Serveur d'exploration sur le patient édenté

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Implant Maintenance: A Clinical Update

Identifieur interne : 006898 ( Ncbi/Merge ); précédent : 006897; suivant : 006899

Implant Maintenance: A Clinical Update

Auteurs : Minkle Gulati [Inde] ; Vivek Govila [Inde] ; Vishal Anand [Inde] ; Bhargavi Anand [Inde]

Source :

RBID : PMC:4897104

Abstract

Introduction. The differences in the supporting structure of the implant make them more susceptible to inflammation and bone loss when plaque accumulates as compared to the teeth. Therefore, a comprehensive maintenance protocol should be followed to ensure the longevity of the implant. Material and Method. A research to provide scientific evidence supporting the feasibility of various implant care methods was carried out using various online resources to retrieve relevant studies published since 1985. Results. The electronic search yielded 708 titles, out of which a total of 42 articles were considered appropriate and finally included for the preparation of this review article. Discussion. A typical maintenance visit for patients with dental implants should last 1 hour and should be scheduled every 3 months to evaluate any changes in their oral and general history. It is essential to have a proper instrument selection to prevent damage to the implant surface and trauma to the peri-implant tissues. Conclusion. As the number of patients opting for dental implants is increasing, it becomes increasingly essential to know the differences between natural teeth and implant care and accept the challenges of maintaining these restorations.


