Aetiology, microbiology and therapy of periapical lesions around oral implants: a retrospective analysis
Identifieur interne : 000B59 ( Istex/Corpus ); précédent : 000B58; suivant : 000B60Aetiology, microbiology and therapy of periapical lesions around oral implants: a retrospective analysis
Auteurs : David Lefever ; Nele Van Assche ; Andy Temmerman ; Wim Teughels ; Marc QuirynenSource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2013-03.
English descriptors
- KwdEn :
- Adjacent teeth, Adjacent tooth, Aetiological factors, Anaerobic bacteria, Antibiotic, Apical, Apical pathology, Apicoectomy, Apicoectomy procedure, Ayangco sheridan, Bone substitute, Case report, Cumulative survival rate, Curettage, Dental implant, Dental implants, Dentistry, Endodontic, Endodontic pathology, Endodontic status, Endodontic treatment, Implant, Implant dentistry, Implant periapical lesion, Implant placement, Implant site, Implant surface, International journal, Lesion, Maxillofacial, Microbial, Microbial pathology, Neighbouring teeth, Oral implants, Oral maxillofacial implants, Periapical, Periapical condition, Periapical lesion, Periapical lesions, Periapical pathology, Periapical status, Periodontology, Quirynen, Radiograph, Radiolucency, Reiser nevins, Systemic antibiotics, Thorough curettage.
- Teeft :
- Adjacent teeth, Adjacent tooth, Aetiological factors, Anaerobic bacteria, Antibiotic, Apical, Apical pathology, Apicoectomy, Apicoectomy procedure, Ayangco sheridan, Bone substitute, Case report, Cumulative survival rate, Curettage, Dental implant, Dental implants, Dentistry, Endodontic, Endodontic pathology, Endodontic status, Endodontic treatment, Implant, Implant dentistry, Implant periapical lesion, Implant placement, Implant site, Implant surface, International journal, Lesion, Maxillofacial, Microbial, Microbial pathology, Neighbouring teeth, Oral implants, Oral maxillofacial implants, Periapical, Periapical condition, Periapical lesion, Periapical lesions, Periapical pathology, Periapical status, Periodontology, Quirynen, Radiograph, Radiolucency, Reiser nevins, Systemic antibiotics, Thorough curettage.
Abstract
The aim of this study was: (i) to evaluate whether an endodontic pathology on the extracted tooth or adjacent teeth of an implant site has an influence on the emergence of a periapical lesion, (ii) to retrospectively analyse the outcome of different treatment strategies, (iii) to determine which bacteria were present in periapical lesions.
Url:
DOI: 10.1111/jcpe.12045
Links to Exploration step
ISTEX:176E9E8CFD4857B6DB885261C702E60BA540F162Le document en format XML
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pathology</term><term>Apicoectomy</term><term>Apicoectomy procedure</term><term>Ayangco sheridan</term><term>Bone substitute</term><term>Case report</term><term>Cumulative survival rate</term><term>Curettage</term><term>Dental implant</term><term>Dental implants</term><term>Dentistry</term><term>Endodontic</term><term>Endodontic pathology</term><term>Endodontic status</term><term>Endodontic treatment</term><term>Implant</term><term>Implant dentistry</term><term>Implant periapical lesion</term><term>Implant placement</term><term>Implant site</term><term>Implant surface</term><term>International journal</term><term>Lesion</term><term>Maxillofacial</term><term>Microbial</term><term>Microbial pathology</term><term>Neighbouring teeth</term><term>Oral implants</term><term>Oral maxillofacial implants</term><term>Periapical</term><term>Periapical condition</term><term>Periapical lesion</term><term>Periapical lesions</term><term>Periapical pathology</term><term>Periapical status</term><term>Periodontology</term><term>Quirynen</term><term>Radiograph</term><term>Radiolucency</term><term>Reiser nevins</term><term>Systemic antibiotics</term><term>Thorough curettage</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adjacent teeth</term><term>Adjacent tooth</term><term>Aetiological factors</term><term>Anaerobic bacteria</term><term>Antibiotic</term><term>Apical</term><term>Apical pathology</term><term>Apicoectomy</term><term>Apicoectomy procedure</term><term>Ayangco sheridan</term><term>Bone substitute</term><term>Case report</term><term>Cumulative survival rate</term><term>Curettage</term><term>Dental implant</term><term>Dental