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Author: Marc Quirynen
Publisher:
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Category :
Languages : en
Pages :
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Book Description
Background: Non-surgical treatment of peri-implantitis is targeted at mechanical and/or chemical disinfection of the implant and its suprastructures, to allow inflamed peri-implant tissues to heal. Many different surgical and non-surgical techniques for the treatment of peri-implantitis have been investigated, with varying results. However, a combination of various non-surgical techniques in a single treatment session in a full-mouth disinfection protocol has not been investigated yet.Aim: To determine if a combination of various non-surgical techniques in a single treatment session, comprised of using hand curettes and carbon-tipped ultrasonic, air-abrasion, and Er:YAG-laser therapy in a full-mouth disinfection protocol, leads to short-term resolution of peri-implantitis.Materials and methods: 27 patients with one or more dental implants with clinical and radiographic signs of peri-implantitis were randomly allocated to 2 groups. The test group (11 patients, 31 implants) received debridement of the affected implants, using hand curettes, carbon-tipped ultrasonics, air-abrasion with glycine powder and Er:YAG-laser irradiation. Additionally, full-mouth disinfection was performed on all teeth with pockets >4 millimetres. The control group (16 patients, 30 implants) received debridement of the implants by hand curettes only. This group did not undergo a full-mouth disinfection. For both groups, all treatments were performed in a single session. Bleeding on probing (BoP) scores, peri-implant probing depths (PPD), clinical attachment levels (CAL), interproximal bone levels (BL) and full-mouth plaque scores (FMPS) were recorded at intake and at 3 and 6 months after treatment.Results: The test group showed statistically significantly more reduction in bleeding on probing scores at the 3 and 6 months of follow-up despite of an increase of scores in the test group in between 3 and 6 months after treatment. Both groups showed a statistically significant decrease in PPD after 3 months (p= 0.009 and p= 0.0008 for the control and test groups, respectively). The difference in decrease between both groups was statistically significant in favour of the test group (p= 0.0001). At 6 months an increase in PPD was observed for both groups. The difference at 6 months was no longer statistically significant. Changes in bone level from intake to 3 months and 6 months after treatment were not statistically significant. Conclusions: A more thorough debridement protocol can result in greater resolution of inflammation in the peri-implant tissues and the effects can be sustained up to 6 months after treatment. Clinically this implicates that a more comprehensive mechanical and/or chemical disinfection protocol is beneficial for the treatment of implants affected by peri-Implantitis.
Author: Marc Quirynen
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Background: Non-surgical treatment of peri-implantitis is targeted at mechanical and/or chemical disinfection of the implant and its suprastructures, to allow inflamed peri-implant tissues to heal. Many different surgical and non-surgical techniques for the treatment of peri-implantitis have been investigated, with varying results. However, a combination of various non-surgical techniques in a single treatment session in a full-mouth disinfection protocol has not been investigated yet.Aim: To determine if a combination of various non-surgical techniques in a single treatment session, comprised of using hand curettes and carbon-tipped ultrasonic, air-abrasion, and Er:YAG-laser therapy in a full-mouth disinfection protocol, leads to short-term resolution of peri-implantitis.Materials and methods: 27 patients with one or more dental implants with clinical and radiographic signs of peri-implantitis were randomly allocated to 2 groups. The test group (11 patients, 31 implants) received debridement of the affected implants, using hand curettes, carbon-tipped ultrasonics, air-abrasion with glycine powder and Er:YAG-laser irradiation. Additionally, full-mouth disinfection was performed on all teeth with pockets >4 millimetres. The control group (16 patients, 30 implants) received debridement of the implants by hand curettes only. This group did not undergo a full-mouth disinfection. For both groups, all treatments were performed in a single session. Bleeding on probing (BoP) scores, peri-implant probing depths (PPD), clinical attachment levels (CAL), interproximal bone levels (BL) and full-mouth plaque scores (FMPS) were recorded at intake and at 3 and 6 months after treatment.Results: The test group showed statistically significantly more reduction in bleeding on probing scores at the 3 and 6 months of follow-up despite of an increase of scores in the test group in between 3 and 6 months after treatment. Both groups showed a statistically significant decrease in PPD after 3 months (p= 0.009 and p= 0.0008 for the control and test groups, respectively). The difference in decrease between both groups was statistically significant in favour of the test group (p= 0.0001). At 6 months an increase in PPD was observed for both groups. The difference at 6 months was no longer statistically significant. Changes in bone level from intake to 3 months and 6 months after treatment were not statistically significant. Conclusions: A more thorough debridement protocol can result in greater resolution of inflammation in the peri-implant tissues and the effects can be sustained up to 6 months after treatment. Clinically this implicates that a more comprehensive mechanical and/or chemical disinfection protocol is beneficial for the treatment of implants affected by peri-Implantitis.
