Peri-Implant Bone Loss and Peri-Implantitis: A Report of Three Cases and Review of the Literature
Identifieur interne : 000544 ( Pmc/Checkpoint ); précédent : 000543; suivant : 000545Peri-Implant Bone Loss and Peri-Implantitis: A Report of Three Cases and Review of the Literature
Auteurs : Vanchit John [États-Unis] ; Daniel Shin [États-Unis] ; Allison Marlow [États-Unis] ; Yusuke Hamada [États-Unis]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2016.
Abstract
Dental implant supported restorations have been added substantially to the clinical treatment options presented to patients. However, complications with these treatment options also arise due to improper patient selection and inadequate treatment planning combined with poor follow-up care. The complications related to the presence of inflammation include perimucositis, peri-implant bone loss, and peri-implantitis. Prevalence rates of these complications have been reported to be as high as 56%. Treatment options that have been reported include nonsurgical therapy, the use of locally delivered and systemically delivered antibiotics, and surgical protocols aimed at regenerating the lost bone and soft tissue around the implants. The aim of this article is to report on three cases and review some of the treatment options used in their management.
Url:
DOI: 10.1155/2016/2491714
PubMed: 27833766
PubMed Central: 5090081
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<author><name sortKey="John, Vanchit" sort="John, Vanchit" uniqKey="John V" first="Vanchit" last="John">Vanchit John</name>
<affiliation wicri:level="2"><nlm:aff id="I1">Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry, Indianapolis, IN 46202, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry, Indianapolis, IN 46202</wicri:regionArea>
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<author><name sortKey="Shin, Daniel" sort="Shin, Daniel" uniqKey="Shin D" first="Daniel" last="Shin">Daniel Shin</name>
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<author><name sortKey="Marlow, Allison" sort="Marlow, Allison" uniqKey="Marlow A" first="Allison" last="Marlow">Allison Marlow</name>
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<author><name sortKey="Hamada, Yusuke" sort="Hamada, Yusuke" uniqKey="Hamada Y" first="Yusuke" last="Hamada">Yusuke Hamada</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Peri-Implant Bone Loss and Peri-Implantitis: A Report of Three Cases and Review of the Literature</title>
<author><name sortKey="John, Vanchit" sort="John, Vanchit" uniqKey="John V" first="Vanchit" last="John">Vanchit John</name>
<affiliation wicri:level="2"><nlm:aff id="I1">Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry, Indianapolis, IN 46202, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry, Indianapolis, IN 46202</wicri:regionArea>
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<author><name sortKey="Shin, Daniel" sort="Shin, Daniel" uniqKey="Shin D" first="Daniel" last="Shin">Daniel Shin</name>
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<wicri:regionArea>Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry, Indianapolis, IN 46202</wicri:regionArea>
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<author><name sortKey="Marlow, Allison" sort="Marlow, Allison" uniqKey="Marlow A" first="Allison" last="Marlow">Allison Marlow</name>
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<author><name sortKey="Hamada, Yusuke" sort="Hamada, Yusuke" uniqKey="Hamada Y" first="Yusuke" last="Hamada">Yusuke Hamada</name>
<affiliation wicri:level="2"><nlm:aff id="I1">Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry, Indianapolis, IN 46202, USA</nlm:aff>
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<series><title level="j">Case Reports in Dentistry</title>
<idno type="ISSN">2090-6447</idno>
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<front><div type="abstract" xml:lang="en"><p>Dental implant supported restorations have been added substantially to the clinical treatment options presented to patients. However, complications with these treatment options also arise due to improper patient selection and inadequate treatment planning combined with poor follow-up care. The complications related to the presence of inflammation include perimucositis, peri-implant bone loss, and peri-implantitis. Prevalence rates of these complications have been reported to be as high as 56%. Treatment options that have been reported include nonsurgical therapy, the use of locally delivered and systemically delivered antibiotics, and surgical protocols aimed at regenerating the lost bone and soft tissue around the implants. The aim of this article is to report on three cases and review some of the treatment options used in their management.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<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">27833766</article-id>
<article-id pub-id-type="pmc">5090081</article-id>
<article-id pub-id-type="doi">10.1155/2016/2491714</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Peri-Implant Bone Loss and Peri-Implantitis: A Report of Three Cases and Review of the Literature</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-4803-1845</contrib-id>
<name><surname>John</surname>
<given-names>Vanchit</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
<xref ref-type="corresp" rid="cor1"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Shin</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Marlow</surname>
<given-names>Allison</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-8544-8418</contrib-id>
<name><surname>Hamada</surname>
<given-names>Yusuke</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
</contrib-group>
<aff id="I1">Department of Periodontics and Allied Dental Program, Indiana University School of Dentistry, Indianapolis, IN 46202, USA</aff>
<author-notes><corresp id="cor1">*Vanchit John: <email>vjohn@iu.edu</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: Jamil A. Shibli</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>19</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>2016</volume>
<elocation-id>2491714</elocation-id>
<history><date date-type="received"><day>28</day>
<month>7</month>
<year>2016</year>
</date>
<date date-type="rev-recd"><day>19</day>
<month>9</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>3</day>
