| 1. |
- Cecchinato, D., et al.
(författare)
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Occurrence of complications in patients restored with implants
- 2022
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Ingår i: Clinical Oral Implants Research. - : Wiley. - 0905-7161 .- 1600-0501. ; 33:9, s. 913-920
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Tidskriftsartikel (refereegranskat)abstract
- Objectives To determine the occurrence and clustering of complications in subjects restored with fixed implant-supported prostheses. Methods In the present retrospective case series, 241 subjects treated at one clinical centre and provided with 729 implants were included. A clinical and radiographic examination was performed after a mean follow-up period of 4.8 +/- 2.0 years. Additional information on occurrence of technical (chipping, loss of retention, fracture of components) and biological complications (marginal bone loss, implant loss) during follow-up was extracted from patient records. For each type of complication and complications overall, regression analyses were performed to identify potential risk factors. Cox regression analyses were used to evaluate time to event for implant loss and technical complications. Results In all, 30% of the 241 patients presented with at least one complication of technical and/or biological character during the follow-up period. Technical complications affected 19.5% of subjects, while 14.1% presented with marginal bone loss >2 mm. Implant loss occurred in 4.6% of subjects. While technical complications were noted already early during the maintenance period (<1200 days), implant loss typically occurred during a later phase. A small subgroup of subjects (7.9%) experienced more than one type of complication. Conclusions Complications occurred frequently and the most common type of complication was of technical character. Technical and biological complications occurred independently of each other.
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| 2. |
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| 3. |
- Araújo, Mauricio G, et al.
(författare)
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Modeling of the buccal and lingual bone walls of fresh extraction sites following implant installation.
- 2006
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Ingår i: Clinical oral implants research. - : Wiley. - 0905-7161 .- 1600-0501. ; 17:6, s. 606-14
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To determine whether the reduction of the alveolar ridge that occurs following tooth extraction and implant placement is influenced by the size of the hard tissue walls of the socket. MATERIAL AND METHODS: Six beagle dogs were used. The third premolar and first molar in both quadrants of the mandible were used. Mucoperiostal flaps were elevated and the distal roots were removed. Implants were installed in the fresh extraction socket in one side of the mandible. The flaps were replaced to allow a semi-submerged healing. The procedure was repeated in the contra later side of the mandible after 2 months. The animals were sacrificed 1 month after the final implant installation. The mandibles were dissected, and each implant site was removed and processed for ground sectioning. RESULTS: Marked hard tissue alterations occurred during healing following tooth extraction and implant installation in the socket. The marginal gap that was present between the implant and the walls of the socket at implantation disappeared as a result of bone fill and resorption of the bone crest. The modeling in the marginal defect region was accompanied by marked attenuation of the dimensions of both the delicate buccal and the wider lingual bone wall. Bone loss at molar sites was more pronounced than at the premolar locations. CONCLUSION: Implant placement failed to preserve the hard tissue dimension of the ridge following tooth extraction. The buccal as well as the lingual bone walls were resorbed. At the buccal aspect, this resulted in some marginal loss of osseointegration.
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| 4. |
- Araújo, Mauricio G, 1966, et al.
(författare)
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Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog.
- 2005
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Ingår i: Journal of clinical periodontology. - 0303-6979. ; 32:6, s. 645-52
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To study dimensional alterations of the alveolar ridge that occurred following implant placement in fresh extraction sockets. MATERIAL AND METHODS: Five beagle dogs were included in the study. In both quadrants of the mandible, incisions were made in the crevice region of the third and fourth pre-molars. Buccal and minute lingual full-thickness flaps were elevated. The mesial root of the four pre-molars root was filled and the teeth were hemi-sected. Following flap elevation in (3)P(3) and (4)P(4) regions, the distal roots were removed. In the right jaw quadrants, implants with a sand blasted and acid etched (SLA) surface were placed in the fresh extraction sockets, while in the left jaws the corresponding sockets were left for spontaneous healing. The mesial roots were retained as surgical control teeth. After 3 months, the animals were examined clinically, sacrificed and tissue blocks containing the implant sites, the adjacent tooth sites (mesial root) and the edentulous socket sites were dissected, prepared for ground sectioning and examined in the microscope. RESULTS: At implant sites, the level of bone-to-implant contact (BC) was located 2.6+/-0.4 mm (buccal aspect) and 0.2+/-0.5 mm (lingual aspect) apical of the SLA level. At the edentulous sites, the mean vertical distance (V) between the marginal termination of the buccal and lingual bone walls was 2.2+/-0.9 mm. At the surgically treated tooth sites, the mean amount of attachment loss was 0.5+/-0.5 mm (buccal) and 0.2+/-0.3 mm (lingual). CONCLUSIONS: Marked dimensional alterations had occurred in the edentulous ridge after 3 months of healing following the extraction of the distal root of mandibular pre-molars. The placement of an implant in the fresh extraction site obviously failed to prevent the re-modelling that occurred in the walls of the socket. The resulting height of the buccal and lingual walls at 3 months was similar at implants and edentulous sites and vertical bone loss was more pronounced at the buccal than at the lingual aspect of the ridge. It is suggested that the resorption of the socket walls that occurs following tooth removal must be considered in conjunction with implant placement in fresh extraction sockets.
