Biological complications with dental implants: their prevention, diagnosis and treatment
Identifieur interne : 003C46 ( Istex/Curation ); précédent : 003C45; suivant : 003C47Biological complications with dental implants: their prevention, diagnosis and treatment
Auteurs : Niklaus P. Lang [Suisse] ; Thomas G. Wilson [États-Unis] ; Esmonde F. Corbet [Hong Kong]Source :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2000-09.
Descripteurs français
- Wicri :
- topic : Antibiotique, Titane.
English descriptors
- KwdEn :
- Abutment connection, Abutment teeth, Alveolar bone, Alveolar crest, Antibiotic, Antibiotic treatment, Antiseptic treatment, Apical portion, Appropriate cleansing devices, Bacterial challenge, Bacterial plaque, Biological complications, Bony support, Bragger, Buser, Chemical plaque control, Chlorhexidine, Chlorhexidine digluconate, Cist, Clinical evaluation, Clinical implications, Clinical monitoring, Clinical parameter, Clinical parameters, Clinical periodontology, Clinical practice, Clinical research, Clinical stability, Clinical study, Colonization, Control teeth, Conventional radiographs, Cumulative interceptive, Cynomolgus monkeys, Dental implants, Depth values, Digital subtraction radiography, Edentulous, Edentulous patients, Evident plaque, Gingival, Gingival health, Gingival indices, Gingivitis, Hawe neos, Healthy periimplant, Healthy periimplant tissues, High proportions, Hong kong, Host response, Implant, Implant mobility, Implant shoulder, Implant sulcus, Implant surface, Implant system, Implant systems, Implant therapy, Implants research, International journal, Intrabony defects, Itia, Joss, Lang, Late failures, Lesion, Ligated implants, Ligated teeth, Longitudinal study, Maintenance care program, Maxillofacial implants, Mechanical debridement, Microbiota, Mombelli, Mombelli lang, Mucosal, Mucosal tissues, Mucositis, Natural plaque accumulation, Occlusal overload, Oral cavity, Oral hygiene practices, Oral implants, Oral microbiology, Osseointegrated, Osseointegrated implants, Osseointegrated titanium implants, Other hand, Periimplant, Periimplant defects, Periimplant infection, Periimplant infections, Periimplant lesion, Periimplant lesions, Periimplant mucosal tissues, Periimplant mucositis, Periimplant sulcus, Periimplant tissues, Periimplantitis, Periimplantitis lesions, Periodontal, Periodontal disease, Periodontal pockets, Periodontal probe, Periodontal research, Periodontal stability, Periodontology, Plaque, Plaque control, Plaque formation, Prosthetic reconstruction, Radiograph, Radiographic, Radiographic diagnosis, Radiographic interpretation, Release devices, Rubber cups, Soft tissue compartments, Soft tissue seal, Success rates, Sulcus, Supportive therapy protocol, Suppuration, Therapeutic steps, Tissue integration, Tissue regeneration, Tissue seal, Titanium, Titanium implants, Tonetti schmid, Transmucosal implants, Treatment protocols.
