Successful Management of Peri-Implantitis around Short and Ultrashort Single-Crown Implants: A Case Series with a 3-Year Follow-Up
Introduction and Aim. In case of peri-implantitis, resective surgery is contraindicated for short and ultrashort implants, limiting the treatment options to regenerative surgery or to implant removal. This retrospective case series presents the clinical and radiographic outcomes of a surgical regene...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | International Journal of Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2019/5302752 |
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| author | Giorgio Lombardo Mauro Marincola Andrea Cicconetti Miguel Angel Simancas-Pallares Jacopo Pighi Jeffrey Lehrberg Annarita Signoriello Giovanni Corrocher Xiomara Serpa-Romero Luis Armando Vila Sierra Luisa Arevalo-Tovar Pier Francesco Nocini |
| author_facet | Giorgio Lombardo Mauro Marincola Andrea Cicconetti Miguel Angel Simancas-Pallares Jacopo Pighi Jeffrey Lehrberg Annarita Signoriello Giovanni Corrocher Xiomara Serpa-Romero Luis Armando Vila Sierra Luisa Arevalo-Tovar Pier Francesco Nocini |
| author_sort | Giorgio Lombardo |
| collection | DOAJ |
| description | Introduction and Aim. In case of peri-implantitis, resective surgery is contraindicated for short and ultrashort implants, limiting the treatment options to regenerative surgery or to implant removal. This retrospective case series presents the clinical and radiographic outcomes of a surgical regenerative procedure to treat peri-implantitis around short and ultrashort implants. Materials and Methods. The study is a retrospective evaluation of patients suffering from peri-implantitis and those who underwent access flap surgery, concomitant chemical and mechanical decontamination of implant surface, and bone grafting using a self-hardening mixture of bone substitutes and biphasic calcium sulfate. No membranes were applied to cover the grafting material, and primary tension-free closure was achieved. The retrospective protocol was reviewed and approved by the Ethics Committee for Clinical Sperimentation (CESC) of Verona and Rovigo, Italy (based in the University of Verona) (Prog. 1863CESC. Date of approval: 2018-07-04). Results. 15 patients (17 implants) have been diagnosed with peri-implantitis after a mean follow-up of 24 months after loading. Implant length was between 5 and 8 mm. 8 patients (10 implants) had a history of periodontitis. At baseline, the mean PD (probing pocket dept) at the deepest site was 8.12 mm, with an average mBI (modified bleeding index) of 2.35 and a mean BD (bone defect depth) of 3.04 mm. At the 3-year follow-up, the CSR was 100%, the mean mBI was 0.88 (average reduction: −1.47), the mean PD was 3.35 mm (mean PD reduction: 4.77 mm), and the mean bone defect was reduced by 1.74 mm, with a mean bone fill of 55%. Conclusions. The results of the present case series suggest that if accurate surface decontamination is achieved, high survival rate and good clinical and radiographic results can be obtained after 3 years. However, only the histological examination could confirm the growth of new bone in direct contact with the implant surface or if the grafted material only fills the space left by the peri-implant defect. |
| format | Article |
| id | doaj-art-7e5300ba71064e8ab8f27796faa8c09b |
| institution | Kabale University |
| issn | 1687-8728 1687-8736 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Dentistry |
| spelling | doaj-art-7e5300ba71064e8ab8f27796faa8c09b2025-02-03T01:20:54ZengWileyInternational Journal of Dentistry1687-87281687-87362019-01-01201910.1155/2019/53027525302752Successful Management of Peri-Implantitis around Short and Ultrashort Single-Crown Implants: A Case Series with a 3-Year Follow-UpGiorgio Lombardo0Mauro Marincola1Andrea Cicconetti2Miguel Angel Simancas-Pallares3Jacopo Pighi4Jeffrey Lehrberg5Annarita Signoriello6Giovanni Corrocher7Xiomara Serpa-Romero8Luis Armando Vila Sierra9Luisa Arevalo-Tovar10Pier Francesco Nocini11Dentistry and Maxillo-facial Surgery Section, Department of Surgery, Dentistry, Paediatrics and Gynaecology (DIPSCOMI), University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, ItalyResearch Department, Dental Implant Unit, Faculty of Dentistry, University of Cartagena, Cartagena, ColombiaDepartment Head and Neck, Oral surgery, University “La Sapienza” Roma, Rome, ItalyDivision of Oral & Craniofacial Health Sciences, Division of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USADentistry and Maxillo-facial Surgery