Author: Ofir Ginesin
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
BackgroundPeri-implantitis is major concern in the current implantology with growing incidence. Surgical intervention includes resective surgery, open flap debridement or bone augmentation, all with chance of complications and morbidity. Surgical treatment outcomes are controversial in current literature. Non-surgical intervention includes debridement of soft tissue with various materials and instrumentations and slow release devices. Non-surgical treatment exhibit limited success and predictability.Methods and MaterialsTo assess the clinical outcome six and twelve months after a non-surgical treatment of peri-implantitis per se or conjunction with combination of local antiseptic and anti-inflammatory treatment.Sixty-eight patients with periodontitis (grade 1-3, and stage A-B) with a total of 102 implants with peri-implantitis were included. Peri-implantitis was defined as radiographic bone loss more or equal to 3 mm, probing depth (PD) more or equal to 6 mm with bleeding on probing (BOP). Treatment of implants was performed with ultrasonic debridement, soft tissue curettage (group MEC), or addition (group MEC+LPA) of implant's surface treatment with rotatory hand piece composed of chitosan bristle, soft tissue curettage combined with application of 0.95% hypochlorite and amino acid and at the end application of 1mg minocycline HCl.ResultsAfter 6 months both groups (MEC and MEC+LPA) demonstrated significant reductions (P
Author: Boyd J. Tomasetti
Publisher: Springer Nature
ISBN: 3030441997
Category : Medical
Languages : en
Pages : 334
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Book Description
This comprehensive guide to short implants will take the reader through their research and development, explain the clinical indications, evaluate the outcomes achieved with various implants, and explore restorative and laboratory considerations. Short implants have steadily gained greater market share in the last decade as practitioners sought alternatives to traditional length implants in order to avoid grafting procedures. Current manufacturers offer a variety of implant lengths and widths, allowing surgeons and restorative dentists the ability to select the best implant for each clinical circumstance. Cutting edge information is provided on the research and clinical results achieved utilizing a range of implants, specifically those developed by Nobel Biocare, Straumann, Jack Hahn, and Bicon. Readers will also find an extensive description of the role of ultra-short implants involving reconstruction in both cleft patients and cancer patients who have lost portions of their mandible and/or maxilla. This book is a must-have for those interested in learning how the use of short and ultra-short implants offers both surgeons and restorative dentists an opportunity to stand out from those that use only the traditional length implants.
Author: Alberto Ortiz-Vigun
Publisher:
ISBN:
Category :
Languages : en
Pages :
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BackgroundDespite the significant body of evidence that shows importance of keratinized tissue in maintaining peri-implant health, there is not enough data regarding the role of soft tissue quantity and quality in the treatment of periimplantitis. Aim/HypothesisThe hypothesis of the study is that the collagen matrix of porcine origin is associated with lower patient morbidity, in comparison with autologous soft tissue graft, when used for the augmentation of the keratinized tissues simultaneously with the surgical treatment of peri-implantitisMaterials and MethodsA two-centre randomized controlled clinical trial was designed to test a study hypothesis. A sample of 40 patients was recruited basing upon the diagnosis of peri-implantitis and absent or insufficient peri-implant mucosa. 1 month after the non-surgical treatment, surgical procedure was performed.Peri-implant clinical and radiographic parameters, as well as patient perception of the therapy provided, will be evaluated before and at various stages (up to 26 weeks) after the surgical intervention. Also, change of vestibulum depth was analyzed, as well as the time spent for the procedure measured.Conclusions and clinical implicationsSuggested surgical modality resulted in the improvement of clinical parameters of peri-implant tissues at 6 months after the intervention. Both free gingival graft and collagen matrix provided increase of the peri-implant keratinized mucosa and vestibulum depth. Patients treated with the collagen matrix, reported lower difficulty of the surgical procedure and lower intrasurgical pain. However, longer follow-up is required to assess the stability of clinical parameters of peri-implant health.
