Peri-implantitis: Is it the surface or the alloy that's important?
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Author(s)
Sharma, Ajay
Sharma, Lavanya A
Year published
2020
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The increasing lifetime of the population on a worldwide scale over the last decades has led to a significant growth in the use of titanium oral implants to replace missing teeth. Longitudinal studies have reported high survival rates of the implants in function, ranging from 90% to 95% over a period up to 20 years.[1],[2] This also includes the increase in revision rate of implant prosthesis after the failure due to various factors. The most prominent and insidious complication around dental implants, emerging at a later stage is peri-implantitis.[3] A recent meta-analysis revealed a weighted mean prevalence of 22% for ...
View more >The increasing lifetime of the population on a worldwide scale over the last decades has led to a significant growth in the use of titanium oral implants to replace missing teeth. Longitudinal studies have reported high survival rates of the implants in function, ranging from 90% to 95% over a period up to 20 years.[1],[2] This also includes the increase in revision rate of implant prosthesis after the failure due to various factors. The most prominent and insidious complication around dental implants, emerging at a later stage is peri-implantitis.[3] A recent meta-analysis revealed a weighted mean prevalence of 22% for peri-implantitis.[4] Peri-implantitis is one of the main causes of failure in implant dentistry that affects 14%-30% of the implants.[4],[5] The 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions stated that peri-implantitis is an inflammatory process from a microbial origin.[6] By definition, it is a complex multifactorial infectious disease and the inflammatory lesion in the surrounding tissues develops as a result of accumulation of bacteria on implant surfaces resulting in a biofilm.[7] Peri-mucositis and Peri-implantitis analogous to gingivitis and periodontitis respectively. They have similar pathogical events but differ in extent and rapidity of tissue destruction. Experimental peri-implantitis induced by sub marginal placement of ligatures using animal models such as dogs and monkeys showed inflammatory lesions, bone loss and implant failures.[8],[9] Though the microbial taxa identified in peri-implantitis is predominantly similar to periodontitis, several studies have indicated the presence of additional strains like Staphylococcus aureus,Staphylococcus epidermidis and Candida spp.[3],[10],[11]Microorganisms colonize implant surfaces and contribute to the biofilm associated infections in a manner similar to teeth.[3],[12]
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View more >The increasing lifetime of the population on a worldwide scale over the last decades has led to a significant growth in the use of titanium oral implants to replace missing teeth. Longitudinal studies have reported high survival rates of the implants in function, ranging from 90% to 95% over a period up to 20 years.[1],[2] This also includes the increase in revision rate of implant prosthesis after the failure due to various factors. The most prominent and insidious complication around dental implants, emerging at a later stage is peri-implantitis.[3] A recent meta-analysis revealed a weighted mean prevalence of 22% for peri-implantitis.[4] Peri-implantitis is one of the main causes of failure in implant dentistry that affects 14%-30% of the implants.[4],[5] The 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions stated that peri-implantitis is an inflammatory process from a microbial origin.[6] By definition, it is a complex multifactorial infectious disease and the inflammatory lesion in the surrounding tissues develops as a result of accumulation of bacteria on implant surfaces resulting in a biofilm.[7] Peri-mucositis and Peri-implantitis analogous to gingivitis and periodontitis respectively. They have similar pathogical events but differ in extent and rapidity of tissue destruction. Experimental peri-implantitis induced by sub marginal placement of ligatures using animal models such as dogs and monkeys showed inflammatory lesions, bone loss and implant failures.[8],[9] Though the microbial taxa identified in peri-implantitis is predominantly similar to periodontitis, several studies have indicated the presence of additional strains like Staphylococcus aureus,Staphylococcus epidermidis and Candida spp.[3],[10],[11]Microorganisms colonize implant surfaces and contribute to the biofilm associated infections in a manner similar to teeth.[3],[12]
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Journal Title
Indian Journal of Dental Research
Volume
31
Issue
1
Copyright Statement
© The Author(s) 2020.This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the original work is cited properly.
Subject
Dentistry