Microbiota around teeth and dental implants in periodontally healthy, partially edentulous patients: is pre‐implant microbiological testing relevant?
Identifieur interne : 005170 ( Main/Exploration ); précédent : 005169; suivant : 005171Microbiota around teeth and dental implants in periodontally healthy, partially edentulous patients: is pre‐implant microbiological testing relevant?
Auteurs : Leo Meijndert [Pays-Bas] ; Wil A. Van Der Reijden [Pays-Bas] ; Gerry M. Raghoebar [Pays-Bas] ; Henny J. A. Meijer [Pays-Bas] ; Arjan Vissink [Pays-Bas]Source :
- European Journal of Oral Sciences [ 0909-8836 ] ; 2010-08.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Aggregatibacter actinomycetemcomitans (isolement et purification), Antibactériens (usage thérapeutique), Bacteroides (isolement et purification), Bactéries à Gram négatif (), Biofilms, Campylobacter rectus (isolement et purification), Charge bactérienne, Dent (microbiologie), Femelle, Fusobacterium nucleatum (isolement et purification), Humains, Implants dentaires unitaires (microbiologie), Jeune adulte, Maxillaire (), Mâchoire partiellement édentée (microbiologie), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Parodonte (microbiologie), Peptostreptococcus (isolement et purification), Planification des soins du patient, Plaque dentaire (microbiologie), Poche parodontale (microbiologie), Porphyromonas gingivalis (isolement et purification), Prevotella intermedia (isolement et purification), Soins préopératoires, Études de suivi.
- MESH :
- isolement et purification : Aggregatibacter actinomycetemcomitans, Bacteroides, Campylobacter rectus, Fusobacterium nucleatum, Peptostreptococcus, Porphyromonas gingivalis, Prevotella intermedia.
- microbiologie : Dent, Implants dentaires unitaires, Mâchoire partiellement édentée, Parodonte, Plaque dentaire, Poche parodontale.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- usage thérapeutique : Antibactériens.
- Wicri :
English descriptors
- KwdEn :
- Actinobacillus actinomycetemcomitans, Actinomycetemcomitans, Adolescent, Adult, Aggregatibacter actinomycetemcomitans, Aggregatibacter actinomycetemcomitans (isolation & purification), Anti-Bacterial Agents (therapeutic use), Bacterial Load, Bacteroides, Bacteroides (isolation & purification), Bacteroides forsythus, Baseline, Biofilms, Campylobacter rectus, Campylobacter rectus (isolation & purification), Center groningen, Clin, Clin periodontol, Colonization, Dental Implants, Single-Tooth (microbiology), Dental Plaque (microbiology), Dental implants, Detectable levels, Edentulous, Edentulous patients, Female, Follow-Up Studies, Forsythia, Functional loading, Fusobacterium nucleatum, Fusobacterium nucleatum (isolation & purification), Gingivalis, Gram-Negative Bacteria (classification), Groningen, Humans, Implant, Implant placement, Intermedia, Jaw, Edentulous, Partially (microbiology), Jaw, Edentulous, Partially (rehabilitation), Male, Maxilla (surgery), Maxillofacial, Maxillofacial surgery, Microbiol, Microbiological, Microbiological criteria, Microbiological testing, Microbiota, Microorganism, Micros, Middle Aged, Nucleatum, Pathogen, Pathogen levels, Patient Care Planning, Peptostreptococcus (isolation & purification), Peptostreptococcus micros, Periodontal, Periodontal Pocket (microbiology), Periodontal disease, Periodontal intervention, Periodontal marker pathogens, Periodontal pathogens, Periodontal pathogens threshold, Periodontal treatment, Periodontally, Periodontitis, Periodontium (microbiology), Periodontol, Porphyromonas, Porphyromonas gingivalis, Porphyromonas gingivalis (isolation & purification), Preoperative Care, Prevotella intermedia, Prevotella intermedia (isolation & purification), Putative, Rectus, Subgingival, Tannerella forsythia, Teeth implant, Threshold levels, Tooth (microbiology), Young Adult.
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents.
- classification : Gram-Negative Bacteria.
- isolation & purification : Aggregatibacter actinomycetemcomitans, Bacteroides, Campylobacter rectus, Fusobacterium nucleatum, Peptostreptococcus, Porphyromonas gingivalis, Prevotella intermedia.
- microbiology : Dental Implants, Single-Tooth, Dental Plaque, Jaw, Edentulous, Partially, Periodontal Pocket, Periodontium, Tooth.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Maxilla.
