Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions
Identifieur interne : 003819 ( Istex/Corpus ); précédent : 003818; suivant : 003820Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions
Auteurs : Alexandra Rutar ; Niklaus P. Lang ; Daniel Buser ; Walter Bürgin ; Andrea MombelliSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2001-06.
English descriptors
- KwdEn :
- Actinobacillus actinomycetemcomitans, Actinomyces naeslundii, Actinomyces odontolyticus, Actinomyces viscosus, Actinomycetemcomitans, Anaerobic cultures, Bacterial morphotypes, Bacteroides forsythus, Berne school, Bone loss, Bruyn collaert, Campylobacter rectus, Cigarette smoking, Clin, Clinical examination, Clinical microbiology, Clinical parameters, Cultivable, Cultivable count, Cultural evidence, Cumulative interceptive, Dental hygienist, Dental implants, Dental medicine, Dental sites, Detection frequency, Diabetic patient, Edentulous, Edentulous patients, Eikenella corrodens, Entre, Esculin hydrolysis, European workshop, Extensive bone loss, Gingivalis, Impl, Implant, Implant failure, Implant installation, Implant loss, Implant sites, Implants research, International journal, Lang, Large spirochetes, Maintenance care, Maxillofacial implants, Maxppd, Medical history, Microbiological, Microbiological factors, Microbiological parameters, Microbiological procedures, Microbiota, Mombelli, Mppd, Ndings table, Observation period, Oral hygiene procedures, Oral impl, Osseointegrated, Osseointegrated implants, Other episodes, Other studies, Paper point, Periimplant, Periimplant environment, Periimplant infections, Periimplant pathology, Periimplant samples, Periimplant status, Periimplant tissue health, Periimplant tissues, Periimplantitis, Periodontal, Periodontal disease, Periodontal pocket, Periodontal sites, Pocket formation, Porphyromonas gingivalis, Present investigation, Present study, Previous studies, Prevotella melaninogenica group, Prosthetic reconstruction, Quintessence publishing company, Quirynen listgarten, Regression models, Retrospective, Risk factor, Risk factors, Rutar, Same organism, Several episodes, Spirochete, Spirochete counts, Statistical analysis, Syed, Titanium implants, Tooth sites, University center.
- Teeft :
- Actinobacillus actinomycetemcomitans, Actinomyces naeslundii, Actinomyces odontolyticus, Actinomyces viscosus, Actinomycetemcomitans, Anaerobic cultures, Bacterial morphotypes, Bacteroides forsythus, Berne school, Bone loss, Bruyn collaert, Campylobacter rectus, Cigarette smoking, Clin, Clinical examination, Clinical microbiology, Clinical parameters, Cultivable, Cultivable count, Cultural evidence, Cumulative interceptive, Dental hygienist, Dental implants, Dental medicine, Dental sites, Detection frequency, Diabetic patient, Edentulous, Edentulous patients, Eikenella corrodens, Entre, Esculin hydrolysis, European workshop, Extensive bone loss, Gingivalis, Impl, Implant, Implant failure, Implant installation, Implant loss, Implant sites, Implants research, International journal, Lang, Large spirochetes, Maintenance care, Maxillofacial implants, Maxppd, Medical history, Microbiological, Microbiological factors, Microbiological parameters, Microbiological procedures, Microbiota, Mombelli, Mppd, Ndings table, Observation period, Oral hygiene procedures, Oral impl, Osseointegrated, Osseointegrated implants, Other episodes, Other studies, Paper point, Periimplant, Periimplant environment, Periimplant infections, Periimplant pathology, Periimplant samples, Periimplant status, Periimplant tissue health, Periimplant tissues, Periimplantitis, Periodontal, Periodontal disease, Periodontal pocket, Periodontal sites, Pocket formation, Porphyromonas gingivalis, Present investigation, Present study, Previous studies, Prevotella melaninogenica group, Prosthetic reconstruction, Quintessence publishing company, Quirynen listgarten, Regression models, Retrospective, Risk factor, Risk factors, Rutar, Same organism, Several episodes, Spirochete, Spirochete counts, Statistical analysis, Syed, Titanium implants, Tooth sites, University center.
Abstract
Abstract: An increasing number of studies point to the detrimental effect of plaque bacteria on periimplant tissue health. The purpose of this retrospective study was to explore a possible relationship between the clinical and microbiological periimplant conditions of osseointegrated oral implants after several years of service and the dental and medical history, as well as the conditions of the residual dentition. 45 partially edentulous patients (mean age: 51 years, range: 27–83 years), with a total of 64 implants participated in this retrospective analysis. The time between examination and the last dental visit ranged from 6 to 24 months (mean: 13 months) and the time since the last maintenance therapy appointment with a dental hygienist ranged between 3 and 24 months (mean 7 months). During 5 to 10 years between implant installation and examination, 9 implants experienced one episode and an additional 6 implants two episodes of periimplantitis. As a consequence of extensive bone loss associated with these infections, one of these implants, in a patient who had a history of diabetes, was lost. With this exception, the other episodes of periimplantitis were successfully treated employing the principles of the Cumulative Interceptive Supportive Therapy (CIST) protocol. At examination, 42 implants (66%) showed a probing pocket depth exceeding 4 mm. Of the periimplantitis sites, four implants showed cultural evidence for presence of Porphyromonas gingivalis, and 2 implants were positive for Actinobacillus actinomycetemcomitans. Statistical analysis revealed a significant relationship between periimplant probing depth and the total anaerobic cultivable microbiota as well as the frequency of detection of P. gingivalis.
