Decontamination Using a Desiccant with Air Powder Abrasion Followed by Biphasic Calcium Sulfate Grafting: A New Treatment for Peri-Implantitis
Identifieur interne : 005B69 ( Ncbi/Merge ); précédent : 005B68; suivant : 005B70Decontamination Using a Desiccant with Air Powder Abrasion Followed by Biphasic Calcium Sulfate Grafting: A New Treatment for Peri-Implantitis
Auteurs : Giorgio Lombardo [Italie] ; Giovanni Corrocher [Italie] ; Angela Rovera [Italie] ; Jacopo Pighi [Italie] ; Mauro Marincola [Colombie] ; Jeffrey Lehrberg [États-Unis] ; Pier Francesco Nocini [Italie]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2015.
Abstract
Peri-implantitis is characterized by inflammation and crestal bone loss in the tissues surrounding implants. Contamination by deleterious bacteria in the peri-implant microenvironment is believed to be a major factor in the etiology of peri-implantitis. Prior to any therapeutic regenerative treatment, adequate decontamination of the peri-implant microenvironment must occur. Herein we present a novel approach to the treatment of peri-implantitis that incorporates the use of a topical desiccant (HYBENX), along with air powder abrasives as a means of decontamination, followed by the application of biphasic calcium sulfate combined with inorganic bovine bone material to augment the intrabony defect. We highlight the case of a 62-year-old man presenting peri-implantitis at two neighboring implants in positions 12 and 13, who underwent access flap surgery, followed by our procedure. After an uneventful 2-year healing period, both implants showed an absence of bleeding on probing, near complete regeneration of the missing bone, probing pocket depth reduction, and clinical attachment gain. While we observed a slight mucosal recession, there was no reduction in keratinized tissue. Based on the results described within, we conclude that the use of HYBENX and air powder abrasives, followed by bone defect grafting, represents a viable option in the treatment of peri-implantitis.
Url:
DOI: 10.1155/2015/474839
PubMed: 26000178
PubMed Central: 4427007
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Scuro 10, 37134 Verona</wicri:regionArea><wicri:noRegion>37134 Verona</wicri:noRegion></affiliation></author><author><name sortKey="Corrocher, Giovanni" sort="Corrocher, Giovanni" uniqKey="Corrocher G" first="Giovanni" last="Corrocher">Giovanni Corrocher</name><affiliation wicri:level="1"><nlm:aff id="I1">Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona</wicri:regionArea><wicri:noRegion>37134 Verona</wicri:noRegion></affiliation></author><author><name sortKey="Rovera, Angela" sort="Rovera, Angela" uniqKey="Rovera A" first="Angela" last="Rovera">Angela Rovera</name><affiliation wicri:level="1"><nlm:aff id="I1">Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona</wicri:regionArea><wicri:noRegion>37134 Verona</wicri:noRegion></affiliation></author><author><name sortKey="Pighi, Jacopo" sort="Pighi, Jacopo" uniqKey="Pighi J" first="Jacopo" last="Pighi">Jacopo Pighi</name><affiliation wicri:level="1"><nlm:aff id="I1">Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. 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Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona</wicri:regionArea><wicri:noRegion>37134 Verona</wicri:noRegion></affiliation></author><author><name sortKey="Corrocher, Giovanni" sort="Corrocher, Giovanni" uniqKey="Corrocher G" first="Giovanni" last="Corrocher">Giovanni Corrocher</name><affiliation wicri:level="1"><nlm:aff id="I1">Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona</wicri:regionArea><wicri:noRegion>37134 Verona</wicri:noRegion></affiliation></author><author><name sortKey="Rovera, Angela" sort="Rovera, Angela" uniqKey="Rovera A" first="Angela" last="Rovera">Angela Rovera</name><affiliation wicri:level="1"><nlm:aff id="I1">Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona</wicri:regionArea><wicri:noRegion>37134 Verona</wicri:noRegion></affiliation></author><author><name sortKey="Pighi, Jacopo" sort="Pighi, Jacopo" uniqKey="Pighi J" first="Jacopo" last="Pighi">Jacopo Pighi</name><affiliation wicri:level="1"><nlm:aff id="I1">Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona</wicri:regionArea><wicri:noRegion>37134 