Infection at titanium implants with or without a clinical diagnosis of inflammation

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Infection at titanium implants with or without a clinical diagnosis of inflammation

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Publication Article, peer reviewed scientific
Title Infection at titanium implants with or without a clinical diagnosis of inflammation
Author(s) Renvert, Stefan ; Roos-Jansåker, Ann-Marie ; Lindahl, Christel ; Renvert, Helena ; Persson, Rutger G
Date 2007
English abstract
OBJECTIVES: To assess the microbiota at implants diagnosed with peri-implantitis, implant mucositis, or being clinically healthy. MATERIAL AND METHODS: Clinical and microbiological data were collected from 213 subjects (mean age: 65.7+/-14) with 976 implants in function (mean: 10.8 years, SD+/-1.5). Forty species were identified by the checkerboard DNA-DNA hybridization method. RESULTS: Implant mean % plaque score was 41.8+/-32.4%. Periodontitis defined by bone loss was found in 44.9% of subjects. Implant mucositis was diagnosed in 59% and peri-implantitis in 14.9% of all cases. Neisseria mucosa, Fusobacterium nucleatum sp. nucleatum, F. nucleatum sp. polymorphum, and Capnocytophaga sputigena dominated the implant sub-mucosal microbiota and the sub-gingival microbiota at tooth sites. Implant probing pocket depth at the implant site with the deepest probing depth was correlated with levels of Eikenella corrodens (r=0.16, P<0.05), the levels of F. nucleatum sp. vincentii (r=0.15, P<0.05), Porphyromonas gingivalis (r=0.14, P<0.05), and Micromonas micros (r=0.17, P=0.01). E. corrodens was found in higher levels at implants with mucositis compared with implant health (P<0.05). Subjects who lost teeth due to periodontitis had higher yields of F. nucleatum sp. vincentii (P<0.02) and N. mucosa (P<0.05). Independent of implant status subjects with teeth had higher levels of P. gingivalis (P<0.05), and Leptotrichia buccalis (P<0.05). CONCLUSIONS: At implant sites studied, few bacteria differed by whether subjects were dentate or not or by implant status.
DOI http://dx.doi.org/10.1111/j.1600-0501.2007.01378.x (link to publisher's fulltext)
Host/Issue Clinical oral implants research;4
Volume 18
ISSN 1600-0501
Pages 509-16
Language swe (iso)
Subject(s) Medicine
Research Subject Categories::ODONTOLOGY::Periodontology
Handle http://hdl.handle.net/2043/5517 (link to this page)

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