Url:
DOI: 10.1034/j.1600-0501.2001.012003189.x
Links to Exploration step
ISTEX:717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6Le document en format XML
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Lang</name><affiliation><mods:affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Buser, Daniel" sort="Buser, Daniel" uniqKey="Buser D" first="Daniel" last="Buser">Daniel Buser</name><affiliation><mods:affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Burgin, Walter" sort="Burgin, Walter" uniqKey="Burgin W" first="Walter" last="Bürgin">Walter Bürgin</name><affiliation><mods:affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Mombelli, Andrea" sort="Mombelli, Andrea" uniqKey="Mombelli A" first="Andrea" last="Mombelli">Andrea Mombelli</name><affiliation><mods:affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6</idno><date when="2001" year="2001">2001</date><idno type="doi">10.1034/j.1600-0501.2001.012003189.x</idno><idno type="url">https://api.istex.fr/document/717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003819</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">003819</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions</title><author><name sortKey="Rutar, Alexandra" sort="Rutar, Alexandra" uniqKey="Rutar A" first="Alexandra" last="Rutar">Alexandra Rutar</name><affiliation><mods:affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Lang, Niklaus P" sort="Lang, Niklaus P" uniqKey="Lang N" first="Niklaus P." last="Lang">Niklaus P. 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School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="ISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><imprint><biblScope unit="vol">12</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="189">189</biblScope><biblScope unit="page" to="195">195</biblScope><biblScope unit="page-count">7</biblScope><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2001-06">2001-06</date></imprint><idno type="ISSN">0905-7161</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0905-7161</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Actinobacillus actinomycetemcomitans</term><term>Actinomyces naeslundii</term><term>Actinomyces odontolyticus</term><term>Actinomyces viscosus</term><term>Actinomycetemcomitans</term><term>Anaerobic cultures</term><term>Bacterial morphotypes</term><term>Bacteroides forsythus</term><term>Berne school</term><term>Bone loss</term><term>Bruyn collaert</term><term>Campylobacter rectus</term><term>Cigarette smoking</term><term>Clin</term><term>Clinical examination</term><term>Clinical microbiology</term><term>Clinical parameters</term><term>Cultivable</term><term>Cultivable count</term><term>Cultural evidence</term><term>Cumulative interceptive</term><term>Dental hygienist</term><term>Dental implants</term><term>Dental medicine</term><term>Dental sites</term><term>Detection frequency</term><term>Diabetic patient</term><term>Edentulous</term><term>Edentulous patients</term><term>Eikenella corrodens</term><term>Entre</term><term>Esculin hydrolysis</term><term>European workshop</term><term>Extensive bone loss</term><term>Gingivalis</term><term>Impl</term><term>Implant</term><term>Implant failure</term><term>Implant installation</term><term>Implant loss</term><term>Implant sites</term><term>Implants research</term><term>International journal</term><term>Lang</term><term>Large spirochetes</term><term>Maintenance care</term><term>Maxillofacial implants</term><term>Maxppd</term><term>Medical history</term><term>Microbiological</term><term>Microbiological factors</term><term>Microbiological parameters</term><term>Microbiological procedures</term><term>Microbiota</term><term>Mombelli</term><term>Mppd</term><term>Ndings table</term><term>Observation period</term><term>Oral hygiene procedures</term><term>Oral impl</term><term>Osseointegrated</term><term>Osseointegrated implants</term><term>Other episodes</term><term>Other studies</term><term>Paper point</term><term>Periimplant</term><term>Periimplant environment</term><term>Periimplant infections</term><term>Periimplant pathology</term><term>Periimplant samples</term><term>Periimplant status</term><term>Periimplant tissue health</term><term>Periimplant tissues</term><term>Periimplantitis</term><term>Periodontal</term><term>Periodontal disease</term><term>Periodontal pocket</term><term>Periodontal sites</term><term>Pocket formation</term><term>Porphyromonas gingivalis</term><term>Present investigation</term><term>Present study</term><term>Previous studies</term><term>Prevotella melaninogenica group</term><term>Prosthetic reconstruction</term><term>Quintessence publishing company</term><term>Quirynen listgarten</term><term>Regression models</term><term>Retrospective</term><term>Risk factor</term><term>Risk factors</term><term>Rutar</term><term>Same organism</term><term>Several episodes</term><term>Spirochete</term><term>Spirochete counts</term><term>Statistical analysis</term><term>Syed</term><term>Titanium implants</term><term>Tooth sites</term><term>University center</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Actinobacillus actinomycetemcomitans</term><term>Actinomyces naeslundii</term><term>Actinomyces odontolyticus</term><term>Actinomyces viscosus</term><term>Actinomycetemcomitans</term><term>Anaerobic cultures</term><term>Bacterial morphotypes</term><term>Bacteroides forsythus</term><term>Berne school</term><term>Bone loss</term><term>Bruyn collaert</term><term>Campylobacter rectus</term><term>Cigarette smoking</term><term>Clin</term><term>Clinical examination</term><term>Clinical microbiology</term><term>Clinical parameters</term><term>Cultivable</term><term>Cultivable count</term><term>Cultural evidence</term><term>Cumulative interceptive</term><term>Dental hygienist</term><term>Dental implants</term><term>Dental medicine</term><term>Dental sites</term><term>Detection frequency</term><term>Diabetic patient</term><term>Edentulous</term><term>Edentulous patients</term><term>Eikenella corrodens</term><term>Entre</term><term>Esculin hydrolysis</term><term>European workshop</term><term>Extensive bone loss</term><term>Gingivalis</term><term>Impl</term><term>Implant</term><term>Implant failure</term><term>Implant installation</term><term>Implant loss</term><term>Implant sites</term><term>Implants research</term><term>International journal</term><term>Lang</term><term>Large spirochetes</term><term>Maintenance care</term><term>Maxillofacial implants</term><term>Maxppd</term><term>Medical history</term><term>Microbiological</term><term>Microbiological factors</term><term>Microbiological parameters</term><term>Microbiological procedures</term><term>Microbiota</term><term>Mombelli</term><term>Mppd</term><term>Ndings table</term><term>Observation period</term><term>Oral hygiene procedures</term><term>Oral impl</term><term>Osseointegrated</term><term>Osseointegrated implants</term><term>Other episodes</term><term>Other studies</term><term>Paper point</term><term>Periimplant</term><term>Periimplant environment</term><term>Periimplant infections</term><term>Periimplant pathology</term><term>Periimplant samples</term><term>Periimplant status</term><term>Periimplant tissue health</term><term>Periimplant tissues</term><term>Periimplantitis</term><term>Periodontal</term><term>Periodontal disease</term><term>Periodontal pocket</term><term>Periodontal