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 Prevalence and Possible Risk Factors of Peri-implantitis: A Concept Review

2015 ◽  
Vol 16 (9) ◽  
pp. 750-757 ◽  
Author(s):  
Lelis Gustavo Nicoli ◽  
Elcio Marcantonio Junior ◽  
Daniela Leal Zandim-Barcelos
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Implant Surface ◽  
Genetic Traits ◽  
Oral Implants ◽  
Factors Associated ◽  
Potential Risk Factors ◽  
History Of ◽  
Implant Therapy ◽  
Concept Review

ABSTRACT Aim The purpose of this review is to estimate the prevalence of peri-implantitis, as well as to determine possible risk factors associated with its development in patients treated with oral implants. Background Although implant therapy has been identified as a successful and predictable treatment for partially and fully edentulous patients, complications and failures can occur. Periimplantitis is considered a biologic complication that results in bone loss around implants and may lead to implant treatment failure. Results A great variation has been observed in the literature regarding the prevalence of peri-implantitis according to the diagnostic criteria used to define peri-implantitis. The prevalence ranges from 4.7 to 43% at implant level, and from 8.9 to. ≥56% at patient level. Many risk factors that may lead to the establishment and progression of peri-implantitis have been suggested. There is strong evidence that presence and history of periodontitis are potential risk factors for peri-implantitis. Cigarette smoking has not yet been conclusively established as a risk factor for peri-implantitis, although extra care should be taken with dental implant in smokers. Other risk factors, such as diabetes, genetic traits, implant surface roughness and presence of keratinized mucosa still require further investigation. Conclusion Peri-implantitis is not an uncommon complication following implant therapy. A higher prevalence of peri-implantitis has been identified for patients with presence or history of periodontal disease and for smokers. Until now, a true risk factor for peri-implantitis has not been established. Supportive maintenance program is essential for the long-term success of treatments with oral implants. Clinical significance The knowledge of the real impact of peri-implantitis on the outcome of treatments with oral implants as well as the identification of risk factors associated to this inflammatory condition are essential for the development of supportive maintenance programs and the establishment of prevention protocols. How to cite this article Marcantonio C, Nicoli LG, Junior EM, Zandim-Barcelos DL. Prevalence and Possible Risk Factors of Peri-implantitis: A Concept Review. J Contemp Dent Pract 2015;16(9):750-757.

scholarly journals SECONDARY ETIOLOGICAL FACTORS IN THE DEVELOPMENT OF PERI-IMPLANTITIS

2021 ◽  
Vol 27 (2) ◽  
pp. 3682-3687
Author(s):  
Elitsa Sabeva ◽  
Keyword(s):  
Surface Characteristics ◽  
Sufficient Evidence ◽  
Implant Surface ◽  
Etiological Factors ◽  
Implant Placement ◽  
Periodontal Infection ◽  
Implant Abutment ◽  
History Of ◽  
Edentulous Patients ◽  
Keratinized Mucosa

Purpose: The aim of this review was to investigate the potential impact of secondary etiological factors on the development of peri-implant infections. Results: During the review process we found sufficient evidence to define the following factors as secondary etiological factors for the development of peri-implantitis: a history of periodontitis; implant surface characteristics; suprastructure characteristics; cemented restorations; implant-abutment connection; smoking; diabetes and peri-implant mucosa characteristics. Conclusion: To reduce the risk of peri-implantitis, the following recommendations should be considered: (1) in partially edentulous patients, implant treatment should start after elimination of the periodontal infection and after the establishment of a stable periodontal status; (2) implants should be placed in areas where there is a minimum of 2 mm of keratinized mucosa; (3) an internal implant-abutment connection and screw-retained suprastructures are preferred; (4) supra structures should be planned carefully to facilitate good oral hygiene; and (5) smoking cessation should be promoted and (6) only patients with controlled diabetes should undergo implant placement.

scholarly journals Peri-Implantitis Revisited

2021 ◽  
Author(s):  
Amer Shatta ◽  
Sukumaran Anil
Keyword(s):  
Soft Tissue ◽  
Bone Loss ◽  
Dental Implant ◽  
Previous History ◽  
Antimicrobial Treatment ◽  
Maintenance Care ◽  
Implant Surface ◽  
Factors Associated ◽  
Hygiene Practices ◽  
History Of

