Microbiological aspects of human mandibular subperiosteal dental implants.
Identifieur interne : 000A71 ( PubMed/Curation ); précédent : 000A70; suivant : 000A72Microbiological aspects of human mandibular subperiosteal dental implants.
Auteurs : Thomas E. Rams ; Burton E. Balkin ; Thomas W. Roberts ; Arthur K. MolzanSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bactéries anaérobies (isolement et purification), Exsudat gingival (), Femelle, Humains, Implantation dentaire sous-périostée (microbiologie), Implants dentaires (microbiologie), Indice de plaque dentaire, Interleukine-1 bêta (analyse), Mandibule, Mâchoire édentée (rééducation et réadaptation), Mâle, Plaque dentaire (microbiologie), Porphyromonas gingivalis (isolement et purification), Péri-implantite (microbiologie), Résistance microbienne aux médicaments, Sujet âgé, Sujet âgé de 80 ans ou plus.
- MESH :
- analyse : Interleukine-1 bêta.
- isolement et purification : Bactéries anaérobies, Porphyromonas gingivalis.
- microbiologie : Implantation dentaire sous-périostée, Implants dentaires, Plaque dentaire, Péri-implantite.
- rééducation et réadaptation : Mâchoire édentée.
- Adulte d'âge moyen, Exsudat gingival, Femelle, Humains, Indice de plaque dentaire, Mandibule, Mâle, Résistance microbienne aux médicaments, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Bacteria, Anaerobic (isolation & purification), Dental Implantation, Subperiosteal (microbiology), Dental Implants (microbiology), Dental Plaque (microbiology), Dental Plaque Index, Drug Resistance, Microbial, Female, Gingival Crevicular Fluid (chemistry), Humans, Interleukin-1beta (analysis), Jaw, Edentulous (rehabilitation), Male, Mandible, Middle Aged, Peri-Implantitis (microbiology), Porphyromonas gingivalis (isolation & purification).
- MESH :
- chemical , analysis : Interleukin-1beta.
- chemical , microbiology : Dental Implants.
- chemistry : Gingival Crevicular Fluid.
- isolation & purification : Bacteria, Anaerobic, Porphyromonas gingivalis.
- microbiology : Dental Implantation, Subperiosteal, Dental Plaque, Peri-Implantitis.
- rehabilitation : Jaw, Edentulous.
- Aged, Aged, 80 and over, Dental Plaque Index, Drug Resistance, Microbial, Female, Humans, Male, Mandible, Middle Aged.
Abstract
Clinical, microbiological, and biochemical features of human mandibular subperiosteal dental implants exhibiting peri-implantitis were compared with those experiencing long-term peri-implant health. After evaluation of clinical parameters, submucosal plaque samples were obtained from permucosal implant abutment posts exhibiting probing depths ≥5 mm and bleeding on probing in subjects with peri-implantitis (n = 3) and from posts with peri-implant health in subjects with long-term subperiosteal implant health (n = 8). The microbial specimens were transported in VMGA III and plated onto enriched Brucella blood agar and Hammond's selective medium with anaerobic incubation, and onto selective TSBV with 5% CO2 incubation. Total anaerobic viable counts and selected bacterial species were identified using established phenotypic methods and criteria. In vitro resistance to doxycycline (2 μg/mL), amoxicillin (2 μg/mL), or metronidazole (4 μg/mL) was recorded per subject when bacterial pathogen growth was noted on antibiotic-supplemented isolation plates. Interleukin (IL)-1β levels were measured with an enzyme-linked immunosorbent assay in peri-implant crevicular fluid samples from 5 study subjects. Significantly higher Plaque Index scores, higher total anaerobic viable counts, more red complex species, and lower proportions of gram-positive facultative viridans streptococci and Actinomyces species were detected on peri-implantitis-affected subperiosteal implants as compared with subperiosteal implants with long-term peri-implant health. No in vitro resistance to the 3 test antibiotic breakpoint concentrations studied was found, except a Fusobacterium nucleatum strain resistant to doxycycline at 2 μg/mL from 1 peri-implantitis subject. Subperiosteal implants with peri-implantitis tended to yield higher peri-implant crevicular fluid IL-1β levels. The level of peri-implant supramucosal plaque control and the composition of the peri-implant submucosal microbiome may be important determinants of the long-term clinical status of mandibular subperiosteal dental implants.
DOI: 10.1563/AAID-JOI-D-11-00023
PubMed: 21767207
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Thomas E. Rams<affiliation><nlm:affiliation>1 Department of Periodontology and Oral Implantology, and Oral Microbiology Testing Service Laboratory, Temple University School of Dentistry, Philadelphia, Penn.</nlm:affiliation>
<wicri:noCountry code="subField">Penn</wicri:noCountry>
</affiliation>
Le document en format XML
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<front><div type="abstract" xml:lang="en">Clinical, microbiological, and biochemical features of human mandibular subperiosteal dental implants exhibiting peri-implantitis were compared with those experiencing long-term peri-implant health. After evaluation of clinical parameters, submucosal plaque samples were obtained from permucosal implant abutment posts exhibiting probing depths ≥5 mm and bleeding on probing in subjects with peri-implantitis (n = 3) and from posts with peri-implant health in subjects with long-term subperiosteal implant health (n = 8). The microbial specimens were transported in VMGA III and plated onto enriched Brucella blood agar and Hammond's selective medium with anaerobic incubation, and onto selective TSBV with 5% CO2 incubation. Total anaerobic viable counts and selected bacterial species were identified using established phenotypic methods and criteria. In vitro resistance to doxycycline (2 μg/mL), amoxicillin (2 μg/mL), or metronidazole (4 μg/mL) was recorded per subject when bacterial pathogen growth was noted on antibiotic-supplemented isolation plates. Interleukin (IL)-1β levels were measured with an enzyme-linked immunosorbent assay in peri-implant crevicular fluid samples from 5 study subjects. Significantly higher Plaque Index scores, higher total anaerobic viable counts, more red complex species, and lower proportions of gram-positive facultative viridans streptococci and Actinomyces species were detected on peri-implantitis-affected subperiosteal implants as compared with subperiosteal implants with long-term peri-implant health. No in vitro resistance to the 3 test antibiotic breakpoint concentrations studied was found, except a Fusobacterium nucleatum strain resistant to doxycycline at 2 μg/mL from 1 peri-implantitis subject. Subperiosteal implants with peri-implantitis tended to yield higher peri-implant crevicular fluid IL-1β levels. The level of peri-implant supramucosal plaque control and the composition of the peri-implant submucosal microbiome may be important determinants of the long-term clinical status of mandibular subperiosteal dental implants.</div>
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