<month>10</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2016 Vanchit John et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/"><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>Dental implant supported restorations have been added substantially to the clinical treatment options presented to patients. However, complications with these treatment options also arise due to improper patient selection and inadequate treatment planning combined with poor follow-up care. The complications related to the presence of inflammation include perimucositis, peri-implant bone loss, and peri-implantitis. Prevalence rates of these complications have been reported to be as high as 56%. Treatment options that have been reported include nonsurgical therapy, the use of locally delivered and systemically delivered antibiotics, and surgical protocols aimed at regenerating the lost bone and soft tissue around the implants. The aim of this article is to report on three cases and review some of the treatment options used in their management.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>Initial presentation of the cantilever bridge in the maxillary anterior region.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>Periapical radiograph of the maxillary anterior region.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>Following the sectioning of the cantilever bridge.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label>
<caption><p>Placement of a paralleling pin to check angulation of the implant.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label>
<caption><p>Following implant placement and suturing.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label>
<caption><p>Periapical radiograph following implant placement.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label>
<caption><p>Following a healing phase of about 3 months, vertical bone loss around the implant was noted.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label>
<caption><p>Following the treatment of implant site with EDTA, FDBA, and Emdogain®.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.008"></graphic>
</fig>
<fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label>
<caption><p>PA radiograph 4 months following bone grafting around the implant.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.009"></graphic>
</fig>
<fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label>
<caption><p>Provisional crown on the implant.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.010"></graphic>
</fig>
<fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label>
<caption><p>PA radiograph of provisional crown.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.011"></graphic>
</fig>
<fig id="fig12" orientation="portrait" position="float"><label>Figure 12</label>
<caption><p>Final restoration of the implant in the #10 region.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.012"></graphic>
</fig>
<fig id="fig13" orientation="portrait" position="float"><label>Figure 13</label>
<caption><p>One year following implant restoration.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.013"></graphic>
</fig>
<fig id="fig14" orientation="portrait" position="float"><label>Figure 14</label>
<caption><p>Tooth #18 presented with a hopeless prognosis.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.014"></graphic>
</fig>
<fig id="fig15" orientation="portrait" position="float"><label>Figure 15</label>
<caption><p>Following socket grafting—healing at 3 months.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.015"></graphic>
</fig>
<fig id="fig16" orientation="portrait" position="float"><label>Figure 16</label>
<caption><p>Implant was placed at 4 months using a flapless approach.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.016"></graphic>
</fig>
<fig id="fig17" orientation="portrait" position="float"><label>Figure 17</label>
<caption><p>Presence of peri-implant bone loss.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.017"></graphic>
</fig>
<fig id="fig18" orientation="portrait" position="float"><label>Figure 18</label>
<caption><p>Six months following grafting of the site with freeze-dried bone allograft and a resorbable membrane.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.018"></graphic>
</fig>
<fig id="fig19" orientation="portrait" position="float"><label>Figure 19</label>
<caption><p>The implant was restored following a healing period of 6 months. The patient has been followed for 1 year now.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.019"></graphic>
</fig>
<fig id="fig20" orientation="portrait" position="float"><label>Figure 20</label>
<caption><p>Peri-implant bone loss around the implant in the #30 site.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.020"></graphic>
</fig>
<fig id="fig21" orientation="portrait" position="float"><label>Figure 21</label>
<caption><p>One year following treatment. Minimal to no improvement following surgical treatment.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.021"></graphic>
</fig>
<fig id="fig22" orientation="portrait" position="float"><label>Figure 22</label>
<caption><p>Four years following treatment. The site continued to present with inflammation and deep peri-implant probing depths.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.022"></graphic>
</fig>
<fig id="fig23" orientation="portrait" position="float"><label>Figure 23</label>
<caption><p>Six years following treatment. The patient has finally consented to having the implant removed and the site regrafted and evaluated following healing for possible future implant placement.</p>
</caption>
<graphic xlink:href="CRID2016-2491714.023"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Indiana</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Indiana"><name sortKey="John, Vanchit" sort="John, Vanchit" uniqKey="John V" first="Vanchit" last="John">Vanchit John</name>
</region>
<name sortKey="Hamada, Yusuke" sort="Hamada, Yusuke" uniqKey="Hamada Y" first="Yusuke" last="Hamada">Yusuke Hamada</name>
<name sortKey="Marlow, Allison" sort="Marlow, Allison" uniqKey="Marlow A" first="Allison" last="Marlow">Allison Marlow</name>
<name sortKey="Shin, Daniel" sort="Shin, Daniel" uniqKey="Shin D" first="Daniel" last="Shin">Daniel Shin</name>
</country>
</tree>
</affiliations>
</record>
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