Clinical, microbiological, and immunological aspects of healthy versus peri-implantitis tissue in full arch reconstruction patients: a prospective cross-sectional study
Identifieur interne : 001329 ( Main/Exploration ); précédent : 001328; suivant : 001330Clinical, microbiological, and immunological aspects of healthy versus peri-implantitis tissue in full arch reconstruction patients: a prospective cross-sectional study
Auteurs : Javier Ata-Ali [Espagne] ; Antonio Juan Flichy-Fernández [Espagne] ; Teresa Alegre-Domingo [Espagne] ; Fadi Ata-Ali [Espagne] ; Jose Palacio [Espagne] ; Miguel Pe Arrocha-Diago [Espagne]Source :
- BMC Oral Health [ 1472-6831 ] ; 2015.
Abstract
Due to the world-wide increase in treatments involving implant placement, the incidence of peri-implant disease is increasing. Late implant failure is the result of the inability to maintain osseointegration, whose most important cause is peri-implantitis. The aim of this study was to analyze the clinical, microbiological, and immunological aspects in the peri-implant sulcus fluid (PISF) of patients with healthy dental implants and patients with peri-implantitis.
PISF samples were obtained from 24 peri-implantitis sites and 54 healthy peri-implant sites in this prospective cross-sectional study. The clinical parameters recorded were: modified gingival index (mGI), modified plaque index (mPI) and probing pocket depth (PPD). The periodontopathogenic bacteria
The mGI and PPD scores in the peri-implantitis group were significantly higher than the healthy group (p < 0.001). A total of 61.5% of the patients with peri-implantitis had both arches rehabilitated, compared with 22.7% of patients with healthy peri-implant tissues; there was no implant with peri-implantitis in cases that received mandibular treatment exclusively (p < 0.05). Concentrations of
The results of the present study involving a limited patient sample suggest that the peri-implant microbiota and which dental arch was rehabilitated involved could contribute to bone loss in peri-implantitis. A significant relationship is observed between the concentration of cytokines (interleukins 1β, 6 and 10 and TNF-α) and the inflammatory response in peri-implantitis tissue.
Url:
DOI: 10.1186/s12903-015-0031-9
PubMed: 25888355
PubMed Central: 4391105
Affiliations:
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Le document en format XML
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<series><title level="j">BMC Oral Health</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Due to the world-wide increase in treatments involving implant placement, the incidence of peri-implant disease is increasing. Late implant failure is the result of the inability to maintain osseointegration, whose most important cause is peri-implantitis. The aim of this study was to analyze the clinical, microbiological, and immunological aspects in the peri-implant sulcus fluid (PISF) of patients with healthy dental implants and patients with peri-implantitis.</p>
</sec>
<sec><title>Methods</title>
<p>PISF samples were obtained from 24 peri-implantitis sites and 54 healthy peri-implant sites in this prospective cross-sectional study. The clinical parameters recorded were: modified gingival index (mGI), modified plaque index (mPI) and probing pocket depth (PPD). The periodontopathogenic bacteria <italic>Tannerella forsythia</italic>
, <italic>Treponema denticola</italic>
and <italic>Porphyromonas gingivalis</italic>
were evaluated, together with the total bacterial load (TBL). PISF samples were analyzed for the quantification of Interleukin (IL)-8, IL-1β, IL-6, IL-10 and Tumor Necrosis Factor (TNF)-α using flow cytometry (FACS).</p>
</sec>
<sec><title>Results</title>
