Spontaneous early exposure of submerged implants: II. Histopathology and histomorphometry of non-perforated mucosa covering submerged implants.
Identifieur interne : 003674 ( PubMed/Corpus ); précédent : 003673; suivant : 003675Spontaneous early exposure of submerged implants: II. Histopathology and histomorphometry of non-perforated mucosa covering submerged implants.
Auteurs : H. Tal ; D. DayanSource :
- Journal of periodontology [ 0022-3492 ] ; 2000.
English descriptors
- KwdEn :
- Biopsy, Connective Tissue (pathology), Dental Implantation, Endosseous, Dental Implants, Dental Implants, Single-Tooth, Dental Prosthesis Design, Double-Blind Method, Epithelium (pathology), Follow-Up Studies, Humans, Hyperplasia, Jaw, Edentulous (pathology), Jaw, Edentulous (surgery), Leukocyte Count, Leukocytes, Mononuclear (pathology), Mouth Mucosa (pathology), Osteocytes (pathology), Periodontal Ligament (pathology), Periodontitis (pathology), Stress, Mechanical, Surgical Flaps, Wound Healing.
- MESH :
- chemical : Dental Implants.
- pathology : Connective Tissue, Epithelium, Jaw, Edentulous, Leukocytes, Mononuclear, Mouth Mucosa, Osteocytes, Periodontal Ligament, Periodontitis.
- surgery : Jaw, Edentulous.
- Biopsy, Dental Implantation, Endosseous, Dental Implants, Single-Tooth, Dental Prosthesis Design, Double-Blind Method, Follow-Up Studies, Humans, Hyperplasia, Leukocyte Count, Stress, Mechanical, Surgical Flaps, Wound Healing.
Abstract
Spontaneous early exposure is a complication that could account for significant interference during the early healing phase of dental implants. Spontaneous perforations of the mucosa covering implants have been classified according to the degree of implant exposure from 0 (no perforation) to IV (complete exposure). In this study, the characteristics of the epithelium and connective tissue of clinically non-perforated mucosa over submerged implants are histologically and histomorphometrically evaluated.
DOI: 10.1902/jop.2000.71.8.1224
PubMed: 10972637
Links to Exploration step
pubmed:10972637Le document en format XML
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<author><name sortKey="Tal, H" sort="Tal, H" uniqKey="Tal H" first="H" last="Tal">H. Tal</name>
<affiliation><nlm:affiliation>Department of Periodontology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Dayan, D" sort="Dayan, D" uniqKey="Dayan D" first="D" last="Dayan">D. Dayan</name>
</author>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Spontaneous early exposure of submerged implants: II. Histopathology and histomorphometry of non-perforated mucosa covering submerged implants.</title>
<author><name sortKey="Tal, H" sort="Tal, H" uniqKey="Tal H" first="H" last="Tal">H. Tal</name>
<affiliation><nlm:affiliation>Department of Periodontology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Dayan, D" sort="Dayan, D" uniqKey="Dayan D" first="D" last="Dayan">D. Dayan</name>
</author>
</analytic>
<series><title level="j">Journal of periodontology</title>
<idno type="ISSN">0022-3492</idno>
<imprint><date when="2000" type="published">2000</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Biopsy</term>
<term>Connective Tissue (pathology)</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis Design</term>
<term>Double-Blind Method</term>
<term>Epithelium (pathology)</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hyperplasia</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Leukocyte Count</term>
<term>Leukocytes, Mononuclear (pathology)</term>
<term>Mouth Mucosa (pathology)</term>
<term>Osteocytes (pathology)</term>
<term>Periodontal Ligament (pathology)</term>
<term>Periodontitis (pathology)</term>
<term>Stress, Mechanical</term>
<term>Surgical Flaps</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Connective Tissue</term>
<term>Epithelium</term>
<term>Jaw, Edentulous</term>
<term>Leukocytes, Mononuclear</term>
<term>Mouth Mucosa</term>
<term>Osteocytes</term>
<term>Periodontal Ligament</term>
<term>Periodontitis</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Biopsy</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis Design</term>
<term>Double-Blind Method</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hyperplasia</term>
<term>Leukocyte Count</term>
<term>Stress, Mechanical</term>
<term>Surgical Flaps</term>
<term>Wound Healing</term>
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<front><div type="abstract" xml:lang="en">Spontaneous early exposure is a complication that could account for significant interference during the early healing phase of dental implants. Spontaneous perforations of the mucosa covering implants have been classified according to the degree of implant exposure from 0 (no perforation) to IV (complete exposure). In this study, the characteristics of the epithelium and connective tissue of clinically non-perforated mucosa over submerged implants are histologically and histomorphometrically evaluated.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10972637</PMID>
<DateCompleted><Year>2000</Year>