implants</term><term>Dentistry</term><term>Endodontic</term><term>Endodontic pathology</term><term>Endodontic status</term><term>Endodontic treatment</term><term>Implant</term><term>Implant dentistry</term><term>Implant periapical lesion</term><term>Implant placement</term><term>Implant site</term><term>Implant surface</term><term>International journal</term><term>Lesion</term><term>Maxillofacial</term><term>Microbial</term><term>Microbial pathology</term><term>Neighbouring teeth</term><term>Oral implants</term><term>Oral maxillofacial implants</term><term>Periapical</term><term>Periapical condition</term><term>Periapical lesion</term><term>Periapical lesions</term><term>Periapical pathology</term><term>Periapical status</term><term>Periodontology</term><term>Quirynen</term><term>Radiograph</term><term>Radiolucency</term><term>Reiser nevins</term><term>Systemic antibiotics</term><term>Thorough curettage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">The aim of this study was: (i) to evaluate whether an endodontic pathology on the extracted tooth or adjacent teeth of an implant site has an influence on the emergence of a periapical lesion, (ii) to retrospectively analyse the outcome of different treatment strategies, (iii) to determine which bacteria were present in periapical lesions.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>periapical</json:string><json:string>implant</json:string><json:string>endodontic</json:string><json:string>periapical lesion</json:string><json:string>periapical lesions</json:string><json:string>lesion</json:string><json:string>adjacent teeth</json:string><json:string>radiograph</json:string><json:string>quirynen</json:string><json:string>endodontic treatment</json:string><json:string>apical</json:string><json:string>endodontic pathology</json:string><json:string>case report</json:string><json:string>curettage</json:string><json:string>international journal</json:string><json:string>apicoectomy</json:string><json:string>implant site</json:string><json:string>radiolucency</json:string><json:string>periodontology</json:string><json:string>maxillofacial</json:string><json:string>thorough curettage</json:string><json:string>systemic 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Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium</json:string></affiliations></json:item><json:item><name>Wim Teughels</name><affiliations><json:string>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium</json:string></affiliations></json:item><json:item><name>Marc Quirynen</name><affiliations><json:string>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>dental implant</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>implant failure</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>microbiology</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>periapical lesion</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>retrograde peri‐implantitis</value></json:item></subject><articleId><json:string>JCPE12045</json:string></articleId><arkIstex>ark:/67375/WNG-WL3KWSNQ-5</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>The aim of this study was: (i) to evaluate whether an endodontic pathology on the extracted tooth or adjacent teeth of an implant site has an influence on the emergence of a periapical lesion, (ii) to retrospectively analyse the outcome of different treatment strategies, (iii) to determine which bacteria were present in periapical lesions.</abstract><qualityIndicators><score>6.993</score><pdfWordCount>4345</pdfWordCount><pdfCharCount>28913</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>54</abstractWordCount><abstractCharCount>341</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Aetiology, microbiology and therapy of periapical lesions around oral implants: a retrospective analysis</title><pmid><json:string>23278599</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Journal of Clinical 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University Leuven</json:string><json:string>Catholic University</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Teeth</json:string><json:string>John Wiley</json:string><json:string>M. Aetiology</json:string><json:string>Van Assche</json:string><json:string>The</json:string><json:string>A. Actinomycetemcomitans</json:string><json:string>Andy Temmerman</json:string></persName><placeName><json:string>Switzerland</json:string><json:string>Germany</json:string><json:string>Finland</json:string><json:string>Gothenburg</json:string><json:string>Basel</json:string><json:string>Leuven</json:string><json:string>Sweden</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Ayangco & Sheridan 2001</json:string><json:string>McAllister et al. 1992</json:string><json:string>Piattelli et al. 1998b</json:string><json:string>Lefever et al.