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| 5. |
- Araújo, Mauricio G, 1966, et al.
(författare)
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The influence of Bio-Oss collagen on healing of an extraction socket: An experimental study in the dog.
- 2008
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Ingår i: The International Journal of Periodontics & Restorative Dentistry. - 0198-7569. ; 28:2, s. 123-135
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Tidskriftsartikel (refereegranskat)abstract
- Background: Different approaches were advocated to preserve or improve the dimension and contour of the ridge following tooth extraction. In some of studies socket grafting apparently had a successful outcome while in other reports the benefits of such therapy were more questionable. Aim: The objective of the present experiment was to evaluate the effect on hard tissue modeling and remodeling of the placement of a xenograft in the fresh extraction socket in dogs. Material and Methods: Five mongrel dogs were used. Two mandibular premolars (4P4) were hemi-sected. The distal roots were carefully removed. In one socket, a graft consisting of Bio-Oss® Collage was placed while the contra-lateral site was left without grafting. After 3 months of healing, the dogs were euthanized and biopsies sampled. From each experimental site, 4 ground sections – 2 from the mesial root and 2 from the healed socket – were prepared, stained and examined in the microscope. Results: The placement of Bio-Oss® Collagen in the fresh extraction socket failed to inhibit the processes of modeling and remodeling that took place in the socket walls following tooth extraction. The biomaterial, however, apparently promoted de novo hard tissue formation, in particular in the cortical region of the extraction site. Hereby, the dimension of the hard tissue was maintained and the profile of the ridge was better preserved. Conclusion: The placement of a biomaterial in an extraction socket may promote bone modeling and at least temporarily compensate for marginal ridge contraction.
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| 6. |
- Araújo, Mauricio G, et al.
(författare)
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Tissue modeling following implant placement in fresh extraction sockets.
- 2006
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Ingår i: Clinical oral implants research. - : Wiley. - 0905-7161 .- 1600-0501. ; 17:6, s. 615-24
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To study whether osseointegration once established following implant placement in a fresh extraction socket may be lost as a result of tissue modeling. MATERIAL AND METHODS: Seven beagle dogs were used. The third and fourth premolars in both quadrants of the mandible were used as experimental teeth. Buccal and lingual full-thickness flaps were elevated and distal roots were removed. Implants were installed in the fresh extraction socket. Semi-submerged healing of the implant sites was allowed. In five dogs, the experimental procedure was first performed in the right side of the mandible and 2 months later in the left mandible. These five animals were sacrificed 1 month after the final implant installation. In two dogs, the premolar sites on both sides of the mandible were treated in one surgical session and biopsies were obtained immediately after implant placement. All biopsies were processed for ground sectioning and stained. RESULTS: The void that existed between the implant and the socket walls at surgery was filled at 4 weeks with woven bone that made contact with the SLA surface. In this interval, (i) the buccal and lingual bone walls underwent marked surface resorption and (ii) the height of the thin buccal hard tissue wall was reduced. The process of healing continued, and the buccal bone crest shifted further in the apical direction. After 12 weeks, the buccal crest was located>2 mm apical of the marginal border of the SLA surface. CONCLUSION: The bone-to-implant contact that was established during the early phase of socket healing following implant installation was in part lost when the buccal bone wall underwent continued resorption.
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| 7. |
- Berglundh, Tord, 1954, et al.