sites</term><term>Pocket formation</term><term>Porphyromonas gingivalis</term><term>Present investigation</term><term>Present study</term><term>Previous studies</term><term>Prevotella melaninogenica group</term><term>Prosthetic reconstruction</term><term>Quintessence publishing company</term><term>Quirynen listgarten</term><term>Regression models</term><term>Retrospective</term><term>Risk factor</term><term>Risk factors</term><term>Rutar</term><term>Same organism</term><term>Several episodes</term><term>Spirochete</term><term>Spirochete counts</term><term>Statistical analysis</term><term>Syed</term><term>Titanium implants</term><term>Tooth sites</term><term>University center</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Abstract: An increasing number of studies point to the detrimental effect of plaque bacteria on periimplant tissue health. The purpose of this retrospective study was to explore a possible relationship between the clinical and microbiological periimplant conditions of osseointegrated oral implants after several years of service and the dental and medical history, as well as the conditions of the residual dentition. 45 partially edentulous patients (mean age: 51 years, range: 27–83 years), with a total of 64 implants participated in this retrospective analysis. The time between examination and the last dental visit ranged from 6 to 24 months (mean: 13 months) and the time since the last maintenance therapy appointment with a dental hygienist ranged between 3 and 24 months (mean 7 months). During 5 to 10 years between implant installation and examination, 9 implants experienced one episode and an additional 6 implants two episodes of periimplantitis. As a consequence of extensive bone loss associated with these infections, one of these implants, in a patient who had a history of diabetes, was lost. With this exception, the other episodes of periimplantitis were successfully treated employing the principles of the Cumulative Interceptive Supportive Therapy (CIST) protocol. At examination, 42 implants (66%) showed a probing pocket depth exceeding 4 mm. Of the periimplantitis sites, four implants showed cultural evidence for presence of Porphyromonas gingivalis, and 2 implants were positive for Actinobacillus actinomycetemcomitans. Statistical analysis revealed a significant relationship between periimplant probing depth and the total anaerobic cultivable microbiota as well as the frequency of detection of P. gingivalis.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>implant</json:string><json:string>periimplant</json:string><json:string>periimplantitis</json:string><json:string>periodontal</json:string><json:string>microbiota</json:string><json:string>mombelli</json:string><json:string>microbiological</json:string><json:string>gingivalis</json:string><json:string>spirochete</json:string><json:string>maxppd</json:string><json:string>rutar</json:string><json:string>syed</json:string><json:string>entre</json:string><json:string>implant installation</json:string><json:string>cultivable</json:string><json:string>implants research</json:string><json:string>osseointegrated</json:string><json:string>periodontal disease</json:string><json:string>actinomycetemcomitans</json:string><json:string>impl</json:string><json:string>mppd</json:string><json:string>present study</json:string><json:string>oral impl</json:string><json:string>clin</json:string><json:string>clinical parameters</json:string><json:string>edentulous patients</json:string><json:string>periodontal sites</json:string><json:string>lang</json:string><json:string>periimplant tissue health</json:string><json:string>actinobacillus actinomycetemcomitans</json:string><json:string>periimplant infections</json:string><json:string>edentulous</json:string><json:string>cigarette smoking</json:string><json:string>dental hygienist</json:string><json:string>porphyromonas gingivalis</json:string><json:string>medical history</json:string><json:string>cultural evidence</json:string><json:string>clinical microbiology</json:string><json:string>retrospective</json:string><json:string>prosthetic reconstruction</json:string><json:string>periimplant tissues</json:string><json:string>european workshop</json:string><json:string>dental sites</json:string><json:string>other episodes</json:string><json:string>cumulative interceptive</json:string><json:string>large spirochetes</json:string><json:string>periimplant environment</json:string><json:string>extensive bone loss</json:string><json:string>dental medicine</json:string><json:string>bacterial morphotypes</json:string><json:string>quirynen listgarten</json:string><json:string>risk factors</json:string><json:string>berne school</json:string><json:string>international journal</json:string><json:string>maxillofacial implants</json:string><json:string>dental implants</json:string><json:string>implant sites</json:string><json:string>prevotella melaninogenica group</json:string><json:string>bacteroides forsythus</json:string><json:string>actinomyces odontolyticus</json:string><json:string>actinomyces naeslundii</json:string><json:string>actinomyces viscosus</json:string><json:string>eikenella corrodens</json:string><json:string>campylobacter rectus</json:string><json:string>statistical analysis</json:string><json:string>periodontal pocket</json:string><json:string>university center</json:string><json:string>maintenance care</json:string><json:string>pocket formation</json:string><json:string>bone loss</json:string><json:string>diabetic patient</json:string><json:string>several episodes</json:string><json:string>ndings table</json:string><json:string>regression models</json:string><json:string>periimplant status</json:string><json:string>oral hygiene procedures</json:string><json:string>tooth sites</json:string><json:string>observation period</json:string><json:string>cultivable count</json:string><json:string>periimplant samples</json:string><json:string>same organism</json:string><json:string>spirochete counts</json:string><json:string>paper point</json:string><json:string>detection frequency</json:string><json:string>risk factor</json:string><json:string>implant loss</json:string><json:string>periimplant pathology</json:string><json:string>implant failure</json:string><json:string>present investigation</json:string><json:string>clinical examination</json:string><json:string>previous studies</json:string><json:string>other studies</json:string><json:string>microbiological parameters</json:string><json:string>microbiological procedures</json:string><json:string>quintessence publishing company</json:string><json:string>bruyn collaert</json:string><json:string>osseointegrated implants</json:string><json:string>anaerobic cultures</json:string><json:string>esculin hydrolysis</json:string><json:string>microbiological factors</json:string><json:string>titanium implants</json:string></teeft></keywords><author><json:item><name>Alexandra Rutar</name><affiliations><json:string>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</json:string></affiliations></json:item><json:item><name>Niklaus P. Lang</name><affiliations><json:string>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</json:string></affiliations></json:item><json:item><name>Daniel Buser</name><affiliations><json:string>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</json:string></affiliations></json:item><json:item><name>Walter