</json:string><json:string>Sussman 1998</json:string><json:string>Balshi et al. 1994</json:string><json:string>Balshi et al. 2007</json:string><json:string>Quirynen et al. 2005</json:string><json:string>Renvert et al. 2011</json:string><json:string>el Askary et al. 1999</json:string><json:string>Bousdras et al. 2006</json:string><json:string>Piattelli et al. 1998a</json:string><json:string>Bretz et al. 1997</json:string><json:string>Waasdrop & Reynolds 2010</json:string><json:string>Zhou et al. 2012</json:string><json:string>Takasaki et al. 2009</json:string><json:string>Rosendahl et al. 2009</json:string><json:string>Romanos et al. 2011</json:string><json:string>Van Assche et al. 2009</json:string><json:string>Quirynen et al. 2003</json:string><json:string>Chang et al. 2011</json:string><json:string>Esposito et al. 1999</json:string><json:string>Silva et al. 2010</json:string><json:string>Shaffer et al. 1998</json:string><json:string>Schwarz et al. 2006</json:string><json:string>Dahlin et al. 2009</json:string><json:string>Green et al. (1997)</json:string><json:string>Quirynen et al. 1999</json:string><json:string>Sun et al. 2012</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-WL3KWSNQ-5</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Periodontics</json:string></scopus></categories><publicationDate>2013</publicationDate><copyrightDate>2013</copyrightDate><doi><json:string>10.1111/jcpe.12045</json:string></doi><id>176E9E8CFD4857B6DB885261C702E60BA540F162</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/176E9E8CFD4857B6DB885261C702E60BA540F162/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/176E9E8CFD4857B6DB885261C702E60BA540F162/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/176E9E8CFD4857B6DB885261C702E60BA540F162/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Aetiology, microbiology and therapy of periapical lesions around oral implants: a retrospective 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& Maxillo‐Facial Surgery</orgName><orgName>Faculty of Medicine</orgName><orgName>Catholic University Leuven</orgName><address><settlement type="city">Leuven</settlement><country key="BE">Belgium</country></address></affiliation><affiliation>Address: David Lefever Kapucijnenvoer 33 B‐3000 Leuven Belgium E‐mail: david_lefever@hotmail.com</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Nele</forename><surname>Assche</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>School of Dentistry</orgName><orgName>Oral Pathology & Maxillo‐Facial Surgery</orgName><orgName>Faculty of Medicine</orgName><orgName>Catholic University Leuven</orgName><address><settlement type="city">Leuven</settlement><country key="BE">Belgium</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Andy</forename><surname>Temmerman</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>School of Dentistry</orgName><orgName>Oral Pathology & Maxillo‐Facial Surgery</orgName><orgName>Faculty of Medicine</orgName><orgName>Catholic University Leuven</orgName><address><settlement type="city">Leuven</settlement><country key="BE">Belgium</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Wim</forename><surname>Teughels</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>School of Dentistry</orgName><orgName>Oral Pathology & Maxillo‐Facial Surgery</orgName><orgName>Faculty of Medicine</orgName><orgName>Catholic University Leuven</orgName><address><settlement type="city">Leuven</settlement><country key="BE">Belgium</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Marc</forename><surname>Quirynen</surname></persName><affiliation><orgName>Department of Periodontology</orgName><orgName>School of 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unit="page" from="296">296</biblScope><biblScope unit="page" to="302">302</biblScope><biblScope unit="page-count">7</biblScope><date type="published" when="2013-03"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="jcpe12045-abs-0001"><head>Abstract</head>
