One of the main problems for aged people is that of having a balanced diet, improved by correct conditioning of the alimentary bolus. Does the masticatory status influence the appearance of gastrointestinal disorders? Such a question justifies the present study. The present work concerned all the patients (211) of eight geriatric institutions, and was completed by a retrospective approach (case-control study). The main result brought by the case-control study, showed that poor oral functional characteristics represent a risk for gastrointestinal pathology (age being neutralized; odds ratio (OR): 2.62). This result indicates that the loss of teeth must be compensated by functionally effective dentures. Not only will the patients' physical and psychic health improve but also medical and public health problems will be solved.
Methanogens have already been described in periodontitis but not in peri-implantitis. Thirty peri-implantitis samples and 28 control samples were collected in 28 consenting peri-implantitis patients. PCR-sequencing of the 16S rRNA gene was used as a broad-spectrum screening method and results were further confirmed by real-time quantitative PCR targeting the mcrA genes. Results showed a methanogen community dominated by Methanobrevibacter oralis in 31/58 (51%) samples including 16/28 (57%) control samples and 15/30 (50%) peri-implantitis samples. Methanobrevibacter massiliense was detected in 5/58 (8.6%) samples including 3/28 (1%) control samples and 2/30 (6.7%) peri-implantitis samples. The prevalence of M. oralis or M. massiliense did not significantly differ in peri-implantitis and control samples (exact Fisher test, P = 0.61 and P = 0.67, respectively). Further ponderation of the methanogen load by the real-time quantitative PCR for actin human gene again indicated non-significant difference (Wilcoxon-Mann-Whitney test, P = 0.48 and P = 0.40, respectively). These data show that the prevalence of methanogens does not differ in peri-implantitis lesions and healthy sites, when individuals are their own control. These data do not allow assigning a specific pathogenic role to methanogens in peri-implantitis; methanogens rather are part of the commensal and normal flora of the oral cavity.
In oral implantology, successful results in osseointegration are obtained in the medium term (6-12 months) with commercially pure titanium implants. However, current superstructures can be of a different nature (precious metal or titanium) and of different manufacture (cast or machine-produced). Polymetallism between the implant and the superstructure may lead to conditions of galvanic corrosion, and influence osseointegration. The study described establishes, on the one hand, the procedures of animal experimentation in primates and on the other, the techniques of analysis of histological sections. The first technique of analysis is based on histomorphometry and leads to the definition of an osseointegration index. The second technique of analysis consists of X spectrometry by dispersion of energy which enables a spectral analysis of selected points below the crestal neck of the implant (vulnerable area in the case of corrosive attack) to be obtained. It is noted that after 6months, two of which were of activation, osseointegration did not vary according to the nature of the superstructure (precious alloy or titanium). After 2 months, the presence of a precious alloy superstructure lead to titanium migration towards the area around the cervical region of the implant (10-50 microm). This phenomenon did not occur with a titanium implant. It can therefore be presumed that polymetallism leads to detectable corrosion after 2 months but without apparent modification of osseointegration.
Aim:The aim of the present study was to create a tool to evaluate the risk of periimplantitis according its severity. Methods: After ethics committee approval, 43 patients provided signed consent and were included prospectively. Forty-five observations were recorded. The following criteria were recorded: number of implant faces showing bleeding and/or suppuration, pocket depth on at least two faces of the implant, bone loss as a function of the length of the implant evaluated on X-rays, number of implant faces with bacterial plaque, the parameters required for determination of excess cement (screwed or sealed prosthesis, burying of sealed prostheses), periodontal status, glycemia, and annual consumption of tobacco. Each of these parameters was plotted on a chart using Microsoft Excel.Results: Seventeen of 45 (37.8%) cases were identified as having high peri-implantitis risk, two of 45 (4.4%) had low risk, and 11 of 45 (24.4%) had moderate risk; 33.3% patients did not have peri-implantitis and were considered at very low risk. Conclusion:The observed results applied to the evaluation model are an effective diagnostic tool in assessing the risk of peri-implantitis. The tool takes into account parameters, which have not been taken into account until now. The information is automatically processed and allows early management of peri-implantitis. K E Y W O R D Sevaluation model, implant, peri-implantitis, prospective evaluation, risk assessment
This study supports an association between periodontal diseases and CHD/VD independent of known confounders, although an aetiological link of causality has not been established.
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