Bürgin</name><affiliations><json:string>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</json:string></affiliations></json:item><json:item><name>Andrea Mombelli</name><affiliations><json:string>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>osseointegrated implants</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>microbiota</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>periimplantitis</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>supportive therapy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>periimplant mucosa</value></json:item></subject><articleId><json:string>CLR120301</json:string></articleId><arkIstex>ark:/67375/WNG-T1CRRBSN-W</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Abstract: An increasing number of studies point to the detrimental effect of plaque bacteria on periimplant tissue health. The purpose of this retrospective study was to explore a possible relationship between the clinical and microbiological periimplant conditions of osseointegrated oral implants after several years of service and the dental and medical history, as well as the conditions of the residual dentition. 45 partially edentulous patients (mean age: 51 years, range: 27–83 years), with a total of 64 implants participated in this retrospective analysis. The time between examination and the last dental visit ranged from 6 to 24 months (mean: 13 months) and the time since the last maintenance therapy appointment with a dental hygienist ranged between 3 and 24 months (mean 7 months). During 5 to 10 years between implant installation and examination, 9 implants experienced one episode and an additional 6 implants two episodes of periimplantitis. As a consequence of extensive bone loss associated with these infections, one of these implants, in a patient who had a history of diabetes, was lost. With this exception, the other episodes of periimplantitis were successfully treated employing the principles of the Cumulative Interceptive Supportive Therapy (CIST) protocol. At examination, 42 implants (66%) showed a probing pocket depth exceeding 4 mm. Of the periimplantitis sites, four implants showed cultural evidence for presence of Porphyromonas gingivalis, and 2 implants were positive for Actinobacillus actinomycetemcomitans. Statistical analysis revealed a significant relationship between periimplant probing depth and the total anaerobic cultivable microbiota as well as the frequency of detection of P. gingivalis.</abstract><qualityIndicators><refBibsNative>true</refBibsNative><abstractWordCount>256</abstractWordCount><abstractCharCount>1745</abstractCharCount><keywordCount>5</keywordCount><score>9.903</score><pdfWordCount>4903</pdfWordCount><pdfCharCount>33380</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>595 x 794 pts</pdfPageSize></qualityIndicators><title>Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions</title><pmid><json:string>11359474</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Oral Implants Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-0501</json:string></doi><issn><json:string>0905-7161</json:string></issn><eissn><json:string>1600-0501</json:string></eissn><publisherId><json:string>CLR</json:string></publisherId><volume>12</volume><issue>3</issue><pages><first>189</first><last>195</last><total>7</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2001</json:string><json:string>1993</json:string></date><geogName></geogName><orgName><json:string>University of Berne School of Dental Medicine</json:string><json:string>ITI Foundation for the Promotion of Oral Implantology, Research Committee, Waldenburg, Switzerland</json:string><json:string>Switzerland Correspondence</json:string><json:string>University of Berne, Switzerland</json:string><json:string>Berne Switzerland Tel</json:string><json:string>University of Berne School of Dental Medicine Freiburgstrasse</json:string><json:string>SLS</json:string><json:string>Single Laboratory Support</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Alexandra Rutar</json:string><json:string>Daniel Buser</json:string><json:string>Andrea Mombelli</json:string><json:string>Walter Burgin</json:string><json:string>Niklaus P. Lang</json:string></persName><placeName></placeName><ref_url></ref_url><ref_bibl><json:string>Laughon et al. 1982a</json:string><json:string>Listgarten & Lai 1999</json:string><json:string>Bain 1996</json:string><json:string>Apse et al. 1989</json:string><json:string>Koka et al. 1993</json:string><json:string>Syed & Loesche 1972</json:string><json:string>Syed et al. 1980</json:string><json:string>Buser et al. 1997</json:string><json:string>Bain & Moy 1993</json:string><json:string>Albrektsson & Isidor 1994</json:string><json:string>Slots 1982</json:string><json:string>Shernoff et al. 1984</json:string><json:string>Mombelli et al. 1987</json:string><json:string>Rutar et al</json:string><json:string>Leonhardt et al. 1992</json:string><json:string>Papaioannou et al. 1996</json:string><json:string>Tonetti 1998</json:string><json:string>Mombelli 1999</json:string><json:string>Genco et al. 1998</json:string><json:string>Keller et al. 1998</json:string><json:string>Mombelli & Mericske-Stern 1990</json:string><json:string>Papioannou et al. 1996</json:string><json:string>Gusberti & Syed 1984</json:string><json:string>Laughon et al. 1982b</json:string><json:string>Bragger et al. 1997</json:string><json:string>Silness & Loe 1964</json:string><json:string>Kohavi et al. 1994</json:string><json:string>Quirynen & Listgarten 1990</json:string><json:string>Mombelli et al. 1995</json:string><json:string>Qadri et al. 1980</json:string><json:string>Lang et al. 2000</json:string><json:string>De Bruyn & Collaert 1994</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-T1CRRBSN-W</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</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 - Oral Surgery</json:string></scopus></categories><publicationDate>2001</publicationDate><copyrightDate>2001</copyrightDate><doi><json:string>10.1034/j.1600-0501.2001.012003189.x</json:string></doi><id>717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2001-06"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions</title><title level="a" type="short">Microbiota and periimplant status</title><author xml:id="author-0000"><persName><forename type="first">Alexandra</forename><surname>Rutar</surname></persName><affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Niklaus P.</forename><surname>Lang</surname></persName><affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Daniel</forename><surname>Buser</surname></persName><affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Walter</forename><surname>Bürgin</surname></persName><affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Andrea</forename><surname>Mombelli</surname></persName><affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland<address><country key="CH"></country></address></affiliation></author><idno type="istex">717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6</idno><idno type="ark">ark:/67375/WNG-T1CRRBSN-W</idno><idno type="DOI">10.1034/j.1600-0501.2001.012003189.x</idno><idno type="unit">CLR120301</idno><idno type="supplier">clr10o622</idno><idno type="toTypesetVersion">file:CLR.CLR120301.