Periimplantitis y mucositis periimplantaria: factores de riesgo, diagnóstico y tratamiento

Andres, G; Pulido, Raúl; Gonzalez, Florencia; Navarro, Alejandro Rodríguez; Lopez, J.; Agustín-Panadero, Rubén

doi:10.4321/s1699-65852015000100004

Cited by 6 publications

(5 citation statements)

References 42 publications

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“…Implantoplasty consists of mechanically modifying the implant surface topography that has been uncovered by the loss of peri-implant bone [13][14][15]. Following the machining, the surface of the implant is treated with chemical reagents to eliminate possible traces of bacteria or microorganisms [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Effects of Hypochlorous Acid and Hydrogen Peroxide Treatment on Bacterial Disinfection Treatments in Implantoplasty Procedures

Padulles-Gaspar

Padulles-Roig²,

Cabanes³

et al. 2023

Materials

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One of the main problems in oral implantology today is peri-implantitis, which affects almost 20% of dental implants placed in patients. One of the most commonly used techniques to eliminate bacterial biofilm is the implantoplasty, that consists of the mechanical modification of the implant surface topography followed by treatments with chemical reagents for decontamination. In this study, the main aim is to evaluate the use of two different chemical treatments based on hypochlorous acid (HClO) and hydrogen peroxide (H2O2). For this purpose, 75 titanium grade 3 discs were treated with implantoplasty according to established protocols. Twenty-five discs were used as controls, 25 were treated with concentrated HClO and 25 were treated with concentrated HClO followed by treatment with 6% H2O2. The roughness of the discs was determined using the interferometric process. Cytotoxicity with SaOs-2 osteoblastic cells was quantified at 24 and 72 h, whereas bacteria proliferation using S. gordonii and S. oralis bacteria was quantified at 5 s and 1 min of treatment. The results showed an increase in the roughness values, the control discs had an Ra of 0.33 μm and those treated with HClO and H2O2 reached 0.68 μm. Cytotoxicity was present at 72 h, together with a significant proliferation of bacteria. These biological and microbiological results can be attributed to the roughness produced by the chemical agents that triggered bacterial adsorption while inhibiting osteoblast adhesion. The results indicate that even if this treatment can decontaminate the titanium surface after implantation, the produced topography will generate an environment that will not favor long-term performance.

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Section: Introductionmentioning

confidence: 99%

Effects of Hypochlorous Acid and Hydrogen Peroxide Treatment on Bacterial Disinfection Treatments in Implantoplasty Procedures

Padulles-Gaspar

Padulles-Roig²,

Cabanes³

et al. 2023

Materials

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“…Periimplantitis is an inflammatory disease of the soft tissue surrounding the dental implant. It is a pathologic process that is considered a failure in the medium-term of rehabilitation of lost teeth for periodontal reasons, and it is also considered a new health problem for those who believe that it is a solution for the pathological tooth loss [16,17]. Implants are susceptible to colonization by bacteria in the oral cavity [18], which has a large bacterial population that covers all of its surfaces.…”

Section: Introductionmentioning

confidence: 99%

“…This "biofilm" is a group of microorganisms that adhere to the mucosa, tissue, teeth, and any material placed in the mouth [19,20]. The bacteria that form the supra or subgingival oral biofilm possess different characteristics that naturally do not produce negative effects; however, if the population of microorganisms increases, this can be detrimental and facilitate the appearance of diseases such as periimplantitis [16]. The bacteria Fusobacterium nucleatum and Streptococcus gordonii [21,22] have been found to be some of the most important related to periimplantitis in patients, mainly in smokers [23,24].…”

Section: Introductionmentioning

confidence: 99%

Electrochemical Behavior of Ti6Al4V Alloy Used in Dental Implants Immersed in Streptococcus gordonii and Fusobacterium nucleatum Solutions

et al. 2020

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The titanium alloy, Ti6Al4V, is used in dentistry for dental implants because of its excellent resistance to corrosion and its high biocompatibility. However, periimplantitis is considered the main reason for treatment failure. The Ti6Al4V alloy was used to study the corrosion behavior for dental implant applications, using an experimental arrangement of three electrodes with the bacteria Streptococcus gordonii and Fusobacterium nucleatum, in addition to Ringer’s lactate as electrolytes, at 37 °C and a pH of 5.6. Their electrochemical behavior was studied by open circuit potential (OCP) and cyclic potentiodynamic polarization (CPP) according to ASTM G3-14 and ASTM G61-11, respectively. Scanning electron microscopy (SEM) was employed to determine the morphology of the alloy studied. An experimental model, in situ, was established with the bacteria present in an oral environment to understand the electrochemical behavior of the alloy used in dental implants. The greatest corrosion in Ti6Al4V alloy was produced by the medium that contained the bacterium Streptococcus gordonii, which is considered a primary colonizer. In addition, the Ti6Al4V alloy presented uniform corrosion in the three solutions at the different exposure times showing a negative hysteresis in CPP.

