Interventions for replacing missing teeth: treatment of perimplantitis

Esposito, Marco; Grusovin, Maria Gabriella; Kakisis, Ioannis; Coulthard, Paul; Worthington, Helen V

doi:10.1002/14651858.cd004970.pub3

Cited by 12 publications

(10 citation statements)

References 23 publications

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“…The infectious etiology of peri-implant diseases has already been confirmed (Berglundh, Armitage, et al, 2018), but, at present, the ideal method to decontaminate the implant surface remains to be determined (Esposito, Grusovin, Kakisis, Coulthard, & Worthington, 2008). Various studies about nonsurgical therapy have suggested different treatment protocols in which mechanical debridement is com- Schär et al, 2013) or systemic antibiotics (Mombelli & Lang, 1992), or with the use of a laser (Bassetti et al, 2014;Schwarz, John, Hegewald, & Becker, 2015;Schär et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

One‐year results of a nonsurgical treatment protocol for peri‐implantitis. A retrospective case series

Estefanía-Fresco

García-De-La-Fuente

Egaña-Fernández-Valderrama

et al. 2019

Clinical Oral Implants Res

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Objectives The aim of this study was to assess the clinical outcomes of a nonsurgical treatment protocol for peri‐implantitis and to evaluate the influence that some factors could have on the results of this treatment. Material and methods In this retrospective case series, patients with at least one implant with peri‐implantitis, treated with a nonsurgical protocol and with a one‐year follow‐up, were included. Clinical parameters (probing depth, recession, bleeding, and/or suppuration on probing) were collected at baseline, 6 weeks, 3, 6, and 12 months. Radiographic bone levels were assessed in periapical radiographs taken at baseline and 12 months. An analysis of the factors significantly associated with marginal bone level changes was performed. Descriptive and analytic statistics were carried out at the patient and at the implant level, as well as a multiple linear regression analysis. Results Data from 37 patients with 70 implants were analyzed. There was a general and consistent improvement from baseline compared to all follow‐up points in the clinical variables. A significant radiographic bone gain of 0.91 mm was observed. The factors significantly associated were baseline plaque index, sex, and age at patient level, and type of prosthesis and implant location at implant level. Conclusions Within the limitations of this study, this nonsurgical treatment protocol might be considered as a first treatment option for peri‐implantitis. More studies are needed, with larger sample sizes and longer follow‐ups, to confirm these outcomes and their long‐term stability.

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Section: Discussionmentioning

confidence: 99%

One‐year results of a nonsurgical treatment protocol for peri‐implantitis. A retrospective case series

Estefanía-Fresco

García-De-La-Fuente

Egaña-Fernández-Valderrama

et al. 2019

Clinical Oral Implants Res

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“…In the surgical treatment of peri‐implantitis, resective and regenerative methods – often performed under antibiotics – are common, whereby combinations with the aforementioned approaches are often used (Roos‐Jansåker et al 2003; Kotsovilis et al 2008). Treatment recommendations for peri‐implant infections rudimentary exist, but no gold standard has been defined as yet and evidence‐based affirmed (Esposito et al 2008; Kotsovilis et al 2008).…”

Section: Discussionmentioning

confidence: 99%

Comparison of two full‐mouth approaches in the treatment of peri‐implant mucositis: a pilot study

Thöne-Mühling

Swierkot

Nonnenmacher³

et al. 2010

Clinical Oral Implants Res

153

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“…An inflammation in the soft tissue surrounding the implant can disturb the tight connection between the mucosa and the implant abutment. This will enable bacterial adhesion to the smooth surface of the abutment and, if exposed, to the rough surface of the implant [7,8]. If not successfully treated, the inflammation may eventually lead to degradation of the implant-supporting bone, resulting in loss of the implant.…”

Section: Introductionmentioning

confidence: 99%

Adhesion of Streptococcus mitis and Actinomyces oris in co-culture to machined and anodized titanium surfaces as affected by atmosphere and pH

et al. 2013

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BackgroundWith the rising demand for osseointegrated titanium implants for replacing missing teeth, often in patients with a history of periodontitis, implant-related infections have become an issue of growing concern. Novel methods for treating and preventing implant-associated infections are urgently needed. The aim of this study was to investigate if different pH, atmosphere and surface properties could restrict bacterial adhesion to titanium surfaces used in dental implants.MethodsTitanium discs with machined or anodized (TiUnite™) surface were incubated with a co-culture of Streptococcus mitis and Actinomyces oris (early colonizers of oral surfaces) at pH 5.0, 7.0 and 9.0 at aerobic or anaerobic atmosphere. The adhesion was analysed by counting colony forming (CFU) units on agar and by confocal laser scanning microscopy (CLSM).ResultsThe CFU analysis showed that a pH of 5.0 was found to significantly decrease the adhesion of S. mitis, and an aerobic atmosphere, the adhesion of A. oris. S. mitis was found in significantly less amounts on the anodized surface than the machined surface, while A. oris was found in equal amounts on both surfaces. The CLSM analysis confirmed the results from the CFU count and provided additional information on how the two oral commensal species adhered to the surfaces: mainly in dispersed clusters oriented with the groves of the machined surface and the pores of the anodized surface.ConclusionsBacterial adhesion by S. mitis and A. oris can be restricted by acidic pH and aerobic atmosphere. The anodized surface reduced the adhesion of S. mitis compared to the machined surface; while A. oris adhered equally well to the pores of the anodized surface and to the grooves of the machined surface. It is difficult to transfer these results directly into a clinical situation. However, it is worth further investigating these findings from an in vitro perspective, as well as clinically, to gain more knowledge of the effects acid pH and aerobic atmosphere have on initial bacterial adhesion.

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Interventions for replacing missing teeth: treatment of perimplantitis

Cited by 12 publications

References 23 publications

One‐year results of a nonsurgical treatment protocol for peri‐implantitis. A retrospective case series

One‐year results of a nonsurgical treatment protocol for peri‐implantitis. A retrospective case series

Comparison of two full‐mouth approaches in the treatment of peri‐implant mucositis: a pilot study

Adhesion of Streptococcus mitis and Actinomyces oris in co-culture to machined and anodized titanium surfaces as affected by atmosphere and pH

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