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Clinical and radiographic evaluation of periodontal and peri-implant conditions in patients with implant-supported prosthesis.

Identifieur interne : 006773 ( Main/Exploration ); précédent : 006772; suivant : 006774

Clinical and radiographic evaluation of periodontal and peri-implant conditions in patients with implant-supported prosthesis.

Auteurs : Monica H. Abreu ; Marco A. Bianchini ; Ricardo S. Magini ; Cassiano K. Rösing

Source :

RBID : pubmed:18590257

Descripteurs français

English descriptors

Abstract

The aim of the present study was to clinically and radiographically assess the peri-implant and periodontal conditions in partially edentulous patients with implant-supported fixtures installed, at least, one year prior to the study. 41 patients were examined by a calibrated examiner in relation to the following implant-associated parameters: Modified Plaque Index (mPlI), Modified Bleeding Index (mBI), probing depth (PD), clinical attachment level (CAL) and bleeding on probing of the bottom of the crevice (BOP). Also, the remaining teeth were assessed in terms of Plaque Index (PlI), Gingival Index (GI), PD, CAL and BOP. The peri-implant bone loss was evaluated by means of periapical radiographs. Measurements of pre-operatory and final bone levels allowed an estimation of bone loss associated to teeth and a comparison with bone loss around implants. None of the individuals presented late loss of implants until the examination took place. No statistically significant differences were observed between PlI (0.90+/-0.07) and mPlI (0.82+/-0.13), or between GI (0.11+/-0.02) and mBI (0.10+/-0.02). However, PD, CAL and BOP values were higher in implants than in teeth (Wald Test, p<0.01). Implants presented a mean annual bone loss during the study period of 0.77 mm (SE=0.06). Teeth virtually did not present any bone loss (mean value of 0.36%) whereas implants exhibited a bone loss value of 17.11%. Plaque accumulation and marginal inflammation did not differ between teeth and implants. However, subgingival inflammation was higher in implants than in teeth. The destruction measurements suggest greater losses in implants, as expected because of tissue remodelation.

PubMed: 18590257


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Le document en format XML

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<nlm:affiliation>Department of Periodontology, School of Dentistry, Lutheran University of Brazil.</nlm:affiliation>
<wicri:noCountry code="subField">Lutheran University of Brazil</wicri:noCountry>
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<name sortKey="Bianchini, Marco A" sort="Bianchini, Marco A" uniqKey="Bianchini M" first="Marco A" last="Bianchini">Marco A. Bianchini</name>
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<name sortKey="Magini, Ricardo S" sort="Magini, Ricardo S" uniqKey="Magini R" first="Ricardo S" last="Magini">Ricardo S. Magini</name>
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<term>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (classification)</term>
<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Dental Implants</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Gingival Hemorrhage (classification)</term>
<term>Gingivitis (classification)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Periodontal Attachment Loss (classification)</term>
<term>Periodontal Diseases (classification)</term>
<term>Periodontal Diseases (diagnostic imaging)</term>
<term>Periodontal Pocket (classification)</term>
<term>Periodontitis (classification)</term>
<term>Radiography</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Gingivite ()</term>
<term>Humains</term>
<term>Hémorragie gingivale ()</term>
<term>Implants dentaires</term>
<term>Indice de plaque dentaire</term>
<term>Maladies parodontales ()</term>
<term>Maladies parodontales (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Parodontite ()</term>
<term>Perte d'attache parodontale ()</term>
<term>Poche parodontale ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Résorption alvéolaire ()</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
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<term>Dental Implants</term>
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<term>Alveolar Bone Loss</term>
<term>Gingival Hemorrhage</term>
<term>Gingivitis</term>
<term>Periodontal Attachment Loss</term>
<term>Periodontal Diseases</term>
<term>Periodontal Pocket</term>
<term>Periodontitis</term>
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<term>Periodontal Diseases</term>
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<term>Maladies parodontales</term>
<term>Résorption alvéolaire</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Adult</term>
<term>Aged</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
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<term>Femelle</term>
<term>Gingivite</term>
<term>Humains</term>
<term>Hémorragie gingivale</term>
<term>Implants dentaires</term>
<term>Indice de plaque dentaire</term>
<term>Maladies parodontales</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Parodontite</term>
<term>Perte d'attache parodontale</term>
<term>Poche parodontale</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Résorption alvéolaire</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
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<div type="abstract" xml:lang="en">The aim of the present study was to clinically and radiographically assess the peri-implant and periodontal conditions in partially edentulous patients with implant-supported fixtures installed, at least, one year prior to the study. 41 patients were examined by a calibrated examiner in relation to the following implant-associated parameters: Modified Plaque Index (mPlI), Modified Bleeding Index (mBI), probing depth (PD), clinical attachment level (CAL) and bleeding on probing of the bottom of the crevice (BOP). Also, the remaining teeth were assessed in terms of Plaque Index (PlI), Gingival Index (GI), PD, CAL and BOP. The peri-implant bone loss was evaluated by means of periapical radiographs. Measurements of pre-operatory and final bone levels allowed an estimation of bone loss associated to teeth and a comparison with bone loss around implants. None of the individuals presented late loss of implants until the examination took place. No statistically significant differences were observed between PlI (0.90+/-0.07) and mPlI (0.82+/-0.13), or between GI (0.11+/-0.02) and mBI (0.10+/-0.02). However, PD, CAL and BOP values were higher in implants than in teeth (Wald Test, p<0.01). Implants presented a mean annual bone loss during the study period of 0.77 mm (SE=0.06). Teeth virtually did not present any bone loss (mean value of 0.36%) whereas implants exhibited a bone loss value of 17.11%. Plaque accumulation and marginal inflammation did not differ between teeth and implants. However, subgingival inflammation was higher in implants than in teeth. The destruction measurements suggest greater losses in implants, as expected because of tissue remodelation.</div>
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<name sortKey="Abreu, Monica H" sort="Abreu, Monica H" uniqKey="Abreu M" first="Monica H" last="Abreu">Monica H. Abreu</name>
<name sortKey="Bianchini, Marco A" sort="Bianchini, Marco A" uniqKey="Bianchini M" first="Marco A" last="Bianchini">Marco A. Bianchini</name>
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<name sortKey="Rosing, Cassiano K" sort="Rosing, Cassiano K" uniqKey="Rosing C" first="Cassiano K" last="Rösing">Cassiano K. Rösing</name>
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