- Teeft :
- Abutment connection, Abutment teeth, Alveolar bone, Alveolar crest, Antibiotic, Antibiotic treatment, Antiseptic treatment, Apical portion, Appropriate cleansing devices, Bacterial challenge, Bacterial plaque, Biological complications, Bony support, Bragger, Buser, Chemical plaque control, Chlorhexidine, Chlorhexidine digluconate, Cist, Clinical evaluation, Clinical implications, Clinical monitoring, Clinical parameter, Clinical parameters, Clinical periodontology, Clinical practice, Clinical research, Clinical stability, Clinical study, Colonization, Control teeth, Conventional radiographs, Cumulative interceptive, Cynomolgus monkeys, Dental implants, Depth values, Digital subtraction radiography, Edentulous, Edentulous patients, Evident plaque, Gingival, Gingival health, Gingival indices, Gingivitis, Hawe neos, Healthy periimplant, Healthy periimplant tissues, High proportions, Hong kong, Host response, Implant, Implant mobility, Implant shoulder, Implant sulcus, Implant surface, Implant system, Implant systems, Implant therapy, Implants research, International journal, Intrabony defects, Itia, Joss, Lang, Late failures, Lesion, Ligated implants, Ligated teeth, Longitudinal study, Maintenance care program, Maxillofacial implants, Mechanical debridement, Microbiota, Mombelli, Mombelli lang, Mucosal, Mucosal tissues, Mucositis, Natural plaque accumulation, Occlusal overload, Oral cavity, Oral hygiene practices, Oral implants, Oral microbiology, Osseointegrated, Osseointegrated implants, Osseointegrated titanium implants, Other hand, Periimplant, Periimplant defects, Periimplant infection, Periimplant infections, Periimplant lesion, Periimplant lesions, Periimplant mucosal tissues, Periimplant mucositis, Periimplant sulcus, Periimplant tissues, Periimplantitis, Periimplantitis lesions, Periodontal, Periodontal disease, Periodontal pockets, Periodontal probe, Periodontal research, Periodontal stability, Periodontology, Plaque, Plaque control, Plaque formation, Prosthetic reconstruction, Radiograph, Radiographic, Radiographic diagnosis, Radiographic interpretation, Release devices, Rubber cups, Soft tissue compartments, Soft tissue seal, Success rates, Sulcus, Supportive therapy protocol, Suppuration, Therapeutic steps, Tissue integration, Tissue regeneration, Tissue seal, Titanium, Titanium implants, Tonetti schmid, Transmucosal implants, Treatment protocols.
Abstract
Biofilms form on all hard non‐shedding surfaces in a fluid system, i.e. both on teeth and oral implants. As a result of the bacterial challenge, the host responds by mounting a defence mechanism leading to inflammation of the soft tissues. In the dento‐gingival unit, this results in the well‐described lesion of gingivitis. In the implanto‐mucosal unit, this inflammation is termed “mucositis”. If plaque is allowed to accumulate for prolonged periods of time, experimental research has demonstrated that “mucositis” may develop into “periimplantitis” affecting the periimplant supporting bone circumferentially. Although the bony support may be lost coronally, the implant still remains osseointegrated and hence, clinically stable. This is the reason why mobility represents an insensitive, but specific diagnostic feature of “periimplantitis”. More sensitive and more reliable parameters of developing and existing periimplant infections are “bleeding on probing”, “probing depths” and radiographic interpretation of conventional or subtraction radiographs. Depending on the diagnosis made continuously during recall visits, a maintenance system termed Cummulative Interceptive Supportive Therapy (CIST) has been proposed.
Url:
DOI: 10.1034/j.1600-0501.2000.011S1146.x
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<affiliation wicri:level="1"><mods:affiliation>Dept. of Periodontology and Fixed Prosthodontics, University of Bern, Bern, Switzerland</mods:affiliation>
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<author><name sortKey="Wilson, Thomas G" sort="Wilson, Thomas G" uniqKey="Wilson T" first="Thomas G." last="Wilson">Thomas G. Wilson</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment connection</term>
<term>Abutment teeth</term>
<term>Alveolar bone</term>
<term>Alveolar crest</term>
<term>Antibiotic</term>
<term>Antibiotic treatment</term>
<term>Antiseptic treatment</term>
<term>Apical portion</term>
<term>Appropriate cleansing devices</term>
<term>Bacterial challenge</term>
<term>Bacterial plaque</term>
