Reentry After Combined Surgical Resective and Regenerative Therapy of Advanced Peri-implantitis: A Retrospective Analysis of Five Cases.
Identifieur interne : 010F00 ( Main/Exploration ); précédent : 010E99; suivant : 010F01Reentry After Combined Surgical Resective and Regenerative Therapy of Advanced Peri-implantitis: A Retrospective Analysis of Five Cases.
Auteurs : Frank Schwarz ; Gordon John ; Jürgen BeckerSource :
- The International journal of periodontics & restorative dentistry [ 1945-3388 ]
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Collagen.
- methods : Alveolar Ridge Augmentation, Guided Tissue Regeneration, Periodontal.
- surgery : Jaw, Edentulous, Partially, Peri-Implantitis.
- Decontamination, Humans, Recurrence, Reoperation, Retrospective Studies, Surgical Flaps, Wound Healing.
Abstract
This retrospective analysis of five reentry cases reports on the clinical defect healing after combined surgical resective/regenerative therapy of advanced peri-implantitis. A second surgery was necessary because of a clinical need for additional treatment procedures at the respective implant sites after healing periods of 8 months to 6.5 years. All patients underwent the same standardized procedure including access flap surgery, implantoplasty at bucally and supracrestally (> 1 mm) exposed implant parts, surface decontamination, and augmentation of the intrabony (Class I) components using a natural bone mineral and a native collagen membrane. Clinical defect resolution (DR) of the Class I component was evaluated. In two patients, clinical and radiographic signs suggested a reinfection (ie, case 3-mesial aspect; case 5-mesial and distal aspects). Mean DR values ± standard deviation were 59.4% ± 47.59% (95% confidence interval [CI], 0.31%-118.49%). When infected aspects were excluded, resulting values were 85.76% ± 4.86% (95% CI, 78.02%-93.50%). The presented surgical procedure was associated with a clinically important DR in advanced peri-implantitis defects.
PubMed: 26357694
Affiliations:
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A second surgery was necessary because of a clinical need for additional treatment procedures at the respective implant sites after healing periods of 8 months to 6.5 years. All patients underwent the same standardized procedure including access flap surgery, implantoplasty at bucally and supracrestally (> 1 mm) exposed implant parts, surface decontamination, and augmentation of the intrabony (Class I) components using a natural bone mineral and a native collagen membrane. Clinical defect resolution (DR) of the Class I component was evaluated. In two patients, clinical and radiographic signs suggested a reinfection (ie, case 3-mesial aspect; case 5-mesial and distal aspects). Mean DR values ± standard deviation were 59.4% ± 47.59% (95% confidence interval [CI], 0.31%-118.49%). When infected aspects were excluded, resulting values were 85.76% ± 4.86% (95% CI, 78.02%-93.50%). The presented surgical procedure was associated with a clinically important DR in advanced peri-implantitis defects.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Becker, Jurgen" sort="Becker, Jurgen" uniqKey="Becker J" first="Jürgen" last="Becker">Jürgen Becker</name><name sortKey="John, Gordon" sort="John, Gordon" uniqKey="John G" first="Gordon" last="John">Gordon John</name><name sortKey="Schwarz, Frank" sort="Schwarz, Frank" uniqKey="Schwarz F" first="Frank" last="Schwarz">Frank Schwarz</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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