(författare)
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Long-term outcome of surgical treatment of peri-implantitis. A 2-11-year retrospective study
- 2018
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Ingår i: Clinical Oral Implants Research. - : Wiley. - 0905-7161. ; 29:4, s. 404-410
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveTo assess long-term clinical and radiological outcomes of surgical treatment of peri-implantitis. Material and methodsFiles and radiographs from 50 patients who had received surgical treatment for peri-implantitis were analyzed. Data on clinical characteristics prior to surgical therapy and at latest follow-up were obtained. In each radiograph, the marginal bone level was assessed at the mesial and distal aspects of the affected implants. The treatment included oral hygiene instruction, professional supra-mucosal instrumentation, and surgical therapy aiming at pocket elimination. Following flap elevation and removal of inflamed tissue, the affected implant was cleaned using gauze soaked in saline. Calculus was removed. When indicated, osseous re-contouring was carried out to facilitate pocket elimination. Flaps were adjusted, sutured, and compressed to the crestal bone. Supportive therapy including oral hygiene control was provided with 4-month intervals. ResultsTreatment was effective in resolving the inflammatory condition as documented by marked reduction in peri-implant probing depth and bleeding on probing scores together with crestal bone level preservation. Treatment outcome was significantly better at implants with non-modified surfaces than at implants with modified surfaces. The probability of an implant to exhibit no further bone loss or bone gain after treatment was high if the peri-implant mucosa at the site presented with shallow pockets and the absence of bleeding on probing at follow-up. ConclusionsThe results of the study revealed that (i) surgical treatment of peri-implantitis was effective in the long-term, (ii) outcome was better at implants with non-modified than with modified surfaces, and (iii) preservation of crestal bone support was consistent with healthy peri-implant tissue conditions.
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| 8. |
- Berglundh, Tord, 1954, et al.
(författare)
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Surgical Treatment of Peri-Implantitis
- 2021
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Ingår i: Lindhe's Clinical Periodontology and Implant Dentistry, 2 Volume Set, 7th Edition. - Oxford, UK : Wiley-Blackwell. - 9781119438885
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Bokkapitel (refereegranskat)
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| 9. |
- Bogren, Anna, 1963, et al.
(författare)
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A three-year prospective study of adult subjects with gingivitis. I: clinical periodontal parameters.
- 2007
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Ingår i: Journal of clinical periodontology. - 0303-6979. ; 34:1, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- AIM: The objective of this study was to monitor prospectively clinical parameters in subjects without signs of destructive periodontal disease who were involved in a primary prevention programme, and to determine the changes that occurred between yearly examinations over a 3-year period. MATERIAL AND METHODS: One hundred and twenty-six subjects aged at least 20 years with a maximum of two tooth sites with probing pocket depth (PPD)>4 mm and no proximal sites with clinical attachment loss participated in the study. Primary prevention was provided at baseline of the study and then every 6 months. Plaque, bleeding on probing (BoP) and PPD were scored at baseline, 1, 2 and 3 years. RESULTS: There were no significant changes in the plaque score over the 3 years. After year 1, the BoP score was significantly improved with 5.6%, while no further improvement in BoP was found at years 2 and 3. The mean PPD decreased from 2.3 to 2.1 mm over the 3 years (p<0.05). CONCLUSION: Although some individuals exhibiting minor signs of periodontal pathology may have benefited from the primary prevention, the overall clinical improvement was limited for such subjects in the present 3-year study.
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| 10. |
- Donati, Mauro, 1966, et al.
(författare)
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Implant-supported single-tooth restorations. A 12-year prospective study
- 2016
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Ingår i: Clinical Oral Implants Research. - : Wiley. - 0905-7161. ; 27:10, s. 1207-1211
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThe aim of this study was to evaluate prospectively the 12-year outcome of implant-supported single-tooth restorations. Material and methodsOriginally 45 self-tapping Astra Tech TiOblast((R)) ST-implants were installed by a two-stage protocol in 40 subjects requiring single-tooth prosthetic replacement for a missing tooth. Clinical and radiologic examinations were performed at completion of the prosthetic treatment 4-7months after implant installation surgery and after 5 and 12years in function. ResultsAt 12years 31 patients and 35 implants were available for evaluation. The overall failure rate after 12years was 10.3% on the subject level and 9.1% on the implant level. The mean bone loss amounted to 0.67mm (SD 2.20) on a subject level and 0.47mm (1.72) on an implant level. Three subjects (10%) and three implants (8.6%) were diagnosed with peri-implantitis. Five subjects had experienced technical complications; three incidences of loosening of the abutment retention screw during the first 5years and two minor porcelain fracture of the crown (two patients) between 5- and 12-years of follow-up. ConclusionThe findings reported in this 12-year prospective case series suggest that the use of the Astra Tech dental implants may be a valid treatment alternative for single-tooth replacement prostheses.
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