Reentry After Combined Surgical Resective and Regenerative Therapy of Advanced Peri-implantitis: A Retrospective Analysis of Five Cases.
Identifieur interne : 005F14 ( Ncbi/Merge ); précédent : 005F13; suivant : 005F15Reentry After Combined Surgical Resective and Regenerative Therapy of Advanced Peri-implantitis: A Retrospective Analysis of Five Cases.
Auteurs : Frank Schwarz ; Gordon John ; Jürgen BeckerSource :
- The International journal of periodontics & restorative dentistry [ 1945-3388 ]
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Collagen.
- methods : Alveolar Ridge Augmentation, Guided Tissue Regeneration, Periodontal.
- surgery : Jaw, Edentulous, Partially, Peri-Implantitis.
- Decontamination, Humans, Recurrence, Reoperation, Retrospective Studies, Surgical Flaps, Wound Healing.
Abstract
This retrospective analysis of five reentry cases reports on the clinical defect healing after combined surgical resective/regenerative therapy of advanced peri-implantitis. A second surgery was necessary because of a clinical need for additional treatment procedures at the respective implant sites after healing periods of 8 months to 6.5 years. All patients underwent the same standardized procedure including access flap surgery, implantoplasty at bucally and supracrestally (> 1 mm) exposed implant parts, surface decontamination, and augmentation of the intrabony (Class I) components using a natural bone mineral and a native collagen membrane. Clinical defect resolution (DR) of the Class I component was evaluated. In two patients, clinical and radiographic signs suggested a reinfection (ie, case 3-mesial aspect; case 5-mesial and distal aspects). Mean DR values ± standard deviation were 59.4% ± 47.59% (95% confidence interval [CI], 0.31%-118.49%). When infected aspects were excluded, resulting values were 85.76% ± 4.86% (95% CI, 78.02%-93.50%). The presented surgical procedure was associated with a clinically important DR in advanced peri-implantitis defects.
PubMed: 26357694
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pubmed:26357694Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Ridge Augmentation (methods)</term>
<term>Collagen (therapeutic use)</term>
<term>Decontamination</term>
<term>Guided Tissue Regeneration, Periodontal (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Peri-Implantitis (surgery)</term>
<term>Recurrence</term>
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<term>Retrospective Studies</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Cicatrisation de plaie</term>
<term>Collagène (usage thérapeutique)</term>
<term>Décontamination</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Péri-implantite ()</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Récidive</term>
<term>Régénération tissulaire guidée parodontale ()</term>
<term>Réintervention</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Collagen</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term>
<term>Guided Tissue Regeneration, Periodontal</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Peri-Implantitis</term>
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<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Collagène</term>
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<term>Humans</term>
<term>Recurrence</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Surgical Flaps</term>
<term>Wound Healing</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Cicatrisation de plaie</term>
<term>Décontamination</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Mâchoire partiellement édentée</term>
<term>Péri-implantite</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Récidive</term>
<term>Régénération tissulaire guidée parodontale</term>
<term>Réintervention</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en">This retrospective analysis of five reentry cases reports on the clinical defect healing after combined surgical resective/regenerative therapy of advanced peri-implantitis. A second surgery was necessary because of a clinical need for additional treatment procedures at the respective implant sites after healing periods of 8 months to 6.5 years. All patients underwent the same standardized procedure including access flap surgery, implantoplasty at bucally and supracrestally (> 1 mm) exposed implant parts, surface decontamination, and augmentation of the intrabony (Class I) components using a natural bone mineral and a native collagen membrane. Clinical defect resolution (DR) of the Class I component was evaluated. In two patients, clinical and radiographic signs suggested a reinfection (ie, case 3-mesial aspect; case 5-mesial and distal aspects). Mean DR values ± standard deviation were 59.4% ± 47.59% (95% confidence interval [CI], 0.31%-118.49%). When infected aspects were excluded, resulting values were 85.76% ± 4.86% (95% CI, 78.02%-93.50%). The presented surgical procedure was associated with a clinically important DR in advanced peri-implantitis defects.</div>
</front>
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<DateCompleted><Year>2017</Year>
<Month>04</Month>
<Day>06</Day>
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<DateRevised><Year>2017</Year>
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<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1945-3388</ISSN>
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<Title>The International journal of periodontics & restorative dentistry</Title>
<ISOAbbreviation>Int J Periodontics Restorative Dent</ISOAbbreviation>
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<ArticleTitle>Reentry After Combined Surgical Resective and Regenerative Therapy of Advanced Peri-implantitis: A Retrospective Analysis of Five Cases.</ArticleTitle>
<Pagination><MedlinePgn>647-53</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.11607/prd.2320</ELocationID>
<Abstract><AbstractText>This retrospective analysis of five reentry cases reports on the clinical defect healing after combined surgical resective/regenerative therapy of advanced peri-implantitis. A second surgery was necessary because of a clinical need for additional treatment procedures at the respective implant sites after healing periods of 8 months to 6.5 years. All patients underwent the same standardized procedure including access flap surgery, implantoplasty at bucally and supracrestally (> 1 mm) exposed implant parts, surface decontamination, and augmentation of the intrabony (Class I) components using a natural bone mineral and a native collagen membrane. Clinical defect resolution (DR) of the Class I component was evaluated. In two patients, clinical and radiographic signs suggested a reinfection (ie, case 3-mesial aspect; case 5-mesial and distal aspects). Mean DR values ± standard deviation were 59.4% ± 47.59% (95% confidence interval [CI], 0.31%-118.49%). When infected aspects were excluded, resulting values were 85.76% ± 4.86% (95% CI, 78.02%-93.50%). The presented surgical procedure was associated with a clinically important DR in advanced peri-implantitis defects.</AbstractText>
</Abstract>
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<MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName>
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