Serveur d'exploration sur le patient édenté

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Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions

Identifieur interne : 008886 ( Main/Exploration ); précédent : 008885; suivant : 008887

Retrospective assessment of clinical and microbiological factors affecting periimplant tissue conditions

Auteurs : Alexandra Rutar [Suisse] ; Niklaus P. Lang [Suisse] ; Daniel Buser [Suisse] ; Walter Bürgin [Suisse] ; Andrea Mombelli [Suisse]

Source :

RBID : ISTEX:717F1A7B1183FCBE6588D8AFCE82EC281F6A6BC6

Descripteurs français

English descriptors

Abstract

Abstract: An increasing number of studies point to the detrimental effect of plaque bacteria on periimplant tissue health. The purpose of this retrospective study was to explore a possible relationship between the clinical and microbiological periimplant conditions of osseointegrated oral implants after several years of service and the dental and medical history, as well as the conditions of the residual dentition. 45 partially edentulous patients (mean age: 51 years, range: 27–83 years), with a total of 64 implants participated in this retrospective analysis. The time between examination and the last dental visit ranged from 6 to 24 months (mean: 13 months) and the time since the last maintenance therapy appointment with a dental hygienist ranged between 3 and 24 months (mean 7 months). During 5 to 10 years between implant installation and examination, 9 implants experienced one episode and an additional 6 implants two episodes of periimplantitis. As a consequence of extensive bone loss associated with these infections, one of these implants, in a patient who had a history of diabetes, was lost. With this exception, the other episodes of periimplantitis were successfully treated employing the principles of the Cumulative Interceptive Supportive Therapy (CIST) protocol. At examination, 42 implants (66%) showed a probing pocket depth exceeding 4 mm. Of the periimplantitis sites, four implants showed cultural evidence for presence of Porphyromonas gingivalis, and 2 implants were positive for Actinobacillus actinomycetemcomitans. Statistical analysis revealed a significant relationship between periimplant probing depth and the total anaerobic cultivable microbiota as well as the frequency of detection of P. gingivalis.

Url:
DOI: 10.1034/j.1600-0501.2001.012003189.x


Affiliations:


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Le document en format XML

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<term>Actinobacillus Infections</term>
<term>Actinobacillus actinomycetemcomitans</term>
<term>Actinomyces naeslundii</term>
<term>Actinomyces odontolyticus</term>
<term>Actinomyces viscosus</term>
<term>Actinomycetemcomitans</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Aggregatibacter actinomycetemcomitans (growth & development)</term>
<term>Alveolar Bone Loss (classification)</term>
<term>Anaerobic cultures</term>
<term>Bacterial morphotypes</term>
<term>Bacteroides Infections</term>
<term>Bacteroides forsythus</term>
<term>Berne school</term>
<term>Bone loss</term>
<term>Bruyn collaert</term>
<term>Campylobacter rectus</term>
<term>Cigarette smoking</term>
<term>Clin</term>
<term>Clinical examination</term>
<term>Clinical microbiology</term>
<term>Clinical parameters</term>
<term>Cultivable</term>
<term>Cultivable count</term>
<term>Cultural evidence</term>
<term>Cumulative interceptive</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants (microbiology)</term>
<term>Dental Plaque (microbiology)</term>
<term>Dental Restoration Failure</term>
<term>Dental hygienist</term>
<term>Dental implants</term>
<term>Dental medicine</term>
<term>Dental sites</term>
<term>Detection frequency</term>
<term>Diabetes Complications</term>
<term>Diabetic patient</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Eikenella corrodens</term>
<term>Entre</term>
<term>Esculin hydrolysis</term>
<term>European workshop</term>
<term>Extensive bone loss</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Gingivalis</term>
<term>Humans</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant failure</term>
<term>Implant installation</term>
<term>Implant loss</term>
<term>Implant sites</term>
<term>Implants research</term>
<term>International journal</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Lang</term>
<term>Large spirochetes</term>
<term>Linear Models</term>
<term>Logistic Models</term>
<term>Maintenance care</term>
<term>Male</term>
<term>Maxillofacial implants</term>
<term>Maxppd</term>
<term>Medical history</term>
<term>Microbiological</term>
<term>Microbiological factors</term>
<term>Microbiological parameters</term>
<term>Microbiological procedures</term>
<term>Microbiota</term>
<term>Middle Aged</term>
<term>Mombelli</term>
<term>Mppd</term>
<term>Multivariate Analysis</term>
<term>Ndings table</term>
<term>Observation period</term>
<term>Oral hygiene procedures</term>
<term>Oral impl</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Other episodes</term>
<term>Other studies</term>
<term>Paper point</term>
<term>Periimplant</term>
<term>Periimplant environment</term>
<term>Periimplant infections</term>
<term>Periimplant pathology</term>
<term>Periimplant samples</term>
<term>Periimplant status</term>
<term>Periimplant tissue health</term>
<term>Periimplant tissues</term>
<term>Periimplantitis</term>
<term>Periodontal</term>
<term>Periodontal Diseases (classification)</term>
<term>Periodontal Diseases (microbiology)</term>
<term>Periodontal Diseases (therapy)</term>
<term>Periodontal Pocket (classification)</term>
<term>Periodontal Pocket (microbiology)</term>
<term>Periodontal disease</term>
<term>Periodontal pocket</term>
<term>Periodontal sites</term>
<term>Periodontitis (classification)</term>
<term>Pocket formation</term>
<term>Porphyromonas gingivalis</term>
<term>Porphyromonas gingivalis (growth & development)</term>
<term>Present investigation</term>
<term>Present study</term>
<term>Previous studies</term>
<term>Prevotella melaninogenica group</term>
<term>Prosthetic reconstruction</term>
<term>Quintessence publishing company</term>
<term>Quirynen listgarten</term>
<term>Regression models</term>
<term>Retrospective</term>
<term>Retrospective Studies</term>
<term>Risk factor</term>
<term>Risk factors</term>
<term>Rutar</term>
<term>Same organism</term>
<term>Several episodes</term>
<term>Spirochete</term>
<term>Spirochete counts</term>
<term>Statistical analysis</term>
<term>Statistics, Nonparametric</term>
<term>Syed</term>
<term>Time Factors</term>
<term>Titanium implants</term>
<term>Tooth sites</term>
<term>University center</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aggregatibacter actinomycetemcomitans (croissance et développement)</term>
<term>Analyse multivariée</term>
<term>Complications du diabète</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (microbiologie)</term>
<term>Infections à Actinobacillus</term>
<term>Infections à Bacteroides</term>
<term>Maladies parodontales ()</term>
<term>Maladies parodontales (microbiologie)</term>
<term>Modèles linéaires</term>
<term>Modèles logistiques</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Parodontite ()</term>
<term>Plaque dentaire (microbiologie)</term>
<term>Poche parodontale ()</term>
<term>Poche parodontale (microbiologie)</term>
<term>Porphyromonas gingivalis (croissance et développement)</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Résorption alvéolaire ()</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" type="chemical" qualifier="microbiology" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Periodontal Diseases</term>
<term>Periodontal Pocket</term>
<term>Periodontitis</term>
</keywords>
<keywords scheme="MESH" qualifier="croissance et développement" xml:lang="fr">
<term>Aggregatibacter actinomycetemcomitans</term>
<term>Porphyromonas gingivalis</term>
</keywords>
<keywords scheme="MESH" qualifier="growth & development" xml:lang="en">
<term>Aggregatibacter actinomycetemcomitans</term>
<term>Porphyromonas gingivalis</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr">
<term>Implants dentaires</term>
<term>Maladies parodontales</term>
<term>Plaque dentaire</term>
<term>Poche parodontale</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiology" xml:lang="en">
<term>Dental Plaque</term>
<term>Periodontal Diseases</term>