Objective
<p>The aim of this study was: (i) to evaluate whether an endodontic pathology on the extracted tooth or adjacent teeth of an implant site has an influence on the emergence of a periapical lesion, (ii) to retrospectively analyse the outcome of different treatment strategies, (iii) to determine which bacteria were present in periapical lesions.</p>
Methods
<p>The endodontic status of the tooth at the implant site and the adjacent teeth was explored and linked to the periapical status of the implant. For all the lesions treated since 2000, their survival was assessed. Finally, microbial samples (culturing) from the periapical lesions, were analysed.</p>
Results
<p>If an endodontic treatment or a periapical lesion at the apex of a tooth is present, a periapical lesion around the implant can be detected in 8.2% up to 13.6% (<hi rend="fc">OR</hi> 7.2). For periapical pathology at the adjacent teeth, the percentage rises to 25% (<hi rend="fc">OR</hi> 8.0). The best treatment option could not be found. Bacteria were found in 9/21 lesions. The most prominent species was <hi rend="italic">P. gingivalis</hi>.</p>
Conclusions
<p>When an endodontic pathology is present on the extracted or neighbouring teeth, it is significantly more likely that a periapical lesion will develop around a future implant.</p></abstract><textClass><keywords><term xml:id="jcpe12045-kwd-0001">dental implant</term><term xml:id="jcpe12045-kwd-0002">implant failure</term><term xml:id="jcpe12045-kwd-0003">microbiology</term><term xml:id="jcpe12045-kwd-0004">periapical lesion</term><term xml:id="jcpe12045-kwd-0005">retrograde peri‐implantitis</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Implant Therapy</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/176E9E8CFD4857B6DB885261C702E60BA540F162/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="jcpe12045" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-051X</doi><issn type="print">0303-6979</issn><issn type="electronic">1600-051X</issn><idGroup><id type="product" value="JCPE"></id></idGroup><titleGroup><title sort="JOURNAL OF CLINICAL PERIODONTOLOGY" type="main">Journal of Clinical Periodontology</title><title type="short">J Clin Periodontol</title></titleGroup></publicationMeta><publicationMeta level="part" position="30"><doi origin="wiley">10.1111/jcpe.2013.40.issue-3</doi><copyright ownership="publisher">Copyright © 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd</copyright><numberingGroup><numbering type="journalVolume" number="40">40</numbering><numbering type="journalIssue">3</numbering></numberingGroup><coverDate startDate="2013-03">March 2013</coverDate></publicationMeta><publicationMeta level="unit" position="100" status="forIssue" type="article"><doi>10.1111/jcpe.12045</doi><idGroup><id type="unit" value="JCPE12045"></id></idGroup><countGroup><count number="7" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Implant Therapy</title></titleGroup><copyright ownership="publisher">© 2012 John Wiley & Sons A/S</copyright><eventGroup><event date="2012-11-13" type="manuscriptAccepted"></event><event agent="SPS" date="2012-11-29" type="xmlCreated"></event><event type="publishedOnlineAccepted" date="2012-11-21"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-12-27"></event><event type="publishedOnlineFinalForm" date="2013-02-05"></event><event type="firstOnline" date="2012-12-27"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-19"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-01"></event></eventGroup><numberingGroup><numbering type="pageFirst">296</numbering><numbering type="pageLast">302</numbering></numberingGroup><correspondenceTo><lineatedText><line>Address:</line><line><i>David Lefever</i></line><line><i>Kapucijnenvoer 33</i></line><line><i>B‐3000 Leuven</i></line><line><i>Belgium</i></line><line>E‐mail: <email>david_lefever@hotmail.com</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="jcpe12045-cit-1001"><author><familyName>Lefever</familyName> <givenNames>D</givenNames></author>, <author><familyNamePrefix>Van</familyNamePrefix><familyName>Assche</familyName> <givenNames>N</givenNames></author>, <author><familyName>Temmerman</familyName> <givenNames>A</givenNames></author>, <author><familyName>Teughels</familyName> <givenNames>W</givenNames></author>, <author><familyName>Quirynen</familyName> <givenNames>M</givenNames></author>. <articleTitle>Aetiology, microbiology and therapy of periapical lesions around oral implants: a retrospective analysis</articleTitle>. <journalTitle>J Clin Periodontol</journalTitle> <pubYear year="2012">2012</pubYear>; <vol>00</vol>: <pageFirst>000</pageFirst>–<pageLast>000</pageLast>. doi: <accessionId ref="info:doi/10.1111/jcpe.12045">10.1111/jcpe.12045</accessionId>.</citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:JCPE.JCPE12045.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Aetiology, microbiology and therapy of periapical lesions around oral implants: a retrospective analysis</title><title type="shortAuthors">Lefever et al.</title></titleGroup><creators><creator affiliationRef="#jcpe12045-aff-0001" corresponding="yes" creatorRole="author" xml:id="jcpe12045-cr-0001"><personName><givenNames>David</givenNames> <familyName>Lefever</familyName></personName></creator><creator affiliationRef="#jcpe12045-aff-0001" creatorRole="author" xml:id="jcpe12045-cr-0002"><personName><givenNames>Nele</givenNames> <familyNamePrefix>Van</familyNamePrefix><familyName>Assche</familyName></personName></creator><creator affiliationRef="#jcpe12045-aff-0001" creatorRole="author" xml:id="jcpe12045-cr-0003"><personName><givenNames>Andy</givenNames> <familyName>Temmerman</familyName></personName></creator><creator affiliationRef="#jcpe12045-aff-0001" creatorRole="author" xml:id="jcpe12045-cr-0004"><personName><givenNames>Wim</givenNames> <familyName>Teughels</familyName></personName></creator><creator affiliationRef="#jcpe12045-aff-0001" creatorRole="author" xml:id="jcpe12045-cr-0005"><personName><givenNames>Marc</givenNames> <familyName>Quirynen</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="BE" type="organization" xml:id="jcpe12045-aff-0001"><orgDiv>Department of Periodontology</orgDiv> <orgDiv>School of Dentistry</orgDiv> <orgDiv>Oral Pathology & Maxillo‐Facial Surgery</orgDiv> <orgDiv>Faculty of Medicine</orgDiv> <orgName>Catholic University Leuven</orgName> <address><city>Leuven</city> <country>Belgium</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="jcpe12045-kwd-0001">dental implant</keyword><keyword xml:id="jcpe12045-kwd-0002">implant failure</keyword><keyword xml:id="jcpe12045-kwd-0003">microbiology</keyword><keyword xml:id="jcpe12045-kwd-0004">periapical lesion</keyword><keyword xml:id="jcpe12045-kwd-0005">retrograde peri‐implantitis</keyword></keywordGroup><abstractGroup><abstract type="main" xml:id="jcpe12045-abs-0001"><title type="main">Abstract</title><section xml:id="jcpe12045-sec-0001"><title type="main">Objective</title><p>The aim of this study was: (i) to evaluate whether an endodontic pathology on the extracted tooth or adjacent teeth of an implant site has an influence on the emergence of a periapical lesion, (ii) to retrospectively analyse the outcome of different treatment strategies, (iii) to determine which bacteria were present in periapical lesions.</p></section><section xml:id="jcpe12045-sec-0002"><title type="main">Methods</title><p>The endodontic status of the tooth at the implant site and the adjacent teeth was explored and linked to the periapical status of the implant. For all the lesions treated since 2000, their survival was assessed. Finally, microbial samples (culturing) from the periapical lesions, were analysed.</p></section><section xml:id="jcpe12045-sec-0003"><title type="main">Results</title><p>If an endodontic treatment or a periapical lesion at the apex of a tooth is present, a periapical lesion around the implant can be detected in 8.2% up to 13.6% (<fc>OR</fc> 7.2). For periapical pathology at the adjacent teeth, the percentage rises to 25% (<fc>OR</fc> 8.0). The best treatment option could not be found. Bacteria were found in 9/21 lesions. The most prominent species was <i>P. gingivalis</i>.</p></section><section xml:id="jcpe12045-sec-0004"><title type="main">Conclusions</title><p>When an endodontic pathology is present on the extracted or neighbouring teeth, it is significantly more likely that a periapical lesion will develop around a future implant.