scholarly journals Preservação em próteses implantossuportadas: peri-implantite / reservation in implant-supported prostheses: Peri-implantitis

2021 ◽  
Vol 15 (58) ◽  
pp. 67-75
Author(s):  
Vitor Santana Amorim ◽  
Natan Filipe Ribeiro Coqueiro ◽  
Milton D’Almeida Ferreira Neto
Keyword(s):  
Bacterial Load ◽  
Implant Surface ◽  
Essential Step ◽  
Chemical Decontamination ◽  
Surgical Methods ◽  
De Se ◽  
Plaque Control ◽  
Bone Integration ◽  
Bacterial Plaque ◽  
Treatment Of Infection

Resumo: A identificação e o tratamento da infecção ao redor do implante é uma etapa essencial na manutenção do implante osseointegrativo e isso reflete na vida útil da reabilitação. O principal objetivo do tratamento da peri-implantite é a utilização de métodos de descontaminação mecânica e química para eliminar a carga bacteriana na superfície do implante. O biofilme pode ser removido por métodos não cirúrgicos ou cirúrgicos. Nos casos mais graves, geralmente é necessário tratamento cirúrgico, cujo objetivo é corrigir o defeito ósseo existente, combinado com a aplicação do enxerto, para regenerar o tecido ósseo perdido no processo inflamatório. O propósito deste estudo é realizar uma revisão de literatura tendo como o tema preservação em próteses implantossuportadas: peri-implantite, a fim de guiar a conservação das reabilitações orais. Além de buscar maiores informações acerca do desenvolvimento da doença peri-implantar, bem como sua ligação com a doença periodontal e os fatores que contribuem para seu desenvolvimento. Para tanto, foram utilizados descritores como: “peri-implantite", "manutenção de implantes" e “ossointegração” nas bases de dados: Pubmed, Scielo, google acadêmico e Lilacs. Para possibilitar um melhor resultado, foram organizados tópicos para uma discussão final, sendo eles: conceito, etiologia, diagnóstico e tratamento. Foram encontradas dificuldades na manutenção dos implantes e a necessidade de se descrever o melhor planejamento para uma melhoria nos protocolos clínicos de preservação a fim de obter-se excelência nos desfechos clínicos.Abstract: The identification and treatment of infection around the implant is an essential step in the maintenance of the osseointegrative implant and this reflects on the lifetime of the rehabilitation. The main objective of peri-implantitis treatment is the use of mechanical and chemical decontamination methods to eliminate the bacterial load on the implant surface. Biofilm can be removed by non-surgical or surgical methods. In more severe cases, surgical treatment is usually necessary, the aim of which is to correct the existing bone defect, combined with the application of a graft, to regenerate the bone tissue lost in the inflammatory process. The purpose of this study is to conduct a literature review with the theme of preservation in implant-supported prostheses: peri-implantitis, in order to guide the conservation of oral rehabilitations. In addition to seeking more information about the development of peri-implant disease, as well as its connection with periodontal disease and the factors that contribute to its development. For this purpose, descriptors such as: “peri-implantitis”, “implant maintenance” and “bone integration” were used in the following databases: Pubmed, Scielo, academic Google and Lilacs. final discussion, namely: concept, etiology, diagnosis, and treatment. Difficulties were found in the maintenance of implants and the need to describe the best planning for an improvement in clinical preservation protocols in order to obtain excellence in clinical outcomes. Plaque control maintains the health of the soft tissue-implant interface.Keywords: Dental implants; Peri-implantitis; Bacterial plaque. 

scholarly journals Plaque accumulation and Streptococcus mutans levels around self-ligating bracket clips and elastomeric modules: A randomized controlled trial