Verona</wicri:noRegion></affiliation></author><author><name sortKey="Marincola, Mauro" sort="Marincola, Mauro" uniqKey="Marincola M" first="Mauro" last="Marincola">Mauro Marincola</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Dental Medicine, University of Cartagena, Avenida del Consulado # Calle 30 No. 48–152, Cartagena, Bolívar 130011, Colombia</nlm:aff><country xml:lang="fr">Colombie</country><wicri:regionArea>Department of Dental Medicine, University of Cartagena, Avenida del Consulado # Calle 30 No. 48–152, Cartagena, Bolívar 130011</wicri:regionArea><wicri:noRegion>Bolívar 130011</wicri:noRegion></affiliation></author><author><name sortKey="Lehrberg, Jeffrey" sort="Lehrberg, Jeffrey" uniqKey="Lehrberg J" first="Jeffrey" last="Lehrberg">Jeffrey Lehrberg</name><affiliation wicri:level="2"><nlm:aff id="I3">Department of Biomaterials, Implant Dentistry Centre, 501 Arborway, Jamaica Plain, Boston, MA 02130, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biomaterials, Implant Dentistry Centre, 501 Arborway, Jamaica Plain, Boston, MA 02130</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Nocini, Pier Francesco" sort="Nocini, Pier Francesco" uniqKey="Nocini P" first="Pier Francesco" last="Nocini">Pier Francesco Nocini</name><affiliation wicri:level="1"><nlm:aff id="I1">Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona</wicri:regionArea><wicri:noRegion>37134 Verona</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Peri-implantitis is characterized by inflammation and crestal bone loss in the tissues surrounding implants. Contamination by deleterious bacteria in the peri-implant microenvironment is believed to be a major factor in the etiology of peri-implantitis. Prior to any therapeutic regenerative treatment, adequate decontamination of the peri-implant microenvironment must occur. Herein we present a novel approach to the treatment of peri-implantitis that incorporates the use of a topical desiccant (HYBENX), along with air powder abrasives as a means of decontamination, followed by the application of biphasic calcium sulfate combined with inorganic bovine bone material to augment the intrabony defect. We highlight the case of a 62-year-old man presenting peri-implantitis at two neighboring implants in positions 12 and 13, who underwent access flap surgery, followed by our procedure. After an uneventful 2-year healing period, both implants showed an absence of bleeding on probing, near complete regeneration of the missing bone, probing pocket depth reduction, and clinical attachment gain. While we observed a slight mucosal recession, there was no reduction in keratinized tissue. Based on the results described within, we conclude that the use of HYBENX and air powder abrasives, followed by bone defect grafting, represents a viable option in the treatment of peri-implantitis.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Alani, A" uniqKey="Alani A">A. Alani</name></author><author><name sortKey="Kelleher, M" uniqKey="Kelleher M">M. Kelleher</name></author><author><name sortKey="Bishop, K" uniqKey="Bishop K">K. Bishop</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zitzmann, N U" uniqKey="Zitzmann N">N. U. Zitzmann</name></author><author><name sortKey="Berglundh, T" uniqKey="Berglundh T">T. Berglundh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Atieh, M A" uniqKey="Atieh M">M. A. Atieh</name></author><author><name sortKey="Alsabeeha, N H M" uniqKey="Alsabeeha N">N. H. M. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26000178</article-id><article-id pub-id-type="pmc">4427007</article-id><article-id pub-id-type="doi">10.1155/2015/474839</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Decontamination Using a Desiccant with Air Powder Abrasion Followed by Biphasic Calcium Sulfate Grafting: A New Treatment for Peri-Implantitis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lombardo</surname><given-names>Giorgio</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Corrocher</surname><given-names>Giovanni</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Rovera</surname><given-names>Angela</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Pighi</surname><given-names>Jacopo</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Marincola</surname><given-names>Mauro</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Lehrberg</surname><given-names>Jeffrey</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Nocini</surname><given-names>Pier