</p></section></abstract></abstractGroup></contentMeta><noteGroup xml:id="jcpe12045-ntgp-0001"><note numbered="no" xml:id="jcpe12045-note-0001"><p><b>Conflict of interest and source of funding</b></p><p>This article has been prepared without any sources of institutional, private or corporate financial support and there are no potential conflicts of interest.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Aetiology, microbiology and therapy of periapical lesions around oral implants: a retrospective analysis</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Aetiology, microbiology and therapy of periapical lesions around oral implants: a retrospective analysis</title></titleInfo><name type="personal"><namePart type="given">David</namePart><namePart type="family">Lefever</namePart><affiliation>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium</affiliation><affiliation>Address:E‐mail:</affiliation><affiliation>E-mail: david_lefever@hotmail.com</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Nele</namePart><namePart type="family">Van Assche</namePart><affiliation>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Andy</namePart><namePart type="family">Temmerman</namePart><affiliation>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Wim</namePart><namePart type="family">Teughels</namePart><affiliation>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marc</namePart><namePart type="family">Quirynen</namePart><affiliation>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-03</dateIssued><dateCreated encoding="w3cdtf">2012-11-29</dateCreated><dateValid encoding="w3cdtf">2012-11-13</dateValid><edition>Lefever D, VanAssche N, Temmerman A, Teughels W, Quirynen M. Aetiology, microbiology and therapy of periapical lesions around oral implants: a retrospective analysis. J Clin Periodontol 2012; 00: 000–000. doi: 10.1111/jcpe.12045.</edition><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>The aim of this study was: (i) to evaluate whether an endodontic pathology on the extracted tooth or adjacent teeth of an implant site has an influence on the emergence of a periapical lesion, (ii) to retrospectively analyse the outcome of different treatment strategies, (iii) to determine which bacteria were present in periapical lesions.</abstract><abstract>The endodontic status of the tooth at the implant site and the adjacent teeth was explored and linked to the periapical status of the implant. For all the lesions treated since 2000, their survival was assessed. Finally, microbial samples (culturing) from the periapical lesions, were analysed.</abstract><abstract>If an endodontic treatment or a periapical lesion at the apex of a tooth is present, a periapical lesion around the implant can be detected in 8.2% up to 13.6% (OR 7.2). For periapical pathology at the adjacent teeth, the percentage rises to 25% (OR 8.0). The best treatment option could not be found. Bacteria were found in 9/21 lesions. The most prominent species was P. gingivalis.</abstract><abstract>When an endodontic pathology is present on the extracted or neighbouring teeth, it is significantly more likely that a periapical lesion will develop around a future implant.</abstract><subject><genre>keywords</genre><topic>dental implant</topic><topic>implant failure</topic><topic>microbiology</topic><topic>periapical lesion</topic><topic>retrograde peri‐implantitis</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Clinical Periodontology</title></titleInfo><titleInfo type="abbreviated"><title>J Clin Periodontol</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">0303-6979</identifier><identifier type="eISSN">1600-051X</identifier><identifier type="DOI">10.1111/(ISSN)1600-051X</identifier><identifier type="PublisherID">JCPE</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>40</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>296</start><end>302</end><total>7</total></extent></part></relatedItem><identifier type="istex">176E9E8CFD4857B6DB885261C702E60BA540F162</identifier><identifier type="ark">ark:/67375/WNG-WL3KWSNQ-5</identifier><identifier type="DOI">10.1111/jcpe.12045</identifier><identifier type="ArticleID">JCPE12045</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 John Wiley & Sons A/S. 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