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Author: Anastasia Kelekis-Cholakis
Publisher: Springer
ISBN: 3319637193
Category : Medical
Languages : en
Pages : 122
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Book Description
This book is an up-to-date reference that provides detailed guidance on how to diagnose and manage the soft and hard tissue complications that may be associated with a functioning dental implant placement, such as peri-implant mucositis, soft tissue loss, and peri-implantitis. Treatment options for each complication are described and illustrated step by step and carefully selected cases are presented to further explain the individual stages in management and to highlight key learning points. Practical advice is offered on all aspects of diagnosis, and information is also presented on the definition and etiology of the various complications. The book is in an easy-to-read format and includes a review of the latest literature on the topic.
Author: Claire Dominique
Publisher:
ISBN:
Category :
Languages : en
Pages : 94
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Book Description
Introduction : La péri-implantite est une maladie infectieuse qui provoque une inflammation des tissus entourant un implant. Elle peut être traitée avec différentes thérapeutiques, qu'elles soient chirurgicales, non chirurgicales ou une combinaison des deux. L'objectif de cette revue systématique de la littérature est d'évaluer l'effet de l'utilisation des lasers dans le traitement non chirurgical des péri-implantites afin d'estimer ses bénéfices par rapport aux thérapeutiques conventionnelles. Matériels et méthodes : le protocole de la revue a été enregistré sur le registre international PROSPERO de l'Université d'York. La stratégie de recherche a été réalisée selon les directives PRISMA. Les critères d'inclusion étaient : études in vivo, rédigées en anglais, mesures des paramètres cliniques, suivi minimum à 6 mois, groupe contrôle avec un traitement non-chirurgical, études sur la thérapie photodynamique, essai clinique randomisé, essai clinique. Des recherches sur des bases de données électroniques et des recherches manuelles supplémentaires ont été menées jusqu'en juillet 2021 et les articles ont été sélectionnés en fonction des critères d'inclusion et d'exclusion prédéterminés. Le risque de biais a été évalué pour chaque référence grâce à l'outil Rob-2 de Cochrane. Résultats : Un total de 12 essais cliniques randomisés, avec un haut niveau de preuve, ont été sélectionnés et étudiés dans cette revue systématique. Un tableau résume les données extraites de ces articles, concernant les auteurs et l'année de publication, le nombre et l'âge moyen des patients et des implants, le type de laser et les paramètres de ce dernier, le type de thérapeutique non-chirurgicale de référence, le suivi, cinq paramètres cliniques avant et après thérapie, et les comparaisons entre les groupes contrôle et test. Conclusion : conformément à l'analyse des études, nos résultats montrent que la thérapeutique au laser permet d'obtenir des effets bénéfiques à court et moyen terme sur les paramètres cliniques de la péri-implantite. Quant à son utilité à long terme, elle reste à confirmer. Cependant, ses bénéfices restent limités puisque les résultats s'accordent pour dire que les effets du laser sont similaires à ceux obtenus en ayant recours à une thérapeutique conventionnelle.
Author: Anastasia Kelekis-Cholakis
Publisher: Springer
ISBN: 3319637193
Category : Medical
Languages : en
Pages : 122
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Book Description
This book is an up-to-date reference that provides detailed guidance on how to diagnose and manage the soft and hard tissue complications that may be associated with a functioning dental implant placement, such as peri-implant mucositis, soft tissue loss, and peri-implantitis. Treatment options for each complication are described and illustrated step by step and carefully selected cases are presented to further explain the individual stages in management and to highlight key learning points. Practical advice is offered on all aspects of diagnosis, and information is also presented on the definition and etiology of the various complications. The book is in an easy-to-read format and includes a review of the latest literature on the topic.
Author: Frank Schwarz
Publisher: Quintessence Publishing (IL)
ISBN: 9781850971931
Category : Dental implants
Languages : en
Pages : 0
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Book Description
This text provides an understanding of the underlying medical and dental factors involved in the overall complex of peri-implantitis for successful management of the disease.