Dental implants have become a well-accepted treatment option for patients with partial or complete edentulism. The long-term success of the endosseous dental implant depends not only on osseointegration, but on the healthy soft tissue interface that surrounds the implant. Peri-implantitis is defined as an inflammatory process affecting the supporting hard and soft tissue around an implant in function, leading to loss of supporting bone. Peri-implant mucositis has been defined as a reversible inflammatory reaction in the peri-implant mucosa surrounding an osseointegrated dental implant. Peri-implant mucositis is assumed to precede peri-implantitis. Data indicate that patients diagnosed with peri-implant mucositis may develop peri-implantitis, especially in the absence of regular maintenance care. However, the features or conditions characterizing the progression from peri-implant mucositis to peri-implantitis in susceptible patients have not been identified. The most common etiological factors associated with the development of peri-implantitis are the presence of bacterial plaque and host response. The risk factors associated with peri-implant bone loss include smoking combined with IL-1 genotype polymorphism, a history of periodontitis, poor compliance with treatment and oral hygiene practices, the presence of systemic diseases affecting healing, cement left behind following cementation of the crowns, lack of keratinized gingiva, and previous history of implant failure There is strong evidence that there is an increased risk of developing peri-implantitis in patients who have a history of severe periodontitis, poor plaque control, and no regular maintenance care after implant therapy. Management of peri-implantitis generally works on the assumption that there is a primary microbial etiology. Furthermore, it is assumed that micro-organisms and/or their by-products lead to infection of the surrounding tissues and subsequent destruction of the alveolar bone surrounding an implant. A combination of surgical, open debridement, and antimicrobial treatment has been advocated for the treatment of peri-implantitis. Surgical intervention is required once a patient has bleeding on probing, greater than 5 mm of probing depth, and severe bone loss beyond that expected with remodeling. Access flaps require full-thickness elevation of the mucoperiosteum, facilitating debridement and decontamination of the implant surface via hand instruments, ultrasonic tips, or lasers. When necessary, surgical procedures may be used in conjunction with detoxification of the implant surface by mechanical devices, such as high-pressure air powder abrasion or laser.

scholarly journals Hepatitis B among female sex workers in Ribeirão Preto - São Paulo, Brazil

2007 ◽  
Vol 10 (4) ◽  
pp. 517-524 ◽  
Author(s):  
Afonso Dinis Costa Passos ◽  
José Fernando de Castro Figueiredo ◽  
Ana de Lourdes Candolo Martinelli ◽  
Márcia Guimarães Villanova ◽  
Margarida Pásseri do Nascimento ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hepatitis B ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Low Cost ◽  
Preventive Measure ◽  
Low Socioeconomic ◽  
Female Sex ◽  
Behavioral Variables ◽  
History Of

OBJECTIVE: To estimate the prevalence of hepatitis B markers and to study the risk factors for this disease among female sex workers in the city of Ribeirão Preto, Brazil. METHODS: A questionnaire was given to 449 female sex workers in order to obtain information about demographic, socioeconomic and behavioral variables. Blood samples were collected and analyzed by immunoenzymatic techniques for detection of HBsAg, anti-HBs, anti-HBc and anti-HCV markers. RESULTS: The mean age of participants was 23 years, varying from 13 to 64 years. A high spatial mobility was observed, with 47.9% of participants residing in places out of the region of Ribeirão Preto or in other Brazilian states. Complete absence of previous vaccine against hepatitis B was referred by 98.2%. Overall, the presence of any hepatitis B marker was observed in 106 participants (prevalence of 23.6%; 95% CI: 19.7 27.5), with 84 positive for anti-HBs (18.7%), 100 for anti-HBc (22.3%), and only 3 for HBsAg (0.7%). The logistic regression analysis showed association between hepatitis B markers and the following co-variables: residence in Ribeirão Preto, age, low socioeconomic level, consumption of crack, intercourse with HIV-infected individuals, history of previous hepatitis, intercourse with a case of hepatitis, and positivity for hepatitis C. CONCLUSIONS: Ribeirão Preto's female sex workers present several risk factors for hepatitis B and almost absence of previous specific vaccination, making it necessary to emphasize this low-cost preventive measure, preferably through the use of a mobile team, taking the vaccine to their places of work.

scholarly journals Epidemiological Characteristics of Inpatients Undergoing Surgery for Glaucoma at Tianjin Eye Hospital from 2013 to 2017

