Hard tissue dimensional changes following implant removal due to peri-implantitis: A retrospective study.
alveolar bone
dental implants
peri-implant disease
peri-implantitis
Journal
Clinical implant dentistry and related research
ISSN: 1708-8208
Titre abrégé: Clin Implant Dent Relat Res
Pays: United States
ID NLM: 100888977
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
revised:
26
03
2021
received:
15
02
2021
accepted:
12
04
2021
pubmed:
6
5
2021
medline:
29
6
2021
entrez:
5
5
2021
Statut:
ppublish
Résumé
The current evidence regarding the alterations experienced by the alveolar ridge (hard tissue changes) after implant removal due to peri-implantitis is limited. To assess the hard tissue dimensional changes following implant removal due to peri-implantitis. Clinical records were examined to identify patients with implants that had to be removed due to a hopeless prognosis secondary to peri-implantitis due to expendability of peri-implantitis implants for functional reasons. Patients with preoperative and postoperative cone-beam computed tomography (CBCT) scans were included. Patient-related, implant-related, and surgery-related factors were assessed based on the clinical records. Linear measurements were made to evaluate the influence of bone plate thickness (BPT), ridge width (RW), and ridge height (RH) at various levels upon the outcome of implant removal. A descriptive statistical analysis of the quantitative and qualitative variables was performed. Correlations of the variables with the primary outcome (dimensional changes) were tested using univariate and multivariate analyses (multinomial random intercept mixed model linear regressions). A total of 26 patients (n Minimal hard tissue changes can be expected following implant removal due to peri-implantitis. Simultaneous bone regeneration procedures and the use of a removal kit may considerably reduce the impact upon the dimensional changes (NCT04534361).
Sections du résumé
BACKGROUND
BACKGROUND
The current evidence regarding the alterations experienced by the alveolar ridge (hard tissue changes) after implant removal due to peri-implantitis is limited.
PURPOSE
OBJECTIVE
To assess the hard tissue dimensional changes following implant removal due to peri-implantitis.
MATERIAL AND METHODS
METHODS
Clinical records were examined to identify patients with implants that had to be removed due to a hopeless prognosis secondary to peri-implantitis due to expendability of peri-implantitis implants for functional reasons. Patients with preoperative and postoperative cone-beam computed tomography (CBCT) scans were included. Patient-related, implant-related, and surgery-related factors were assessed based on the clinical records. Linear measurements were made to evaluate the influence of bone plate thickness (BPT), ridge width (RW), and ridge height (RH) at various levels upon the outcome of implant removal. A descriptive statistical analysis of the quantitative and qualitative variables was performed. Correlations of the variables with the primary outcome (dimensional changes) were tested using univariate and multivariate analyses (multinomial random intercept mixed model linear regressions).
RESULTS
RESULTS
A total of 26 patients (n
CONCLUSIONS
CONCLUSIONS
Minimal hard tissue changes can be expected following implant removal due to peri-implantitis. Simultaneous bone regeneration procedures and the use of a removal kit may considerably reduce the impact upon the dimensional changes (NCT04534361).
Substances chimiques
Dental Implants
0
Banques de données
ClinicalTrials.gov
['NCT04534361']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
432-443Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Buser D, Mericske-Stern R, Bernard JP, et al. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res. 1997;8(3):161-172. https://doi.org/10.1034/j.1600-0501.1997.080302.x.
Buser D, Ingimarsson S, Dula K, Lussi A, Hirt HP, Belser UC. Long-term stability of osseointegrated implants in augmented bone: a 5-year prospective study in partially edentulous patients. Int J Periodontics Restorative Dent. 2002;22(2):109-117.
Buser D, Janner SF, Wittneben JG, Brägger U, Ramseier CA, Salvi GE. 10-year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res. 2012;14(6):839-851. https://doi.org/10.1111/j.1708-8208.2012.00456.x.
Roos-Jansåker AM, Lindahl C, Renvert H, Renvert S. Nine- to fourteen-year follow-up of implant treatment. Part I: implant loss and associations to various factors. J Clin Periodontol. 2006;33(4):283-289. https://doi.org/10.1111/j.1600-051X.2006.00907.x.
Derks J, Schaller D, Håkansson J, Wennström JL, Tomasi C, Berglundh T. Peri-implantitis-onset and pattern of progression. J Clin Periodontol. 2016;43(4):383-388. https://doi.org/10.1111/jcpe.12535.