Author: Ramanauskaite Ausra
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Clinical outcomes following treatment of peri-implantitis at formerly graftet implant sites.Ramanauskaite A, Becker K, and Schwarz FDepartment of Oral Surgery, Heinrich Heine University, Du00fcsseldorf, GermanyThe aim: This retrospective analysis aimed at comparing the clinical outcomes following nonsurgical and surgical therapy of peri-implantitis at formerly grafted and non-grafted (i.e. pristine) implant sites.M&M: A total of 29 patients with established peri-implantitis (i.e. 27 implants placed at grafted and 19 implants at non-grafted sites) were included. Each subject had received either nonsurgical (i.e. mechanical, Er:YAG laser or photodynamic therapy (PDT)) (grafted sites: 13 implants, non-grafted sites: 4 implants) or combined (i.e. implantoplasty +/- augmentative therapy) surgical (grafted sites: 14 implants, non-grafted sites: 15 implants) treatment procedures at respective implants. A chi - squared test was used to assess whether the initial grafting procedure did affect the treatment outcomes (i.e. disease resolution, bleeding on probing u2013 BOP, probing pocket depths - PD). The mean follow-up period was 176.75u00b1135 weeks.Results: At the patient level, disease resolution (i.e. absence of BOP and PDu22656 mm) following nonsurgical and surgical treatment was obtained in 6/9 (67%) and 5/9 (56%) at grafted and in 2/2 (100%) and 7/12 (58%) at non-grafted sites respectively (p=0.673). BOP reductions following nonsurgical and surgical treatment amounted to 40.09u00b152.02% and 59.19u00b145.68% at grafted and 52.83u00b14.0% and 68.08u00b135.82% at non-grafted sites (p=0.575). PD reductions following nonsurgical and surgical treatment amounted to 1.24u00b12.08 mm and 0.90u00b11.47 mm at grafted and 0.33u00b12.36 mm and 2.0u00b13.14 mm at non-grafted sites (p=0.728). Conclusions: The effectiveness of nonsurgical and surgical treatment of peri-implantitis was comparable at both formerly grafted and non-grafted implant sites.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 189
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Book Description
Author: Raymond J Fonseca, DMD
Publisher: Elsevier Health Sciences
ISBN: 0323777775
Category : Medical
Languages : en
Pages : 2721
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Book Description
NEW! Full color design provides a more vivid depiction of pathologies, concepts, and procedures. NEW! Expert Consult website includes all of the chapters from the print text plus "classic" online-only chapters and an expanded image collection, references linked to PubMed, and periodic content updates. NEW! Thoroughly revised and reorganized content reflects current information and advances in OMS. NEW! New chapters on implants and orthognathic surgery cover the two areas where oral and maxillofacial surgeons have been expanding their practice. NEW! Digital formats are offered in addition to the traditional print text and provide on-the-go access via mobile tablets and smart phones.
Author: Niklaus P. Lang
Publisher: John Wiley & Sons
ISBN: 1119438888
Category : Medical
Languages : en
Pages : 1369
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Book Description
Discover the latest edition of the cornerstone reference on periodontology and implant dentistry that combines scholarship and science with practical clinical instruction The Seventh Edition of Lindhe's Clinical Periodontology and Implant Dentistry brings together a distinguished team of periodontal specialists and academics who deliver another must-have resource for students, researchers, and practitioners specializing in periodontal care and implant dentistry. Seamlessly integrating the foundational science behind periodontology with practical clinical protocols in two comprehensive volumes, the chapters cover anatomy, microbiology, occlusion trauma, pathology, tissue regeneration, treatment planning protocols, infection control, reconstructive therapy, occlusal and prosthetic therapy, and more. The Seventh Edition of Lindhe's Clinical Periodontology and Implant Dentistry: Provides an introduction to anatomy, including periodontal tissues, the edentulous ridge, the mucosa at teeth and implants, and osseointegration Discusses the epidemiology of periodontal and peri-implant diseases Explores the microbiology, including dental biofilms and calculus, periodontal infections, peri-implant infections, the pathogenesis of gingivitis and periodontitis, and the genetic susceptibility to periodontal disease Includes the latest perio- and peri-implant disease classifications Contains updated evidence-based preventive and treatment modalities for the treatment of periodontal and peri-implant diseases Features the latest evidence-based therapeutic alternatives on the use of dental implants to rehabilitate the lost dentition Perfect for postgraduate dental students, researchers, and practitioners specializing in periodontal care and implant dentistry, Lindhe's Clinical Periodontology and Implant Dentistry continues to be the cornerstone reference work on periodontology.