<term>Biological complications</term>
<term>Bony support</term>
<term>Bragger</term>
<term>Buser</term>
<term>Chemical plaque control</term>
<term>Chlorhexidine</term>
<term>Chlorhexidine digluconate</term>
<term>Cist</term>
<term>Clinical evaluation</term>
<term>Clinical implications</term>
<term>Clinical monitoring</term>
<term>Clinical parameter</term>
<term>Clinical parameters</term>
<term>Clinical periodontology</term>
<term>Clinical practice</term>
<term>Clinical research</term>
<term>Clinical stability</term>
<term>Clinical study</term>
<term>Colonization</term>
<term>Control teeth</term>
<term>Conventional radiographs</term>
<term>Cumulative interceptive</term>
<term>Cynomolgus monkeys</term>
<term>Dental implants</term>
<term>Depth values</term>
<term>Digital subtraction radiography</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Evident plaque</term>
<term>Gingival</term>
<term>Gingival health</term>
<term>Gingival indices</term>
<term>Gingivitis</term>
<term>Hawe neos</term>
<term>Healthy periimplant</term>
<term>Healthy periimplant tissues</term>
<term>High proportions</term>
<term>Hong kong</term>
<term>Host response</term>
<term>Implant</term>
<term>Implant mobility</term>
<term>Implant shoulder</term>
<term>Implant sulcus</term>
<term>Implant surface</term>
<term>Implant system</term>
<term>Implant systems</term>
<term>Implant therapy</term>
<term>Implants research</term>
<term>International journal</term>
<term>Intrabony defects</term>
<term>Itia</term>
<term>Joss</term>
<term>Lang</term>
<term>Late failures</term>
<term>Lesion</term>
<term>Ligated implants</term>
<term>Ligated teeth</term>
<term>Longitudinal study</term>
<term>Maintenance care program</term>
<term>Maxillofacial implants</term>
<term>Mechanical debridement</term>
<term>Microbiota</term>
<term>Mombelli</term>
<term>Mombelli lang</term>
<term>Mucosal</term>
<term>Mucosal tissues</term>
<term>Mucositis</term>
<term>Natural plaque accumulation</term>
<term>Occlusal overload</term>
<term>Oral cavity</term>
<term>Oral hygiene practices</term>
<term>Oral implants</term>
<term>Oral microbiology</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegrated titanium implants</term>
<term>Other hand</term>
<term>Periimplant</term>
<term>Periimplant defects</term>
<term>Periimplant infection</term>
<term>Periimplant infections</term>
<term>Periimplant lesion</term>
<term>Periimplant lesions</term>
<term>Periimplant mucosal tissues</term>
<term>Periimplant mucositis</term>
<term>Periimplant sulcus</term>
<term>Periimplant tissues</term>
<term>Periimplantitis</term>
<term>Periimplantitis lesions</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal pockets</term>
<term>Periodontal probe</term>
<term>Periodontal research</term>
<term>Periodontal stability</term>
<term>Periodontology</term>
<term>Plaque</term>
<term>Plaque control</term>
<term>Plaque formation</term>
<term>Prosthetic reconstruction</term>
<term>Radiograph</term>
<term>Radiographic</term>
<term>Radiographic diagnosis</term>
<term>Radiographic interpretation</term>
<term>Release devices</term>
<term>Rubber cups</term>
<term>Soft tissue compartments</term>
<term>Soft tissue seal</term>
<term>Success rates</term>
<term>Sulcus</term>
<term>Supportive therapy protocol</term>
<term>Suppuration</term>
<term>Therapeutic steps</term>
<term>Tissue integration</term>
<term>Tissue regeneration</term>
<term>Tissue seal</term>
<term>Titanium</term>
<term>Titanium implants</term>
<term>Tonetti schmid</term>
<term>Transmucosal implants</term>
<term>Treatment protocols</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Abutment connection</term>
<term>Abutment teeth</term>
<term>Alveolar bone</term>
<term>Alveolar crest</term>
<term>Antibiotic</term>
<term>Antibiotic treatment</term>
<term>Antiseptic treatment</term>
<term>Apical portion</term>
<term>Appropriate cleansing devices</term>
<term>Bacterial challenge</term>
<term>Bacterial plaque</term>
<term>Biological complications</term>
<term>Bony support</term>
<term>Bragger</term>
<term>Buser</term>
<term>Chemical plaque control</term>
<term>Chlorhexidine</term>
<term>Chlorhexidine digluconate</term>
<term>Cist</term>
<term>Clinical evaluation</term>
<term>Clinical implications</term>
<term>Clinical monitoring</term>
<term>Clinical parameter</term>
<term>Clinical parameters</term>
<term>Clinical periodontology</term>
<term>Clinical practice</term>
<term>Clinical research</term>
<term>Clinical stability</term>
<term>Clinical study</term>
