Peri‐implantitis: from diagnosis to therapeutics

Nguyen-Hieu, Tung; Borghetti, A; Aboudharam, Gérard

doi:10.1111/j.2041-1626.2012.00116.x

Cited by 60 publications

(49 citation statements)

References 91 publications

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“…PD was measured to the nearest millimeter using a graded probe (Hu-Friedy, Chicago, IL, USA). Peri-implantitis was defined as a peri-implant PD ≥5 mm and an MBL ≥2 mm [22].…”

Section: Clinical Peri-implant Examinationmentioning

confidence: 99%

Clinical and Radiographic Peri-Implant Parameters and Whole Salivary Interleukin-1β and Interleukin-6 Levels among Type-2 Diabetic and Nondiabetic Patients with and without Peri-Implantitis

et al. 2018

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Objective: The aim was to assess the peri-implant clinical and radiographic parameters and whole salivary levels of interleukin (IL)-1β and IL-6 among type 2 diabetic and nondiabetic patients with and without peri-implantitis. Material and Methods: Ninety-one implants were placed in patients without type 2 diabetes mellitus (39 patients with and 52 patients without peri-implantitis; group 1). Eighty implants were placed in patients with diabetes (35 patients with and 45 patients without peri-implantitis; group 2). Peri-implant plaque index, bleeding on probing, probing depth, and marginal bone loss were measured. Unstimulated whole saliva samples were collected and IL-1β and IL-6 levels were measured using standard techniques. p < 0.05 was considered statistically significant. Results: In group 1, plaque index (p < 0.001), bleeding on probing (p < 0.001), probing depth (p < 0.001), and whole salivary IL-1β (p < 0.001) and IL-6 (p < 0.001) levels were significantly higher in patients with peri-implantitis than in those without peri-implantitis. Plaque index, bleeding on probing, probing depth, and marginal bone loss were comparable among all of the patients in group 2. Among patients with peri-implantitis, plaque index (p < 0.001), bleeding on probing (p < 0.001), probing depth (p < 0.001), marginal bone loss (p < 0.001), and whole salivary IL-1β (p < 0.001) and IL-6 (p < 0.001) levels were significantly higher in those with diabetes than in those without diabetes. Conclusion: Among individuals without diabetes, peri-implant plaque index, bleeding on probing, probing depth, marginal bone loss, and whole salivary IL-1 β and IL-6 levels were higher among patients with peri-implantitis compared to patients without peri-implantitis. Among patients with diabetes, the severity of the measured parameters appears to be influenced by the glycemic status rather than by peri-implantitis.

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“…PD was measured to the nearest millimeter using a graded probe (Hu-Friedy, Chicago, IL, USA). Peri-implantitis was defined as a peri-implant PD ≥5 mm and an MBL ≥2 mm [22].…”

Section: Clinical Peri-implant Examinationmentioning

confidence: 99%

Clinical and Radiographic Peri-Implant Parameters and Whole Salivary Interleukin-1β and Interleukin-6 Levels among Type-2 Diabetic and Nondiabetic Patients with and without Peri-Implantitis

et al. 2018

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“…Twelve of the articles were excluded as they had no IOPAs of the lesion. 7,11,24,25,33,35,[37][38][39]45,48,53 A total of 54 IOPAs from 36 articles were compiled. One periodontist (SR) and one implantologist (TAB) independently analyzed the IOPAs.…”

Section: Literature Searchmentioning

confidence: 99%

A Radiographic Classification for Retrograde Peri-implantitis

Shah¹,

Thomas²,

Kumar³

et al. 2016

The Journal of Contemporary Dental Practice

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Background: Retrograde peri-implantitis (RPI) is an inflammatory disease that affects the apical part of an osseointegrated implant, while the coronal portion of the implant sustains a normal bone-to-implant interface. It is a diagnostic and therapeutic dilemma for implantologists. There is lack of a standard classification system and a definite treatment algorithm for the same. This article aims to introduce a classification system for RPI based on the radiographic amount of bone loss around an implant apex. Materials and methods:A search of PubMed database was conducted with the keywords "retrograde peri-implantitis" and "implant periapical lesion." Preoperative intraoral periapical (IOPA) radiographs of implants with RPI in case reports/case series were compiled. A total of 54 IOPAs from 36 articles were compiled and were assessed.Results: Three different classes were proposed. The amount of bone loss from the apex of the implant to the most coronal part of radiolucency was calculated as a percentage of the total implant length and classified into one of the three classes: Mild, moderate, and advanced. Treatment options and prognosis have been suggested for each class. Conclusion:The proposed classification may allow for an easy and reproducible radiographic assessment of the RPI lesion and may serve as a guideline to prognosis and treatment planning.

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“…Bien que les mécanismes par lesquels ses effets sur le métabolisme osseux et la balance entre résorption et apposition autour d' un implant (quel qu' il soit) ne soient pas complètement élucidés [43], on sait que sa consommation est associée à des déficiences du système immunitaire qui perturbent le remaniement des tissus osseux péri-implantaires, mettant en péril l' ostéo-intégration [44,45] et favorisant la péri-implantite [46].…”

Section: Sur L' Osunclassified