Periimplant Infections of the Oral Cavity

Ellen, Richard P.; Apse, P

doi:10.1007/978-1-4471-3454-1_26

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…When compared to succesful sites, samples from failed implant pockets harbored more' Gram-negative anaerobes, Bacteroides intermedius, Fusobacterium spp and a lower % of facultative Gram-positive cocci, S. sanguis, S. mutans, A. viscosus and A. odontolyticus. These findings are consistent with findings around natural teeth in comparing samples of suppurating periodontal pockets and healthy gingival sulci, as reported by Ellen & Apse (1990). Microbiological findings from one implant that failed a few months after installation were reported by Mombelh et al (1988).…”

Section: Microbiota Associated With Osseointegrated Implantssupporting

confidence: 91%

Implants in relation to natural teeth

Klinge

1991

J Clinic Periodontology

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Osseointegrated implants are now an accepted part of the prosthetic treatment of edentulous patients. More recently, osseointegrated implants have been advocated in the treatment of partially dentate patients. The implants can be used in conjunction with natural teeth for the support of rigid prostheses. The natural tooth is supported in bone by a periodontal ligament, whereas the implant may be described as having a more intimate or ankylotic connection with the supporting bone. Different attachment mechanisms may lead to differential rates of destruction in both situations, particularly if teeth and implants are splinted together by a rigid prosthetic appliance. Also noteworthy are the possible differential rates of marginal tissue breakdown as a result of the influence of bacteria. Results of a pilot study in which marginal breakdown was induced around implants and natural teeth in beagle dogs suggest that the process of destruction proceeds more slowly in the case of implants. However, the disease process around implants may be more difficult to arrest due to conjectural problems in treating the surface of the implant using conventional techniques of periodontal treatment. From the limited data available so far, it would appear that osseointegrated implants can be used as predictably in partially dentate as in totally edentulous mouths. More research should be initiated on the potential for tissue-breakdown, and long-term maintenance of the marginal tissues around implants.

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Section: Microbiota Associated With Osseointegrated Implantssupporting

confidence: 91%

Implants in relation to natural teeth

Klinge

1991

J Clinic Periodontology

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Microbiological and Morphological Analysis of Dental Implants Removed for Incomplete Osseointegration

Passariello

Berlutti

Selan

et al. 1993

Microbial Ecology in Health and Disease

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Dental implants may share both severe infection and incomplete osseointegration in the absence of obvious clinical signs of infection. While microbiological data have been collected on peri-implant infections, no previous studies have investigated microbiologically incompletely osseointegrated implants. This paper presents microbiological and scanning electron microscopy observations on 30 implants showing incomplete osseointegration. All the 30 implants were colonised by bacterial species that are not commonly isolated from the human oral cavity and periodontium. The morphological analysis showed that bacterial microcolonies and biofilms were present on the surface of all implants.

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