2015 ◽  
Vol 5 ◽  
pp. 97-102
Author(s):  
Dhaval Fadia ◽  
Meghna Vandekar ◽  
Nikhilesh Vaid ◽  
Viraj Doshi
Keyword(s):  
Streptococcus Mutans ◽  
Bacterial Colonization ◽  
Controlled Trial ◽  
Tooth Surface ◽  
Time Intervals ◽  
Orthodontic Bracket ◽  
Colony Forming Units ◽  
Orthodontic Patients ◽  
Plaque Control ◽  
Bacterial Plaque

Aim To determine the effect of two different ligating systems that is, elastomeric modules and self-ligating (SL) bracket systems (Smartclip - 3M Unitek) with respect to harboring bacterial plaque in fixed orthodontic treatment. Objectives To assess, evaluate, and compare the amount of plaque accumulation and Streptococcus mutans colonization around elastomeric ligation and SL clips in the smart clip appliance. Materials and Methods A total of 111 orthodontic patients scheduled for fixed orthodontic treatments were selected for this split maxillary arch study. All the patients were bonded with smart-clip (3M Unitek) SL brackets, and the wire was placed into the bracket slots, on the randomly selected hemi arch, elastomeric modules were placed for the study to be conducted. Microbial and periodontal plaque accumulation was recorded at 3-time intervals post ligation. Plaque index-by Silness and Loe, modified Quigely Hein index, bleeding on probing were evaluated, and biofilm was collected from the tooth surface after 30 days and placed in petri dishes containing Mitis Salivarius agar for bacterial culturing. Result It was observed that the side where ligation was done with elastomeric modules accumulated more plaque and increase in S. mutans colony forming units as compared to the side without external ligation (P < 0.05). Conclusion Reduced bacterial colonization and better plaque control was seen with SL orthodontic bracket appliance system as compared to conventional ligation method.

scholarly journals Gingival Inflammation in the Presence of Bacterial Plaque in Women in the First and Second Trimester of Pregnancy

2020 ◽  
Vol 2 (1) ◽  
pp. 46-52
Author(s):  
Juan Daniel Argüello Torres ◽  
Geoconda Luzardo
Keyword(s):  
Oral Hygiene ◽  
Pregnant Patient ◽  
First Trimester ◽  
Hormonal Changes ◽  
Second Trimester ◽  
Gingival Inflammation ◽  
Plaque Control ◽  
Bacterial Plaque ◽  
Transversal Study ◽  
Oral Hygiene Habits

Problem: Pregnancy hormonal changes in addition to the low control of the dental plaque generate gingivitis during the first and second trimester of the pregnancy. Objective: This study’s objective was to identify the levels of gingival inflammation having place in the first and second trimester of the pregnancy in relation to a low plaque control. Materials and Methods: This was an analytic descriptive transversal study in which 73 pregnant women that went to their monthly check to the “Centro de Salud Ministerial del Cantón Samborondón” during June and July of the year 2014 were tested. 32 of them were on their first trimester and the 41 left, on their second trimester of pregnancy. They were tested by the recollection in a document of information about their oral hygiene habits, oral hygiene indices, gingival inflammation and the presence of bacterial plaque. Results: 100% of the woman had gingivitis, from which 69.86% presented a moderate type (30.14% in the first and 39.73% in the second trimester). In the oral hygiene examination, 76.71% obtained a regular grade, from which 38.36% showed up in both trimesters. Finally, we found bacterial plaque in 67% of the patients with a range between 50.1-75%, being the 30% in the first and the 37% in the second trimester of pregnancy. Conclusion: It was found gingival inflammation in presence of bacteria plaque in every pregnant patient, showing a slightly higher intensity in the second trimester of pregnancy.