- Teeft :
- Actinobacillus actinomycetemcomitans, Actinomycetemcomitans, Adolescent, Adult, Aggregatibacter actinomycetemcomitans, Bacterial Load, Bacteroides, Bacteroides forsythus, Baseline, Biofilms, Campylobacter rectus, Center groningen, Clin, Clin periodontol, Colonization, Dental implants, Detectable levels, Edentulous, Edentulous patients, Female, Follow-Up Studies, Forsythia, Functional loading, Fusobacterium nucleatum, Gingivalis, Groningen, Humans, Implant, Implant placement, Intermedia, Male, Maxillofacial, Maxillofacial surgery, Microbiol, Microbiological, Microbiological criteria, Microbiological testing, Microbiota, Microorganism, Micros, Middle Aged, Nucleatum, Pathogen, Pathogen levels, Patient Care Planning, Peptostreptococcus micros, Periodontal, Periodontal disease, Periodontal intervention, Periodontal marker pathogens, Periodontal pathogens, Periodontal pathogens threshold, Periodontal treatment, Periodontally, Periodontitis, Periodontol, Porphyromonas, Porphyromonas gingivalis, Preoperative Care, Prevotella intermedia, Putative, Rectus, Subgingival, Tannerella forsythia, Teeth implant, Threshold levels, Young Adult.
Abstract
Meijndert L, van der Reijden WA, Raghoebar GM, Meijer HJA, Vissink A. Microbiota around teeth and dental implants in periodontally healthy, partially edentulous patients: is pre‐implant microbiological testing relevant? Eur J Oral Sci 2010; 118: 357–363. © 2010 The Authors. Journal compilation © 2010 Eur J Oral Sci This study aimed to assess the prevalence of seven periodontal marker pathogens, before implant placement and 1 yr after loading, in periodontally healthy individuals and to assess the long‐term effectiveness of pre‐implant reduction of pathogens to below threshold levels. In 93 individuals needing single tooth replacement, pooled subgingival microbiological samples from standard sites were cultured and analyzed before implant treatment and 1 yr after loading. Threshold levels commonly used in periodontology to predict periodontal breakdown were applied. Subjects with levels of pathogens above these thresholds received initial periodontal treatment including systemic antibiotics when indicated. At baseline, 49.5% of periodontally healthy subjects harboured one or more marker pathogens above threshold levels. Periodontal treatment reduced the pathogen levels below threshold values in 78.3% of these initially colonized subjects. In all cases Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis were reduced to below threshold. At 1 yr after loading, periodontal pathogens were present above threshold levels in 74.1% of all subjects. It is concluded that in almost half of periodontal healthy individuals the subgingival biofilm harbours periodontal pathogens above threshold values. Long‐term effectiveness of pre‐implant reduction of the selected marker pathogens appeared limited in our patient population, making pre‐implant reduction unpredictive for post‐implant levels of these pathogens. Thus, considering the applied microbiological criteria, generalized pre‐implant microbiological testing is not contributory in periodontally healthy subjects.
Url:
DOI: 10.1111/j.1600-0722.2010.00750.x
Affiliations:
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Van Der Reijden</name><affiliation wicri:level="3"><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Oral Microbiology, Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry M. Raghoebar</name><affiliation wicri:level="3"><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Medical Center Groningen, University of Groningen, Groningen</wicri:regionArea><placeName><settlement type="city">Groningue</settlement><region nuts="2" type="province">Groningue (province)</region></placeName></affiliation></author><author><name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J. A." last="Meijer">Henny J. A. 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when="2010-08">2010-08</date></imprint><idno type="ISSN">0909-8836</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0909-8836</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Actinobacillus actinomycetemcomitans</term><term>Actinomycetemcomitans</term><term>Adolescent</term><term>Adult</term><term>Aggregatibacter actinomycetemcomitans</term><term>Aggregatibacter actinomycetemcomitans (isolation & purification)</term><term>Anti-Bacterial Agents (therapeutic use)</term><term>Bacterial Load</term><term>Bacteroides</term><term>Bacteroides (isolation & purification)</term><term>Bacteroides forsythus</term><term>Baseline</term><term>Biofilms</term><term>Campylobacter rectus</term><term>Campylobacter rectus (isolation & purification)</term><term>Center groningen</term><term>Clin</term><term>Clin periodontol</term><term>Colonization</term><term>Dental Implants, Single-Tooth (microbiology)</term><term>Dental Plaque (microbiology)</term><term>Dental