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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003247naa a2200301 4500
001oai:researchportal.hkr.se/admin:publications/0a71cfff-add1-4d14-a8ef-61cbe99383da
003SwePub
008240516s2003 | |||||||||||000 ||eng|
024a oai:researchportal.hkr.se/admin:publications/0a71cfff-add1-4d14-a8ef-61cbe99383da2 URI
024a https://doi.org/10.1902/jop.2003.74.10.14152 DOI
040 a (SwePub)hkr
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Leonhardt, Asa4 aut
2451 0a Five-year clinical, microbiological, and radiological outcome following treatment of peri-implantitis in man
264 1b John Wiley & Sons Inc.c 2003
300 a 7
520 a BACKGROUND: The aim of this study was to evaluate the long-term outcome of a combined surgical and antimicrobial treatment of peri-implantitis lesions in humans. METHODS: Nine partially dentate individuals with titanium implants demonstrating a marginal bone loss of > or = three threads as compared to baseline measurements made from 1-year intra-oral radiographs, bleeding on probing, and/or suppuration from the peri-implant sulci were included in the study. In each individual, subgingival bacterial samples were obtained and subjected to microbiological analysis by culture. Surgical exposure of the lesions and cleaning of the implants using hydrogen peroxide were performed. The patients were given systemic antibiotics according to a susceptibility test of target bacteria. The treatment was evaluated clinically, microbiologically, and radiograpically at 6 months, 1 year, and 5 years. RESULTS: Seven out of 26 implants with peri-implantitis at baseline were lost during the 5-year follow-up period despite a significant reduction in the presence of plaque and gingival bleeding. Four implants continued to lose bone, 9 had an unchanged bone level, and 6 gained bone. Five of the patients were treated with antibiotics directed against putative periodontopathogens, i.e., A. actinomycetemcomitans, P. intermedia, or P. gingivalis; three patients were treated for presence of enterics (E. coli and E. cloace); and, in one patient, treatment was directed against S. aureus. CONCLUSIONS: Despite treatment and retreatment, seven implants were lost. However, the applied surgical and antimicrobial treatment strategy for advanced peri-implantitis lesions was successful in 58% of the implants treated during the 5-year follow-up period. Smoking seemed to be a negative risk factor for treatment success.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Odontologi0 (SwePub)302162 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Dentistry0 (SwePub)302162 hsv//eng
700a Dahlén, Gunnar4 aut
700a Renvert, Stefanu Kristianstad University4 aut0 (Swepub:hkr)10896a6c-95b9-43c1-9cbc-8ca94700e206
710a Kristianstad University4 org
773t Journal of Periodontologyd : John Wiley & Sons Inc.g 74:10, s. 1415-1422q 74:10<1415-1422x 0022-3492x 1943-3670
8564 8u oai:researchportal.hkr.se/admin:publications/0a71cfff-add1-4d14-a8ef-61cbe99383da
8564 8u https://doi.org/10.1902/jop.2003.74.10.1415

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Leonhardt, Asa
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Renvert, Stefan
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MEDICIN OCH HÄLSOVETENSKAP
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