Author: Lisa J. A. Heitz-Mayfield
Publisher: Quintessenz Verlag
ISBN: 3868676171
Category : Medical
Languages : en
Pages : 411
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Book Description
Dental implants are used routinely throughout the world to replace missing teeth. With the broadening of treatment options and an increasing number of clinicians that provide implant therapy, it is important to ensure that the treatment methods used meet the highest clinical standards. The ITI Treatment Guide series is a compendium of evidence-based implant-therapy techniques in daily practice. Written by renowned clinicians and supported by contributions from expert practitioners, the ITI Treatment Guides provide a comprehensive overview of the various indicated treatment options. The management of different clinical situations is discussed with an emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes with minimal risk to the patient. Volume 13 of the ITI Treatment Guide series provides clinicians with the latest evidence-based information on the prevention and management of peri-implant diseases. This information is based in part on the proceedings of the 6th ITI Consensus Conference held in Amsterdam in 2018, as well as on a review of the current literature. Seventeen clinical cases presented by experienced clinicians from all over the world illustrate the diagnosis and treatment of peri-implant diseases.
Author: Jou00e3o Carlos Ramos
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Title Peri-implantitis surgical treatment with implantoplasty: case series Background: Peri-implantitis (PI) has been defined has the presence of radiographic bone loss (RBL)u22653mm and/or probing depth (PD)u22656mm in conjugation with profuse bleeding on probing (BoP). Several surgical treatments have been proposed to treat peri-implantitis but the available evidence does not allow any specific recommendation. Ressective treatment with implantoplasty (IP) allows the decontamination of the infected implant surface. Some clinical studies confirm IP success up to nine years of follow-up.Aim/Hypothesis: To present a 24 months clinical results of peri-implantitis surgical treatment with implantoplasty. Material and Methods (977)Eight patients (17 implants) were diagnosed with peri-implantitis and included in this retrospective case analysis. At baseline the following clinical data were assessed: PD, BoP, suppuration (Sup)(dichotomous) and mucosal recession (MR). After full thickness mucoperiosteal flap and granulation tissue removal implant surface was polished using a sequence of round diamond rotatory burs (200.000 rpm) with the following sequence: blue (40u00b5m) and yellow (15 u00b5m) (Coltu00e8ne/Whaledent AG-Diatech, Switzerland). The final polishing was done with an Arkansas stone. Flaps were repositioned apically and sutured (5/0, Seralonu00ae, Serag-Wiessner, Germany). Sutures were remover at day 15 and controlled every 3 -3 months (1st year) and 6-6 months (2nd year). At 12 and 24 months all clinical data were reassessed. Changes between 0-12 and 12-24 months were analyzed (Wilcoxon test). Statistical analyses used SPSS v24 (SPSS Statistics for Windows, IBM). Significance level of P u2264 .05.Results: There were no clinical complications during the healing period. Implantoplasty allowed the elimination of clinical parameters associated to PI. The clinical parameters at baseline, 12 and 24 months were, respectively: PD (5.16 u00b1 0.47mm/2.81 u00b1 0.36mm/2.83 u00b1 0.50mm), BoP (0.15 u00b1 0.02/0.01 u00b1 0.02/0.02 u00b1 0.01), MR (0.50 u00b1 0.66mm/1.45 u00b1 0.89mm/1.38 u00b1 0.99mm) and Sup (0.01 u00b1 0.01/0.00 u00b1 0.00/0.00 u00b1 0.00).For all clinical parameters than Sup there were statistical significant differences between baseline and 12 months (PD: p=0.012; [2.51; 3.10] / BoP: p=0.011; [0.00; 0.03] / MR: p=0.012; [0.70; 2.19] / Sup: p=0.066; [0.00; 0.00]). No statistical significant differences were found between 12 and 24 months (PD: p=0.389; [2.41; 3.24]/ BoP: p=0.498; [0.01; 0.03]/ MR: p=0.465; [0.56; 2.21]/ Sup: p=1.000; [0.00; 0.00]).None implant was lost.Conclusion and Clinical implications: The clinical signs associated to PI were eliminated by Implantoplasty allowing the pathology stabilization over a period of 24 months. However this method is associated with increased mucosal recession. Itu00b4s fundamental a strict maintenance program.Implantoplasty may be used to eliminate PI. However there are aesthetic considerations to be taken.