Section, Department of Surgery, Dentistry, Paediatrics and Gynaecology (DIPSCOMI), University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, ItalyDepartment of Biomaterials, Implant Dentistry Centre, Boston, USADentistry and Maxillo-facial Surgery Section, Department of Surgery, Dentistry, Paediatrics and Gynaecology (DIPSCOMI), University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, ItalyDentistry and Maxillo-facial Surgery Section, Department of Surgery, Dentistry, Paediatrics and Gynaecology (DIPSCOMI), University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, ItalyResearch Group in Family Health, University of Magdalena, Santa Marta, ColombiaResearch Group in Family Health, University of Magdalena, Santa Marta, ColombiaResearch Department, Dental Implant Unit, Faculty of Dentistry, University of Cartagena, Cartagena, ColombiaDentistry and Maxillo-facial Surgery Section, Department of Surgery, Dentistry, Paediatrics and Gynaecology (DIPSCOMI), University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, ItalyIntroduction and Aim. In case of peri-implantitis, resective surgery is contraindicated for short and ultrashort implants, limiting the treatment options to regenerative surgery or to implant removal. This retrospective case series presents the clinical and radiographic outcomes of a surgical regenerative procedure to treat peri-implantitis around short and ultrashort implants. Materials and Methods. The study is a retrospective evaluation of patients suffering from peri-implantitis and those who underwent access flap surgery, concomitant chemical and mechanical decontamination of implant surface, and bone grafting using a self-hardening mixture of bone substitutes and biphasic calcium sulfate. No membranes were applied to cover the grafting material, and primary tension-free closure was achieved. The retrospective protocol was reviewed and approved by the Ethics Committee for Clinical Sperimentation (CESC) of Verona and Rovigo, Italy (based in the University of Verona) (Prog. 1863CESC. Date of approval: 2018-07-04). Results. 15 patients (17 implants) have been diagnosed with peri-implantitis after a mean follow-up of 24 months after loading. Implant length was between 5 and 8 mm. 8 patients (10 implants) had a history of periodontitis. At baseline, the mean PD (probing pocket dept) at the deepest site was 8.12 mm, with an average mBI (modified bleeding index) of 2.35 and a mean BD (bone defect depth) of 3.04 mm. At the 3-year follow-up, the CSR was 100%, the mean mBI was 0.88 (average reduction: −1.47), the mean PD was 3.35 mm (mean PD reduction: 4.77 mm), and the mean bone defect was reduced by 1.74 mm, with a mean bone fill of 55%. Conclusions. The results of the present case series suggest that if accurate surface decontamination is achieved, high survival rate and good clinical and radiographic results can be obtained after 3 years. However, only the histological examination could confirm the growth of new bone in direct contact with the implant surface or if the grafted material only fills the space left by the peri-implant defect.http://dx.doi.org/10.1155/2019/5302752 |
| spellingShingle | Giorgio Lombardo Mauro Marincola Andrea Cicconetti Miguel Angel Simancas-Pallares Jacopo Pighi Jeffrey Lehrberg Annarita Signoriello Giovanni Corrocher Xiomara Serpa-Romero Luis Armando Vila Sierra Luisa Arevalo-Tovar Pier Francesco Nocini Successful Management of Peri-Implantitis around Short and Ultrashort Single-Crown Implants: A Case Series with a 3-Year Follow-Up International Journal of Dentistry |
| title | Successful Management of Peri-Implantitis around Short and Ultrashort Single-Crown Implants: A Case Series with a 3-Year Follow-Up |
| title_full | Successful Management of Peri-Implantitis around Short and Ultrashort Single-Crown Implants: A Case Series with a 3-Year Follow-Up |
| title_fullStr | Successful Management of Peri-Implantitis around Short and Ultrashort Single-Crown Implants: A Case Series with a 3-Year Follow-Up |
| title_full_unstemmed | Successful Management of Peri-Implantitis around Short and Ultrashort Single-Crown Implants: A Case Series with a 3-Year Follow-Up |
| title_short | Successful Management of Peri-Implantitis around Short and Ultrashort Single-Crown Implants: A Case Series with a 3-Year Follow-Up |
| title_sort | successful management of peri implantitis around short and ultrashort single crown implants a case series with a 3 year follow up |
| url | http://dx.doi.org/10.1155/2019/5302752 |
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