Author: Randolph Resnik
Publisher: Elsevier Health Sciences
ISBN: 0323478263
Category : Medical
Languages : en
Pages : 1267
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Book Description
**Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Dentistry** Dental implant surgery is an artform. To help you advance your skills and become a master of implant prosthetics, Misch's Contemporary Implant Dentistry, 4th Edition uses a multidisciplinary approach to cover the industry's most current processes and surgical procedures. The new edition of this text continues to provide comprehensive, state-of-the-art information on the science and discipline of contemporary implant dentistry. Covering the breadth of dental implant surgery, it includes full-color, in-depth coverage of both simple and complicated clinical cases, with practical guidance on how to apply the latest research, diagnostic tools, treatment planning, implant designs, and materials. New author Randolph R. Resnik, is an internationally known educator, clinician, and researcher in the field of Oral Implantology and Prosthodontics who will continue Dr. Misch's legacy and teachings. - Content reflects original author's philosophy and surgical protocols for dental implants giving you a system for achieving predictable outcomes. - Evidence-based approach to dental implant procedures features state-of-the-art guidance supported by the best available research evidence. - Rich art program throughout text highlights and clarifies key clinical concepts and techniques with over 2,500 images, radiographs, full-color clinical photographs, line art, and diagrams. - Definitive resource in implant dentistry provides you with authoritative state-of-the art guidance by recognized leader in the field. - Internationally known author, Randolph R. Resnik, DMD, MDS is a leading educator, clinician, author and researcher in the field of Oral Implantology and Prosthodontics. - Surgical protocols provide the latest, most up-to-date literature and techniques that provide a proven system for comprehensive surgical treatment of dental implant patients. - Thoroughly revised content includes current diagnostic pharmacologic and medical evaluation recommendations to furnish the reader with the latest literature-based information. - Proven strategies and fundamentals for predictable implant outcomes - Latest implant surgical techniques for socket grafting and ridge augmentation procedures - Proven, evidence-based solutions for the treatment of peri-implant disease - Includes the use of dermal fillers and botox in oral implantology - Up-to-date information on advances in the field reflects the state-of-the-art dental implantology. - Addition of an ExpertConsult site allows you to search the entire book electronically.
Author: Georgios E. Romanos
Publisher: John Wiley & Sons
ISBN: 1119807018
Category : Medical
Languages : en
Pages : 596
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Book Description
Comprehensive, multidisciplinary approach to all aspects of dental implant maintenance, based on treatment outcomes Saving Dental Implants offers a complete reference to all factors in long-term success in dental implants. Taking an interdisciplinary approach, each chapter is written by leading experts in the field. The book examines treatment outcomes, provides advice on how to manage implants for long-term success, and supports clinicians in avoiding and managing peri-implant complications. The text presents global treatment approaches and concepts—established philosophies in practice for the last 20 years—and also looks to possible future management strategies. Designed to help clinicians apply the concepts in practice, the text also covers the pros and cons of implant therapy and the specifics of pre-implant diagnostics, treatment methodology, prosthetic concepts, and further maintenance visits. Featuring hundreds of high-quality color photographs to support the text, Saving Dental Implants covers topics such as: The anatomic features of peri-implant tissues, including clinical and histological information, and an evaluation of the studies using different implant systems and prosthetic concepts Diagnostic tools and procedures to make the proper diagnosis of peri-implant conditions, and microbiota of the peri-implant tissues and diagnostic opportunities for bacterial diagnosis Nanoparticles found in the peri-implant tissues from the implant placement, their loading, and their impact on peri-implant diseases The significance, applications, and limitations of bone grafting techniques to optimize the shape of the alveolar ridge New technologies for better treatment of peri-implant complications Examining the most current information and research on diagnosing, preventing, and managing peri-implant complications, Saving Dental Implants is a must-have practical reference for dental practitioners, specialists, and students who wish to help patients reach the best functional and esthetic outcomes.
