Etiology, pathogenesis and treatment of peri‐implantitis: A European perspective

Periodontology 2000, Год журнала: 2024, Номер unknown

Опубликована: Фев. 2, 2024

Abstract Peri‐implantitis is a plaque‐associated pathological condition occurring in tissues around dental implants. It characterized by inflammation the peri‐implant mucosa and progressive loss of supporting bone. Over last 30 years, peri‐implantitis has become major disease burden dentistry. An understanding diagnosis, etiology pathogenesis, epidemiology, treatment must be central component undergraduate postgraduate training programs In view strong role European research periodontology implant dentistry, focus this review was to address from perspective. One work summarize new reliable data on patients with implants underpin relevance population The nature lesion evaluated through results presented preclinical models evaluations human biopsy material together an appraisal microbiological characteristics. overview strategies outcomes clinical studies nonsurgical surgical discussed particular end points therapy recommendations S3 level Clinical Practice Guideline for prevention diseases.

Язык: Английский

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Peri-implant mucositis and peri-implantitis: key features and differences

BDJ, Год журнала: 2024, Номер 236(10), С. 791 - 794

Опубликована: Май 24, 2024

Abstract Peri-implant diseases are frequent complications that occur around osseointegrated endosseous implants and the result of an imbalance between bacterial challenge host response. may affect peri-implant mucosa only (peri-implant mucositis) or also involve supporting bone (peri-implantitis). Early detection timely treatment is important for success dental implant treatment. probing essential to assess health status should be done at each recall visit. Dental practitioners familiar with clinical radiological features both conditions in order make accurate diagnosis determine appropriate required. This article aims provide clinicians understanding key differences health, mucositis peri-implantitis.

Язык: Английский

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The evolution of robotics: research and application progress of dental implant robotic systems

International Journal of Oral Science, Год журнала: 2024, Номер 16(1)

Опубликована: Апрель 8, 2024

Abstract The use of robots to augment human capabilities and assist in work has long been an aspiration. Robotics developing since the 1960s when first industrial robot was introduced. As technology advanced, robotic-assisted surgery shown numerous advantages, including more precision, efficiency, minimal invasiveness, safety than is possible with conventional techniques, which are research hotspots cutting-edge trends. This article reviewed history medical development seminal papers about current progress. Taking autonomous dental implant robotic system as example, advantages prospects systems would be discussed provide a reference for future research.

Язык: Английский

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Accuracy and safety of a haptic operated and machine vision controlled collaborative robot for dental implant placement: A translational study

Clinical Oral Implants Research, Год журнала: 2023, Номер 34(8), С. 839 - 849

Опубликована: Июнь 12, 2023

Abstract Objectives Multiple generations of medical robots have revolutionized surgery. Their application to dental implants is still in its infancy. Co‐operating (cobots) great potential improve the accuracy implant placement, overcoming limitations static and dynamic navigation. This study reports robot‐assisted placement a preclinical model further applies robotic system clinical case series. Materials Methods In analyses, use lock‐on structure at robot arm‐handpiece was tested resin arch models. series, patients with single missing teeth or edentulous were included. Robot‐assisted performed. Surgery time recorded. Implant platform deviation, apex angular deviation measured. Factors influencing analyzed. Results The vitro results showed that structure, mean (SD) 0.37 (0.14) mm, 0.44 (0.17) 0.75 (0.29)°, respectively. Twenty‐one (28 implants) included 2 arches 19 teeth. median surgery for 23 (IQ range 20–25) min. two 47 70 0.54 (0.11) 0.79 (0.22)° 0.53 0.58 0.77 (0.26)° an arch. Implants placed mandible had significantly larger than those maxilla. Conclusion Cobot‐assisted excellent positional safety both More technological development research are needed support introduction oral implantology. Trial registered ChiCTR2100050885.

Язык: Английский

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Bone regeneration in implant dentistry: Which are the factors affecting the clinical outcome?

Periodontology 2000, Год журнала: 2023, Номер 93(1), С. 26 - 55

Опубликована: Авг. 24, 2023

Abstract The key factors that are needed for bone regeneration to take place include cells (osteoprogenitor and immune‐inflammatory cells), a scaffold (blood clot) facilitates the deposition of matrix, signaling molecules, blood supply, mechanical stability. However, even when these principles met, overall amount regenerated bone, its stability over time incidence complications may significantly vary. This manuscript provides critical review on main local systemic have an impact regeneration, trying focus, whenever possible, simultaneous implant placement treat dehiscence/fenestration defects or contouring. In future, it is likely tissue engineering will change our approach in dentistry by replacing current biomaterials with osteoinductive scaffolds combined mechanical/soluble employing immunomodulatory materials can both modulate immune response control other processes such as osteogenesis, osteoclastogenesis, inflammation. there currently important knowledge gaps biology osseous formation influence require further investigation. It recommended future studies should combine traditional clinical radiographic assessments non‐invasive imaging patient‐reported outcome measures. We also envisage integration multi‐omics approaches help uncover mechanisms responsible variability regenerative outcomes observed practice.