Francesco</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy</aff><aff id="I2"><sup>2</sup>Department of Dental Medicine, University of Cartagena, Avenida del Consulado # Calle 30 No. 48–152, Cartagena, Bolívar 130011, Colombia</aff><aff id="I3"><sup>3</sup>Department of Biomaterials, Implant Dentistry Centre, 501 Arborway, Jamaica Plain, Boston, MA 02130, USA</aff><author-notes><corresp id="cor1">*Giorgio Lombardo: <email>giorgio.lombardo@univr.it</email></corresp><fn fn-type="other"><p>Academic Editor: Jamil A. Shibli</p></fn></author-notes><pub-date pub-type="ppub"><year>2015</year></pub-date><pub-date pub-type="epub"><day>27</day><month>4</month><year>2015</year></pub-date><volume>2015</volume><elocation-id>474839</elocation-id><history><date date-type="received"><day>2</day><month>2</month><year>2015</year></date><date date-type="rev-recd"><day>31</day><month>3</month><year>2015</year></date><date date-type="accepted"><day>15</day><month>4</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 Giorgio Lombardo et al.</copyright-statement><copyright-year>2015</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Peri-implantitis is characterized by inflammation and crestal bone loss in the tissues surrounding implants. Contamination by deleterious bacteria in the peri-implant microenvironment is believed to be a major factor in the etiology of peri-implantitis. Prior to any therapeutic regenerative treatment, adequate decontamination of the peri-implant microenvironment must occur. Herein we present a novel approach to the treatment of peri-implantitis that incorporates the use of a topical desiccant (HYBENX), along with air powder abrasives as a means of decontamination, followed by the application of biphasic calcium sulfate combined with inorganic bovine bone material to augment the intrabony defect. We highlight the case of a 62-year-old man presenting peri-implantitis at two neighboring implants in positions 12 and 13, who underwent access flap surgery, followed by our procedure. After an uneventful 2-year healing period, both implants showed an absence of bleeding on probing, near complete regeneration of the missing bone, probing pocket depth reduction, and clinical attachment gain. While we observed a slight mucosal recession, there was no reduction in keratinized tissue. Based on the results described within, we conclude that the use of HYBENX and air powder abrasives, followed by bone defect grafting, represents a viable option in the treatment of peri-implantitis.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>The baseline periapical radiograph indicated a deep interproximal peri-implant bone lesion.</p></caption><graphic xlink:href="CRID2015-474839.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Initial probing revealed a deep peri-implant pocket between 2 short, single-crown locking taper implants, in positions 12 and 13.</p></caption><graphic xlink:href="CRID2015-474839.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>After elevation of the vestibular and palatal full thickness flaps, a crater-like defect characterized by interproximal bone loss was observed around the implants.</p></caption><graphic xlink:href="CRID2015-474839.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>After elevation of the vestibular and palatal full thickness flaps, a crater-like defect characterized by interproximal bone loss was observed around the implants.</p></caption><graphic xlink:href="CRID2015-474839.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>HYBENX was administered on the implant surface for 60 seconds and then thoroughly rinsed away with saline.</p></caption><graphic xlink:href="CRID2015-474839.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Debridement of the implant surfaces using air powder abrasion for 60 seconds.</p></caption><graphic xlink:href="CRID2015-474839.