Osseointegrated Implants in Subjects Treated for Generalized Aggressive Periodontitis : 10-Year Results of a Prospective, Long-Term Cohort Study
Identifieur interne : 006B12 ( Main/Exploration ); précédent : 006B11; suivant : 006B13Osseointegrated Implants in Subjects Treated for Generalized Aggressive Periodontitis : 10-Year Results of a Prospective, Long-Term Cohort Study
Auteurs : Reiner Mengel [Allemagne] ; Marion Behle [Allemagne] ; Lavin Flores-De-Jacoby [Allemagne]Source :
- Journal of periodontology [ 0022-3492 ] ; 2007.
Descripteurs français
- KwdFr :
- Adulte, Détartrage dentaire, Extraction dentaire, Femelle, Humains, Implants dentaires (effets indésirables), Indice parodontal, Maladie aigüe, Mâchoire partiellement édentée (rééducation et réadaptation), Ostéo-intégration, Parodontite (), Perte d'attache parodontale, Plaque dentaire (microbiologie), Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (effets indésirables), Prothèse dentaire implanto-portée, Prothèse dentaire partielle amovible, Radiographie, Résorption alvéolaire (imagerie diagnostique), Résorption alvéolaire (étiologie), Échec de restauration dentaire, Études cas-témoins, Études de cohortes, Études de suivi, Études prospectives.
- MESH :
- effets indésirables : Implants dentaires, Pose d'implant dentaire endo-osseux.
- imagerie diagnostique : Résorption alvéolaire.
- microbiologie : Plaque dentaire.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- étiologie : Résorption alvéolaire.
- Pascal (Inist)
- Adulte, Détartrage dentaire, Extraction dentaire, Femelle, Humains, Indice parodontal, Maladie aigüe, Ostéo-intégration, Parodontite, Edentation, Parodontopathie, Perte d'attache parodontale, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse dentaire partielle amovible, Radiographie, Traitement, Implant, Homme, Généralisé, Long terme, Etude cohorte, Dent, Mâchoire, Dentisterie, Échec de restauration dentaire, Études cas-témoins, Études de cohortes, Études de suivi, Études prospectives.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Acute Disease, Adult, Alveolar Bone Loss (diagnostic imaging), Alveolar Bone Loss (etiology), Case-Control Studies, Cohort Studies, Cohort study, Dental Implantation, Endosseous (adverse effects), Dental Implantation, Endosseous (methods), Dental Implants (adverse effects), Dental Plaque (microbiology), Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Scaling, Dentistry, Denture, Partial, Removable, Edentulousness, Female, Follow-Up Studies, Generalized, Human, Humans, Implant, Jaw, Jaw, Edentulous, Partially (rehabilitation), Long term, Osseointegration, Periodontal Attachment Loss, Periodontal Index, Periodontal disease, Periodontitis, Periodontitis (surgery), Periodontitis (therapy), Prospective Studies, Radiography, Tooth, Tooth Extraction, Treatment.
- MESH :
- chemical , adverse effects : Dental Implants.
- adverse effects : Dental Implantation, Endosseous.
- diagnostic imaging : Alveolar Bone Loss.
- etiology : Alveolar Bone Loss.
- methods : Dental Implantation, Endosseous.
- microbiology : Dental Plaque.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Periodontitis.
- therapy : Periodontitis.
- Acute Disease, Adult, Case-Control Studies, Cohort Studies, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Scaling, Denture, Partial, Removable, Female, Follow-Up Studies, Humans, Osseointegration, Periodontal Attachment Loss, Periodontal Index, Prospective Studies, Radiography, Tooth Extraction.
Abstract
Background: The aim of this prospective 10-year study of partially edentulous subjects treated for generalized aggressive periodontitis and periodontally healthy subjects was a clinical, microbiologic, and radiographic comparison of teeth and implants and assessment of the implants' success rate. Methods: Five subjects treated for generalized aggressive periodontitis (GAgP) and five periodontally healthy subjects who were orally rehabilitated with osseointegrated implants participated in the study. First, they were examined 2 to 4 weeks before extraction of the non-retainable teeth (baseline) and 3 weeks after insertion of the final abutments. All further examinations were performed during a 3-month recall schedule over a 10-year period. At every session, clinical parameters were recorded, and the composition of the subgingival microflora was determined. Radiographs were taken at baseline after insertion of the superstructure and 1, 3, 5, 8, and 10 years later. Results: Throughout the follow-up period, the peri-implant gingival index of GAgP subjects was significantly higher than in periodontally healthy subjects. There was no difference in plaque index between teeth and implants or between the two groups. The peri-implant probing depths were comparable in the two groups and remained <4 mm throughout the follow-up. The probing depth was significantly higher around the teeth of the GAgP subjects compared to periodontally healthy subjects. Implants of GAgP subjects showed a significantly higher attachment loss (Ø 2.4 mm). The attachment level at teeth and implants of the periodontally healthy subjects and at teeth of the GAgP subjects was almost unchanged. Microbiologically, GAgP subjects had fewer cocci and more motile rods and filaments at teeth and implants than periodontally healthy subjects. GAgP subjects showed significantly more peri-implant bone loss in the first year (Ø 2.07 mm) and in the subsequent 9 years (total 1.3 mm). Bone loss at teeth also was significantly higher at baseline (Ø26.39%) and in the following years (total 9.3%). Implant survival rates were 100% in periodontally healthy subjects versus 83.33% in GAgP subjects. Conclusions: This 10-year study showed that partially edentulous subjects treated for GAgP can be rehabilitated successfully with osseointegrated implants. However, the bone and attachment loss at the implants were higher than in periodontally healthy subjects.
