| 1. |
- Chapple, Iain L C, et al.
(författare)
-
Interaction of lifestyle, behaviour or systemic diseases with dental caries and periodontal diseases: consensus report of group 2 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases.
- 2017
-
Ingår i: Journal of clinical periodontology. - : Wiley. - 1600-051X .- 0303-6979. ; 44:Suppl 18
-
Tidskriftsartikel (refereegranskat)abstract
- Periodontal diseases and dental caries are the most common diseases of humans and the main cause of tooth loss. Both diseases can lead to nutritional compromise and negative impacts upon self-esteem and quality of life. As complex chronic diseases, they share common risk factors, such as a requirement for a pathogenic plaque biofilm, yet they exhibit distinct pathophysiologies. Multiple exposures contribute to their causal pathways, and susceptibility involves risk factors that are inherited (e.g. genetic variants), and those that are acquired (e.g. socio-economic factors, biofilm load or composition, smoking, carbohydrate intake). Identification of these factors is crucial in the prevention of both diseases as well as in their management.To systematically appraise the scientific literature to identify potential risk factors for caries and periodontal diseases.One systematic review (genetic risk factors), one narrative review (role of diet and nutrition) and reference documentation for modifiable acquired risk factors common to both disease groups, formed the basis of the report.There is moderately strong evidence for a genetic contribution to periodontal diseases and caries susceptibility, with an attributable risk estimated to be up to 50%. The genetics literature for periodontal disease is more substantial than for caries and genes associated with chronic periodontitis are the vitamin D receptor (VDR), Fc gamma receptor IIA (Fc-γRIIA) and Interleukin 10 (IL10) genes. For caries, genes involved in enamel formation (AMELX, AMBN, ENAM, TUFT, MMP20, and KLK4), salivary characteristics (AQP5), immune regulation and dietary preferences had the largest impact. No common genetic variants were found. Fermentable carbohydrates (sugars and starches) were the most relevant common dietary risk factor for both diseases, but associated mechanisms differed. In caries, the fermentation process leads to acid production and the generation of biofilm components such as Glucans. In periodontitis, glycaemia drives oxidative stress and advanced glycation end-products may also trigger a hyper inflammatory state. Micronutrient deficiencies, such as for vitamin C, vitamin D or vitamin B12, may be related to the onset and progression of both diseases. Functional foods or probiotics could be helpful in caries prevention and periodontal disease management, although evidence is limited and biological mechanisms not fully elucidated. Hyposalivation, rheumatoid arthritis, smoking/tobacco use, undiagnosed or sub-optimally controlled diabetes and obesity are common acquired risk factors for both caries and periodontal diseases.
|
|
| 2. |
- Klinge, Björn, et al.
(författare)
-
Peri-implant tissue destruction : The Third EAO Consensus Conference 2012
- 2012
-
Ingår i: Clinical Oral Implants Research. - : John Wiley & Sons. - 0905-7161 .- 1600-0501. ; 23:Suppl 6, s. 108-110
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The task of this working group was to update the existing knowledge base regarding the prevalence of peri-implant tissue destruction, the role of occlusal overload, and the outcome of non-surgical and surgical treatment.MATERIALS AND METHODS: The literature was systematically searched and critically reviewed. Four manuscripts were presented in key areas deemed to be essential for the current understanding of the magnitude of the clinical entity peri-implantitis. The role of overload as an etiological component was reviewed. Also available data on the results from non-surgical and surgical interventions for the control of tissue destruction were presented.RESULTS: The consensus statements following plenary session approval, clinical implications, and directions for future research based on the group discussions are presented in this article. The results and conclusions of the systematic review process are presented by the respective authors in the subsequent papers.
|
|
| 3. |
- Klinge, Björn, et al.
(författare)
-
Peri-implant tissue destruction : The Third EAO Consensus Conference 2012
- 2012
-
Ingår i: Clinical Oral Implants Research. - : Blackwell Munksgaard. - 0905-7161 .- 1600-0501. ; 23:Suppl 6, s. 108-110
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The task of this working group was to update the existing knowledge base regarding the prevalence of peri-implant tissue destruction, the role of occlusal overload, and the outcome of non-surgical and surgical treatment. MATERIALS AND METHODS: The literature was systematically searched and critically reviewed. Four manuscripts were presented in key areas deemed to be essential for the current understanding of the magnitude of the clinical entity peri-implantitis. The role of overload as an etiological component was reviewed. Also available data on the results from non-surgical and surgical interventions for the control of tissue destruction were presented. RESULTS: The consensus statements following plenary session approval, clinical implications, and directions for future research based on the group discussions are presented in this article. The results and conclusions of the systematic review process are presented by the respective authors in the subsequent papers.
|
|
| 4. |
- Pessoa, Roberto, et al.
