Mucosal inflammation and incidence of crestal bone loss among implant patients: a 10‐year study

“…This study proposes and evaluates a new protocol of maintenance of hygiene and health of peri‐implant tissues applicable to a clinical setting. Therefore, healthy implants or implants with signs of mild inflammation of the peri‐implant mucosa (bleeding without deep probing), which is a very common clinical picture , were included. On the other hand, implants presenting the clinical signs of strong inflammation or peri‐implantitis (PUS, PD >4 mm) were excluded.…”

Section: Discussionmentioning

confidence: 99%

Air‐abrasive debridement with glycine powder versus manual debridement and chlorhexidine administration for the maintenance of peri‐implant health status: a six‐month randomized clinical trial

Lupi

Granati

Butera

et al. 2016

Int J Dental Hygiene

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“…3,4 To prevent peri-implantitis, the dental implant abutment plays an important role because of their location at the transmucosal site. Immediately after the dental implant abutment is placed, salivary proteins adhere to the surface forming an acquired pellicle.…”

Section: 2mentioning

confidence: 99%

Inhibition of initial bacterial adhesion on titanium surfaces by lactoferrin coating

et al. 2014

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Because dental implant abutments are located at transmucosal sites, their surface should inhibit bacterial accumulation to prevent peri-implantitis. The authors examined the effects of human lactoferrin (LF), an antibacterial protein present in saliva, as an antibacterial coating on the titanium surface and evaluated its effects before and after mucin-containing artificial saliva (AS) incubation. In the control group, titanium disks were soaked in distilled water, whereas in the LF group, titanium disks were soaked in LF solution to coat the disks. In the control-AS and LF-AS groups, half of the control and LF disks were incubated with AS. To confirm LF adsorption, the fluorescence intensity of fluorescein isothiocyanate-labeled LF was measured. The LF and LF-AS groups showed significantly higher intensity than the control and control-AS groups (P < 0.01). There was no significant difference between the LF and LF-AS groups (P > 0.05). The amount of adhered Streptococcus gordonii significantly increased by incubation with AS (P < 0.01) and significantly decreased by adsorption of LF (P < 0.01). There was no interaction between the two factors, LF adsorption and AS incubation (P = 0.561). These results suggest that the adsorbed LF inhibited bacterial adhesion following AS incubation. According to qualitative LIVE/DEAD analysis, viable bacteria appeared to be decreased in the presence of LF and SEM observation indicated that altered morphologies increased in LF and LF-AS groups. These results suggest that the adsorbed LF remained on the titanium surface after incubation with AS, and the remaining LF inhibited bacterial adhesion and exhibited bactericidal effects. Therefore, the adsorption of LF on the abutment material appears to be effective in preventing peri-implantitis.

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Mucosal inflammation and incidence of crestal bone loss among implant patients: a 10‐year study

Abstract: Sites with marginal bone loss of ≥1 mm were not common among implant patients. Peri-implantitis occurred in about 10% of patients and 4% of implant sites.

Cited by 63 publications

References 33 publications

Peri‐implant health and disease. A systematic review of current epidemiology

Peri‐implant health and disease. A systematic review of current epidemiology

Air‐abrasive debridement with glycine powder versus manual debridement and chlorhexidine administration for the maintenance of peri‐implant health status: a six‐month randomized clinical trial

Inhibition of initial bacterial adhesion on titanium surfaces by lactoferrin coating

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