Serveur d'exploration sur le patient édenté

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Bone Inflammation, Bone Infection and Dental Implants Failure: Histological and Cytological Aspects Related to Cement Excess

Identifieur interne : 006F96 ( Ncbi/Merge ); précédent : 006F95; suivant : 006F97

Bone Inflammation, Bone Infection and Dental Implants Failure: Histological and Cytological Aspects Related to Cement Excess

Auteurs : Marco Tatullo [Italie] ; Massimo Marrelli [Italie] ; Filiberto Mastrangelo [Italie] ; Enrico Gherlone [Italie]

Source :

RBID : PMC:5423581

Abstract

Background: Dental implant failure can recognize several causes and many of them are quite preventable with the right knowledge of some clinical critical factors. Aim of this paper is to investigate about the histological aspects related to dental implants failure in such cases related to cement excess, how such histological picture can increase the risk of bacterial infections and how the different type of cement can interact with osteoblasts in-vitro.

Methods: We randomly selected 5 patients with a diagnosis of dental implant failure requiring to be surgically removed: in all patients was observed an excess of dental cement around the failed implants. Histological investigations were performed of the perimplant bone. Cell culture of purchased human Osteoblasts was performed in order to evaluate cell proliferation and cell morphology at 3 time points among 3 cement types and a control surface.

Results: Dental cement has been related to a pathognomonic histological picture with a foreign body reaction and many areas with black particles inside macrophage cells. Finally, cell culture on different dental cements resulted in a lower osteoblasts survival rate.

Conclusions: It is appropriate that the dentist puts a small amount of dental cement in the prosthetic crown, so to avoid the clinical alterations related to the excess of cement.