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2001.12.issue-3</idno><idno type="product">CLR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">12</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="189">189</biblScope><biblScope unit="page" to="195">195</biblScope><biblScope unit="page-count">7</biblScope><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2001-06"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">Abstract:</hi> An increasing number of studies point to the detrimental effect of plaque bacteria on periimplant tissue health. The purpose of this retrospective study was to explore a possible relationship between the clinical and microbiological periimplant conditions of osseointegrated oral implants after several years of service and the dental and medical history, as well as the conditions of the residual dentition. 45 partially edentulous patients (mean age: 51 years, range: 27–83 years), with a total of 64 implants participated in this retrospective analysis. The time between examination and the last dental visit ranged from 6 to 24 months (mean: 13 months) and the time since the last maintenance therapy appointment with a dental hygienist ranged between 3 and 24 months (mean 7 months). During 5 to 10 years between implant installation and examination, 9 implants experienced one episode and an additional 6 implants two episodes of periimplantitis. As a consequence of extensive bone loss associated with these infections, one of these implants, in a patient who had a history of diabetes, was lost. With this exception, the other episodes of periimplantitis were successfully treated employing the principles of the Cumulative Interceptive Supportive Therapy (CIST) protocol. At examination, 42 implants (66%) showed a probing pocket depth exceeding 4 mm. Of the periimplantitis sites, four implants showed cultural evidence for presence of <hi rend="italic">Porphyromonas gingivalis</hi>, and 2 implants were positive for <hi rend="italic">Actinobacillus actinomycetemcomitans</hi>. Statistical analysis revealed a significant relationship between periimplant probing depth and the total anaerobic cultivable microbiota as well as the frequency of detection of <hi rend="italic">P. gingivalis</hi>.</p></abstract><abstract xml:lang="fr" style="main"><head>Résumé</head><p>Un nombre de plus en plus important d’études montrent l’effet négatif des bactéries de la plaque dentaire sur la santé des tissus paroïmplantaires. Le but de cette étude rétrospective était d’explorer une relation possible entre les conditions paroïmplantaires cliniques et microbiologiques des implants oraux ostéointégrés après plusieurs années de mise en fonction et l’histoire dentaire et médicale ainsi que les conditions du reste de la dentition. Quarante‐cinq patients partiellement édentés d’un âge moyen de 51 ans (de 27 à 83 ans) avec un total de 64 implants ont participéà cette étude rétrospective. La durée du temps entre l’examen et la dernière visite dentaire était de six à 24 mois (moyenne de treize mois) et le temps depuis la dermière thérapie de maintenance avec une hygièniste dentaire était lui de trois à 24 mois (moyenne de sept mois). Durant les cinq à dix années entre l’insertion de l’implant et l’examen neuf implants ont subi un épisode et six implants deux épisodes de paroïmplantite. Vu la perte osseuse importante associée à ces infections, un de ces implants en place chez un patient ayant un passé de diabète a été perdu. Mise à part cette exception, les autres épisodes de paroïmplantite ont été traités avec succès en employant le principe de la thérapie de support interceptive cumulative (CIST). Lors de l’examen, 42 implants (66%) ont montré une profondeur de poche au sondage de plus de 4 mm. Dans les sites paroïmplantaires quatre implants ont montré une culture bactérienne avec des <hi rend="italic">Porphyromonas gingivalis, </hi>deux implants étaient positifs pour l’<hi rend="italic">Actinobacillus actinomycetemcomitans. </hi>L’analyse statistique a révélé une relation significative entre la profondeur de poche paroïmplantaire et la microflore anaérobie cultivable totale ainsi que la fréquence de détection du <hi rend="italic">P. gingivalis</hi>.</p></abstract><abstract xml:lang="de" style="main"><head>Zusammenfassung</head><p>Eine zunehmende Zahl von Studien streicht den schädlichen Einfluss der Plaquebakterien auf die Gesundheit der periimplantären Gewebe hervor. Das Ziel dieser rückblickenden Studie war es, einen möglichen Zusammenhang zwischen klinischen und mikrobiellen periimplantären Bedingungen von osseointegrierten oralen Implantaten nach mehreren Jahren in Funktion und der dentalen und medizinischen Begleitgeschichte herauszufinden. Ebenso interessierte uns der Zustand der übrigen Dentition. An diesen rückblickenden Untersuchungen nahmen 45 teilbezahnte Patienten (mittleres Alter: 51 Jahre, Mittelwert: 27–83 Jahre) mit insgesamt 64 Implantaten teil. Die Zeitspanne zwischen unserer Untersuchung und dem letzten Zahnarztbesuch variiert zwischen 6 und 24 Monaten (Mittelwert: 13 Monate) und die Zeitspanne seit der letzten Zahnreinigung bei einer Dentalhygienikerin betrug zwischen 3 und 24 Monaten (Mittelwert: 7 Monate). Während den 5 bis 10 Jahren zwischen der Implantation und der Untersuchung, machten 9 Implantate eine einzige und 6 weitere Implantate zwei Phasen mit einer Periimplantitis durch. Als Folge des ausgedehnten Knochenverlustes, der mit diesen infektionen einhergeht, ging eines dieser Implantate bei einem Diabetespatienten verloren. Abgesehen von diesem speziellen Fall konnten alle anderen Episoden der Periimplantitis erfolgreich nach dem Protokoll des Prinzips der Kumulativen Interceptiven Unterstützungs‐Therapie (CIST) behandelt werden. Bei der Untersuchung zeigten 42 Implantate (66%) eine 4 mm übersteigende Sondierungstiefe. Von den Stellen mit einer Periimplantitis zeigten 4 Implantate nachgewiesenermassen in der Kultur die Anwesenheit von <hi rend="italic">Porphyromonas gingivalis</hi> und bei 2 Implantaten konnte man <hi rend="italic">Actinobacillus actinomycetemcomitans</hi> nachweisen. Die statistischen Analysen zeigten eine signifikante Beziehung zwischen den periimplantären Sondierungstiefen und dem Total der kultivierbaren anaeroben Mikrobiota, wie auch zur Häufigkeit der Anwesenheit von <hi rend="italic">P. gingivalis</hi>.</p></abstract><abstract xml:lang="es" style="main"><head>Resumen</head><p>Un número creciente de estudios apuntan hacia el efecto perjudicial de las bacterias de la placa en la salud del tejido periimplantario. La intención de este estudio retrospectivo fue explorar la posible relación entre las condiciones clínicas y microbiológicas periimplantarias de implantes orales osteointegrados tras varios años en servicio y la historia médica y dental, al igual que las condiciones de la dentición residual. En este análisis retrospectivo participaron 45 pacientes parcialmente edéntulos (media de edad: 51 años, entre 27–83 años), con un total de 64 implantes. El tiempo entre el exámen y la última visita dental varió de 6 a 24 meses (media: 13 meses) y el tiempo desde la última sesión de mantenimiento con una higienista dental varió entre 3 y 24 meses (media 7 meses). Durante los 5 a 10 años entre la instalación de los implantes y el examen, 9 implantes experimentaron un episodio y 6 implantes más dos episodios de periimplantitis. Como consecuencia de la pérdida extensiva de hueso asociada con estas infecciones, uno de estos implantes, en un paciente que tenía una historia de diabetes se perdió. Con esta excepción los otros episodios de periimplantitis fueron tratados con éxito emplean do los principios del protocolo de terapia interceptiva acumulativa de soporte (CIST). En el momento de examen, 42 implantes (66%) mostraron una profundidad de sondaje mayor de 4 mm. En los lugares de periimplantitis, 4 implantes mostraron evidencias de cultivo de presencia de <hi rend="italic">Porphyromonas gingivalis</hi>, dos implantes dieron positivo para <hi rend="italic">Actinobacillus actinomycetemcomitans</hi>. El análisis estadístico reveló una relación significativa entre la profundidad de sondaje periimplantaria y el total de microbios anaerobios cultivables al igual la frecuencia de detención <hi rend="italic">P. gingivalis</hi>.