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Implant therapy following liver transplantation: clinical and microbiological results after 10 years.

Identifieur interne : 002C31 ( PubMed/Corpus ); précédent : 002C30; suivant : 002C32

Implant therapy following liver transplantation: clinical and microbiological results after 10 years.

Auteurs : Siegfried Martin Heckmann ; Josef Georg Heckmann ; Jens Julian Linke ; Werner Hohenberger ; Andrea Mombelli

Source :

RBID : pubmed:15295960

English descriptors

Abstract

The number of immunocompromised patients is increasing as a consequence of successful organ transplantation. Placing dental implants in these patients has been questioned because of their increased risk for infections. The 10-year follow-up data of a 71-year-old liver transplant recipient with long-term immunosuppressive therapy is reported. Six months after liver transplantation, two interforaminal implants were inserted in the edentulous mandible, and an overdenture using non-rigid telescopic attachments was fabricated 3 months later.

DOI: 10.1902/jop.2004.75.6.909
PubMed: 15295960

Links to Exploration step

pubmed:15295960

Le document en format XML

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<title xml:lang="en">Implant therapy following liver transplantation: clinical and microbiological results after 10 years.</title>
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<name sortKey="Heckmann, Siegfried Martin" sort="Heckmann, Siegfried Martin" uniqKey="Heckmann S" first="Siegfried Martin" last="Heckmann">Siegfried Martin Heckmann</name>
<affiliation>
<nlm:affiliation>School of Dental Medicine, University of Erlangen-Nuremberg, Erlangen, Germany. siegfried.heckmann@rzmail.uni-erlangen.de</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Heckmann, Josef Georg" sort="Heckmann, Josef Georg" uniqKey="Heckmann J" first="Josef Georg" last="Heckmann">Josef Georg Heckmann</name>
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<author>
<name sortKey="Linke, Jens Julian" sort="Linke, Jens Julian" uniqKey="Linke J" first="Jens Julian" last="Linke">Jens Julian Linke</name>
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<author>
<name sortKey="Hohenberger, Werner" sort="Hohenberger, Werner" uniqKey="Hohenberger W" first="Werner" last="Hohenberger">Werner Hohenberger</name>
</author>
<author>
<name sortKey="Mombelli, Andrea" sort="Mombelli, Andrea" uniqKey="Mombelli A" first="Andrea" last="Mombelli">Andrea Mombelli</name>
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<title xml:lang="en">Implant therapy following liver transplantation: clinical and microbiological results after 10 years.</title>
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<name sortKey="Heckmann, Siegfried Martin" sort="Heckmann, Siegfried Martin" uniqKey="Heckmann S" first="Siegfried Martin" last="Heckmann">Siegfried Martin Heckmann</name>
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<name sortKey="Linke, Jens Julian" sort="Linke, Jens Julian" uniqKey="Linke J" first="Jens Julian" last="Linke">Jens Julian Linke</name>
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<name sortKey="Hohenberger, Werner" sort="Hohenberger, Werner" uniqKey="Hohenberger W" first="Werner" last="Hohenberger">Werner Hohenberger</name>
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<name sortKey="Mombelli, Andrea" sort="Mombelli, Andrea" uniqKey="Mombelli A" first="Andrea" last="Mombelli">Andrea Mombelli</name>
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<series>
<title level="j">Journal of periodontology</title>
<idno type="ISSN">0022-3492</idno>
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<date when="2004" type="published">2004</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>DNA, Bacterial (analysis)</term>
<term>Dental Care for Chronically Ill</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Overlay</term>
<term>Eikenella corrodens (isolation & purification)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Fusobacterium nucleatum (isolation & purification)</term>
<term>Humans</term>
<term>Immunocompromised Host</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Liver Transplantation (immunology)</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Mouth (microbiology)</term>
<term>Porphyromonas gingivalis (isolation & purification)</term>
<term>Prevotella intermedia (isolation & purification)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en">
<term>DNA, Bacterial</term>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en">
<term>Liver Transplantation</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Eikenella corrodens</term>
<term>Fusobacterium nucleatum</term>
<term>Porphyromonas gingivalis</term>
<term>Prevotella intermedia</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiology" xml:lang="en">
<term>Mouth</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Dental Care for Chronically Ill</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immunocompromised Host</term>
<term>Middle Aged</term>
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<front>
<div type="abstract" xml:lang="en">The number of immunocompromised patients is increasing as a consequence of successful organ transplantation. Placing dental implants in these patients has been questioned because of their increased risk for infections. The 10-year follow-up data of a 71-year-old liver transplant recipient with long-term immunosuppressive therapy is reported. Six months after liver transplantation, two interforaminal implants were inserted in the edentulous mandible, and an overdenture using non-rigid telescopic attachments was fabricated 3 months later.</div>
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<DateCompleted>
<Year>2004</Year>
<Month>08</Month>
<Day>30</Day>
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<DateRevised>
<Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
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<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0022-3492</ISSN>
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<Volume>75</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2004</Year>
<Month>Jun</Month>
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<Title>Journal of periodontology</Title>
<ISOAbbreviation>J. Periodontol.</ISOAbbreviation>
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<ArticleTitle>Implant therapy following liver transplantation: clinical and microbiological results after 10 years.</ArticleTitle>
<Pagination>
<MedlinePgn>909-13</MedlinePgn>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The number of immunocompromised patients is increasing as a consequence of successful organ transplantation. Placing dental implants in these patients has been questioned because of their increased risk for infections. The 10-year follow-up data of a 71-year-old liver transplant recipient with long-term immunosuppressive therapy is reported. Six months after liver transplantation, two interforaminal implants were inserted in the edentulous mandible, and an overdenture using non-rigid telescopic attachments was fabricated 3 months later.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Oral clinical parameters included the modified plaque index, sulcus fluid flow rate, modified bleeding index, probing depth, distance implant mucosa, attachment level, width of the keratinized mucosa and mobility values. The distance implant bone (DIB) was determined on digital panoramic radiographs. The levels of eight periodontal marker organisms were established using DNA probe technology. Additionally, swabs of the edentulous oral mucosa were taken for microbiological culture and antimicrobial resistance testing.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The peri-implant parameters were within normal ranges indicating a stable osseointegration with moderate vertical bone loss. Actinobacillus actinomycetemcomitans, Tannerella forsythensis, Campylobacter rectus, and Treponema denticola were not detected. Low levels of Porphyromonas gingivalis, Fusobacterium nucleatum, and Eikenella corrodens were found. Prevotella intermedia was the only bacterium with a level higher than 10(4). The mucosal swabs indicated the presence of an abundant normal oral flora, including Escherichia coli and Candida albicans. The antibiogram revealed multiple resistance to antibiotics.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This case report suggests that immunocompromised patients can be successfully rehabilitated with dental implants.</AbstractText>
</Abstract>
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<DescriptorName UI="D016967" MajorTopicYN="N">Fusobacterium nucleatum</DescriptorName>
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<DescriptorName UI="D016031" MajorTopicYN="Y">Liver Transplantation</DescriptorName>
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