local application</term>
<term>Long term</term>
<term>Marginal bone level</term>
<term>Marginal bone loss</term>
<term>Maxilla</term>
<term>Maxillofac</term>
<term>Mechanical debridement</term>
<term>Mechanical therapy</term>
<term>Mechanical treatment</term>
<term>Membrane</term>
<term>Microbiological</term>
<term>Mucositis</term>
<term>Nanocrystalline hydroxyapatite</term>
<term>Occlusal</term>
<term>Occlusal overload</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Periapical</term>
<term>Periimplant</term>
<term>Periimplant mucositis</term>
<term>Periimplantitis</term>
<term>Periodontal</term>
<term>Periodontitis</term>
<term>Periodontol</term>
<term>Pilot study</term>
<term>Plaque</term>
<term>Plastic curettes</term>
<term>Pocket depth</term>
<term>Polymerase chain reaction</term>
<term>Radiographic</term>
<term>Recent study</term>
<term>Regeneration</term>
<term>Regular maintenance</term>
<term>Renvert</term>
<term>Resective</term>
<term>Resective surgery</term>
<term>Residual defects</term>
<term>Resorbable membrane</term>
<term>Risk factors</term>
<term>Schwarz</term>
<term>Short term</term>
<term>Smoker</term>
<term>Statistical difference</term>
<term>Study group</term>
<term>Subgingival</term>
<term>Substitutive</term>
<term>Substitutive material</term>
<term>Surgical</term>
<term>Surgical therapy</term>
<term>Surgical treatment</term>
<term>Systematic review</term>
<term>Titanium</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Antibiotique</term>
<term>Assainissement</term>
<term>Titane</term>
</keywords>
</textClass>
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<front>
<div type="abstract" xml:lang="en">Peri‐implantitis is an infection of the tissue around an implant, resulting in the loss of supporting bone. Risk factors for peri‐implantitis consist of a history of periodontitis, dental plaque, poor oral hygiene, smoking, alcohol consumption and diabetes. A clinical diagnosis indicates inflammatory signs including bleeding on probing with or without suppuration and a peri‐implant pocket depth ≥5 mm. A radiograph shows images of marginal bone loss ≥2 mm. A differential diagnosis of peri‐implant mucositis, occlusal overload, retrograde peri‐implantitis and inflammatory implant periapical lesions suggests the appropriate treatment in each case. The non‐surgical treatment of peri‐implantitis, including a mechanical treatment alone or combined with antiseptics or antibiotics can improve clinical parameters in the short term but residual defects may still persist. Surgical treatment such as guided bone regeneration results in a gain of clinical attachment level and bone reconstruction in the long term. The limited effect of laser‐assisted therapy needs to be further evaluated. The concept of prevention based on early detection and regular maintenance plays a principal role in reducing the occurrence of peri‐implantitis.</div>
</front>
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<name sortKey="Nguyen Ieu, Tung" sort="Nguyen Ieu, Tung" uniqKey="Nguyen Ieu T" first="Tung" last="Nguyen-Hieu">Tung Nguyen-Hieu</name>
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