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">osseointegrated implants</term><term xml:id="k2">microbiota</term><term xml:id="k3">periimplantitis</term><term xml:id="k4">supportive therapy</term><term xml:id="k5">periimplant mucosa</term></keywords><keywords rend="tocHeading1"><term>Original Articles</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/717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6/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 version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Munksgaard International Publishers</publisherName><publisherLoc>Copenhagen</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL ORAL IMPLANTS RESEARCH">Clinical Oral Implants Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="06003"><doi origin="wiley">10.1111/clr.2001.12.issue-3</doi><numberingGroup><numbering type="journalVolume" number="12">12</numbering><numbering type="journalIssue" number="3">3</numbering></numberingGroup><coverDate startDate="2001-06">June 2001</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0018900" status="forIssue"><doi origin="wiley">10.1034/j.1600-0501.2001.012003189.x</doi><idGroup><id type="unit" value="CLR120301"></id><id type="supplier" value="clr10o622"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><eventGroup><event type="firstOnline" date="2002-01-19"></event><event type="publishedOnlineFinalForm" date="2002-01-19"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="189">189</numbering><numbering type="pageLast" number="195">195</numbering></numberingGroup><correspondenceTo>
<i>Dr. Alexandra Rutar</i>,
University of Berne School of Dental Medicine
Freiburgstrasse 7
CH‐3010 Berne
Switzerland
Tel: +41 31 632 2577
Fax: +41 31 632 4915
e‐mail: <email>alexandra.rutar@zmk.unibe.ch</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR120301.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory><b>Date: </b> Accepted 1 March 2000</unparsedEditorialHistory><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="3"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="31"></count><count type="wordTotal" number="5511"></count><count type="linksPubMed" number="22"></count><count type="linksCrossRef" number="6"></count></countGroup><titleGroup><title type="main">Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions</title><title type="shortAuthors">Rutar et al</title><title type="short">Microbiota and periimplant status</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1"><personName><givenNames>Alexandra</givenNames><familyName>Rutar</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1"><personName><givenNames>Niklaus P.</givenNames><familyName>Lang</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#aff-1-1"><personName><givenNames>Daniel</givenNames><familyName>Buser</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#aff-1-1"><personName><givenNames>Walter</givenNames><familyName>Bürgin</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#aff-1-1"><personName><givenNames>Andrea</givenNames><familyName>Mombelli</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1" countryCode="CH"><unparsedAffiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">osseointegrated implants</keyword><keyword xml:id="k2">microbiota</keyword><keyword xml:id="k3">periimplantitis</keyword><keyword xml:id="k4">supportive therapy</keyword><keyword xml:id="k5">periimplant mucosa</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Abstract:</b> An increasing number of studies point to the detrimental effect of plaque bacteria on periimplant tissue health. The purpose of this retrospective study was to explore a possible relationship between the clinical and microbiological periimplant conditions of osseointegrated oral implants after several years of service and the dental and medical history, as well as the conditions of the residual dentition. 45 partially edentulous patients (mean age: 51 years, range: 27–83 years), with a total of 64 implants participated in this retrospective analysis. The time between examination and the last dental visit ranged from 6 to 24 months (mean: 13 months) and the time since the last maintenance therapy appointment with a dental hygienist ranged between 3 and 24 months (mean 7 months). During 5 to 10 years between implant installation and examination, 9 implants experienced one episode and an additional 6 implants two episodes of periimplantitis. As a consequence of extensive bone loss associated with these infections, one of these implants, in a patient who had a history of diabetes, was lost. With this exception, the other episodes of periimplantitis were successfully treated employing the principles of the Cumulative Interceptive Supportive Therapy (CIST) protocol. At examination, 42 implants (66%) showed a probing pocket depth exceeding 4 mm. Of the periimplantitis sites, four implants showed cultural evidence for presence of <i>Porphyromonas gingivalis</i>, and 2 implants were positive for <i>Actinobacillus actinomycetemcomitans</i>. Statistical analysis revealed a significant relationship between periimplant probing depth and the total anaerobic cultivable microbiota as well as the frequency of detection of <i>P. gingivalis</i>.</p></abstract><abstract type="main" xml:lang="fr"><title type="main">Résumé</title><p>Un nombre de plus en plus important d’études montrent l’effet négatif des bactéries de la plaque dentaire sur la santé des tissus paroïmplantaires. Le but de cette étude rétrospective était d’explorer une relation possible entre les conditions paroïmplantaires cliniques et microbiologiques des implants oraux ostéointégrés après plusieurs années de mise en fonction et l’histoire dentaire et médicale ainsi que les conditions du reste de la dentition. Quarante‐cinq patients partiellement édentés d’un âge moyen de 51 ans (de 27 à 83 ans) avec un total de 64 implants ont participéà cette étude rétrospective. La durée du temps entre l’examen et la dernière visite dentaire était de six à 24 mois (moyenne de treize mois) et le temps depuis la dermière thérapie de maintenance avec une hygièniste dentaire était lui de trois à 24 mois (moyenne de sept mois). Durant les cinq à dix années entre l’insertion de l’implant et l’examen neuf implants ont subi un épisode et six implants deux épisodes de paroïmplantite. Vu la perte osseuse importante associée à ces infections, un de ces implants en place chez un patient ayant un passé de diabète a été perdu. Mise à part cette exception, les autres épisodes de paroïmplantite ont été traités avec succès en employant le principe de la thérapie de support interceptive cumulative (CIST). Lors de l’examen, 42 implants (66%) ont montré une profondeur de poche au sondage de plus de 4 mm. Dans les sites paroïmplantaires quatre implants ont montré une culture bactérienne avec des <i>Porphyromonas gingivalis, </i>deux implants étaient positifs pour l’<i>Actinobacillus actinomycetemcomitans. </i>L’analyse statistique a révélé une relation significative entre la profondeur de poche paroïmplantaire et la microflore anaérobie cultivable totale ainsi que la fréquence de détection du <i>P. gingivalis</i>.