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Jin Yang ◽  
Yue Qu ◽  
Boai Li ◽  
Zelong Zhong ◽  
Liukun Shi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Open Angle Glaucoma ◽  
Congenital Glaucoma ◽  
Angle Closure ◽  
Primary Angle Closure Glaucoma ◽  
Surgical Methods ◽  
History Of ◽  
Male Sex ◽  
Epidemiological Characteristics

Purpose. To analyze the epidemiological characteristics of inpatients who underwent surgery for glaucoma at Tianjin Eye Hospital from 2013 to 2017. Methods. All glaucoma inpatients who underwent surgery at Tianjin Eye Hospital from 2013 to 2017 were evaluated. The relationships of age and sex with different types of glaucoma were analyzed. The differences in the prevalence and family history of glaucoma among patients with different systemic diseases were compared. Additionally, the effects of different surgical methods for primary angle-closure glaucoma (PACG) and primary open-angle glaucoma (POAG) were compared. Results. A total of 4539 patients with glaucoma were retrospectively analyzed. The most prevalent type was PACG (60.15%), followed by secondary glaucoma (SG, 25.53%), POAG (7.6%), uncontrollable intraocular pressure (IOP) after antiglaucoma surgery (4.71%), mixed glaucoma (MG, 10%), and congenital glaucoma (CG, 0.9%). The main surgical methods were phacoemulsification (phaco), phacotrabeculectomy (phaco-trab), and trabeculectomy (trab). The rate of phaco-trab increased, while that of trab decreased. The proportion of women in the PACG group was higher than those in the POAG and SG groups, and there was a pronounced tendency for family clustering ( P < 0.001 ), while in the POAG and SG groups, the proportions of men and those with diabetes were higher ( P < 0.05 ). Conclusions. In Tianjin Eye Hospital from 2013 to 2017, the main type of glaucoma was PACG. Female sex and a family history of glaucoma were risk factors for PACG, while male sex and hyperglycemia were risk factors for POAG and SG. Among the antiglaucoma surgery methods, the proportion of phaco-trab increased, while the proportion of trab decreased.

Protective Factors and Suicidality in Members of Arab Kindred

Crisis ◽  
2012 ◽  
Vol 33 (2) ◽  
pp. 80-86 ◽  
Author(s):  
Sami Hamdan ◽  
Nadine Melhem ◽  
Israel Orbach ◽  
Ilana Farbstein ◽  
Mohammad El-Haib ◽  
...  
Keyword(s):  
Risk Factors ◽  
Protective Factors ◽  
Suicidal Behavior ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Suicidal Risk ◽  
Arab Population ◽  
Psychiatric Interview ◽  
History Of

Background: Relatively little is known about the role of protective factors in an Arab population in the presence of suicidal risk factors. Aims: To examine the role of protective factors in a subsample of in large Arab Kindred participants in the presence of suicidal risk factors. Methods: We assessed protective and risk factors in a sample of 64 participants (16 suicidal and 48 nonsuicidal) between 15 and 55 years of age, using a comprehensive structured psychiatric interview, the Composite International Diagnostic Interview (CIDI), self-reported depression, anxiety, hopelessness, impulsivity, hostility, and suicidal behavior in first-degree and second-relatives. We also used the Religiosity Questionnaire and suicide attitude (SUIATT) and multidimensional perceived support scale. Results: Suicidal as opposed to nonsuicidal participants were more likely to have a lifetime history of major depressive disorder (MDD) (68.8% vs. 22.9% χ2 = 11.17, p = .001), an anxiety disorder (87.5% vs. 22.9, χ2 = 21.02, p < .001), or posttraumatic stress disorder (PTSD) (25% vs. 0.0%, Fisher’s, p = .003). Individuals who are otherwise at high risk for suicidality have a much lower risk when they experience higher perceived social support (3.31 ± 1.36 vs. 4.96 ± 1.40, t = 4.10, df = 62, p < .001), and they have the view that suicide is somehow unacceptable (1.83 ± .10 vs. 1.89 ± .07, t = 2.76, df = 60, p = .008). Conclusions: Taken together with other studies, these data suggest that the augmentation of protective factors could play a very important role in the prevention of incidental and recurrent suicidal behavior in Arab populations, where suicidal behavior in increasing rapidly.

