Comparison of clinical, radiographic and immunological parameters of teeth and different dental implant platforms.
Identifieur interne : 006D16 ( Main/Exploration ); précédent : 006D15; suivant : 006D17Comparison of clinical, radiographic and immunological parameters of teeth and different dental implant platforms.
Auteurs : Eli E. Machtei [Israël] ; Efrat Oved-Peleg ; Micha PeledSource :
- Clinical oral implants research [ 0905-7161 ] ; 2006.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Dinoprostone (analyse), Exsudat gingival (immunologie), Facteur de nécrose tumorale alpha (analyse), Humains, Implants dentaires (effets indésirables), Interleukine-1 (analyse), Maladies du maxillaire supérieur (imagerie diagnostique), Maladies mandibulaires (imagerie diagnostique), Mâchoire partiellement édentée (rééducation et réadaptation), Méthodes épidémiologiques, Pose d'implant dentaire endo-osseux (), Radiographie, Résorption alvéolaire (imagerie diagnostique), Sujet âgé.
- MESH :
- analyse : Dinoprostone, Facteur de nécrose tumorale alpha, Interleukine-1.
- effets indésirables : Implants dentaires.
- imagerie diagnostique : Maladies du maxillaire supérieur, Maladies mandibulaires, Résorption alvéolaire.
- immunologie : Exsudat gingival.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte d'âge moyen, Humains, Méthodes épidémiologiques, Pose d'implant dentaire endo-osseux, Radiographie, Sujet âgé.
English descriptors
- KwdEn :
- Aged, Alveolar Bone Loss (diagnostic imaging), Dental Implantation, Endosseous (methods), Dental Implants (adverse effects), Dinoprostone (analysis), Epidemiologic Methods, Gingival Crevicular Fluid (immunology), Humans, Interleukin-1 (analysis), Jaw, Edentulous, Partially (rehabilitation), Mandibular Diseases (diagnostic imaging), Maxillary Diseases (diagnostic imaging), Middle Aged, Radiography, Tumor Necrosis Factor-alpha (analysis).
- MESH :
- chemical , adverse effects : Dental Implants.
- chemical , analysis : Dinoprostone, Interleukin-1, Tumor Necrosis Factor-alpha.
- diagnostic imaging : Alveolar Bone Loss, Mandibular Diseases, Maxillary Diseases.
- immunology : Gingival Crevicular Fluid.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous, Partially.
- Aged, Epidemiologic Methods, Humans, Middle Aged, Radiography.
Abstract
A comparison between host response in teeth and dental implants was not made. Likewise, the association between host response and periodontal parameters has never been explored. The purpose of this study was to compare periodontal health around natural teeth and dental implants with different restorative platforms. Twenty-seven partially edentulous patients with dental implants, either external hex butt joint (n=28) or tapered Morse (n=45), were included in this study. Implants were in function for 1-6 years (mean 2.9). Plaque index (PI), gingival index (GI), probing depth (PD); and clinical attachment level (CAL), were recorded at final examination; alveolar bone loss (ABL) was measured at baseline and final examination using panoramic radiographs. Gingival crevicular fluid samples were obtained from the Ramfjord index teeth and all implants and assayed using enzyme-linked immunosorbent assay for prostaglandin E(2) (PGE(2)), interleukin-1 (IL-1) and tumour necrosis factor alpha (TNFalpha). Differences between teeth and implants and between the two implant platforms were compared using Student's t-test. Correlations between cytokines, ABL and clinical parameters were analyzed using Pearson's co-efficient test. PI and GI were significantly higher in teeth than dental implants (1.2+/-0.5 vs. 0.8+/-0.5, P=0.0018; 1.2+/-0.3 vs. 1.1+/-0.3, P=0.048). Conversely, PD was deeper in implants (2.66+/-0.6 vs. 3.66+/-0.9, P=0.001). GI and PD around teeth and implants were positively associated (R=0.561, P=0.0023; R=0.39, P=0.0452). Greater ABL was observed around dental implants (1.62+/-2.2 mm) compared with teeth (0.49+/-0.3 mm). A positive correlation was found between both IL-1 (R=0.73, P=0.0064; R=0.52, P=0.0081) and TNFalpha (R=0.64, P=0.0246; R=0.46, P=0.091) and ABL in teeth and implants. Both implant platforms were similar clinically and radiographically; however, TNFalpha (2.49+/-0.3 vs. 4.79+/-0.5, P=0.004) and IL-1 (24.52+/-7.3 vs. 45.41+/-9.9, P=0.095) were higher for the non-submerged implants. In conclusion, IL-1 and TNFalpha are sensitive markers of ABL around teeth and implants. The two dental implant platforms showed a similar clinical and radiographic response; however, the greater host response in the non-submerged implants might suggest future bone loss.