Author: Ann-Marie Roos-Jansåker
Publisher: Swedish Dental Assn
ISBN: 9789171042934
Category : Medical
Languages : en
Pages : 100
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Book Description
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: Francisco Caramelo
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
TitlePeri-implantitis surgical treatment with L-PRF: clinical cases. Background: Peri-implantitis (PI) has been defined has the presence of radiographic bone loss (RBL)u22653mm and/or probing depth (PD)u22656mm and profuse bleeding on probing (BoP). There are no evidence made recommendation regarding surgical treatment of PI. Leucocyte-platelet rich fibrin (L-PRF) improves the recruitment and proliferation of a variety of cells like endothelial cells and osteoblasts. Clinical benefits at bone regeneration and osseointegration healing are confirmed by systematic reviews.Aim: To present the 6 months clinical and radiographic results of peri-implantitis surgical treatment with L-PRF.Material and Methods: Five patients (1 implant/patient) were diagnosed with PI (RBLu22653mm; PDu22656mm; BOP). Mucosal recession (MR), PD, BoP, clinical attachment level (CAL)) and periapical X-Ray (RBL) were taken at baseline. After venipuncture L-PRF membranes were prepared (Choukrounu00b4s protocol). A mucoperiosteal flap was elevated and the presence of Cl Ie defects confirmed. The implant was rinsed with saline, calculus removed with a titanium curette (Deppeleru00ae, Switzerland), and implant cleaned with an air-flow system/glycine (Perio-mate, NSKu00ae, Japan). The peri-implant defects were totally filled and then covered with L-PRF membranes. Flaps were sutured. When possible implants were left submerged. Suture was removed after 10-15. At month 6 clinical and radiographic data were recorded.Changes between 0 and 6 months were analyzed (Wilcoxon test). Statistical analyses used SPSS v24 (SPSS Statistics for Windows, IBM). Significance level of P u2264 .05.Results: Two weeks post-operative one implant was lost. The implants had 7.4u00b13.5 years in function. The baseline clinical data were PD=7.23u00b12.50mm; MR=0.00u00b10.00mm; BoP=90.00u00b120.00 and CAL=7.23u00b12.50mm. Regarding radiographic data RBL=4.38u00b10.77mm. At the 6 months evaluation PD=3.75u00b11.42mm; MR=0.00u00b10.00mm; BoP=16.67u00b10.00 and CAL=3.75u00b11.42mm. Regarding radiographic data RBL=5.86u00b11.21mm. The variation between 6-0 months (treatment effect) was PD-2.79 u00b1 1.38mm ([-4.99; -0.59], p=0.068); MR=0.00u00b10.00mm ([0.00; 0.00], p=1.000); BoP=-0.54 u00b1 0.28 ([-0.99; -0.09], p=0.068) and CAL=-2.79 u00b1 1.38mm ([-4.99; -0.59], p=0.068), RBL=-0.58 u00b1 0.99mm ([-2.16; 1.00], p=0.273).Conclusion and Clinical implications: All peri-implant defects were circumferential Cl I e. This allowed to confine and stabilize the L-PRF membranes within the defect. This was also helped by the final membranes placed over the filled defect. The tested surgical treatment did not allowed to obtain clinical and radiographic statistical significant results, after a 6 months follow-up. Peri-implantitis surgical treatment with L-PRF seems not to have a positive treatment effect.
