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Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses.

Identifieur interne : 001B90 ( PubMed/Curation ); précédent : 001B89; suivant : 001B91

Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses.

Auteurs : Alexander René Schrott [États-Unis] ; Monik Jimenez ; Jae-Woong Hwang ; Joseph Fiorellini ; Hans-Peter Weber

Source :

RBID : pubmed:19719741

Descripteurs français

English descriptors

Abstract

The question of the importance of keratinized mucosa around dental implants for the prevention of peri-implant disease could not be answered in the relevant literature so far.

DOI: 10.1111/j.1600-0501.2009.01795.x
PubMed: 19719741

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pubmed:19719741

Le document en format XML

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<term>Dental Implants (adverse effects)</term>
<term>Dental Plaque (etiology)</term>
<term>Dental Plaque (prevention & control)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Gingival Recession (pathology)</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Keratins (physiology)</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Mouth Mucosa (pathology)</term>
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<term>Statistics, Nonparametric</term>
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<term>Adaptation physiologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes de santé dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Kératines (physiologie)</term>
<term>Mandibule</term>
<term>Muqueuse de la bouche (anatomopathologie)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Plaque dentaire ()</term>
<term>Plaque dentaire (étiologie)</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Récession gingivale (anatomopathologie)</term>
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<term>Muqueuse de la bouche</term>
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<term>Implants dentaires</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Dental Plaque</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Gingival Recession</term>
<term>Mouth Mucosa</term>
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<term>Keratins</term>
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<term>Adaptation, Physiological</term>
<term>Adult</term>
<term>Aged</term>
<term>Dental Health Surveys</term>
<term>Dental Prosthesis, Implant-Supported</term>
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<term>Female</term>
<term>Humans</term>
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<term>Mandible</term>
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<term>Statistics, Nonparametric</term>
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<term>Adaptation physiologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes de santé dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
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<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
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<div type="abstract" xml:lang="en">The question of the importance of keratinized mucosa around dental implants for the prevention of peri-implant disease could not be answered in the relevant literature so far.</div>
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<Year>2009</Year>
<Month>12</Month>
<Day>11</Day>
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<ISSN IssnType="Electronic">1600-0501</ISSN>
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<Volume>20</Volume>
<Issue>10</Issue>
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<Year>2009</Year>
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<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
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<ArticleTitle>Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The question of the importance of keratinized mucosa around dental implants for the prevention of peri-implant disease could not be answered in the relevant literature so far.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To investigate the influence of peri-implant keratinized mucosa on long-term peri-implant soft-tissue health and stability over a period of 5 years.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">A total of 386 mandibular dental implants were placed in 73 completely edentulous patients, and subsequently restored with fixed full-arch prostheses. At prosthesis delivery (baseline) and after 3, 6, 12, 18, 24, 36, 48 and 60 months, modified plaque index (mPlI), modified sulcus bleeding index (mBI), distance between implant shoulder and mucosal margin (DIM) and width of peri-implant keratinized mucosa (KM) were recorded. Statistical analysis included multivariate logistic regression, multivariate ordinal logistic regression, generalized estimating equations and Bonferroni's correction.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty-eight patients with 307 implants completed the 5-year study. Statistically significantly higher plaque accumulation on lingual sites (mean mPlI 0.67, SD 0.85), bleeding tendencies on lingual sites (mean mBI 0.22, SD 0.53) and larger soft-tissue recession on buccal sites (mean DIM -0.69 mm, SD 1.11 mm) were found when the width of KM was <2 mm, compared to sites with>or=2 mm of KM (mean mPlI 0.40, SD 0.68, P=0.001; mean mBI 0.13, SD 0.41, P<0.01; mean DIM -0.08 mm, SD 0.86 mm, P<0.001). The width of keratinized mucosa had no effect on bleeding tendency or plaque accumulation on buccal sites (P>0.05).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In patients exercising good oral hygiene and receiving regular implant maintenance therapy, implants with a reduced width of <2 mm of peri-implant keratinized mucosa were more prone to lingual plaque accumulation and bleeding as well as buccal soft-tissue recession over a period of 5 years.</AbstractText>
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<ForeName>Alexander René</ForeName>
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<Affiliation>Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA, USA. draschrott@gmail.com</Affiliation>
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<LastName>Jimenez</LastName>
<ForeName>Monik</ForeName>
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<LastName>Hwang</LastName>
<ForeName>Jae-Woong</ForeName>
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<LastName>Fiorellini</LastName>
<ForeName>Joseph</ForeName>
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<LastName>Weber</LastName>
<ForeName>Hans-Peter</ForeName>
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<Country>Denmark</Country>
<MedlineTA>Clin Oral Implants Res</MedlineTA>
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<CommentsCorrectionsList>
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<ArticleId IdType="doi">10.1111/j.1600-0501.2009.01795.x</ArticleId>
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