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Ligature-induced peri-implant infection in crestal and subcrestal implants: a clinical and radiographic study in dogs

Identifieur interne : 001005 ( Main/Exploration ); précédent : 001004; suivant : 001006

Ligature-induced peri-implant infection in crestal and subcrestal implants: a clinical and radiographic study in dogs

Auteurs : Baoxin Huang [République populaire de Chine] ; Muzi Piao [République populaire de Chine] ; Li Zhang [République populaire de Chine] ; Xian Wang [République populaire de Chine] ; Li Xu [République populaire de Chine] ; Weidong Zhu [République populaire de Chine] ; Huanxin Meng [République populaire de Chine]

Source :

RBID : PMC:4525689

Abstract

Objective. The aim of this study was to assess the influence of implant–abutment interface (IAI) placement depths on peri-implant tissues in the presence of ligature-induced peri-implant inflammation.

Materials and Methods. Two implants with screwed-in IAIs (SI) and two implants with tapped-in IAIs (TI) were inserted in one side of the mandible in six dogs eight weeks after tooth extraction. Four experimental groups were constituted: SI placed crestally, SI placed 1.5 mm subcrestally, TI placed crestally and TI placed 1.5 mm subcrestally. After 12 weeks, the healing abutments were connected. Four weeks later, cotton floss ligatures were placed around the abutments to promote plaque accumulation. Clinical and radiographic examinations were performed at 0, 6 and 12 weeks after ligature placement. The effects of the IAI placement depths on clinical and radiographic parameters were assessed.

Results. The alterations of peri-implant probing depths, clinical attachment levels, distances from the IAI to the first bone-implant contact (IAI-fBIC) and depths of infrabony defect were significant larger in the subcrestal groups compared with the crestal groups during the plaque accumulation period. The alterations of clinical attachment levels, IAI-fBIC, depth of the infrabony defect and horizontal bone loss were not significantly different between the SI and TI groups after ligature placement.

Conclusion. Tissue destruction in subcrestal implants may be more serious than that in crestal implants in the presence of inflamed peri-implant mucosa.


Url:
DOI: 10.7717/peerj.1139
PubMed: 26246975
PubMed Central: 4525689


Affiliations:


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<name sortKey="Meng, Huanxin" sort="Meng, Huanxin" uniqKey="Meng H" first="Huanxin" last="Meng">Huanxin Meng</name>
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<addr-line>Beijing</addr-line>
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<addr-line>Beijing</addr-line>
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<p>
<bold>Objective.</bold>
The aim of this study was to assess the influence of implant–abutment interface (IAI) placement depths on peri-implant tissues in the presence of ligature-induced peri-implant inflammation.</p>
<p>
<bold>Materials and Methods.</bold>
Two implants with screwed-in IAIs (SI) and two implants with tapped-in IAIs (TI) were inserted in one side of the mandible in six dogs eight weeks after tooth extraction. Four experimental groups were constituted: SI placed crestally, SI placed 1.5 mm subcrestally, TI placed crestally and TI placed 1.5 mm subcrestally. After 12 weeks, the healing abutments were connected. Four weeks later, cotton floss ligatures were placed around the abutments to promote plaque accumulation. Clinical and radiographic examinations were performed at 0, 6 and 12 weeks after ligature placement. The effects of the IAI placement depths on clinical and radiographic parameters were assessed.</p>
<p>
<bold>Results.</bold>
The alterations of peri-implant probing depths, clinical attachment levels, distances from the IAI to the first bone-implant contact (IAI-fBIC) and depths of infrabony defect were significant larger in the subcrestal groups compared with the crestal groups during the plaque accumulation period. The alterations of clinical attachment levels, IAI-fBIC, depth of the infrabony defect and horizontal bone loss were not significantly different between the SI and TI groups after ligature placement.</p>
<p>
<bold>Conclusion.</bold>
Tissue destruction in subcrestal implants may be more serious than that in crestal implants in the presence of inflamed peri-implant mucosa.</p>
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