Implantoplasty Enhancing Peri-implant Bone Stability Over a 3-Year Follow-up: A Case Series

Bianchini, Marco Aurélio; Galárraga-Vinueza, María Elisa; Apaza‐Bedoya, Karin; Corrêa, Bruna Barbosa; Magini, Ricardo de Souza; Schwarz, Frank

doi:10.11607/prd.3849

Cited by 20 publications

(32 citation statements)

References 3 publications

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“…As stated, the results of the present study showed that the implantoplasty was narrower at the medial area when compared to the coronal region to achieve the desired "platform switch concept". 20,37 Even though, various studies claim that implatoplasty may or may not induce implant fracture, 16 In the present study, treated cases showed a considerably high disease resolution rate. Bleeding and suppuration was resolved significantly and no progressive marginal bone loss occurred in all clinical stable cases exhibiting that this surgical and antibiofilm strategy may neutralize peri-implantitis progression providing an adequate surface for peri-implant tissues re-adaptation and consequently longevity over a moderate to long-term period.…”

Section: Discussionmentioning

confidence: 42%

Two to six‐year disease resolution and marginal bone stability rates of a modified resective‐implantoplasty therapy in 32 peri‐implantitis cases

Bianchini

Galárraga-Vinueza

Apaza‐Bedoya

et al. 2019

Clin Implant Dent Rel Res

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Background: Different nonsurgical, antibacterial, surgical, and regenerative approaches to treat peri-implantitis have been proposed, but there is no an actual "gold" standard treatment showing the most favorable results to counteract peri-implantitis effects.Purpose: To evaluate radiographically and clinically the disease resolution and periimplant marginal bone stability rates of peri-implantitis cases treated through a combined resective-implantoplasty therapy in a moderate to long-term period. Materials and Methods:Records of patients diagnosed with peri-implantitis and treated through the same protocol applying a combined resective-implantoplasty therapy with minimum 2-year follow-up were screened. Eligible patients were contacted and asked to undergo clinical and radiologic examination. Progressive marginal bone loss, bleeding on probing, suppuration, implant mobility, and implant fracture were considered to establish the disease resolution rate and peri-implant bone stability of the treated implants.Results: Twenty-three patients with 32 treated implants fulfilled the inclusion criteria. Over the 2 to 6-year follow-up, (mean time: 3.4 ± 1.5 years), the disease resolution rate was 83% (patient level) and 87% (implant level). Four implants (13%) were lost or removed due to continuous MBL and osseointegration failure. At followup, peri-implant marginal bone remained stable with no further bone loss in 87% of the treated implants. BOP was absent in 89.3% (implant level), suppuration was resolved in all cases, and no pain or implant fracture was reported.Conclusion: Implantoplasty treated cases showed high disease resolution rate and peri-implant marginal bone stability. This surgical antibiofilm strategy can counteract peri-implantitis progression providing an adequate environment for implant function and longevity over a moderate to long-term period. K E Y W O R D Simplant survival, implantoplasty, peri-implantitis, peri-implant lesions

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Section: Discussionmentioning

confidence: 42%

Two to six‐year disease resolution and marginal bone stability rates of a modified resective‐implantoplasty therapy in 32 peri‐implantitis cases

Bianchini

Galárraga-Vinueza

Apaza‐Bedoya

et al. 2019

Clin Implant Dent Rel Res

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“…Peri-implantitis has been characterized as a plaque associated inflammatory pathological condition occurring in tissues around dental implants [11][12][13][14]. A few histological studies have reported on the cellular composition at peri-implantitis sites in humans [15,16].…”

