Bacterial colonization of the peri-implant sulcus in dentate patients: a prospective observational study
Identifieur interne : 006981 ( Ncbi/Curation ); précédent : 006980; suivant : 006982Bacterial colonization of the peri-implant sulcus in dentate patients: a prospective observational study
Auteurs : M. A. Stokman [Pays-Bas] ; A. J. Van Winkelhoff [Pays-Bas] ; A. Vissink [Pays-Bas] ; F. K. L. Spijkervet [Pays-Bas] ; G. M. Raghoebar [Pays-Bas]Source :
- Clinical Oral Investigations [ 1432-6981 ] ; 2016.
Abstract
The aim of the present study was to compare the composition of the periodontal microflora at baseline (T0) with the submucosal microflora at least 1 year after implant placement (T1) in periodontally healthy patients.
For all 169 consecutive patients that visited our clinic during 1 year, we determined their periodontal parameters, implant mucosal index, and presence of implant calculus. At T0, self-reported smoking status was recorded and subgingival and submucosal biofilm samples were obtained and analyzed for the presence and numbers of selected periodontal pathogens. All measurements were repeated at T1.
One hundred twenty patients completed the study. Periodontal parameters were stable or had improved at T1. The total bacterial load was lower at implant sites (
Colonization of the submucosal peri-implant area is similar to the composition of subgingival microbiota. Smoking has a measurable effect on the colonization of implant-associated biofilms and may select for
The colonization of implants by well-known periodontal pathogens is very similar to that in normal dentition, also in a healthy cohort. Smoking status was related with the prevalence of periodontal pathogens where smokers harbored more often periodontal pathogens such as
Url:
DOI: 10.1007/s00784-016-1941-x
PubMed: 27558381
PubMed Central: 5318475
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Bacterial colonization of the peri-implant sulcus in dentate patients: a prospective observational study</title>
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<affiliation wicri:level="4"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea>
<orgName type="university">Université de Groningue</orgName>
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<author><name sortKey="Van Winkelhoff, A J" sort="Van Winkelhoff, A J" uniqKey="Van Winkelhoff A" first="A. J." last="Van Winkelhoff">A. J. Van Winkelhoff</name>
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<affiliation wicri:level="4"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff>
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<author><name sortKey="Spijkervet, F K L" sort="Spijkervet, F K L" uniqKey="Spijkervet F" first="F. K. L." last="Spijkervet">F. K. L. Spijkervet</name>
<affiliation wicri:level="4"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea>
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<author><name sortKey="Raghoebar, G M" sort="Raghoebar, G M" uniqKey="Raghoebar G" first="G. M." last="Raghoebar">G. M. Raghoebar</name>
<affiliation wicri:level="4"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea>
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<series><title level="j">Clinical Oral Investigations</title>
<idno type="ISSN">1432-6981</idno>
<idno type="eISSN">1436-3771</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objectives</title>
<p>The aim of the present study was to compare the composition of the periodontal microflora at baseline (T0) with the submucosal microflora at least 1 year after implant placement (T1) in periodontally healthy patients.</p>
</sec>
<sec><title>Material and methods</title>
<p>For all 169 consecutive patients that visited our clinic during 1 year, we determined their periodontal parameters, implant mucosal index, and presence of implant calculus. At T0, self-reported smoking status was recorded and subgingival and submucosal biofilm samples were obtained and analyzed for the presence and numbers of selected periodontal pathogens. All measurements were repeated at T1.</p>
</sec>
<sec><title>Results</title>
<p>One hundred twenty patients completed the study. Periodontal parameters were stable or had improved at T1. The total bacterial load was lower at implant sites (<italic>P</italic>
< 0.05). The prevalence of <italic>Porphyromonas gingivalis</italic>
was low at baseline, but at T1, detection rate and numbers were higher at implant sites compared to dentate sites. At T1, the frequency of detection of <italic>P. gingivalis</italic>
(<italic>P</italic>
= 0.01), <italic>Parvimonas micra</italic>
(<italic>P</italic>
= 0.018), and <italic>Fusobacterium nucleatum</italic>
(<italic>P</italic>
= 0.035) was higher in smoking patients (<italic>n</italic>
= 23) than in non-smokers (<italic>n</italic>
= 97).</p>
</sec>
<sec><title>Conclusions</title>
<p>Colonization of the submucosal peri-implant area is similar to the composition of subgingival microbiota. Smoking has a measurable effect on the colonization of implant-associated biofilms and may select for <italic>P. gingivalis</italic>
, <italic>P. micra</italic>
, and <italic>F. nucleatum</italic>
.</p>
</sec>
<sec><title>Clinical relevance</title>
<p>The colonization of implants by well-known periodontal pathogens is very similar to that in normal dentition, also in a healthy cohort. Smoking status was related with the prevalence of periodontal pathogens where smokers harbored more often periodontal pathogens such as <italic>P. gingivalis</italic>
, <italic>P. micra</italic>
, and <italic>F. nucleatum</italic>
.</p>
</sec>
</div>
</front>
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