Affiliations:
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Le document en format XML
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<term>Adult</term>
<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Case-Control Studies</term>
<term>Cohort Studies</term>
<term>Cohort study</term>
<term>Dental Implantation, Endosseous (adverse effects)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Plaque (microbiology)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Scaling</term>
<term>Dentistry</term>
<term>Denture, Partial, Removable</term>
<term>Edentulousness</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Generalized</term>
<term>Human</term>
<term>Humans</term>
<term>Implant</term>
<term>Jaw</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Long term</term>
<term>Osseointegration</term>
<term>Periodontal Attachment Loss</term>
<term>Periodontal Index</term>
<term>Periodontal disease</term>
<term>Periodontitis</term>
<term>Periodontitis (surgery)</term>
<term>Periodontitis (therapy)</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Tooth</term>
<term>Tooth Extraction</term>
<term>Treatment</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Détartrage dentaire</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Indice parodontal</term>
<term>Maladie aigüe</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Ostéo-intégration</term>
<term>Parodontite ()</term>
<term>Perte d'attache parodontale</term>
<term>Plaque dentaire (microbiologie)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Radiographie</term>
<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Échec de restauration dentaire</term>
<term>Études cas-témoins</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Plaque dentaire</term>
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<keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Dental Plaque</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Periodontitis</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Periodontitis</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Résorption alvéolaire</term>
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<keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term>
<term>Adult</term>
<term>Case-Control Studies</term>
<term>Cohort Studies</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Scaling</term>
<term>Denture, Partial, Removable</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Osseointegration</term>
<term>Periodontal Attachment Loss</term>
<term>Periodontal Index</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Tooth Extraction</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term>
<term>Détartrage dentaire</term>
<term>Extraction dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice parodontal</term>
<term>Maladie aigüe</term>
<term>Ostéo-intégration</term>
<term>Parodontite</term>
<term>Edentation</term>
<term>Parodontopathie</term>
<term>Perte d'attache parodontale</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Radiographie</term>
<term>Traitement</term>
<term>Implant</term>
<term>Homme</term>
<term>Généralisé</term>
<term>Long terme</term>
<term>Etude cohorte</term>
<term>Dent</term>
<term>Mâchoire</term>
<term>Dentisterie</term>
<term>Échec de restauration dentaire</term>
<term>Études cas-témoins</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">Background: The aim of this prospective 10-year study of partially edentulous subjects treated for generalized aggressive periodontitis and periodontally healthy subjects was a clinical, microbiologic, and radiographic comparison of teeth and implants and assessment of the implants' success rate. Methods: Five subjects treated for generalized aggressive periodontitis (GAgP) and five periodontally healthy subjects who were orally rehabilitated with osseointegrated implants participated in the study. First, they were examined 2 to 4 weeks before extraction of the non-retainable teeth (baseline) and 3 weeks after insertion of the final abutments. All further examinations were performed during a 3-month recall schedule over a 10-year period. At every session, clinical parameters were recorded, and the composition of the subgingival microflora was determined. Radiographs were taken at baseline after insertion of the superstructure and 1, 3, 5, 8, and 10 years later. Results: Throughout the follow-up period, the peri-implant gingival index of GAgP subjects was significantly higher than in periodontally healthy subjects. There was no difference in plaque index between teeth and implants or between the two groups. The peri-implant probing depths were comparable in the two groups and remained <4 mm throughout the follow-up. The probing depth was significantly higher around the teeth of the GAgP subjects compared to periodontally healthy subjects. Implants of GAgP subjects showed a significantly higher attachment loss (Ø 2.4 mm). The attachment level at teeth and implants of the periodontally healthy subjects and at teeth of the GAgP subjects was almost unchanged. Microbiologically, GAgP subjects had fewer cocci and more motile rods and filaments at teeth and implants than periodontally healthy subjects. GAgP subjects showed significantly more peri-implant bone loss in the first year (Ø 2.07 mm) and in the subsequent 9 years (total 1.3 mm). Bone loss at teeth also was significantly higher at baseline (Ø26.39%) and in the following years (total 9.3%). Implant survival rates were 100% in periodontally healthy subjects versus 83.33% in GAgP subjects. Conclusions: This 10-year study showed that partially edentulous subjects treated for GAgP can be rehabilitated successfully with osseointegrated implants. However, the bone and attachment loss at the implants were higher than in periodontally healthy subjects.</div>
</front>
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