Url:
DOI: 10.7150/jbji.17507
PubMed: 28529868
PubMed Central: 5423581

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PMC:5423581

Le document en format XML

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<bold>Background: </bold>
Dental implant failure can recognize several causes and many of them are quite preventable with the right knowledge of some clinical critical factors. Aim of this paper is to investigate about the histological aspects related to dental implants failure in such cases related to cement excess, how such histological picture can increase the risk of bacterial infections and how the different type of cement can interact with osteoblasts in-vitro.</p>
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<bold>Methods:</bold>
We randomly selected 5 patients with a diagnosis of dental implant failure requiring to be surgically removed: in all patients was observed an excess of dental cement around the failed implants. Histological investigations were performed of the perimplant bone. Cell culture of purchased human Osteoblasts was performed in order to evaluate cell proliferation and cell morphology at 3 time points among 3 cement types and a control surface.</p>
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<bold>Results: </bold>
Dental cement has been related to a pathognomonic histological picture with a foreign body reaction and many areas with black particles inside macrophage cells. Finally, cell culture on different dental cements resulted in a lower osteoblasts survival rate.</p>
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<bold>Conclusions:</bold>
It is appropriate that the dentist puts a small amount of dental cement in the prosthetic crown, so to avoid the clinical alterations related to the excess of cement.</p>
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</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">28529868</article-id>
<article-id pub-id-type="pmc">5423581</article-id>
<article-id pub-id-type="doi">10.7150/jbji.17507</article-id>
<article-id pub-id-type="publisher-id">jbjiv02p0084</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Paper</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Bone Inflammation, Bone Infection and Dental Implants Failure: Histological and Cytological Aspects Related to Cement Excess</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Tatullo</surname>
<given-names>Marco</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="corresp" rid="FNA_envelop"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Marrelli</surname>
<given-names>Massimo</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mastrangelo</surname>
<given-names>Filiberto</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gherlone</surname>
<given-names>Enrico</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Biomedical Section, Tecnologica Research Institute, Crotone, Italy.</aff>
<aff id="A2">
<label>2</label>
Maxillofacial Unit, Calabrodental clinic, Crotone, Italy.</aff>
<aff id="A3">
<label>3</label>
Department of Oral Science, “Vita e Salute” San Raffaele University, Milan, Italy.</aff>
<author-notes>
<corresp id="FNA_envelop">✉ Corresponding author: Marco Tatullo, Scientific Director
<bold>. </bold>
Tecnologica Research Institute, Biomedical Section, St. E. Fermi - 88900 Crotone, Italy. Phone/Fax: 0039-3498742445 / 0039-0962930414. Email:
<email>marco.tatullo@tecnologicasrl.com</email>
.</corresp>
<fn fn-type="COI-statement">
<p>Competing Interests: The authors have declared that no competing interest exists.</p>
</fn>
</author-notes>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>17</day>
<month>1</month>
<year>2017</year>
</pub-date>
<volume>2</volume>
<issue>2</issue>
<fpage>84</fpage>
<lpage>89</lpage>
<permissions>
<copyright-statement>© Ivyspring International Publisher</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) license (
<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc/4.0/">https://creativecommons.org/licenses/by-nc/4.0/</ext-link>
). See
<ext-link ext-link-type="uri" xlink:href="http://ivyspring.com/terms">http://ivyspring.com/terms</ext-link>
for full terms and conditions.</license-p>
</license>
</permissions>
<abstract>
<p>
<bold>Background: </bold>
Dental implant failure can recognize several causes and many of them are quite preventable with the right knowledge of some clinical critical factors. Aim of this paper is to investigate about the histological aspects related to dental implants failure in such cases related to cement excess, how such histological picture can increase the risk of bacterial infections and how the different type of cement can interact with osteoblasts in-vitro.</p>
<p>
<bold>Methods:</bold>
We randomly selected 5 patients with a diagnosis of dental implant failure requiring to be surgically removed: in all patients was observed an excess of dental cement around the failed implants. Histological investigations were performed of the perimplant bone. Cell culture of purchased human Osteoblasts was performed in order to evaluate cell proliferation and cell morphology at 3 time points among 3 cement types and a control surface.</p>
<p>
<bold>Results: </bold>
Dental cement has been related to a pathognomonic histological picture with a foreign body reaction and many areas with black particles inside macrophage cells. Finally, cell culture on different dental cements resulted in a lower osteoblasts survival rate.</p>
<p>
<bold>Conclusions:</bold>
It is appropriate that the dentist puts a small amount of dental cement in the prosthetic crown, so to avoid the clinical alterations related to the excess of cement.</p>
</abstract>
<kwd-group>
<kwd>implant failure</kwd>
<kwd>osteoblasts</kwd>
<kwd>osseointegration.</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption>
<p>Intratissutal and intracellular accumulation of hyperchromic particles representing multiple foci of exogenous cement (see the arrow). Surrounding stroma is infiltrated by acute and chronic inflammatory cells.</p>
</caption>
<graphic xlink:href="jbjiv02p0084g001"></graphic>
</fig>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption>
<p>Hematoxylin and eosin-stained section at the bone interface: we can see inflammatory infiltrate and wide portions of residual necrotic bone (see the arrows).</p>
</caption>
<graphic xlink:href="jbjiv02p0084g002"></graphic>
</fig>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption>
<p>Cell proliferation assay. Human Osteoblasts were placed into Osteoblasts Medium in 4 wells and each of the specimens in 3 different wells, while 1 well was leaved empty and was marked as control. Cell count was performed at day 1, day 3 and day 5. Cell proliferation assays were performed in triplicate. Cell morphology. Human Osteoblasts were cultured on 3 glass-ionomer cements to assess if the cell phenotype was different between day1 and day5 time point: the used glass-ionomer cements were named A, B and C. Control was assumed to be the tissue culture plate.</p>
</caption>
<graphic xlink:href="jbjiv02p0084g003"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Italie</li>
</country>
<region>
<li>Lombardie</li>
</region>
<settlement>
<li>Milan</li>
</settlement>
</list>
<tree>
<country name="Italie">
<noRegion>
<name sortKey="Tatullo, Marco" sort="Tatullo, Marco" uniqKey="Tatullo M" first="Marco" last="Tatullo">Marco Tatullo</name>
</noRegion>
<name sortKey="Gherlone, Enrico" sort="Gherlone, Enrico" uniqKey="Gherlone E" first="Enrico" last="Gherlone">Enrico Gherlone</name>
<name sortKey="Marrelli, Massimo" sort="Marrelli, Massimo" uniqKey="Marrelli M" first="Massimo" last="Marrelli">Massimo Marrelli</name>
<name sortKey="Mastrangelo, Filiberto" sort="Mastrangelo, Filiberto" uniqKey="Mastrangelo F" first="Filiberto" last="Mastrangelo">Filiberto Mastrangelo</name>
</country>
</tree>
</affiliations>
</record>

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