<Month>12</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised><Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-3492</ISSN>
<JournalIssue CitedMedium="Print"><Volume>71</Volume>
<Issue>8</Issue>
<PubDate><Year>2000</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Journal of periodontology</Title>
<ISOAbbreviation>J. Periodontol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Spontaneous early exposure of submerged implants: II. Histopathology and histomorphometry of non-perforated mucosa covering submerged implants.</ArticleTitle>
<Pagination><MedlinePgn>1224-30</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Spontaneous early exposure is a complication that could account for significant interference during the early healing phase of dental implants. Spontaneous perforations of the mucosa covering implants have been classified according to the degree of implant exposure from 0 (no perforation) to IV (complete exposure). In this study, the characteristics of the epithelium and connective tissue of clinically non-perforated mucosa over submerged implants are histologically and histomorphometrically evaluated.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Ten randomly selected tissue disks of intact (Class [Cl]-0) mucosa covering submerged implants were removed using a biopsy punch. Identical mucosal punch specimens were obtained from edentulous sites treated by non-submerged (1-stage) implants for use as controls. Specimens were histopathologically examined. The epithelial width and inflammatory infiltrate adjacent to the epithelium were histomorphometrically measured and the data statistically analyzed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Non-perforated mucosa covering the submerged implants (Cl-0) was characterized by an inflammatory fibro-epithelial hyperplasia. In 70% of Cl-0 hematoxylin and eosin-stained sections, there was mineralized material in the connective tissue, mostly sequestra. The epithelial width was 1.5 times higher (0.553 +/- 0.187 mm) when compared to controls (0.345 +/- 0.129 mm; P <0.0001). Concomitantly, the chronic inflammatory infiltrate was almost double in Cl-0 specimens (1,411 +/- 617 cell/mm2) when compared to controls (833 +/- 275 cells/mm2; P<0.001). A positive correlation between the linear combination of the epithelial width and the linear combination of the inflammatory cell concentration was found in both groups: Cl-0: r = 0.669, P= 0.0001; control: r = 0.541, P= 0.005.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Different factors may result in the formation of spontaneous early perforation, most of which are associated with mechanical trauma to the mucosa or tension in the tissue flaps covering the implants. Bone debris produced during the osteotomy could act as an additional predisposing factor; these are sequestrated and accompanied by chronic inflammatory cell infiltration as well as epithelial-covering reaction. Since this study focused only on specimens from intact mucosa, until further investigation of this phenomenon in spontaneously perforated sites is conducted, no conclusions on the role of these histopathological findings can be made.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tal</LastName>
<ForeName>H</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Periodontology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dayan</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Periodontol</MedlineTA>
<NlmUniqueID>8000345</NlmUniqueID>
<ISSNLinking>0022-3492</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D001706" MajorTopicYN="N">Biopsy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003238" MajorTopicYN="N">Connective Tissue</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003758" MajorTopicYN="Y">Dental Implantation, Endosseous</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019250" MajorTopicYN="N">Dental Implants, Single-Tooth</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017267" MajorTopicYN="N">Dental Prosthesis Design</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004311" MajorTopicYN="N">Double-Blind Method</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004848" MajorTopicYN="N">Epithelium</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006965" MajorTopicYN="N">Hyperplasia</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007958" MajorTopicYN="N">Leukocyte Count</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007963" MajorTopicYN="N">Leukocytes, Mononuclear</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009061" MajorTopicYN="N">Mouth Mucosa</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010011" MajorTopicYN="N">Osteocytes</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010513" MajorTopicYN="N">Periodontal Ligament</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010518" MajorTopicYN="N">Periodontitis</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013314" MajorTopicYN="N">Stress, Mechanical</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<Month>9</Month>
<Day>6</Day>
<Hour>11</Hour>
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