implants</term><term>Detectable levels</term><term>Edentulous</term><term>Edentulous patients</term><term>Female</term><term>Follow-Up Studies</term><term>Forsythia</term><term>Functional loading</term><term>Fusobacterium nucleatum</term><term>Fusobacterium nucleatum (isolation & purification)</term><term>Gingivalis</term><term>Gram-Negative Bacteria (classification)</term><term>Groningen</term><term>Humans</term><term>Implant</term><term>Implant placement</term><term>Intermedia</term><term>Jaw, Edentulous, Partially (microbiology)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Male</term><term>Maxilla (surgery)</term><term>Maxillofacial</term><term>Maxillofacial surgery</term><term>Microbiol</term><term>Microbiological</term><term>Microbiological criteria</term><term>Microbiological testing</term><term>Microbiota</term><term>Microorganism</term><term>Micros</term><term>Middle Aged</term><term>Nucleatum</term><term>Pathogen</term><term>Pathogen levels</term><term>Patient Care Planning</term><term>Peptostreptococcus (isolation & purification)</term><term>Peptostreptococcus micros</term><term>Periodontal</term><term>Periodontal Pocket (microbiology)</term><term>Periodontal disease</term><term>Periodontal intervention</term><term>Periodontal marker pathogens</term><term>Periodontal pathogens</term><term>Periodontal pathogens threshold</term><term>Periodontal treatment</term><term>Periodontally</term><term>Periodontitis</term><term>Periodontium (microbiology)</term><term>Periodontol</term><term>Porphyromonas</term><term>Porphyromonas gingivalis</term><term>Porphyromonas gingivalis (isolation & purification)</term><term>Preoperative Care</term><term>Prevotella intermedia</term><term>Prevotella intermedia (isolation & purification)</term><term>Putative</term><term>Rectus</term><term>Subgingival</term><term>Tannerella forsythia</term><term>Teeth implant</term><term>Threshold levels</term><term>Tooth (microbiology)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aggregatibacter actinomycetemcomitans (isolement et purification)</term><term>Antibactériens (usage thérapeutique)</term><term>Bacteroides (isolement et purification)</term><term>Bactéries à Gram négatif ()</term><term>Biofilms</term><term>Campylobacter rectus (isolement et purification)</term><term>Charge bactérienne</term><term>Dent (microbiologie)</term><term>Femelle</term><term>Fusobacterium nucleatum (isolement et purification)</term><term>Humains</term><term>Implants dentaires unitaires (microbiologie)</term><term>Jeune adulte</term><term>Maxillaire ()</term><term>Mâchoire partiellement édentée (microbiologie)</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Parodonte (microbiologie)</term><term>Peptostreptococcus (isolement et purification)</term><term>Planification des soins du patient</term><term>Plaque dentaire (microbiologie)</term><term>Poche parodontale (microbiologie)</term><term>Porphyromonas gingivalis (isolement et purification)</term><term>Prevotella intermedia (isolement et purification)</term><term>Soins préopératoires</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Bacterial Agents</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Gram-Negative Bacteria</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Aggregatibacter actinomycetemcomitans</term><term>Bacteroides</term><term>Campylobacter rectus</term><term>Fusobacterium nucleatum</term><term>Peptostreptococcus</term><term>Porphyromonas gingivalis</term><term>Prevotella intermedia</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Aggregatibacter actinomycetemcomitans</term><term>Bacteroides</term><term>Campylobacter rectus</term><term>Fusobacterium nucleatum</term><term>Peptostreptococcus</term><term>Porphyromonas gingivalis</term><term>Prevotella intermedia</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Dent</term><term>Implants dentaires unitaires</term><term>Mâchoire partiellement édentée</term><term>Parodonte</term><term>Plaque dentaire</term><term>Poche parodontale</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Dental Implants, Single-Tooth</term><term>Dental Plaque</term><term>Jaw, Edentulous, Partially</term><term>Periodontal Pocket</term><term>Periodontium</term><term>Tooth</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Maxilla</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antibactériens</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Actinobacillus actinomycetemcomitans</term><term>Actinomycetemcomitans</term><term>Adolescent</term><term>Adult</term><term>Aggregatibacter actinomycetemcomitans</term><term>Bacterial Load</term><term>Bacteroides</term><term>Bacteroides forsythus</term><term>Baseline</term><term>Biofilms</term><term>Campylobacter rectus</term><term>Center groningen</term><term>Clin</term><term>Clin periodontol</term><term>Colonization</term><term>Dental implants</term><term>Detectable