Greenstein G, Cavallaro J. Failed dental implants: diagnosis, removal and survival of reimplantations. J Am Dent Assoc. 2014;145(8):835-842. https://doi.org/10.14219/jada.2014.28.
Misch CE, Perel ML, Wang HL, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008;17(1):5-15. https://doi.org/10.1097/ID.0b013e3181676059.
Froum SJ, Rosen PS. A proposed classification for peri-implantitis. Int J Periodontics Restorative Dent. 2012;32(5):533-540.
Decker AM, Sheridan R, Lin GH, Sutthiboonyapan P, Carroll W, Wang HL. A prognosis system for periimplant diseases. Implant Dent. 2015;24(4):416-421. https://doi.org/10.1097/ID.0000000000000276.
Berglundh T, Armitage G, Araujo MG, et al. Peri-implant diseases and conditions: consensus report of workgroup 4 of the 2017 World Workshop on the classification of periodontal and peri-implant diseases and conditions. J Clin Periodontol. 2018;45:S286-S291. https://doi.org/10.1111/jcpe.12957.
Amler MH, Johnson PL, Salman I. Histological and histochemical investigation of human alveolar socket healing in undisturbed extraction wounds. J Am Dent Assoc. 1960;61:32-44. https://doi.org/10.14219/jada.archive.1960.0152.
Evian CI, Rosenberg ES, Coslet JG, Corn H. The osteogenic activity of bone removed from healing extraction sockets in humans. J Periodontol. 1982;53(2):81-85. https://doi.org/10.1902/jop.1982.53.2.81.
Bergman B, Carlsson GE. Clinical long-term study of complete denture wearers. J Prosthet Dent. 1985;53(1):56-61. https://doi.org/10.1016/0022-3913(85)90066-6.
Cardaropoli G, Araújo M, Lindhe J. Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. J Clin Periodontol. 2003;30(9):809-818. https://doi.org/10.1034/j.1600-051x.2003.00366.x.
Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005;32(2):212-218. https://doi.org/10.1111/j.1600-051X.2005.00642.x.
Trombelli L, Farina R, Marzola A, Bozzi L, Liljenberg B, Lindhe J. Modeling and remodeling of human extraction sockets. J Clin Periodontol. 2008;35(7):630-639. https://doi.org/10.1111/j.1600-051X.2008.01246.x.
Discepoli N, Vignoletti F, Laino L, de Sanctis M, Muñoz F, Sanz M. Early healing of the alveolar process after tooth extraction: an experimental study in the beagle dog. J Clin Periodontol. 2013;40(6):638-644. https://doi.org/10.1111/jcpe.12074.
Lam RV. Contour changes of the alveolar process following extractions. J Prosthet Dent. 1960;10(1):25-32. https://doi.org/10.1016/0022-3913(60)90083-4.
Johnson K. A study of the dimensional changes occurring in the maxilla following tooth extraction. Aust Dent J. 1969;14(4):241-244. https://doi.org/10.1111/j.1834-7819.1969.tb06001.x.
Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003;23(4):313-323.
Gargallo-Albiol J, Tavelli L, Barootchi S, Monje A, Wang HL. Clinical sequelae and patients' perception of dental implant removal: A cross-sectional study. J Periodontol. 2020. https://doi.org/10.1002/JPER.20-0259. [Published ahead of print].
Meloni SM, Tallarico M, Lolli FM, Deledda A, Pisano M, Jovanovic SA. Postextraction socket preservation using epithelial connective tissue graft vs porcine collagen matrix. 1-year results of a randomised controlled trial. Eur J Oral Implantol. 2015;8(1):39-48.
Monje A, Pons R, Insua A, Nart J, Wang HL, Schwarz F. Morphology and severity of peri-implantitis bone defects. Clin Implant Dent Relat Res. 2019;21(4):635-643. https://doi.org/10.1111/cid.12791.
Jung RE, Philipp A, Annen BM, et al. Radiographic evaluation of different techniques for ridge preservation after tooth extraction: a randomized controlled clinical trial. J Clin Periodontol. 2013;40(1):90-98. https://doi.org/10.1111/jcpe.12027.
Tan WL, Wong TL, Wong MC, Lang NP. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res. 2012;23:1-21. https://doi.org/10.1111/j.1600-0501.2011.02375.x.