Язык: Английский

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Accuracy of robotic surgery for dental implant placement: A systematic review and meta‐analysis

Clinical Oral Implants Research, Год журнала: 2024, Номер 35(6), С. 598 - 608

Опубликована: Март 22, 2024

To systematically analyze the accuracy of robotic surgery for dental implant placement.

Язык: Английский

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Surgical treatment of peri-implantitis

BDJ, Год журнала: 2024, Номер 236(10), С. 803 - 808

Опубликована: Май 24, 2024

Abstract As utilisation of dental implants continues to rise, so does the incidence biological complications. When peri-implantitis has already caused extensive bone resorption, dentist faces dilemma which therapy is most appropriate maintain implant. Since non-surgical approaches have shown limited effectiveness, present paper describes different surgical treatment modalities, underlining their indications and limitations. The primary goal in management decontaminate surface infected implant eliminate deep peri-implant pockets. For this purpose, access flap debridement, with or without resective procedures, be effective a large number cases. These treatments, however, may linked post-operative recession mucosal margin. In addition disease resolution, reconstructive also seek regenerate defect achieve re-osseointegration.

Язык: Английский

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Diagnostic methods/parameters to monitor peri‐implant conditions

Periodontology 2000, Год журнала: 2024, Номер 95(1), С. 20 - 39

Опубликована: Июнь 1, 2024

The diagnostic accuracy of clinical parameters, including visual inspection and probing to monitor peri-implant conditions, has been regarded with skepticism. Scientific evidence pointed out that primary tools (chairside) seem be highly specific, while their sensitivity is lower compared use in monitoring periodontal stability. Nonetheless, given the association between pocket depth at teeth implant sites aerobic/anaerobic nature microbiome, it seems plausible for indicative disease progression or tissue In addition, understanding inflammatory diseases, reasonable advocate bleeding, erythema, ulceration, suppuration might reliable indicators pathology. Nevertheless, single spots bleeding on may not reflect disease, since implants are prone exhibit related force. On other side, smokers lacks owing decreased angiogenic activity. Hence, dichotomous scales general population, contrast indices feature profuseness time after probing, lead false positive diagnoses. definitive distinction mucositis peri-implantitis, though, relies upon radiographic progressive bone loss can assessed by means two- three-dimensional methods. Accordingly, objective this review evaluate existing parameters/methods conditions.

Язык: Английский

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The economic and societal impact of periodontal and peri‐implant diseases

Periodontology 2000, Год журнала: 2024, Номер unknown

Опубликована: Май 1, 2024

Abstract Periodontal and peri‐implant diseases result from a chronic inflammatory response to dysbiotic microbial communities are characterized by inflammation in the soft tissue ensuing progressive destruction of supporting bone, resulting tooth or implant loss. These diseases' high prevalence, multifactorial etiology, extensive treatment costs, significant detriment patients' quality‐of‐life underscore their status as critical public health burden. This review delineates economic sociocultural ramifications periodontal on patient welfare healthcare economics. We delve into implications diagnosis, treatment, supportive care, managing destructive consequences, contrasting these aspects with healthy patients.

Язык: Английский

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Radiographic assessment of the peri‐implant site

Periodontology 2000, Год журнала: 2024, Номер 95(1), С. 70 - 86

Опубликована: Июнь 1, 2024

While peri-implant mucositis relies solely on clinical parameters, radiological assessment becomes indispensable for diagnosing peri-implantitis. Intraoral radiography, with its simplicity of application, low radiation exposure, and adequate representation structures, stands out as the standard care both immediate follow-up assessments. Standardization by custom-made radiologic splints allows excellent comparability previous images determination even small changes in contour density bone. Furthermore, other radiographic modalities like panoramic radiography cone beam computed tomography (CBCT) may provide useful features specific patients cases while also showing innate limitations. Beyond marginal bone level crucial parameter relevance, reveal various findings related to prosthetic restoration itself, precision fit implant, soft hard tissues. Since such can be health implants' prognosis, a systematic diagnostic evaluation pathway thorough is recommended extract all relevant information from imaging. This article provides an overview chronological indications different imaging issues.

Язык: Английский

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