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Long-term stability of surgical bone regenerative procedures of peri-implantitis lesions in a prospective case-control study over 3 years
Department of Periodontology, Public Dental Health Service, Kristianstad.
Kristianstad University, School of Health and Society. (Oral hälsa)
Kristianstad University, School of Health and Society. (Oral hälsa)ORCID iD: 0000-0002-3620-5978
Kristianstad University, School of Health and Society. (Oral hälsa)ORCID iD: 0000-0003-0992-2362
2011 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 38, no 6, p. 590-597Article in journal (Refereed) Published
Abstract [en]

P>Objectives To evaluate the extent of bone fill over 3 years following the surgical treatment of peri-implantitis with bone grafting with or without a membrane. Material and Methods In a non-submerged wound-healing mode, 15 subjects with 27 implants were treated with a bone substitute (Algipore (R)) alone and 17 subjects with 29 implants were treated with the bone substitute and a resorbable membrane (Osseoquest (R)). Implants with radiographic bone loss >= 1.8 mm following the first year in function and with bleeding and/or pus on probing were included. Following surgery, subjects were given systemic antibiotics (10 days) and rinsed with chlorhexidine. After initial healing, the subjects were enrolled in a strict maintenance programme. Results Statistical analysis failed to demonstrate changes in bone fill between 1 and 3 years both between and within procedure groups. The mean defect fill at 3 years was 1.3 +/- (SD) 1.3 mm if treated with the bone substitute alone and 1.6 +/- (SD) 1.2 mm if treated with an adjunct resorbable membrane, (p=0.40). The plaque index decreased from approximately 40-10%, remaining stable during the following 2 years. Conclusion Defect fill using a bone substitute with or without a membrane technique in the treatment of peri-implantitis can be maintained over 3 years.

Place, publisher, year, edition, pages
2011. Vol. 38, no 6, p. 590-597
Keywords [en]
bone graft, defect fill, membrane, peri-implantitis, plaque index, surgery, guided tissue regeneration, mechanical nonsurgical treatment, 14-year, follow-up, nanocrystalline hydroxyapatite, collagen membrane, retrospective analysis, intraosseous defects, intrabony defects, infrabony defects, titanium implants
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-8787DOI: 10.1111/j.1600-051X.2011.01729.xISI: 000290408400011PubMedID: 21488935OAI: oai:DiVA.org:hkr-8787DiVA, id: diva2:462350
Available from: 2011-12-07 Created: 2011-12-06 Last updated: 2017-12-08Bibliographically approved

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Persson, G. RutgerRenvert, Stefan

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