</p></abstract><abstract type="main" xml:lang="de"><title type="main">Zusammenfassung</title><p>Eine zunehmende Zahl von Studien streicht den schädlichen Einfluss der Plaquebakterien auf die Gesundheit der periimplantären Gewebe hervor. Das Ziel dieser rückblickenden Studie war es, einen möglichen Zusammenhang zwischen klinischen und mikrobiellen periimplantären Bedingungen von osseointegrierten oralen Implantaten nach mehreren Jahren in Funktion und der dentalen und medizinischen Begleitgeschichte herauszufinden. Ebenso interessierte uns der Zustand der übrigen Dentition. An diesen rückblickenden Untersuchungen nahmen 45 teilbezahnte Patienten (mittleres Alter: 51 Jahre, Mittelwert: 27–83 Jahre) mit insgesamt 64 Implantaten teil. Die Zeitspanne zwischen unserer Untersuchung und dem letzten Zahnarztbesuch variiert zwischen 6 und 24 Monaten (Mittelwert: 13 Monate) und die Zeitspanne seit der letzten Zahnreinigung bei einer Dentalhygienikerin betrug zwischen 3 und 24 Monaten (Mittelwert: 7 Monate). Während den 5 bis 10 Jahren zwischen der Implantation und der Untersuchung, machten 9 Implantate eine einzige und 6 weitere Implantate zwei Phasen mit einer Periimplantitis durch. Als Folge des ausgedehnten Knochenverlustes, der mit diesen infektionen einhergeht, ging eines dieser Implantate bei einem Diabetespatienten verloren. Abgesehen von diesem speziellen Fall konnten alle anderen Episoden der Periimplantitis erfolgreich nach dem Protokoll des Prinzips der Kumulativen Interceptiven Unterstützungs‐Therapie (CIST) behandelt werden. Bei der Untersuchung zeigten 42 Implantate (66%) eine 4 mm übersteigende Sondierungstiefe. Von den Stellen mit einer Periimplantitis zeigten 4 Implantate nachgewiesenermassen in der Kultur die Anwesenheit von <i>Porphyromonas gingivalis</i> und bei 2 Implantaten konnte man <i>Actinobacillus actinomycetemcomitans</i> nachweisen. Die statistischen Analysen zeigten eine signifikante Beziehung zwischen den periimplantären Sondierungstiefen und dem Total der kultivierbaren anaeroben Mikrobiota, wie auch zur Häufigkeit der Anwesenheit von <i>P. gingivalis</i>.</p></abstract><abstract type="main" xml:lang="es"><title type="main">Resumen</title><p>Un número creciente de estudios apuntan hacia el efecto perjudicial de las bacterias de la placa en la salud del tejido periimplantario. La intención de este estudio retrospectivo fue explorar la posible relación entre las condiciones clínicas y microbiológicas periimplantarias de implantes orales osteointegrados tras varios años en servicio y la historia médica y dental, al igual que las condiciones de la dentición residual. En este análisis retrospectivo participaron 45 pacientes parcialmente edéntulos (media de edad: 51 años, entre 27–83 años), con un total de 64 implantes. El tiempo entre el exámen y la última visita dental varió de 6 a 24 meses (media: 13 meses) y el tiempo desde la última sesión de mantenimiento con una higienista dental varió entre 3 y 24 meses (media 7 meses). Durante los 5 a 10 años entre la instalación de los implantes y el examen, 9 implantes experimentaron un episodio y 6 implantes más dos episodios de periimplantitis. Como consecuencia de la pérdida extensiva de hueso asociada con estas infecciones, uno de estos implantes, en un paciente que tenía una historia de diabetes se perdió. Con esta excepción los otros episodios de periimplantitis fueron tratados con éxito emplean do los principios del protocolo de terapia interceptiva acumulativa de soporte (CIST). En el momento de examen, 42 implantes (66%) mostraron una profundidad de sondaje mayor de 4 mm. En los lugares de periimplantitis, 4 implantes mostraron evidencias de cultivo de presencia de <i>Porphyromonas gingivalis</i>, dos implantes dieron positivo para <i>Actinobacillus actinomycetemcomitans</i>. El análisis estadístico reveló una relación significativa entre la profundidad de sondaje periimplantaria y el total de microbios anaerobios cultivables al igual la frecuencia de detención <i>P. gingivalis</i>.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Microbiota and periimplant status</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions</title></titleInfo><name type="personal"><namePart type="given">Alexandra</namePart><namePart type="family">Rutar</namePart><affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Niklaus P.</namePart><namePart type="family">Lang</namePart><affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Daniel</namePart><namePart type="family">Buser</namePart><affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Walter</namePart><namePart type="family">Bürgin</namePart><affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Andrea</namePart><namePart type="family">Mombelli</namePart><affiliation>University of Berne School of Dental Medicine and University of Geneva School of Dental Medicine, Switzerland</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>Munksgaard International Publishers</publisher><place><placeTerm type="text">Copenhagen</placeTerm></place><dateIssued encoding="w3cdtf">2001-06</dateIssued><edition>Date: Accepted 1 March 2000</edition><copyrightDate encoding="w3cdtf">2001</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">1</extent><extent unit="tables">3</extent><extent unit="formulas">0</extent><extent unit="references">31</extent><extent unit="linksCrossRef">6</extent><extent unit="words">5511</extent></physicalDescription><abstract>Abstract: An increasing number of studies point to the detrimental effect of plaque bacteria on periimplant tissue health. The purpose of this retrospective study was to explore a possible relationship between the clinical and microbiological periimplant conditions of osseointegrated oral implants after several years of service and the dental and medical history, as well as the conditions of the residual dentition. 45 partially edentulous patients (mean age: 51 years, range: 27–83 years), with a total of 64 implants participated in this retrospective analysis. The time between examination and the last dental visit ranged from 6 to 24 months (mean: 13 months) and the time since the last maintenance therapy appointment with a dental hygienist ranged between 3 and 24 months (mean 7 months). During 5 to 10 years between implant installation and examination, 9 implants experienced one episode and an additional 6 implants two episodes of periimplantitis. As a consequence of extensive bone loss associated with these infections, one of these implants, in a patient who had a history of diabetes, was lost. With this exception, the other episodes of periimplantitis were successfully treated employing the principles of the Cumulative Interceptive Supportive Therapy (CIST) protocol. At examination, 42 implants (66%) showed a probing pocket depth exceeding 4 mm. Of the periimplantitis sites, four implants showed cultural evidence for presence of Porphyromonas gingivalis, and 2 implants were positive for Actinobacillus actinomycetemcomitans. Statistical analysis revealed a significant relationship between periimplant probing depth and the total anaerobic cultivable microbiota as well as the frequency of detection of P. gingivalis.