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Anti-infective surgical therapy of peri-implantitis. A 12-month prospective clinical study.

Identifieur interne : 000F36 ( PubMed/Checkpoint ); précédent : 000F35; suivant : 000F37

Anti-infective surgical therapy of peri-implantitis. A 12-month prospective clinical study.

Auteurs : L J A. Heitz-Mayfield [Australie] ; G E Salvi ; A. Mombelli ; M. Faddy ; N P Lang

Source :

RBID : pubmed:22092831

Descripteurs français

English descriptors

Abstract

The aim of this prospective cohort study was to evaluate an anti-infective surgical protocol for the treatment of peri-implantitis.

DOI: 10.1111/j.1600-0501.2011.02276.x
PubMed: 22092831


Affiliations:


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pubmed:22092831

Le document en format XML

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<term>Amoxicillin (therapeutic use)</term>
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<term>Debridement (methods)</term>
<term>Decontamination (methods)</term>
<term>Dental Prosthesis Retention</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Metronidazole (therapeutic use)</term>
<term>Middle Aged</term>
<term>Peri-Implantitis (surgery)</term>
<term>Prospective Studies</term>
<term>Regression Analysis</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Amoxicilline (usage thérapeutique)</term>
<term>Analyse de régression</term>
<term>Anti-infectieux (usage thérapeutique)</term>
<term>Antibactériens (usage thérapeutique)</term>
<term>Débridement ()</term>
<term>Décontamination ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Métronidazole (usage thérapeutique)</term>
<term>Péri-implantite ()</term>
<term>Résultat thérapeutique</term>
<term>Rétention de prothèse dentaire</term>
<term>Études prospectives</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Peri-Implantitis</term>
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<term>Amoxicilline</term>
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<term>Antibactériens</term>
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<term>Dental Prosthesis Retention</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Regression Analysis</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
<term>Débridement</term>
<term>Décontamination</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Péri-implantite</term>
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<div type="abstract" xml:lang="en">The aim of this prospective cohort study was to evaluate an anti-infective surgical protocol for the treatment of peri-implantitis.</div>
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<Month>05</Month>
<Day>31</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1600-0501</ISSN>
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<Volume>23</Volume>
<Issue>2</Issue>
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<Year>2012</Year>
<Month>Feb</Month>
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<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
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<ArticleTitle>Anti-infective surgical therapy of peri-implantitis. A 12-month prospective clinical study.</ArticleTitle>
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<AbstractText Label="AIM" NlmCategory="OBJECTIVE">The aim of this prospective cohort study was to evaluate an anti-infective surgical protocol for the treatment of peri-implantitis.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Thirty-six implants in 24 partially dentate patients with moderate to advanced peri-implantitis were treated using an anti-infective surgical protocol incorporating open flap debridement and implant surface decontamination, with adjunctive systemic amoxicillin and metronidazole. Treatment outcomes were assessed at 3, 6 and 12 months. Patient-based statistical analyses using multiple regression analyses were performed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There was 100% survival of treated implants at 12 months. At 3 months, there were statistically significant (P < 0.01) reductions in mean probing depths (PD), Bleeding on Probing (BoP) and suppuration. The greater the mean PD at baseline, the greater the PD reduction at 3 months. At 3 months, there was also a significant mean facial mucosal recession of 1 mm (P < 0.001). All these changes were maintained at 6 and 12 months. At 12 months, all treated implants had a mean PD < 5 mm, while 47% of the implants had complete resolution of inflammation (BoP negative). At 12 months, 92% of implants had stable crestal bone levels or bone gain. There were no significant effects of smoking on any of the treatment outcomes.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">For the treatment of peri-implantitis, an anti-infective protocol incorporating surgical access, implant surface decontamination and systemic antimicrobials followed by a strict postoperative protocol was effective at 3 months with the results maintained for up to 12 months after treatment.</AbstractText>
<CopyrightInformation>© 2011 John Wiley & Sons A/S.</CopyrightInformation>
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