<p>The mGI and PPD scores in the peri-implantitis group were significantly higher than the healthy group (p < 0.001). A total of 61.5% of the patients with peri-implantitis had both arches rehabilitated, compared with 22.7% of patients with healthy peri-implant tissues; there was no implant with peri-implantitis in cases that received mandibular treatment exclusively (p < 0.05). Concentrations of <italic>Porphyromonas gingivalis</italic>
(p < 0.01), association with bacteria <italic>Porphyromonas gingivalis</italic>
and <italic>Treponema denticola</italic>
(p < 0.05), as well as the TBL (p < 0.05) are significantly higher in the peri-implantitis group. IL-1β (p < 0.01), IL-6 (p < 0.01), IL-10 (p < 0.05) and TNF-α (p < 0.01) are significantly higher at the sites with peri-implantitis compared to healthy peri-implant tissue, while IL-8 did not increase significantly.</p>
</sec>
<sec><title>Conclusion</title>
<p>The results of the present study involving a limited patient sample suggest that the peri-implant microbiota and which dental arch was rehabilitated involved could contribute to bone loss in peri-implantitis. A significant relationship is observed between the concentration of cytokines (interleukins 1β, 6 and 10 and TNF-α) and the inflammatory response in peri-implantitis tissue.</p>
</sec>
</div>
</front>
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</author>
<author><name sortKey="Igondjo Tchen, S" uniqKey="Igondjo Tchen S">S Igondjo-Tchen</name>
</author>
<author><name sortKey="Ghomrasseni, S" uniqKey="Ghomrasseni S">S Ghomrasseni</name>
</author>
<author><name sortKey="Pellat, B" uniqKey="Pellat B">B Pellat</name>
</author>
<author><name sortKey="Godeau, G" uniqKey="Godeau G">G Godeau</name>
</author>
<author><name sortKey="Gogly, B" uniqKey="Gogly B">B Gogly</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gamonal, J" uniqKey="Gamonal J">J Gamonal</name>
</author>
<author><name sortKey="Acevedo, A" uniqKey="Acevedo A">A Acevedo</name>
</author>
<author><name sortKey="Bascones, A" uniqKey="Bascones A">A Bascones</name>
</author>
<author><name sortKey="Jorge, O" uniqKey="Jorge O">O Jorge</name>
</author>
<author><name sortKey="Silva, A" uniqKey="Silva A">A Silva</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Hirose, M" uniqKey="Hirose M">M Hirose</name>
</author>
<author><name sortKey="Ishihara, K" uniqKey="Ishihara K">K Ishihara</name>
</author>
<author><name sortKey="Saito, A" uniqKey="Saito A">A Saito</name>
</author>
<author><name sortKey="Nakagawa, T" uniqKey="Nakagawa T">T Nakagawa</name>
</author>
<author><name sortKey="Yamada, S" uniqKey="Yamada S">S Yamada</name>
</author>
<author><name sortKey="Okuda, K" uniqKey="Okuda K">K Okuda</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Espagne</li>
</country>
<region><li>Catalogne</li>
<li>Communauté valencienne</li>
</region>
<settlement><li>Barcelone</li>
</settlement>
</list>
<tree><country name="Espagne"><region name="Communauté valencienne"><name sortKey="Ata Ali, Javier" sort="Ata Ali, Javier" uniqKey="Ata Ali J" first="Javier" last="Ata-Ali">Javier Ata-Ali</name>
</region>
<name sortKey="Alegre Domingo, Teresa" sort="Alegre Domingo, Teresa" uniqKey="Alegre Domingo T" first="Teresa" last="Alegre-Domingo">Teresa Alegre-Domingo</name>
<name sortKey="Ata Ali, Fadi" sort="Ata Ali, Fadi" uniqKey="Ata Ali F" first="Fadi" last="Ata-Ali">Fadi Ata-Ali</name>
<name sortKey="Ata Ali, Javier" sort="Ata Ali, Javier" uniqKey="Ata Ali J" first="Javier" last="Ata-Ali">Javier Ata-Ali</name>
<name sortKey="Flichy Fernandez, Antonio Juan" sort="Flichy Fernandez, Antonio Juan" uniqKey="Flichy Fernandez A" first="Antonio Juan" last="Flichy-Fernández">Antonio Juan Flichy-Fernández</name>
<name sortKey="Palacio, Jose" sort="Palacio, Jose" uniqKey="Palacio J" first="Jose" last="Palacio">Jose Palacio</name>
<name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name>
</country>
</tree>
</affiliations>
</record>
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