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Successful Treatment of Early Implant Failure: A Case Series

Identifieur interne : 000908 ( Istex/Corpus ); précédent : 000907; suivant : 000909

Successful Treatment of Early Implant Failure: A Case Series

Auteurs : Ali Saad Thafeed Alghamdi

Source :

RBID : ISTEX:1242F9922FD04FCFB6DEC191A9FF053CA0B8003C

English descriptors

Abstract

Background: The aim of this longitudinal study was to evaluate the effect of combined treatment on early progressive bone loss around dental implants.

Url:
DOI: 10.1111/j.1708-8208.2009.00267.x

Links to Exploration step

ISTEX:1242F9922FD04FCFB6DEC191A9FF053CA0B8003C

Le document en format XML

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<hi rend="bold">Background:</hi>
The aim of this longitudinal study was to evaluate the effect of combined treatment on early progressive bone loss around dental implants.</p>
<p>
<hi rend="bold">Methods:</hi>
The study sample consisted of 18 implants presenting at 4–6 weeks postplacement with early progressive bone loss. Clinical examination indicated the presence of a fistula in the soft tissue covering the implants in most cases. Defects around the implants were curetted, exposed implant surfaces were mechanically debrided and treated with tetracycline solution, and the defects were filled with bone graft and doxycycline powder. Bioabsorbable membranes were used. Final crowns were placed after 6 months. The patients were followed for an average of 30 months.</p>
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<hi rend="bold">Results:</hi>
The surgical sites healed without complication. At the time of loading, the defects were completely restored. At 12 months postloading, there was crestal bone loss to the level of the first thread (average, 1.3 mm). Pocket depths ranged from 3 to 5 mm (average, 3.6 mm) with no bleeding. No further changes were noticed throughout the remaining follow‐up visits. All implants were successful according to the criteria proposed by Albrektsson and colleagues.</p>
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<hi rend="bold">Conclusions:</hi>
Early detection and treatment of early progressive bone loss around dental implants are the key to saving early failing implants. The author recommends reevaluation visits 4–6 weeks postimplant placement to detect any signs of early failure so that immediate treatment can be undertaken if needed.</p>
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<correspondenceTo>Ali Saad Thafeed AlGhamdi, head of Periodontic Division, chairman of Oral Basic & Clinical Sciences Department; chairman of Saudi Board in Periodontics, Western Region, Faculty of Dentistry, King Abdulaziz University, P.O. Box 109725, Jeddah 21351, Saudi Arabia; e‐mail:
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<title type="main">Successful Treatment of Early Implant Failure: A Case Series</title>
<title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume *, Number *, 2010</title>
<title type="short">Successful Treatment of Early Implant Failure</title>
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<keyword xml:id="k1">antimicrobial therapy</keyword>
<keyword xml:id="k2">dental implant</keyword>
<keyword xml:id="k3">early failure</keyword>
<keyword xml:id="k4">guided bone regeneration</keyword>
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<b>Background:</b>
The aim of this longitudinal study was to evaluate the effect of combined treatment on early progressive bone loss around dental implants.</p>
<p>
<b>Methods:</b>
The study sample consisted of 18 implants presenting at 4–6 weeks postplacement with early progressive bone loss. Clinical examination indicated the presence of a fistula in the soft tissue covering the implants in most cases. Defects around the implants were curetted, exposed implant surfaces were mechanically debrided and treated with tetracycline solution, and the defects were filled with bone graft and doxycycline powder. Bioabsorbable membranes were used. Final crowns were placed after 6 months. The patients were followed for an average of 30 months.</p>
<p>
<b>Results:</b>
The surgical sites healed without complication. At the time of loading, the defects were completely restored. At 12 months postloading, there was crestal bone loss to the level of the first thread (average, 1.3 mm). Pocket depths ranged from 3 to 5 mm (average, 3.6 mm) with no bleeding. No further changes were noticed throughout the remaining follow‐up visits. All implants were successful according to the criteria proposed by Albrektsson and colleagues.</p>
<p>
<b>Conclusions:</b>
Early detection and treatment of early progressive bone loss around dental implants are the key to saving early failing implants. The author recommends reevaluation visits 4–6 weeks postimplant placement to detect any signs of early failure so that immediate treatment can be undertaken if needed.</p>
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<abstract>Background: The aim of this longitudinal study was to evaluate the effect of combined treatment on early progressive bone loss around dental implants.</abstract>
<abstract>Methods: The study sample consisted of 18 implants presenting at 4–6 weeks postplacement with early progressive bone loss. Clinical examination indicated the presence of a fistula in the soft tissue covering the implants in most cases. Defects around the implants were curetted, exposed implant surfaces were mechanically debrided and treated with tetracycline solution, and the defects were filled with bone graft and doxycycline powder. Bioabsorbable membranes were used. Final crowns were placed after 6 months. The patients were followed for an average of 30 months.</abstract>
<abstract>Results: The surgical sites healed without complication. At the time of loading, the defects were completely restored. At 12 months postloading, there was crestal bone loss to the level of the first thread (average, 1.3 mm). Pocket depths ranged from 3 to 5 mm (average, 3.6 mm) with no bleeding. No further changes were noticed throughout the remaining follow‐up visits. All implants were successful according to the criteria proposed by Albrektsson and colleagues.</abstract>
<abstract>Conclusions: Early detection and treatment of early progressive bone loss around dental implants are the key to saving early failing implants. The author recommends reevaluation visits 4–6 weeks postimplant placement to detect any signs of early failure so that immediate treatment can be undertaken if needed.</abstract>
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