<term>Colonization</term>
<term>Control teeth</term>
<term>Conventional radiographs</term>
<term>Cumulative interceptive</term>
<term>Cynomolgus monkeys</term>
<term>Dental implants</term>
<term>Depth values</term>
<term>Digital subtraction radiography</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Evident plaque</term>
<term>Gingival</term>
<term>Gingival health</term>
<term>Gingival indices</term>
<term>Gingivitis</term>
<term>Hawe neos</term>
<term>Healthy periimplant</term>
<term>Healthy periimplant tissues</term>
<term>High proportions</term>
<term>Hong kong</term>
<term>Host response</term>
<term>Implant</term>
<term>Implant mobility</term>
<term>Implant shoulder</term>
<term>Implant sulcus</term>
<term>Implant surface</term>
<term>Implant system</term>
<term>Implant systems</term>
<term>Implant therapy</term>
<term>Implants research</term>
<term>International journal</term>
<term>Intrabony defects</term>
<term>Itia</term>
<term>Joss</term>
<term>Lang</term>
<term>Late failures</term>
<term>Lesion</term>
<term>Ligated implants</term>
<term>Ligated teeth</term>
<term>Longitudinal study</term>
<term>Maintenance care program</term>
<term>Maxillofacial implants</term>
<term>Mechanical debridement</term>
<term>Microbiota</term>
<term>Mombelli</term>
<term>Mombelli lang</term>
<term>Mucosal</term>
<term>Mucosal tissues</term>
<term>Mucositis</term>
<term>Natural plaque accumulation</term>
<term>Occlusal overload</term>
<term>Oral cavity</term>
<term>Oral hygiene practices</term>
<term>Oral implants</term>
<term>Oral microbiology</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegrated titanium implants</term>
<term>Other hand</term>
<term>Periimplant</term>
<term>Periimplant defects</term>
<term>Periimplant infection</term>
<term>Periimplant infections</term>
<term>Periimplant lesion</term>
<term>Periimplant lesions</term>
<term>Periimplant mucosal tissues</term>
<term>Periimplant mucositis</term>
<term>Periimplant sulcus</term>
<term>Periimplant tissues</term>
<term>Periimplantitis</term>
<term>Periimplantitis lesions</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal pockets</term>
<term>Periodontal probe</term>
<term>Periodontal research</term>
<term>Periodontal stability</term>
<term>Periodontology</term>
<term>Plaque</term>
<term>Plaque control</term>
<term>Plaque formation</term>
<term>Prosthetic reconstruction</term>
<term>Radiograph</term>
<term>Radiographic</term>
<term>Radiographic diagnosis</term>
<term>Radiographic interpretation</term>
<term>Release devices</term>
<term>Rubber cups</term>
<term>Soft tissue compartments</term>
<term>Soft tissue seal</term>
<term>Success rates</term>
<term>Sulcus</term>
<term>Supportive therapy protocol</term>
<term>Suppuration</term>
<term>Therapeutic steps</term>
<term>Tissue integration</term>
<term>Tissue regeneration</term>
<term>Tissue seal</term>
<term>Titanium</term>
<term>Titanium implants</term>
<term>Tonetti schmid</term>
<term>Transmucosal implants</term>
<term>Treatment protocols</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Antibiotique</term>
<term>Titane</term>
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<front><div type="abstract" xml:lang="en">Biofilms form on all hard non‐shedding surfaces in a fluid system, i.e. both on teeth and oral implants. As a result of the bacterial challenge, the host responds by mounting a defence mechanism leading to inflammation of the soft tissues. In the dento‐gingival unit, this results in the well‐described lesion of gingivitis. In the implanto‐mucosal unit, this inflammation is termed “mucositis”. If plaque is allowed to accumulate for prolonged periods of time, experimental research has demonstrated that “mucositis” may develop into “periimplantitis” affecting the periimplant supporting bone circumferentially. Although the bony support may be lost coronally, the implant still remains osseointegrated and hence, clinically stable. This is the reason why mobility represents an insensitive, but specific diagnostic feature of “periimplantitis”. More sensitive and more reliable parameters of developing and existing periimplant infections are “bleeding on probing”, “probing depths” and radiographic interpretation of conventional or subtraction radiographs. Depending on the diagnosis made continuously during recall visits, a maintenance system termed Cummulative Interceptive Supportive Therapy (CIST) has been proposed.</div>
</front>
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