</abstract><abstract lang="fr">Un nombre de plus en plus important d’études montrent l’effet négatif des bactéries de la plaque dentaire sur la santé des tissus paroïmplantaires. Le but de cette étude rétrospective était d’explorer une relation possible entre les conditions paroïmplantaires cliniques et microbiologiques des implants oraux ostéointégrés après plusieurs années de mise en fonction et l’histoire dentaire et médicale ainsi que les conditions du reste de la dentition. Quarante‐cinq patients partiellement édentés d’un âge moyen de 51 ans (de 27 à 83 ans) avec un total de 64 implants ont participéà cette étude rétrospective. La durée du temps entre l’examen et la dernière visite dentaire était de six à 24 mois (moyenne de treize mois) et le temps depuis la dermière thérapie de maintenance avec une hygièniste dentaire était lui de trois à 24 mois (moyenne de sept mois). Durant les cinq à dix années entre l’insertion de l’implant et l’examen neuf implants ont subi un épisode et six implants deux épisodes de paroïmplantite. Vu la perte osseuse importante associée à ces infections, un de ces implants en place chez un patient ayant un passé de diabète a été perdu. Mise à part cette exception, les autres épisodes de paroïmplantite ont été traités avec succès en employant le principe de la thérapie de support interceptive cumulative (CIST). Lors de l’examen, 42 implants (66%) ont montré une profondeur de poche au sondage de plus de 4 mm. Dans les sites paroïmplantaires quatre implants ont montré une culture bactérienne avec des Porphyromonas gingivalis, deux implants étaient positifs pour l’Actinobacillus actinomycetemcomitans. L’analyse statistique a révélé une relation significative entre la profondeur de poche paroïmplantaire et la microflore anaérobie cultivable totale ainsi que la fréquence de détection du P. gingivalis.</abstract><abstract lang="de">Eine zunehmende Zahl von Studien streicht den schädlichen Einfluss der Plaquebakterien auf die Gesundheit der periimplantären Gewebe hervor. Das Ziel dieser rückblickenden Studie war es, einen möglichen Zusammenhang zwischen klinischen und mikrobiellen periimplantären Bedingungen von osseointegrierten oralen Implantaten nach mehreren Jahren in Funktion und der dentalen und medizinischen Begleitgeschichte herauszufinden. Ebenso interessierte uns der Zustand der übrigen Dentition. An diesen rückblickenden Untersuchungen nahmen 45 teilbezahnte Patienten (mittleres Alter: 51 Jahre, Mittelwert: 27–83 Jahre) mit insgesamt 64 Implantaten teil. Die Zeitspanne zwischen unserer Untersuchung und dem letzten Zahnarztbesuch variiert zwischen 6 und 24 Monaten (Mittelwert: 13 Monate) und die Zeitspanne seit der letzten Zahnreinigung bei einer Dentalhygienikerin betrug zwischen 3 und 24 Monaten (Mittelwert: 7 Monate). Während den 5 bis 10 Jahren zwischen der Implantation und der Untersuchung, machten 9 Implantate eine einzige und 6 weitere Implantate zwei Phasen mit einer Periimplantitis durch. Als Folge des ausgedehnten Knochenverlustes, der mit diesen infektionen einhergeht, ging eines dieser Implantate bei einem Diabetespatienten verloren. Abgesehen von diesem speziellen Fall konnten alle anderen Episoden der Periimplantitis erfolgreich nach dem Protokoll des Prinzips der Kumulativen Interceptiven Unterstützungs‐Therapie (CIST) behandelt werden. Bei der Untersuchung zeigten 42 Implantate (66%) eine 4 mm übersteigende Sondierungstiefe. Von den Stellen mit einer Periimplantitis zeigten 4 Implantate nachgewiesenermassen in der Kultur die Anwesenheit von Porphyromonas gingivalis und bei 2 Implantaten konnte man Actinobacillus actinomycetemcomitans nachweisen. Die statistischen Analysen zeigten eine signifikante Beziehung zwischen den periimplantären Sondierungstiefen und dem Total der kultivierbaren anaeroben Mikrobiota, wie auch zur Häufigkeit der Anwesenheit von P. gingivalis.</abstract><abstract lang="es">Un número creciente de estudios apuntan hacia el efecto perjudicial de las bacterias de la placa en la salud del tejido periimplantario. La intención de este estudio retrospectivo fue explorar la posible relación entre las condiciones clínicas y microbiológicas periimplantarias de implantes orales osteointegrados tras varios años en servicio y la historia médica y dental, al igual que las condiciones de la dentición residual. En este análisis retrospectivo participaron 45 pacientes parcialmente edéntulos (media de edad: 51 años, entre 27–83 años), con un total de 64 implantes. El tiempo entre el exámen y la última visita dental varió de 6 a 24 meses (media: 13 meses) y el tiempo desde la última sesión de mantenimiento con una higienista dental varió entre 3 y 24 meses (media 7 meses). Durante los 5 a 10 años entre la instalación de los implantes y el examen, 9 implantes experimentaron un episodio y 6 implantes más dos episodios de periimplantitis. Como consecuencia de la pérdida extensiva de hueso asociada con estas infecciones, uno de estos implantes, en un paciente que tenía una historia de diabetes se perdió. Con esta excepción los otros episodios de periimplantitis fueron tratados con éxito emplean do los principios del protocolo de terapia interceptiva acumulativa de soporte (CIST). En el momento de examen, 42 implantes (66%) mostraron una profundidad de sondaje mayor de 4 mm. En los lugares de periimplantitis, 4 implantes mostraron evidencias de cultivo de presencia de Porphyromonas gingivalis, dos implantes dieron positivo para Actinobacillus actinomycetemcomitans. El análisis estadístico reveló una relación significativa entre la profundidad de sondaje periimplantaria y el total de microbios anaerobios cultivables al igual la frecuencia de detención P. gingivalis.</abstract><subject lang="en"><genre>keywords</genre><topic>osseointegrated implants</topic><topic>microbiota</topic><topic>periimplantitis</topic><topic>supportive therapy</topic><topic>periimplant mucosa</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</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><identifier type="ISSN">0905-7161</identifier><identifier type="eISSN">1600-0501</identifier><identifier type="DOI">10.1111/(ISSN)1600-0501</identifier><identifier type="PublisherID">CLR</identifier><part><date>2001</date><detail type="volume"><caption>vol.</caption><number>12</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>189</start><end>195</end><total>7</total></extent></part></relatedItem><identifier type="istex">717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6</identifier><identifier type="ark">ark:/67375/WNG-T1CRRBSN-W</identifier><identifier type="DOI">10.1034/j.1600-0501.2001.012003189.x</identifier><identifier type="ArticleID">CLR120301</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Munksgaard International Publishers</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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