Peri-implant Tissue Health and Bone Resorption in Patients with Immediately Loaded, Implant-Supported, Full-Arch Prostheses

Menini, María; Setti, P.E. Levi; Pera, Paolo; Pera, Francesco; Pesce, Paolo

doi:10.11607/ijp.5567

Cited by 34 publications

(34 citation statements)

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“…The majority of the implants was not affected by PITI and showed normal peri-implant bone levels (mean BR = 1.240 ± 0.87 mm). This is in agreement with the previous findings of the authors, in which high levels of plaque amount were not related to peri-implant bone resorption [6].…”

Section: Discussionsupporting

confidence: 94%

“…However, according to recent literature, even if mucositis can be related to plaque accumulation, the amount of plaque is not directly correlated with peri-implantitis and plaque accumulation alone does not cause peri-implant bone resorption. A study conducted by Menini et al showed successful clinical outcomes in patients treated with full-arch immediately loaded rehabilitations, recording no augmented bone resorption despite the presence of high levels of plaque around implants [6]. In addition, even if a proper oral hygiene is important, it is not always easy to maintain over time, especially in the case of old patients treated with fixed implant-supported full-arch prosthesis.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of the Subgingival Microbiota in Implant-Supported Full-Arch Rehabilitations

et al. 2020

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Background: The etiology of peri-implantitis is multifactorial, and it is not directly linked to the quantitative amount of plaque. The aim of this study was to evaluate the influence of subgingival microbiota around implants supporting full-arch restorations on clinical indexes of peri-implant health. Method: 47 patients (54 full-arch fixed rehabilitations) were included. Based on the highest value of probing depth (PD), 47 implants (in the test arch), 40 natural teeth and 7 implants (in the antagonist arch) were selected for microbiological sampling (traditional PCR and real-time PCR). Periodontal indexes (plaque index, PlI; probing depth, PD; bleeding on probing, BOP; peri-implant suppuration, PS) and marginal bone loss were also recorded. Results: Despite abundant plaque accumulation, the peri-implant parameters were within normal limits. No statistical difference was found in the microbial population around the test implants and antagonist natural teeth. Treponema denticola was present in a significantly higher amount around implants with increased PlI. Implants with increased BOP showed a significant increase in Treponema denticola and Tannerella forsythia. A significantly higher presence of Porphyromonas gingivalis, Treponema denticola and Tannerella forsythia was identified around the implants affected by peri-implantitis and in smokers. Conclusions: Peri-implantitis is characterized by a complex and polymicrobial disease, that might be influenced by the qualitative profile of plaque. Smoking might also favor implant biological complications in full-arch fixed prosthesis.

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Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Analysis of the Subgingival Microbiota in Implant-Supported Full-Arch Rehabilitations

et al. 2020

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“…87 However, a recent clinical study over a follow up time of 1 to 14 years, reported that plaque accumulation alone did not appear to be associated with bone resorption around oral implants, even if there was evidence of increased soft tissue inflammation. 88 Plaque may in reality form after bone resorption has occurred around oral implants for whatever reason, rather than being the cause of bone resorption.…”

Section: On Factors With Particular Relevance For Oral and Orthopedmentioning

confidence: 99%

Bone loss around oral and orthopedic implants: An immunologically based condition

Albrektsson

Becker

Coli³

et al. 2019

Clin Implant Dent Rel Res

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“…Immediate loading full-arch rehabilitations supported by dental implants have been demonstrated to be a predictable and effective approach to treat completely edentulous or seriously compromised dental arches [ 1 2 3 4 5 6 ]. However, early and late failures of implant restorations have been reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

Angled implant brush for hygienic maintenance of full-arch fixed-implant rehabilitations: a pilot study

Setti

Pesce

Dellepiane

et al. 2020

J Periodontal Implant Sci

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Purpose This pilot study was conducted to evaluate the cleaning efficacy of an angled implant brush for home oral hygiene of full-arch fixed-implant prostheses. Methods Forty-one patients treated with a full-arch implant rehabilitation in the maxilla or mandible (164 implants) for at least 4 months were enrolled. The screw-retained fixed prostheses were removed and baseline (T0) parameters were recorded, including plaque index (PI), probing depth (PD), and bleeding on probing (BOP). All patients completed a 5-item questionnaire on hygiene maintenance and received an implant brush for home hygiene. After 1 month (T1) PI, PD, and BOP were recorded again and patients completed a 7-item questionnaire to evaluate their satisfaction with the implant brush. One-way repeated-measures analysis of variance was conducted to evaluate the significance of changes in PI, PD, and BOP. A P value <0.05 was considered to indicate statistical significance. Results A statistically significant reduction of BOP (0.62±0.6 at T0 vs. 0.5±0.5 at T1; P =0.032) was found, while no statistically significant changes in PD (1.74±0.5 mm at T0 vs. 1.77±0.5 mm at T1; P =0.050) or PI (1.9±0.7 at T0 vs. 1.7±0.7 at T1; P =0.280) occurred. According to the 7-item questionnaire, patients reported no difficulty in using the angled brush (63.4%) and deemed it highly (46.3%) or very highly (4.8%) effective in improving their home oral hygiene. Conclusions Within the limits of the present pilot study, the patients experienced a reduction of BOP 1 month after being instructed to use the angled implant brush. The angled implant brush appeared to be a well-accepted device for home-care hygiene of full-arch fixed-implant rehabilitations.

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Peri-implant Tissue Health and Bone Resorption in Patients with Immediately Loaded, Implant-Supported, Full-Arch Prostheses

Abstract: The results suggest that plaque accumulation is correlated with peri-implant mucositis; however, plaque accumulation alone does not appear to be associated with bone resorption.

Cited by 34 publications

References 0 publications

Analysis of the Subgingival Microbiota in Implant-Supported Full-Arch Rehabilitations

Analysis of the Subgingival Microbiota in Implant-Supported Full-Arch Rehabilitations

Bone loss around oral and orthopedic implants: An immunologically based condition

Angled implant brush for hygienic maintenance of full-arch fixed-implant rehabilitations: a pilot study

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