Peri‐implant health

Araújo, Maurício G.; Lindhe, Jan

doi:10.1002/jper.16-0424

Cited by 129 publications

(140 citation statements)

References 99 publications

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“…According to a meta-analysis and systematic review, the estimated prevalence of peri-implantitis is 22% and peri-implant mucositis is 43% [5]. The absence of signs of clinical inflammation is considered peri-implant health [6].…”

Section: Introductionmentioning

confidence: 99%

Peri-Implantitis Diagnosis and Prognosis Using Biomarkers in Peri-Implant Crevicular Fluid: A Narrative Review

2019

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Dental implant diseases, peri-implantitis (PI) and peri-implant mucositis (PIM), have shown wide prevalence in recent studies. Despite the prevalence, diagnosing peri-implant disease (PID) remains challenging as common diagnostic methods of periodontal probing and radiographs may be inaccurate. These methods only document pre-existing destruction rather than current disease activity. Furthermore, there is no current model to predict the progression of PID. Though a predictive model is lacking, biomarkers may offer some potential. Biomarkers are commonly used in medicine to objectively determine disease state, or responses to a therapeutic intervention. Gingival crevicular fluid (GCF) biomarkers have moderate diagnostic validity in periodontitis. Biomarkers in peri-implant crevicular fluid (PICF) also show promising results in regard to their diagnostic and prognostic value. The aim of this review is to summarize the current knowledge of PICF biomarkers in the diagnosis of PID and evaluate their validity to predict disease progression. This review found that PICF studies utilize different methods of sampling and interpretation with varying validity (sensitivity and specificity). A number of promising diagnostic techniques were identified. Commercially available chair-side tests for MMP-8 to diagnose periodontal disease and PID activity are now available. Future directions include proteomics and metabolomics for accurate, site-specific diagnosis and prediction of PID progression. Although more research is needed, this review concludes that the assessment of proinflammatory cytokines (IL-1β, TNFα, MMP-8) in the PICF may be of value to diagnose PI and PIM but current research remains insufficient to indicate whether biomarkers predict peri-implant disease progression.

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Section: Introductionmentioning

confidence: 99%

Peri-Implantitis Diagnosis and Prognosis Using Biomarkers in Peri-Implant Crevicular Fluid: A Narrative Review

2019

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“…The role of inserted keratinized gingival tissue as a factor for the prevention of mucositis and periimplantitis has long been discussed and studies have been conducted to identify the relation between inserted keratinized gingival tissue and the status of the tissues surrounding implants [19]. The periimplant mucosa provides a biological seal around dental implants and protects the underlying bone from the contaminated oral environment [20,21]. The absence of adequate keratinized gingival tissue inserted around implants can result in a more intense accumulation of bacterial plaque and gingival inflammation [22].…”

Section: Discussionmentioning

confidence: 99%

Prosthetic Rehabilitation in Older Adult with Free Gingival Graft: Case Report

Nunes¹,

Nunes²,

Filho³

et al. 2019

int arch med

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Aim: The aim of the present study was to perform the clinical evaluation of the thickness of the soft tissue around dental implants using a free gingival graft obtained from the palate. Background: Rehabilitation in elderly patients improves physiological functions and quality of life, and when this rehabilitation involves a surgical stage, it becomes a challenge, even for more experienced surgeons. Methods: a 64-year-old, white, female patient with a complaint of difficulty chewing and discomfort stemming from her dental status. Rehabilitation was proposed involving a multidisciplinary approach to reestablish esthetics, function and wellbeing. For such, 4.1 Bone Level Tapered® implants were installed. During the presurgical preparation, a free gingival graft was planned to increase the gingival area using the Miller technique. After establishing the suitability of the oral environment, impressions were made in alginate for the fabrication of an acrylic surgical stent to protect the donor site on the hard palate and minimize the morbidity of the surgical intervention. Conclusion: In the case reported, the increase in the gingival tissue using a free gingival graft provided satisfactory peri-implant health in an older patient throughout annual follow-up for 15 years.

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“…B. Vorhandensein keratinisierter Mukosa, Art der Suprakonstruktion) sowie Befunden (Blutung, Suppuration, Sondierungstiefenzunahme) erforderlich [27,28]. Entzündungsfreie, gesunde Implantate wurden nach der aktuellen Klassifikation von parodontalen und periimplantären Erkrankungen und Zuständen erstmalig einheitlich definiert [29]. Solange keine zusätzlichen Risiken bestehen, haben sie ein geringes Entstehungs-und Progressionsrisiko (grün) für periimplantäre Erkrankungen.…”

Section: Bedarfsfaktoren Ii: Versorgungenunclassified