Prevalence and treatment of retrograde peri-implantitis: a retrospective cohort study covering a 20-year period.
Dental implants
Peri-implantitis
Periapical diseases
Periapical granuloma
Tooth extraction
Journal
Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
received:
10
11
2020
accepted:
28
12
2020
pubmed:
15
1
2021
medline:
28
7
2021
entrez:
14
1
2021
Statut:
ppublish
Résumé
The aims of this retrospective study were to report data on the prevalence of retrograde peri-implantitis (RPI) in a single-center in a 20-year observation period and to evaluate implant survival after surgical treatment. A retrospective cohort study was conducted screening all patients who underwent implant treatment in a private practice. Patients were enrolled if they had one or more implants showing a radiolucency around the implant apex, without implant mobility. Furthermore, clinical symptoms of RPI and days from symptoms' appearance after implant placement were also collected, as well as periodontal and endodontic status of nearby teeth. All patients were treated with the same surgical approach: antibiotic therapy, mechanical curettage, chemical decontamination and xenograft application. Out of the 1749 implants placed, only 6 implants were classified as affected by RPI, with a prevalence of 0.34%. Clinical symptoms of RPI (pain, swelling, dull percussion or fistula presence) varied among patients and were reported after a mean period of 51.83 ± 52.43 days. RPI was successfully treated with surgical curettage and bone substitute application and all implants are still in place after a mean follow-up of 8.83 ± 5.34 years. Bacteria from teeth with failed endodontic treatment or residual lesions might be reactivated by drilling for implant osteotomy, with subsequent colonization of the implant apex and possible failure before prosthetic loading. Therefore, it might be recommended to take a periapical x-ray at implant placement and after 6-8 weeks in order to intercept RPI before prostheses delivery.
Identifiants
pubmed: 33443685
doi: 10.1007/s00784-020-03769-5
pii: 10.1007/s00784-020-03769-5
pmc: PMC8310488
doi:
Substances chimiques
Dental Implants
0
Types de publication
Journal Article
Langues
eng
Pagination
4553-4561Informations de copyright
© 2021. The Author(s).
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