levels</term><term>Edentulous</term><term>Edentulous patients</term><term>Female</term><term>Follow-Up Studies</term><term>Forsythia</term><term>Functional loading</term><term>Fusobacterium nucleatum</term><term>Gingivalis</term><term>Groningen</term><term>Humans</term><term>Implant</term><term>Implant placement</term><term>Intermedia</term><term>Male</term><term>Maxillofacial</term><term>Maxillofacial surgery</term><term>Microbiol</term><term>Microbiological</term><term>Microbiological criteria</term><term>Microbiological testing</term><term>Microbiota</term><term>Microorganism</term><term>Micros</term><term>Middle Aged</term><term>Nucleatum</term><term>Pathogen</term><term>Pathogen levels</term><term>Patient Care Planning</term><term>Peptostreptococcus micros</term><term>Periodontal</term><term>Periodontal disease</term><term>Periodontal intervention</term><term>Periodontal marker pathogens</term><term>Periodontal pathogens</term><term>Periodontal pathogens threshold</term><term>Periodontal treatment</term><term>Periodontally</term><term>Periodontitis</term><term>Periodontol</term><term>Porphyromonas</term><term>Porphyromonas gingivalis</term><term>Preoperative Care</term><term>Prevotella intermedia</term><term>Putative</term><term>Rectus</term><term>Subgingival</term><term>Tannerella forsythia</term><term>Teeth implant</term><term>Threshold levels</term><term>Young Adult</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bactéries à Gram négatif</term><term>Biofilms</term><term>Charge bactérienne</term><term>Femelle</term><term>Groningue</term><term>Humains</term><term>Jeune adulte</term><term>Maxillaire</term><term>Micro-organisme</term><term>Mâle</term><term>Planification des soins du patient</term><term>Soins préopératoires</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Meijndert L, van der Reijden WA, Raghoebar GM, Meijer HJA, Vissink A. Microbiota around teeth and dental implants in periodontally healthy, partially edentulous patients: is pre‐implant microbiological testing relevant? Eur J Oral Sci 2010; 118: 357–363. © 2010 The Authors. Journal compilation © 2010 Eur J Oral Sci This study aimed to assess the prevalence of seven periodontal marker pathogens, before implant placement and 1 yr after loading, in periodontally healthy individuals and to assess the long‐term effectiveness of pre‐implant reduction of pathogens to below threshold levels. In 93 individuals needing single tooth replacement, pooled subgingival microbiological samples from standard sites were cultured and analyzed before implant treatment and 1 yr after loading. Threshold levels commonly used in periodontology to predict periodontal breakdown were applied. Subjects with levels of pathogens above these thresholds received initial periodontal treatment including systemic antibiotics when indicated. At baseline, 49.5% of periodontally healthy subjects harboured one or more marker pathogens above threshold levels. Periodontal treatment reduced the pathogen levels below threshold values in 78.3% of these initially colonized subjects. In all cases Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis were reduced to below threshold. At 1 yr after loading, periodontal pathogens were present above threshold levels in 74.1% of all subjects. It is concluded that in almost half of periodontal healthy individuals the subgingival biofilm harbours periodontal pathogens above threshold values. Long‐term effectiveness of pre‐implant reduction of the selected marker pathogens appeared limited in our patient population, making pre‐implant reduction unpredictive for post‐implant levels of these pathogens. Thus, considering the applied microbiological criteria, generalized pre‐implant microbiological testing is not contributory in periodontally healthy subjects.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Groningue (province)</li><li>Hollande-Septentrionale</li></region><settlement><li>Amsterdam</li><li>Groningue</li></settlement></list><tree><country name="Pays-Bas"><region name="Groningue (province)"><name sortKey="Meijndert, Leo" sort="Meijndert, Leo" uniqKey="Meijndert L" first="Leo" last="Meijndert">Leo Meijndert</name></region><name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J. A." last="Meijer">Henny J. A. Meijer</name><name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J. A." last="Meijer">Henny J. A. Meijer</name><name sortKey="Meijndert, Leo" sort="Meijndert, Leo" uniqKey="Meijndert L" first="Leo" last="Meijndert">Leo Meijndert</name><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry M. Raghoebar</name><name sortKey="Van Der Reijden, Wil A" sort="Van Der Reijden, Wil A" uniqKey="Van Der Reijden W" first="Wil A." last="Van Der Reijden">Wil A. Van Der Reijden</name><name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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