Author: Yvonne de Waal
Publisher:
ISBN:
Category :
Languages : en
Pages :
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BackgroundThe most effective approach to treat peri-implantitis remains to be found. Recently, a new pocket irrigator/evacuator device, The Fluxionu00ae, based on an alternated interplay between vacuum and fluid (water), has been introduced. A periodontal study showed decreased probing pocket depths and reduced bleeding on probing1. Moreover patients reported less pain after treatment compared to conventional treatment. Whether the pocket irrigator can be used for treatment of peri-implantitis seems unknown. AimThe aim of the present prospective cohort study was to assess the clinical and microbiological effects and patient-reported pain in the non-surgical treatment of peri-implantitis using The Fluxionu00ae pocket irrigator.Material and MethodsIn total 24 adult patients with 42 implants diagnosed with moderate to severe peri-implantitis (bone loss u2265 2mm in combination with bleeding and/or suppuration on probing) were included in this prospective cohort study. Peri-implant pockets were irrigated twice a week during a period of three weeks consecutively (6 times in total). Two trained oral hygienists treated all infected implants. Patients received extensive oral hygiene instructions prior to submucosal irrigation and reinforcement took place every appointment. Clinical outcomes (probing pocket depth, bleeding on probing (%), suppuration score (%), plaque score (%)) and microbiological testing were assessed at baseline and at 3 months (T3) after the first treatment. Patient pain perception related to the treatment method was evaluated using a Visual Analog Scale (VAS) after the first and last (6th) treatment.ResultsA significant reduction in bleeding on probing (73% u00b1 20% (T0) to 58% u00b1 28% (T3), p = 0.048, Wilcoxon signed rank test) and peri-implant plaque score (12% u00b1 15% (T0) to 5% u00b1 9% (T3), p = 0.027) was found. No significant differences were found for mean PPD (5.00mm u00b11.47mm (T0) to 4.69mm u00b11.54mm (T3), p = 0.127) and suppuration on probing (30% u00b1 25% (T0) to 17% u00b1 22% (T3), p = 0.056). A significant reduction in VAS-pain score (scale 0-10) between the first treatment (0.41 u00b1 0.91) and the last (6th) treatment (0.05 u00b1 0.21) was found (p = 0,039). No significant change in microbiological outcomes were found between baseline and 3 months after treatment. Conclusion and Clinical implicationResults of this prospective cohort study indicate that, although beneficial effects were found in terms of reduced bleeding on probing (%) and reduced plaque score (%) at 3 months after treatment, pocket irrigator The Fluxionu00ae does not seem to effectively treat moderate to severe peri-implantitis in terms of disease resolution. The effect of the pocket irrigator for treatment of incipient peri-implantitis lesions, peri-implant mucositis or in supportive peri-implant therapy remains unknown.
Author: Paolo Morandi
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Background : Peri-implantitis is a biofilm-related disease characterized by tissues inflammation and bone resorption. Despite the absence of accepted protocols, different therapeutic approaches were proposed as non-surgical therapy, access flap, resective and regenerative surgery associated to various decontamination methods of the implant surface. A beneficial effect was nevertheless reported as a result of implantoplasty in association with a resective or regenerative surgical approach.Aim/Hypothesis : The aim of this study was to observe the clinical effects of implantoplasty applied in different surgical approaches as resective surgery and regenerative surgery.Material and Methods : Fifteen patients with peri-implantitis were enrolled during a period of 30 months; the overall number of implants involved was 34. All patients were initially treated with non-surgical therapy in order to decrease peri-implant tissues inflammation and 6-8 weeks later the surgical treatment was performed. The surgical approach was chosen based on the anatomy of the bone defect. In bone defects with limited infra-bone portion (u2264 4mm) and where the peri-implant ostectomy was an acceptable biologic cost for adjacent teeth or implants a resective surgical approach was chosen and implantoplasty was performed on the resulting exposed implant surface. In deep infra bone defects (> 4mm) and in those defects where the resection of bone wouldnu2019t be acceptable a regenerative surgical approach was chosen. Six months after surgery all patients were reevaluated and probing depth, bone level and peri-implant soft tissues inflammation parameters (redness, bleeding-on-probing, swelling) were recorded.Results : Two implants in two different patients treated with a combination of regenerative surgery and implantoplasty failed due to a lack a primary closure after surgery: one was removed 4 months after surgery, the other implant needed a surgical re-entry three weeks and was then dropped out. Six months after surgery all the other implants showed no signs of peri-implant inflammation, probing depths u2264 5 mm and no further radiographic bone resorptions; mean probing depth (PD) gain was 2,27 mm. No negative side effects linked to the dispersion of metal filing were recorded.Conclusion and Clinical implications : The association of implantoplasty and a surgical treatment of peri-implantitis resulted in an improvement of all clinical parameters regarding the peri-implant tissues and could therefore be considered a safe and effective treatment option.