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Following decontamination of the implant surface, a mixture of biphasic calcium sulfate and inorganic bovine bone were applied to defect at the buccal and palatal location (without a membrane).</p></caption><graphic xlink:href="CRID2015-474839.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Following decontamination of the implant surface, a mixture of biphasic calcium sulfate and inorganic bovine bone were applied to defect at the buccal and palatal location (without a membrane).</p></caption><graphic xlink:href="CRID2015-474839.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>The mucoperiosteal flap was repositioned to ensure transmucosal healing and proper wound closure.</p></caption><graphic xlink:href="CRID2015-474839.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>The mucoperiosteal flap was repositioned to ensure transmucosal healing and proper wound closure.</p></caption><graphic xlink:href="CRID2015-474839.010"></graphic></fig><fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label><caption><p>Postoperative radiograph indicating complete filling of the peri-implant defect.</p></caption><graphic xlink:href="CRID2015-474839.011"></graphic></fig><fig id="fig12" orientation="portrait" position="float"><label>Figure 12</label><caption><p>One-year after procedure, an absence of bleeding and reduced probing depth was observed.</p></caption><graphic xlink:href="CRID2015-474839.012"></graphic></fig><fig id="fig13" orientation="portrait" position="float"><label>Figure 13</label><caption><p>One-year postoperative radiographs depicting radiopacity at the location of the defect.</p></caption><graphic xlink:href="CRID2015-474839.013"></graphic></fig><fig id="fig14" orientation="portrait" position="float"><label>Figure 14</label><caption><p>Two-year postoperative clinical examination revealed health hard and soft tissues with no bleeding and reduced probing depth (buccal and lingual/palatal probing shown).</p></caption><graphic xlink:href="CRID2015-474839.014"></graphic></fig><fig id="fig15" orientation="portrait" position="float"><label>Figure 15</label><caption><p>Two-year postoperative clinical examination revealed health hard and soft tissues with no bleeding and reduced probing depth (buccal and lingual/palatal probing shown).</p></caption><graphic xlink:href="CRID2015-474839.015"></graphic></fig><fig id="fig16" orientation="portrait" position="float"><label>Figure 16</label><caption><p>Two-year postoperative radiographs depicting radiopacity at the location of the defect, showing a near complete regeneration of the missing bone.</p></caption><graphic xlink:href="CRID2015-474839.016"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Postsurgical clinical observations taken at baseline and 2 years. Baseline values were obtained immediately before surgery. Results are expressed as Mean ± SD and are the average values of the four areas investigated. BOP = bleeding on probing, PD = probing depth, MR = mucosal recession, CAL = clinical attachment level, and KM = keratinized mucosa width.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="2" colspan="1">Implant site (tooth number)</th><th align="center" colspan="2" rowspan="1">PPD (mm)</th><th align="center" colspan="2" rowspan="1">BOP (%)</th><th align="center" colspan="2" rowspan="1">MR</th><th align="center" colspan="2" rowspan="1">KM</th><th align="center" colspan="2" rowspan="1">CAL</th></tr><tr><th align="center" rowspan="1" colspan="1">Baseline</th><th align="center" rowspan="1" colspan="1"> 2 years</th><th align="center" rowspan="1" colspan="1">Baseline</th><th align="center" rowspan="1" colspan="1">2 years</th><th align="center" rowspan="1" colspan="1">Baseline</th><th align="center" rowspan="1" colspan="1">2 years</th><th align="center" rowspan="1" colspan="1">Baseline</th><th align="center" rowspan="1" colspan="1">2 years</th><th align="center" rowspan="1" colspan="1">Baseline</th><th align="center" rowspan="1" colspan="1">2 years</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">12</td><td align="center" rowspan="1" colspan="1">7.0 ± 1.8</td><td align="center" rowspan="1" colspan="1">2.7 ± 0.5</td><td align="center" rowspan="1" colspan="1">100</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1.2 ± 0.7</td><td align="center" rowspan="1" colspan="1">1.0 ± 0.9</td><td align="center" rowspan="1" colspan="1">2.3 ± 0.6</td><td align="center" rowspan="1" colspan="1">2.4 ± 0.6</td><td align="center" rowspan="1" colspan="1">8.2 ± 2.3</td><td align="center" rowspan="1" colspan="1">3.7 ± 0.8</td></tr><tr><td align="left" rowspan="1" colspan="1">13</td><td align="center" rowspan="1" colspan="1">8.3 ± 1.0</td><td align="center" rowspan="1" colspan="1">2.8 ± 0.4</td><td align="center" rowspan="1" colspan="1">100</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0.8 ± 0.7</td><td align="center" rowspan="1" colspan="1">1.4 ± 0.5</td><td align="center" rowspan="1" colspan="1">1.0 ± 1.0</td><td align="center" rowspan="1" colspan="1">1.0 ± 1.0</td><td align="center" rowspan="1" colspan="1">9.2 ± 1.2</td><td align="center" rowspan="1" colspan="1">4.1 ± 0.8</td></tr></tbody></table></table-wrap><table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Radiographic observations observed at baseline after 2 years and expressed as variations after 2 years. Baseline values were obtained immediately before surgery. Δ = changes of values compared with baseline after 2-year follow-up period. r-BF = the percentage of radiographic bone fill of the defect at 2 years. </p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="3" colspan="1">Implant site (tooth number)</th><th align="center" colspan="7" rowspan="1"> First bone-to-implant contact (FBIC)</th></tr><tr><th align="center" colspan="3" rowspan="1">Mesial (mm)</th><th align="center" colspan="3" rowspan="1">Distal (mm)</th><th align="center" rowspan="2" colspan="1">r-BF (%)</th></tr><tr><th align="center" rowspan="1" colspan="1">Baseline</th><th align="center" rowspan="1" colspan="1">2 years</th><th align="center" rowspan="1" colspan="1">Δ</th><th align="center" rowspan="1" colspan="1">Baseline</th><th align="center" rowspan="1" colspan="1">2 years</th><th align="center" rowspan="1" colspan="1">Δ</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">12</td><td align="center" rowspan="1" colspan="1">−3.0 mm</td><td align="center" rowspan="1" colspan="1">−0.1 mm</td><td align="center" rowspan="1" colspan="1">+2.9 mm</td><td align="center" rowspan="1" colspan="1">−8.1 mm</td><td align="center" rowspan="1" colspan="1">−0.1 mm</td><td align="center" rowspan="1" colspan="1">+8.0 mm</td><td align="center" rowspan="1" colspan="1">93.0%</td></tr><tr><td align="left" rowspan="1" colspan="1">13</td><td align="center" rowspan="1" colspan="1">−6.9 mm</td><td align="center" rowspan="1" colspan="1">−0.2 mm</td><td align="center" rowspan="1" colspan="1">+6.7 mm</td><td align="center" rowspan="1" colspan="1">−5.8 mm</td><td align="center" rowspan="1" colspan="1">−0.2 mm</td><td align="center" rowspan="1" colspan="1">+5.6 mm</td><td align="center" rowspan="1" colspan="1">91.6%</td></tr></tbody></table></table-wrap></floats-group></pmc><affiliations><list><country><li>Colombie</li><li>Italie</li><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="Italie"><noRegion><name sortKey="Lombardo, Giorgio" sort="Lombardo, Giorgio" uniqKey="Lombardo G" first="Giorgio" last="Lombardo">Giorgio Lombardo</name></noRegion><name sortKey="Corrocher, Giovanni" sort="Corrocher, Giovanni" uniqKey="Corrocher G" first="Giovanni" last="Corrocher">Giovanni Corrocher</name><name sortKey="Nocini, Pier Francesco" sort="Nocini, Pier Francesco" uniqKey="Nocini P" first="Pier Francesco" last="Nocini">Pier Francesco Nocini</name><name sortKey="Pighi, Jacopo" sort="Pighi, Jacopo" uniqKey="Pighi J" first="Jacopo" last="Pighi">Jacopo Pighi</name><name sortKey="Rovera, Angela" sort="Rovera, Angela" uniqKey="Rovera A" first="Angela" last="Rovera">Angela Rovera</name></country><country name="Colombie"><noRegion><name sortKey="Marincola, Mauro" sort="Marincola, Mauro" uniqKey="Marincola M" first="Mauro" last="Marincola">Mauro Marincola</name></noRegion></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Lehrberg, Jeffrey" sort="Lehrberg, Jeffrey" uniqKey="Lehrberg J" first="Jeffrey" last="Lehrberg">Jeffrey Lehrberg</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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