Url:
DOI: 10.1155/2014/908534
PubMed: 27437506
PubMed Central: 4897104

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PMC:4897104

Le document en format XML

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<italic>Introduction</italic>
. The differences in the supporting structure of the implant make them more susceptible to inflammation and bone loss when plaque accumulates as compared to the teeth. Therefore, a comprehensive maintenance protocol should be followed to ensure the longevity of the implant.
<italic>Material and Method</italic>
. A research to provide scientific evidence supporting the feasibility of various implant care methods was carried out using various online resources to retrieve relevant studies published since 1985.
<italic>Results</italic>
. The electronic search yielded 708 titles, out of which a total of 42 articles were considered appropriate and finally included for the preparation of this review article.
<italic>Discussion</italic>
. A typical maintenance visit for patients with dental implants should last 1 hour and should be scheduled every 3 months to evaluate any changes in their oral and general history. It is essential to have a proper instrument selection to prevent damage to the implant surface and trauma to the peri-implant tissues.
<italic>Conclusion</italic>
. As the number of patients opting for dental implants is increasing, it becomes increasingly essential to know the differences between natural teeth and implant care and accept the challenges of maintaining these restorations.</p>
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</author>
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<name sortKey="Tinschert, J" uniqKey="Tinschert J">J. Tinschert</name>
</author>
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<name sortKey="Huber, A" uniqKey="Huber A">A. Huber</name>
</author>
</analytic>
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<name sortKey="Mengel, R" uniqKey="Mengel R">R. Mengel</name>
</author>
<author>
<name sortKey="Buns, C E" uniqKey="Buns C">C.-E. Buns</name>
</author>
<author>
<name sortKey="Mengel, C" uniqKey="Mengel C">C. Mengel</name>
</author>
<author>
<name sortKey="Flores De Jacoby, L" uniqKey="Flores De Jacoby L">L. Flores-de-Jacoby</name>
</author>
</analytic>
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<analytic>
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<name sortKey="Meschenmoser, A" uniqKey="Meschenmoser A">A. Meschenmoser</name>
</author>
<author>
<name sortKey="D Oedt, B" uniqKey="D Oedt B">B. D’Hoedt</name>
</author>
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<name sortKey="Meyle, J" uniqKey="Meyle J">J. Meyle</name>
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<biblStruct>
<analytic>
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<name sortKey="Homiak, A W" uniqKey="Homiak A">A. W. Homiak</name>
</author>
<author>
<name sortKey="Cook, P A" uniqKey="Cook P">P. A. Cook</name>
</author>
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</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Int Sch Res Notices</journal-id>
<journal-id journal-id-type="iso-abbrev">Int Sch Res Notices</journal-id>
<journal-id journal-id-type="publisher-id">ISRN</journal-id>
<journal-title-group>
<journal-title>International Scholarly Research Notices</journal-title>
</journal-title-group>
<issn pub-type="epub">2356-7872</issn>
<publisher>
<publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27437506</article-id>
<article-id pub-id-type="pmc">4897104</article-id>
<article-id pub-id-type="doi">10.1155/2014/908534</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Implant Maintenance: A Clinical Update</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gulati</surname>
<given-names>Minkle</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>Govila</surname>
<given-names>Vivek</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Anand</surname>
<given-names>Vishal</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Anand</surname>
<given-names>Bhargavi</given-names>
</name>
<xref ref-type="aff" rid="I4">
<sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Department of Periodontics, Surendra Dental College & Research Institute, Sri Ganganagar, Rajasthan 335 001, India</aff>
<aff id="I2">
<sup>2</sup>
Department of Periodontics, Babu Banarasi Das College of Dental Sciences, Babu Banarasi Das University, Lucknow, Uttar Pradesh 227015, India</aff>
<aff id="I3">
<sup>3</sup>
Department of Periodontics, Sarjug Dental College & Hospital, Darbhanga, Bihar 846003, India</aff>
<aff id="I4">
<sup>4</sup>
Department of Prosthodontics, Rama Dental College and Hospital and Research Centre, Kanpur, Uttar Pradesh 208025, India</aff>
<author-notes>
<corresp id="cor1">*Minkle Gulati:
<email>mink_gulati@rediffmail.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Paul C. Dechow</p>
</fn>
</author-notes>
<pub-date pub-type="collection">
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>9</day>
<month>7</month>
<year>2014</year>
</pub-date>
<volume>2014</volume>
<elocation-id>908534</elocation-id>
<history>
<date date-type="received">
<day>10</day>
<month>3</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>13</day>
<month>5</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2014 Minkle Gulati et al.</copyright-statement>
<copyright-year>2014</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>
<italic>Introduction</italic>
. The differences in the supporting structure of the implant make them more susceptible to inflammation and bone loss when plaque accumulates as compared to the teeth. Therefore, a comprehensive maintenance protocol should be followed to ensure the longevity of the implant.
<italic>Material and Method</italic>
. A research to provide scientific evidence supporting the feasibility of various implant care methods was carried out using various online resources to retrieve relevant studies published since 1985.
<italic>Results</italic>
. The electronic search yielded 708 titles, out of which a total of 42 articles were considered appropriate and finally included for the preparation of this review article.
<italic>Discussion</italic>
. A typical maintenance visit for patients with dental implants should last 1 hour and should be scheduled every 3 months to evaluate any changes in their oral and general history. It is essential to have a proper instrument selection to prevent damage to the implant surface and trauma to the peri-implant tissues.
<italic>Conclusion</italic>
. As the number of patients opting for dental implants is increasing, it becomes increasingly essential to know the differences between natural teeth and implant care and accept the challenges of maintaining these restorations.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Algorithm of the study selection procedure.</p>
</caption>
<graphic xlink:href="ISRN2014-908534.001"></graphic>
</fig>