Uprighting Molars as an Adjunct to Restorative and Periodontal Treatment of Adults

1982 ◽  
Vol 9 (3) ◽  
pp. 122-128 ◽  
Author(s):  
J. F. Camilla Tulloch
Keyword(s):  
Orthodontic Treatment ◽  
Orthodontic Appliances ◽  
Prosthetic Design ◽  
Tissue Destruction ◽  
Periodontal Health ◽  
Posterior Teeth ◽  
Tooth Position ◽  
Plaque Control ◽  
Bacterial Plaque ◽  
Frequent Problem

The interrelationship between form, function and stomatologic health is unclear. However, tooth positions that prevent bacterial plaque removal may predispose towards periodontal disease. A frequent problem in adults is loss of posterior teeth with subsequent tip and drift of the molars. Occlusal trauma, if superimposed on gingival inflammation, can result in rapid tissue destruction. Therefore, an indication for orthodontic treatment is the restoration of normal axial inclination and tooth position so that bacterial plaque control may be effected. Simple orthodontic appliances may be used to restore the position of tipped molars. The benefits of orthodontic treatment, prior to the restoration of the posterior occlusion, are improvement in occlusal loading, improvement of periodontal health and simplification of prosthetic design and fabrication.

scholarly journals Detoxification of Implant Surfaces Affected by Peri-Implant Disease: An Overview of Non-surgical Methods

2014 ◽  
Vol 8 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Pilar Valderrama ◽  
Jonathan A Blansett ◽  
Mayra G Gonzalez ◽  
Myrna G Cantu ◽  
Thomas G Wilson
Keyword(s):  
Clinical Trials ◽  
Case Series ◽  
Human Studies ◽  
Surgical Approaches ◽  
Specific Method ◽  
Implant Surface ◽  
Advantages And Disadvantages ◽  
Surgical Methods

Objective: The aim of this review is to summarize the findings of studies that have evaluated non-surgical approaches for detoxification of implant body surfaces in vitro and in vivo, and to evaluate clinical trials on the use of these methodologies for treating peri-implant disease. Materials and methods: A literature search was conducted using MEDLINE (Pubmed) from 1966 to 2013. In vitro and in vivo studies as well as clinical trials on non-surgical therapy were evaluated. The outcome variables were the ability of the therapeutic method to eliminate the biofilm and endotoxins from the implant surface, the changes in clinical parameters including probing depth, clinical attachment levels, bleeding on probing; radiographic bone fill and histological re-osseointegration. Results: From 134 articles found 35 were analyzed. The findings, advantages and disadvantages of using lasers as well as mechanical and chemical methods are discussed. Most of the in vivo and human studies used combination therapies which makes determining the efficacy of one specific method difficult. Most human studies are case series with short term longitudinal analysis without survival or failure reports. Conclusion: Complete elimination of the biofilms is difficult to achieve using these approaches. All therapies induce changes of the chemical and physical properties of the implant surface. Re-osseointegration may be difficult to achieve if not impossible without surgical access to ensure thorough debridement of the defect and detoxification of the implant surface. Combination protocols for non-surgical treatment of peri-implantitis in humans have shown some positive clinical results but long-term evaluation to evaluate the validity and reliability of the techniques is needed.

scholarly journals Detoxification of Implant Surfaces Affected by Peri-Implant Disease: An Overview of Surgical Methods

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Pilar Valderrama ◽  
Thomas G. Wilson Jr
Keyword(s):  
In Vivo Studies ◽  
Surgical Approaches ◽  
Validity And Reliability ◽  
Implant Surface ◽  
Advantages And Disadvantages ◽  
Surgical Methods ◽  
Term Evaluation

Purpose. Peri-implantitis is one of the major causes of implant failure. The detoxification of the implant surface is necessary to obtain reosseointegration. The aim of this review was to summarize in vitro and in vivo studies as well as clinical trials that have evaluated surgical approaches for detoxification of the implant body surfaces.Materials and Methods. A literature search was conducted using MEDLINE (PubMed) from 1966 to 2013. The outcome variables were the ability of the therapeutic method to eliminate the biofilm and endotoxins from the implant surface, the changes in clinical parameters, radiographic bone fill, and histological reosseointegration.Results. From 574 articles found, 76 were analyzed. The findings, advantages, and disadvantages of using mechanical, chemical methods and lasers are discussed.Conclusions. Complete elimination of the biofilms is difficult to achieve. All therapies induce changes of the chemical and physical properties of the implant surface. Partial reosseointegration after detoxification has been reported in animals. Combination protocols for surgical treatment of peri-implantitis in humans have shown some positive clinical and radiographic results, but long-term evaluation to evaluate the validity and reliability of the techniques is needed.