Berglundh T, Lindhe J, Jonsson K, Ericsson I. The topography of the vascular systems in the periodontal and peri-implant tissues in the dog. J Clin Periodontol. 1994;21(3):189-193. https://doi.org/10.1111/j.1600-051x.1994.tb00302.x.
Artzi Z, Tal H, Dayan D. Porous bovine bone mineral in healing of human extraction sockets. Part 1: histomorphometric evaluations at 9 months. J Periodontol. 2000;71(6):1015-1023. https://doi.org/10.1902/jop.2000.71.6.1015.
Lekovic V, Camargo PM, Klokkevold PR, et al. Preservation of alveolar bone in extraction sockets using bioabsorbable membranes. J Periodontol. 1998;69(9):1044-1049. https://doi.org/10.1902/jop.1998.69.9.1044.
Iasella JM, Greenwell H, Miller RL, et al. Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans. J Periodontol. 2003;74(7):990-999. https://doi.org/10.1902/jop.2003.74.7.990.
Avila-Ortiz G, Chambrone L, Vignoletti F. Effect of alveolar ridge preservation interventions following tooth extraction: A systematic review and meta-analysis. J Clin Periodontol. 2019;46:195-223. https://doi.org/10.1111/jcpe.13057.
Avila-Ortiz G, Gubler M, Romero-Bustillos M, Nicholas CL, Zimmerman MB, Barwacz CA. Efficacy of alveolar ridge preservation: a randomized controlled trial. J Dent Res. 2020;99(4):402-409. https://doi.org/10.1177/0022034520905660.
Froum S, Yamanaka T, Cho SC, Kelly R, St James S, Elian N. Techniques to remove a failed integrated implant. Compend Contin Educ Dent. 2011;32(7):22-32.
Roy M, Loutan L, Garavaglia G, Hashim D. Removal of osseointegrated dental implants: a systematic review of explantation techniques. Clin Oral Investig. 2020;24(1):47-60. https://doi.org/10.1007/s00784-019-03127-0.
Bohner LOL, Mukai E, Oderich E, et al. Comparative analysis of imaging techniques for diagnostic accuracy of peri-implant bone defects: a meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;124(4):432-440. https://doi.org/10.1016/j.oooo.2017.06.119.
Pinheiro LR, Gaia BF, Oliveira de Sales MA, Umetsubo OS, Santos Junior O, Cavalcanti MG. Effect of field of view in the detection of chemically created peri-implant bone defects in bovine ribs using cone beam computed tomography: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120(1):69-77. https://doi.org/10.1016/j.oooo.2015.04.006.
González-Martín O, Oteo C, Ortega R, Alandez J, Sanz M, Veltri M. Evaluation of peri-implant buccal bone by computed tomography: an experimental study. Clin Oral Implants Res. 2016;27(8):950-955. https://doi.org/10.1111/clr.12663.
Razavi T, Palmer RM, Davies J, Wilson R, Palmer PJ. Accuracy of measuring the cortical bone thickness adjacent to dental implants using cone beam computed tomography. Clin Oral Implants Res. 2010;21(7):718-725. https://doi.org/10.1111/j.1600-0501.2009.01905.x.
Fienitz T, Schwarz F, Ritter L, Dreiseidler T, Becker J, Rothamel D. Accuracy of cone beam computed tomography in assessing peri-implant bone defect regeneration: a histologically controlled study in dogs. Clin Oral Implants Res. 2012;23(7):882-887. https://doi.org/10.1111/j.1600-0501.2011.02232.x.
Codari M, de Faria VK, Ferreira Pinheiro Nicolielo L, Haiter Neto F, Jacobs R. Quantitative evaluation of metal artifacts using different CBCT devices, high-density materials and field of views. Clin Oral Implants Res. 2017;28(12):1509-1514. https://doi.org/10.1111/clr.13019.
Sancho-Puchades M, Hämmerle CH, Benic GI. In vitro assessment of artifacts induced by titanium, titanium-zirconium and zirconium dioxide implants in cone-beam computed tomography. Clin Oral Implants Res. 2015;26(10):1222-1228. https://doi.org/10.1111/clr.12438.
Domic D, Bertl K, Ahmad S, Schropp L, Hellén-Halme K, Stavropoulos A. Accuracy of cone-beam computed tomography is limited at implant sites with a thin buccal bone: a laboratory study. J Periodontol. 2021;92(4):592-601. https://doi.org/10.1002/JPER.20-0222.