<table-wrap id="tab1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<p>Peri-implant plaque assessment index.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="1" colspan="1">Score</th>
<th align="center" rowspan="1" colspan="1">Mombelli et al. [
<xref rid="B9" ref-type="bibr">9</xref>
] (mPI)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">0</td>
<td align="center" rowspan="1" colspan="1">No detection of plaque</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1">Plaque only recognized by running a probe across the smooth marginal surface of the implant</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">2</td>
<td align="center" rowspan="1" colspan="1">Plaque which can be seen by the naked eye</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">3</td>
<td align="center" rowspan="1" colspan="1">Abundance of soft matter</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Reference [
<xref rid="B9" ref-type="bibr">9</xref>
].</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tab2" orientation="portrait" position="float">
<label>Table 2</label>
<caption>
<p>Peri-implant marginal mucosal indices.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="1" colspan="1">Score</th>
<th align="left" rowspan="1" colspan="1">Apse et al. [
<xref rid="B10" ref-type="bibr">10</xref>
]</th>
<th align="left" rowspan="1" colspan="1">Mombelli et al. [
<xref rid="B9" ref-type="bibr">9</xref>
] (mGI)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">0</td>
<td align="left" rowspan="1" colspan="1">Normal mucosa</td>
<td align="left" rowspan="1" colspan="1">No bleeding when a periodontal probe is passed along the mucosal margin adjacent to the implant</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">1</td>
<td align="left" rowspan="1" colspan="1">Minimal inflammation along with color change and minor edema</td>
<td align="left" rowspan="1" colspan="1">Isolated bleeding spots visible</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">2</td>
<td align="left" rowspan="1" colspan="1">Moderate inflammation with redness, edema, and glazing</td>
<td align="left" rowspan="1" colspan="1">Blood which forms a confluent red line on mucosal margin</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">3</td>
<td align="left" rowspan="1" colspan="1">Severe inflammation with redness, edema, ulceration, and spontaneous bleeding without probing</td>
<td align="left" rowspan="1" colspan="1">Heavy or profuse bleeding</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>References [
<xref rid="B9" ref-type="bibr">9</xref>
,
<xref rid="B10" ref-type="bibr">10</xref>
].</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tab3" orientation="portrait" position="float">
<label>Table 3</label>
<caption>
<p>Clinical implant mobility scale.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="1" colspan="1">Scale</th>
<th align="center" rowspan="1" colspan="1">Description</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">0</td>
<td align="center" rowspan="1" colspan="1">Absence of clinical mobility with 500 g in any direction</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1">Slight detectable horizontal movement</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">2</td>
<td align="center" rowspan="1" colspan="1">Moderate visible horizontal mobility up to 0.5 mm</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">3</td>
<td align="center" rowspan="1" colspan="1">Severe horizontal movement greater than 0.5 mm</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">4</td>
<td align="center" rowspan="1" colspan="1">Visible moderate to severe horizontal and any visible vertical movement</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Reference [
<xref rid="B10" ref-type="bibr">10</xref>
].</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tab4" orientation="portrait" position="float">
<label>Table 4</label>
<caption>
<p>Implant maintenance summarized.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" rowspan="1" colspan="1">At-home implant care</th>
<th align="left" rowspan="1" colspan="1">Professional hygiene care</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>Brushing</italic>
<break></break>
Soft manual toothbrush
<break></break>
Motorized tooth brush/power brush
<break></break>
Automated/sonic tooth brush
<break></break>
End-tufted brush
<break></break>
Tapered rotary brush</td>
<td align="left" rowspan="1" colspan="1">
<italic>Scaling andcurettage</italic>
<break></break>
Plastic instruments
<break></break>
Plastic instruments reinforced with graphite
<break></break>
Gold-plated curettes
<break></break>
Ultrasonic or sonic scaler covered with a plastic sleeve</td>
</tr>
<tr>
<td align="center" colspan="2" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>Interproximal/circumferential cleaning</italic>
:
<break></break>
(i) Floss
<break></break>
 Plastic floss
<break></break>
 Braided flossing cord
<break></break>
 Satin floss
<break></break>
 Woven floss
<break></break>
 Yarns dental tapes
<break></break>
(ii) Interproximal cleaners
<break></break>
 Foam tips
<break></break>
 Interproximal brushes with a plastic coated wire
<break></break>
 Disposable wooden picks</td>
<td align="left" rowspan="1" colspan="1">
<italic>Polishing</italic>
<break></break>
(i) Rubber cup with a nonabrasive polishing paste
<break></break>
Such as aluminum oxide, tin oxide, APF-free prophy paste, and low-abrasive dentifrice
<break></break>
(ii) Air polishing
<break></break>
(Use remains controversial)</td>
</tr>
<tr>
<td align="center" colspan="2" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>Locally applied chemotherapeutics</italic>
<break></break>
For example: chlorhexidine digluconate (0.12%), plant alkaloids, or phenolic agents</td>
<td align="left" rowspan="1" colspan="1">
<italic>Locally applied chemotherapeutics</italic>
<break></break>
Such as Arestin, Atridox, PerioChip, or Dentomycin </td>
</tr>
<tr>
<td align="center" colspan="2" rowspan="1">
<hr></hr>
</td>
</tr>
<tr>
<td align="left" rowspan="1" colspan="1">
<italic>Water irrigation</italic>
<break></break>
For example: Hydro Floss</td>
<td align="left" rowspan="1" colspan="1">
<italic>Subgingival irrigation</italic>
<break></break>
Antiseptic agents such as Peroxide, Listerine, or Chlorhexidine using a plastic irrigation tip</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Inde</li>
</country>
</list>
<tree>
<country name="Inde">
<noRegion>
<name sortKey="Gulati, Minkle" sort="Gulati, Minkle" uniqKey="Gulati M" first="Minkle" last="Gulati">Minkle Gulati</name>
</noRegion>
<name sortKey="Anand, Bhargavi" sort="Anand, Bhargavi" uniqKey="Anand B" first="Bhargavi" last="Anand">Bhargavi Anand</name>
<name sortKey="Anand, Vishal" sort="Anand, Vishal" uniqKey="Anand V" first="Vishal" last="Anand">Vishal Anand</name>
<name sortKey="Govila, Vivek" sort="Govila, Vivek" uniqKey="Govila V" first="Vivek" last="Govila">Vivek Govila</name>
</country>
</tree>
</affiliations>
</record>

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