(författare)
-
Soft and hard tissue maintenance after the placement of immediate-loaded implants in the anterior maxilla : photographic and radiographic assessment
- 2013
-
Ingår i: Clinical Oral Implants Research. - : John Wiley & Sons. - 0905-7161 .- 1600-0501. ; 24:s9, s. 142-142
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Background: The dynamics of soft and hard tissue volume maintenance following the placement of immediate-loaded implants in aesthetic areas remains unclear in literature. Aim/Hypothesis: To present a method to evaluate by clinical (photography) and radiographic bi- and tri-dimensional means the alterations in soft and hard tissues following immediate implant placement and loading in the anterior maxilla. Material and methods: Ten patients, treated with immediateloaded implants in the maxillary central or lateral incisor, were evaluated in this study. Clinical parameters (distance from the tip of the crown to the interdental papilla – P; distance from the top of the crown to the gingiva – C; keratinized mucosa height – K) were evaluated in standardized pictures taken immediately after (baseline), and 1, 3, and 6 months after provisional implant-supported single crown placement. Bi-dimensional radiographic parameters (distance from the top of the implant to the first bone-to-implant contact – IT-FBIC; distance from the bone crest to the first bone-to-implant contact – BC-FBIC; lateral bone lost at the implant neck – LBL) were evaluated from standardized digital periapical radiographies acquired at the same time points, or from CBCT images (buccal bone wall thickness, measured at the top, the midpoint and the apex of the implant – TT, MT, and AT, respectively) acquired at baseline and 6 months after surgery. The volume of the buccal bone wall covering the central millimeter of the implant (BV) was also assessed in the CBCT images. Comparison among multiple periods of observation were performed using repeated-measures ANOVA followed by Tukey post-hoc test, while two-period based comparison were made using paired t-test. Results: The variation for all clinical (photographic), bi- and tri-dimensional parameters assessed was non-statistically significant. Mean P was 5.55 1 mm, considering all time periods, while C and K were 9.2 1.2 and 5.3 1.6 mm, respectively. Mean IT-FBIC was 1.3 0.8 mm, considering all time periods, whilst BC-FBIC and LBL were 3.9 1.1 and 0.3 0.1 mm, respectively. There was a 94% maintenance of BV. Conclusions and clinical implications: Assessed parameters showed good clinical, bi- and tri-dimensional radiographic stability of soft and hard tissues for implants immediately placed and loaded in aesthetic areas.
|
|
| 5. |
- Sicilia, Alberto, et al.
(författare)
-
Long-term stability of peri-implant tissues after bone or soft tissue augmentation : Effect of zirconia or titanium abutments on peri-implant soft tissues: Summary and consensus statements. The 4th EAO Consensus Conference 2015
- 2015
-
Ingår i: Clinical Oral Implants Research. - : John Wiley & Sons. - 0905-7161 .- 1600-0501. ; 26, s. 148-152
-
Tidskriftsartikel (refereegranskat)abstract
- Introduction: Several surgical techniques and prosthetic devices have been developed in the last decades, aiming to improve aesthetic, hygienic and functional outcomes that may affect the peri-implant tissues, such as procedures of bone and soft tissue augmentation and the use of custom-made abutments of titanium and zirconium. Materials and methods: Three systematic reviews, based on randomized clinical trials and prospective studies covering the above reported topics were analysed, and the detected evidence was exposed to interactive experts' discussion during the group's and general assembly's meetings of the 4th EAO Consensus Conference. The results are reported using the following abbreviations: ST: short-term evidence, M-T: medium-term evidence; L-T: long-term evidence; LE: limited evidence. Results: Soft tissue augmentation procedures may be indicated for the increase of soft tissue thickness and keratinized tissue, the reduction of interproximal peri-implant bone loss, and the coverage of shallow peri-implant soft tissue recessions (S-T, LE), L-T is lacking. Guided bone regeneration approaches (GBR) showed efficacy when used for ridge reconstruction after the complete healing of the soft tissues (S-T & L-T), and the stability of the augmented bone may play a role in the maintenance of the soft tissue position and dimensions (LE). No significant differences were observed between titanium and zirconia abutments when evaluating probing pocket depth, bleeding on probing, marginal bone levels and mucosal recessions. Zirconia abutments were associated with more biological complications but demonstrated superiority in terms of achieving natural soft tissue colour (S-T).
|
|