Section: Introductionmentioning

confidence: 99%

Macrophage polarization in peri-implantitis lesions

et al. 2020

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Objectives To immunohistochemically characterize and correlate macrophage M1/M2 polarization status with disease severity at peri-implantitis sites. Materials and methods A total of twenty patients (n = 20 implants) diagnosed with peri-implantitis (i.e., bleeding on probing with or without suppuration, probing depths ≥ 6 mm, and radiographic marginal bone loss ≥ 3 mm) were included. The severity of peri-implantitis was classified according to established criteria (i.e., slight, moderate, and advanced). Granulation tissue biopsies were obtained during surgical therapy and prepared for immunohistological assessment and macrophage polarization characterization. Macrophages, M1, and M2 phenotypes were identified through immunohistochemical markers (i.e., CD68, CD80, and CD206) and quantified through histomorphometrical analyses. Results Macrophages exhibiting a positive CD68 expression occupied a mean proportion of 14.36% (95% CI 11.4-17.2) of the inflammatory connective tissue (ICT) area. Positive M1 (CD80) and M2 (CD206) macrophages occupied a mean value of 7.07% (95% CI 5.9-9.4) and 5.22% (95% CI 3.8-6.6) of the ICT, respectively. The mean M1/M2 ratio was 1.56 (95% CI 1-12-1.9). Advanced peri-implantitis cases expressed a significantly higher M1 (%) when compared with M2 (%) expression. There was a significant correlation between CD68 (%) and M1 (%) expression and probing depth (PD) values. Conclusion The present immunohistochemical analysis suggests that macrophages constitute a considerable proportion of the inflammatory cellular composition at peri-implantitis sites, revealing a significant higher expression for M1 inflammatory phenotype at advanced peri-implantitis sites, which could possibly play a critical role in disease progression. Clinical relevance Macrophages have critical functions to establish homeostasis and disease. Bacteria might induce oral dysbiosis unbalancing the host's immunological response and triggering inflammation around dental implants. M1/M2 status could possibly reveal peri-implantitis' underlying pathogenesis.

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“…In Romeo et al [16,17] and Ravida et al [41], surgical treatment with adjunctive implantoplasty with bone recontouring was compared to surgical treatment with bone recontouring only. Englezos [42] et al and Bianchini et al [43,44] performed implantoplasty with some bone recontouring. In Lasserre et al [45], implantoplasty was performed without bone recontouring and compared to treatment with glycine air-polishing.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 14 studies with uniqe study populations included in this scoping review, 3 were controlled studies randomised with respect to adjunctive implantoplasty; Romeo et al [16,17]; Lasserre et al [45]; Dalago et al [46], 8 prospective studies [18,[32][33][34][36][37][38][39][40]42,43], 2 retrospective studies [35,44], and 1 retrospective case-control study [41] (Figure 1) (Table 2).…”

Section: Resultsmentioning

confidence: 99%

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Implantoplasty- provoking or reducing inflammation? – a systematic scoping review

Maal

Verket

2021

Acta Odontologica Scandinavica

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Objectives: To evaluate clinical parameters associated with inflammation after adjunctive implantoplasty in conjunction with surgical treatment of peri-implantitis. Materials and methods: A systematic literature search was performed in 2 databases until 29. December 2020 to find publications that report on clinical parameters after surgical peri-implantitis treatment which included adjunctive implantoplasty. Clinical studies on implantoplasty reporting on BoP as outcome were included, but other clinical or radiographic outcomes were also considered. Results: The search resulted in 18 articles that fulfilled the inclusion criteria. The results indicated improvements of BoP and clinical parameters following surgical peri-implantitis treatment with adjunctive implantoplasty. Conclusions: Within its limits, the findings of the present scoping review indicated that BoP is reduced following surgical peri-implantitis treatment with adjunctive implantoplasty, and that this improvement is in line with surgical peri-implantitis treatment without adjunctive implantoplasty.

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Implantoplasty Enhancing Peri-implant Bone Stability Over a 3-Year Follow-up: A Case Series

Cited by 20 publications

References 3 publications

Two to six‐year disease resolution and marginal bone stability rates of a modified resective‐implantoplasty therapy in 32 peri‐implantitis cases

Two to six‐year disease resolution and marginal bone stability rates of a modified resective‐implantoplasty therapy in 32 peri‐implantitis cases

Macrophage polarization in peri-implantitis lesions

Implantoplasty- provoking or reducing inflammation? – a systematic scoping review

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