Staphylococcus aureus nasal colonization among Vietnamese adults: prevalence, risk factors and antibiotic susceptibility profile

MedPharmRes ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 21-31
Author(s):  
Nguyen Phan ◽  
Hien Pham ◽  
Thuc Nguyen ◽  
Hoai Nguyen
Keyword(s):  
Risk Factors ◽  
Staphylococcus Aureus ◽  
Antibiotic Susceptibility ◽  
Nasal Carriage ◽  
Resistance Rate ◽  
High Rate ◽  
Weight History ◽  
Potential Risk Factors ◽  
History Of ◽  
Vietnamese Community

Staphylococcus aureus (S. aureus) has long been recognized as an important human pathogen causing many severe diseases. It is also a part of human normal flora with its ecological niche in the human anterior nares. This study focused on screening S. aureus nasal carriage in community and its relationship to human physiological and pathological factors which have not been studied in Vietnam previously. Two hundred and five volunteers in Ho Chi Minh City from 18 to 35 and over 59 years old both male and female participated in the study. Result showed that the prevalence of S. aureus nasal carriage in southern Vietnamese community was relatively low, only 11.2% (23/205), much lower than that in other international reports on human S. aureus. In addition, nasal carriage of the older age group (> 59 years old, 13.7%) was higher than that of younger age (18-35 years old, 10.4%). Other potential risk factors such as gender, career, height, weight, history of antibiotic usage, daily nasal wash, use of nasal medication sprays, acne problems, smoking and nasal problems showed no significant impact on S. aureus carriage. The obtained S. aureus nasal isolates were all sensitive to vancomycin. Lincomycin and tetracycline had low resistance rate with 4.3 % and 17.4 %, respectively. However, the isolates showed particularly high rate of multidrug resistance (54.2%) In summary, our data provided researchers an overview on S. aureus nasal carriage and antibiotic susceptibility profile of the community- isolated S. aureus in Vietnam. This would serve as valuable information on assessing risk of community-acquired S. aureus infections.

Dental Implant Placement in Patients with a History of Medications Related to Osteonecrosis of the Jaws: A Systematic Review

2020 ◽  
Author(s):  
Judd Sher ◽  
Kate Kirkham-Ali ◽  
Denny Luo ◽  
Catherine Miller ◽  
Dileep Sharma
Keyword(s):  
Systematic Review ◽  
At Risk ◽  
Drug Therapy ◽  
Dental Implant ◽  
Case Series ◽  
Cochrane Central Register ◽  
Bisphosphonate Treatment ◽  
Implant Placement ◽  
Increased Risk ◽  
History Of

The present systematic review evaluates the safety of placing dental implants in patients with a history of antiresorptive or antiangiogenic drug therapy. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were followed. PubMed, Cochrane Central Register of Controlled Trials, Scopus, Web of Science, and OpenGrey databases were used to search for clinical studies (English only) to July 16, 2019. Study quality was assessed regarding randomization, allocation sequence concealment, blinding, incomplete outcome data, selective outcome reporting, and other biases using a modified Newcastle-Ottawa scale and the Joanna Briggs Institute critical appraisal checklist for case series. A broad search strategy resulted in the identification of 7542 studies. There were 28 studies reporting on bisphosphonates (5 cohort, 6 case control, and 17 case series) and one study reporting on denosumab (case series) that met the inclusion criteria and were included in the qualitative synthesis. The quality assessment revealed an overall moderate quality of evidence among the studies. Results demonstrated that patients with a history of bisphosphonate treatment for osteoporosis are not at increased risk of implant failure in terms of osseointegration. However, all patients with a history of bisphosphonate treatment, whether taken orally for osteoporosis or intravenously for malignancy, appear to be at risk of ‘implant surgery-triggered’ MRONJ. In contrast, the risk of MRONJ in patients treated with denosumab for osteoporosis was found to be negligible. In conclusion, general and specialist dentists should exercise caution when planning dental implant therapy in patients with a history of bisphosphonate and denosumab drug therapy. Importantly, all patients with a history of bisphosphonates are at risk of MRONJ, necessitating this to be included in the informed consent obtained prior to implant placement. The James Cook University College of Medicine and Dentistry Honours program and the Australian Dental Research Foundation Colin Cormie Grant were the primary sources of funding for this systematic review.

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