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“…los pacientes con enfermedades crónico degenerativas como la diabetes pobremente controlada son considerados pacientes de riesgo de presentar periimplantitis, y esto es debido a que tienen una respuesta inmune así como un proceso de cicatrización pobre (Segura Andrés et al, 2015), esto lo confirma Ferreira et al (2006) al indicar que la periodontitis y la diabetes aumentaban el riesgo de periimplantitis.…”

Section: Introduccionunclassified

Periimplantitis: Revisión de la Literatura

García-Calderón¹,

Cornejo²,

Cuevas-González

et al. 2016

Int. J. Odontostomat.

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GARCÍA-CALDERÓN, A. G.; DONOHUE-CORNEJO, A.; CUEVAS-GONZÁLEZ, M. V.; ÁVILA-VALDÉZ, R. & CUEVAS-GONZÁLEZ, J. C. Periimplantitis: revisión de la literatura. Int. J. Odontostomat., 10(2):255-260, 2016. RESUMEN:El uso de implantes ha tomado un gran auge en los últimos años, sin embargo así como se ha visto un aumento en la demanda también se ha visto un incremento en el fracaso de los mismos, existen múltiples razones que intervienen para esto como son; deficiencias en la cantidad y calidad de hueso, patologías óseas preexistentes, mala técnica quirúrgica, implante inadecuado, hábito tabáquico, entre otras. La mucositis periimplantaria y la periimplantitis son las primeras causas de complicaciones en los implantes, los pacientes con enfermedades crónico degenerativas, fumadores y con mala higiene son considerados pacientes de riesgo para presentar periimplantitis. La literatura ofrece tratamientos quirúrgicos y no quirúrgicos los cuales van enfocados a la eliminación de microorganismos y a la desinfección de la superficie del implante, el tratamiento quirúrgico como la debridación y curetaje tienen la finalidad de eliminar la placa bacteriana, desinfectar la superficie del implante así como retirar el tejido dañado por el proceso inflamatorio, el realizar una adecuada historia clínica y valoración previa, permitirá identificar a los pacientes con mayor o menor riesgo de desarrollar periimplantitis, las citas de mantenimiento ayudan a detectar oportunamente posibles complicaciones.PALABRAS CLAVE: periimplantitis; mucositis periimplantaria; enfermedad periodontal. INTRODUCCIONEl uso de implantes ha tomado un gran auge en los últimos años, sin embargo así como se ha visto un aumento en la demanda también se ha visto un incremento en el fracaso de los mismos, existen múltiples razones que intervienen para esto como son; deficiencias en la cantidad y calidad de hueso, patologías óseas preexistentes, mala técnica quirúrgica, implante inadecuado, hábito tabáquico, entre otras, sin embargo a pesar de controlar en medida de lo posible los factores antes mencionados, se llega a presentar el fracaso en el sitio de colocación del implante, dentro de las principales causas se encuentra la periimplantitis, la cual en términos clínicos se define como un proceso inflamatorio que afecta la función fisiológica del tejido duro y blando que se encuentra alrededor de un implante osteointegrado, o en vías de la osteointegración (McCrea, 2014) (Fig. 1) y la mucositis periimplantaria, en donde se aprecia una inflamación reversible del tejido circundante al implante, sin que haya perdida de tejido óseo.La prevalencia que se conoce sobre el desarrollo de la periimplantitis es muy variada, Schmidlin et al. (2012) realizaron un estudio transversal dirigido a odontólogos en donde determinaron una prevalencia que entre del 5-6 % y 7-9 % posterior a 5 y 10 años *

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Periimplantitis y mucositis periimplantaria: factores de riesgo, diagnóstico y tratamiento

Cited by 6 publications

References 42 publications

Effects of Hypochlorous Acid and Hydrogen Peroxide Treatment on Bacterial Disinfection Treatments in Implantoplasty Procedures

Effects of Hypochlorous Acid and Hydrogen Peroxide Treatment on Bacterial Disinfection Treatments in Implantoplasty Procedures

Electrochemical Behavior of Ti6Al4V Alloy Used in Dental Implants Immersed in Streptococcus gordonii and Fusobacterium nucleatum Solutions

Periimplantitis: Revisión de la Literatura

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