The effect of alendronate (Fosamax?) and implant surface on bone integration and remodeling in a canine model

2001 ◽  
Vol 58 (6) ◽  
pp. 645-650 ◽  
Author(s):  
Sally R. Frenkel ◽  
William L. Jaffe ◽  
Craig Della Valle ◽  
Laith Jazrawi ◽  
Stephen Maurer ◽  
...  
Keyword(s):  
Canine Model ◽  
Implant Surface ◽  
Bone Integration

scholarly journals Peri-Implantitis – A Growing Complication of Dental Implant Prosthesis

2019 ◽  
Vol 10 (1) ◽  
pp. 68-71
Author(s):  
Natasha Fatima ◽  
Muhammad Shahrukh Khan Sadiq ◽  
Durafshan Rehman
Keyword(s):  
Risk Factors ◽  
Dental Implant ◽  
Correct Diagnosis ◽  
Preventive Measure ◽  
Implant Surface ◽  
Holistic View ◽  
Genetic Traits ◽  
Surgical Methods ◽  
History Of ◽  
Edentulous Patients

Contemporarily, dental implant is considered as the gold standard for managing complete or partially edentulous patients. Even though with meagre rates of failure, peri-implantitis is one complication that is worth deciphering. The prevalence of peri-implantitis is reportedly increasing with time so correct diagnosis is the most important factor for proper management of peri-implant disease. Regular evaluation and elimination of risk factors (history of periodontitis, poor oral hygiene, diabetes, smoking, alcohol consumption, genetic traits, absence of keratinized mucosa and implant surface) are effective precautions against peri implantitis. The management of peri-implant mucositis is also considered as an important preventive measure for the onset of peri- implantitis. In addition to aspects of osseointegration, type and structure of the implant surface are of importance. For the treatment of peri-implant disease multiple conservative and surgical methods are available. To minimize its detrimental effects, it is important to take a holistic view of the condition. Therefore, this review gives an overview on the prevalence, etiology, risk factors, prevention and treatment of peri-implantitis.

scholarly journals Effect of Three Different Dentifrices on Enamel by Automated Brushing Simulator- In vitro Profilometric Study

2020 ◽  
pp. 1-12
Author(s):  
T. Keerthana ◽  
Sindhu Ramesh
Keyword(s):  
Oral Health ◽  
Dental Plaque ◽  
Enamel Surface ◽  
Group 3 ◽  
Plaque Control ◽  
Group 2 ◽  
Bacterial Plaque ◽  
3D Profilometer ◽  
Group 1

Bacterial plaque control is critical in maintenance of oral health because dental plaque is the primary etiological factor for both caries and periodontal disease. Toothbrush and dentifrices play an integral part in accomplishing plaque removal. The aim of the study was to assess the                enamel surface abrasion caused by three different dentifrices using automated brushing            simulator and profilometer. A total of 24 samples (N=24) which are extracted for orthodontic purposes were divided into three groups based on the dentifrices used. They are Group 1-Colgate Swarnavedsakthi (n=8), Group 2-Dabur Herbal(n=8),Group 3-Ayush(n=8). Samples were  subjected to take pre profilometric readings and brushing was done by an automated brushing simulator. A Laser 3D profilometer was used to detect the wear in the enamel surface.                  Pre and Post profilometric readings were compared. Statistically significant differences (p<0.05) were observed in the values of enamel abrasion among the Group 1(Colgate               Swarnavedsakthi) and Group 3(Ayush). After analysing the profilometric values, significant differences were found among the Ayush group while comparing with other groups such as Colgate Swarnavedsakthi and Dabur herbal. This indicates the higher enamel surface abrasion in the ayush group.

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