<term>Periodontal Pocket</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>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Periodontal Diseases</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Actinobacillus Infections</term>
<term>Actinobacillus actinomycetemcomitans</term>
<term>Actinomyces naeslundii</term>
<term>Actinomyces odontolyticus</term>
<term>Actinomyces viscosus</term>
<term>Actinomycetemcomitans</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Anaerobic cultures</term>
<term>Bacterial morphotypes</term>
<term>Bacteroides Infections</term>
<term>Bacteroides forsythus</term>
<term>Berne school</term>
<term>Bone loss</term>
<term>Bruyn collaert</term>
<term>Campylobacter rectus</term>
<term>Cigarette smoking</term>
<term>Clin</term>
<term>Clinical examination</term>
<term>Clinical microbiology</term>
<term>Clinical parameters</term>
<term>Cultivable</term>
<term>Cultivable count</term>
<term>Cultural evidence</term>
<term>Cumulative interceptive</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Restoration Failure</term>
<term>Dental hygienist</term>
<term>Dental implants</term>
<term>Dental medicine</term>
<term>Dental sites</term>
<term>Detection frequency</term>
<term>Diabetes Complications</term>
<term>Diabetic patient</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Eikenella corrodens</term>
<term>Entre</term>
<term>Esculin hydrolysis</term>
<term>European workshop</term>
<term>Extensive bone loss</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Gingivalis</term>
<term>Humans</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant failure</term>
<term>Implant installation</term>
<term>Implant loss</term>
<term>Implant sites</term>
<term>Implants research</term>
<term>International journal</term>
<term>Lang</term>
<term>Large spirochetes</term>
<term>Linear Models</term>
<term>Logistic Models</term>
<term>Maintenance care</term>
<term>Male</term>
<term>Maxillofacial implants</term>
<term>Maxppd</term>
<term>Medical history</term>
<term>Microbiological</term>
<term>Microbiological factors</term>
<term>Microbiological parameters</term>
<term>Microbiological procedures</term>
<term>Microbiota</term>
<term>Middle Aged</term>
<term>Mombelli</term>
<term>Mppd</term>
<term>Multivariate Analysis</term>
<term>Ndings table</term>
<term>Observation period</term>
<term>Oral hygiene procedures</term>
<term>Oral impl</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Other episodes</term>
<term>Other studies</term>
<term>Paper point</term>
<term>Periimplant</term>
<term>Periimplant environment</term>
<term>Periimplant infections</term>
<term>Periimplant pathology</term>
<term>Periimplant samples</term>
<term>Periimplant status</term>
<term>Periimplant tissue health</term>
<term>Periimplant tissues</term>
<term>Periimplantitis</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal pocket</term>
<term>Periodontal sites</term>
<term>Pocket formation</term>
<term>Porphyromonas gingivalis</term>
<term>Present investigation</term>
<term>Present study</term>
<term>Previous studies</term>
<term>Prevotella melaninogenica group</term>
<term>Prosthetic reconstruction</term>
<term>Quintessence publishing company</term>
<term>Quirynen listgarten</term>
<term>Regression models</term>
<term>Retrospective</term>
<term>Retrospective Studies</term>
<term>Risk factor</term>
<term>Risk factors</term>
<term>Rutar</term>
<term>Same organism</term>
<term>Several episodes</term>
<term>Spirochete</term>
<term>Spirochete counts</term>
<term>Statistical analysis</term>
<term>Statistics, Nonparametric</term>
<term>Syed</term>
<term>Time Factors</term>
<term>Titanium implants</term>
<term>Tooth sites</term>
<term>University center</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse multivariée</term>
<term>Complications du diabète</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à Actinobacillus</term>
<term>Infections à Bacteroides</term>
<term>Maladies parodontales</term>
<term>Modèles linéaires</term>
<term>Modèles logistiques</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Médecine dentaire</term>
<term>Ostéo-intégration</term>
<term>Parodontite</term>
<term>Poche parodontale</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Résorption alvéolaire</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract">Abstract: An increasing number of studies point to the detrimental effect of plaque bacteria on periimplant tissue health. The purpose of this retrospective study was to explore a possible relationship between the clinical and microbiological periimplant conditions of osseointegrated oral implants after several years of service and the dental and medical history, as well as the conditions of the residual dentition. 45 partially edentulous patients (mean age: 51 years, range: 27–83 years), with a total of 64 implants participated in this retrospective analysis. The time between examination and the last dental visit ranged from 6 to 24 months (mean: 13 months) and the time since the last maintenance therapy appointment with a dental hygienist ranged between 3 and 24 months (mean 7 months). During 5 to 10 years between implant installation and examination, 9 implants experienced one episode and an additional 6 implants two episodes of periimplantitis. As a consequence of extensive bone loss associated with these infections, one of these implants, in a patient who had a history of diabetes, was lost. With this exception, the other episodes of periimplantitis were successfully treated employing the principles of the Cumulative Interceptive Supportive Therapy (CIST) protocol. At examination, 42 implants (66%) showed a probing pocket depth exceeding 4 mm. Of the periimplantitis sites, four implants showed cultural evidence for presence of Porphyromonas gingivalis, and 2 implants were positive for Actinobacillus actinomycetemcomitans. Statistical analysis revealed a significant relationship between periimplant probing depth and the total anaerobic cultivable microbiota as well as the frequency of detection of P. gingivalis.</div>
</front>
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