DOI: 10.1111/j.1600-0501.2006.01282.x
PubMed: 17092224
Affiliations:
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Le document en format XML
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<term>Dental Implants (adverse effects)</term>
<term>Dinoprostone (analysis)</term>
<term>Epidemiologic Methods</term>
<term>Gingival Crevicular Fluid (immunology)</term>
<term>Humans</term>
<term>Interleukin-1 (analysis)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Mandibular Diseases (diagnostic imaging)</term>
<term>Maxillary Diseases (diagnostic imaging)</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>Tumor Necrosis Factor-alpha (analysis)</term>
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<term>Dinoprostone (analyse)</term>
<term>Exsudat gingival (immunologie)</term>
<term>Facteur de nécrose tumorale alpha (analyse)</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Interleukine-1 (analyse)</term>
<term>Maladies du maxillaire supérieur (imagerie diagnostique)</term>
<term>Maladies mandibulaires (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Méthodes épidémiologiques</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Radiographie</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Sujet âgé</term>
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<term>Interleukin-1</term>
<term>Tumor Necrosis Factor-alpha</term>
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<term>Facteur de nécrose tumorale alpha</term>
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<term>Maladies mandibulaires</term>
<term>Résorption alvéolaire</term>
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<term>Radiography</term>
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<term>Humains</term>
<term>Méthodes épidémiologiques</term>
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<front><div type="abstract" xml:lang="en">A comparison between host response in teeth and dental implants was not made. Likewise, the association between host response and periodontal parameters has never been explored. The purpose of this study was to compare periodontal health around natural teeth and dental implants with different restorative platforms. Twenty-seven partially edentulous patients with dental implants, either external hex butt joint (n=28) or tapered Morse (n=45), were included in this study. Implants were in function for 1-6 years (mean 2.9). Plaque index (PI), gingival index (GI), probing depth (PD); and clinical attachment level (CAL), were recorded at final examination; alveolar bone loss (ABL) was measured at baseline and final examination using panoramic radiographs. Gingival crevicular fluid samples were obtained from the Ramfjord index teeth and all implants and assayed using enzyme-linked immunosorbent assay for prostaglandin E(2) (PGE(2)), interleukin-1 (IL-1) and tumour necrosis factor alpha (TNFalpha). Differences between teeth and implants and between the two implant platforms were compared using Student's t-test. Correlations between cytokines, ABL and clinical parameters were analyzed using Pearson's co-efficient test. PI and GI were significantly higher in teeth than dental implants (1.2+/-0.5 vs. 0.8+/-0.5, P=0.0018; 1.2+/-0.3 vs. 1.1+/-0.3, P=0.048). Conversely, PD was deeper in implants (2.66+/-0.6 vs. 3.66+/-0.9, P=0.001). GI and PD around teeth and implants were positively associated (R=0.561, P=0.0023; R=0.39, P=0.0452). Greater ABL was observed around dental implants (1.62+/-2.2 mm) compared with teeth (0.49+/-0.3 mm). A positive correlation was found between both IL-1 (R=0.73, P=0.0064; R=0.52, P=0.0081) and TNFalpha (R=0.64, P=0.0246; R=0.46, P=0.091) and ABL in teeth and implants. Both implant platforms were similar clinically and radiographically; however, TNFalpha (2.49+/-0.3 vs. 4.79+/-0.5, P=0.004) and IL-1 (24.52+/-7.3 vs. 45.41+/-9.9, P=0.095) were higher for the non-submerged implants. In conclusion, IL-1 and TNFalpha are sensitive markers of ABL around teeth and implants. The two dental implant platforms showed a similar clinical and radiographic response; however, the greater host response in the non-submerged implants might suggest future bone loss.</div>
</front>
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