Case Series
Volume 20 Issue 12 - 2021
Management Protocol of Peri-Implantitis in Patients Treated with One Piece Implant - Clinical and Radiographic Assessment

Ahmed Halim Ayoub1* and Soulafa Mohamed Belal2

1MSc of Implant, Seville University, Spain and President of the Egyptian Society of Oral Implantology, Alexandria, Egypt and Visiting Lecturer in Aldo Bari University, Italy
2BDS, MSc of Periodontology, Oral Medicine, Oral Diagnosis and Oral Radiology, Faculty of Dentistry, Tanta University, Egypt
*Corresponding Author: Ahmed Halim Ayoub, MSc of Implant, Seville University, Spain and President of the Egyptian Society of Oral Implantology, Alexandria, Egypt and Visiting Lecturer in Aldo Bari University, Italy.
Received: July 31, 2021; Published: November 30, 2021




Abstract

Peri-implantitis is a pathological situation that results in loss of soft tissue and crestal bone around the implant. Debridement to remove devitalized and necrotic tissue from wounds elsewhere in the body has not been subject to robust evaluation in the literature. There is lack of evidence to support certain debridement way or agent for surgical wounds. In our study we will introduce a protocol of how to manage such problem, especially in one-piece implant.

Keywords: One-Piece Implant; Peri-Implantitis; Dento-Alveloar Bone Persistent Infection; Diode Laser; Albumin Coated Allograft; Sticky Bone; Platelets Rich Fibrin (PRF)

References

  1. S Jepsen., et al. “Primary prevention of peri-implantitis: managing peri-implant mucositis”. Journal of Clinical Periodontology 42 (2015): S152-S157.
  2. M Handelsman. “Surgical guidelines for dental implant placement”. British Dental Journal3 (2006): 139-152.
  3. R Smeets., et al. “Impact of dental implant surface modifications on osseointegration”. BioMed Research International (2016).
  4. T Albrektsson., et al. “The long-term efficacy of currently used dental implants: a review and proposed criteria of success”. The International Journal of Oral and Maxillofacial Implants1 (1986): 11-25.
  5. G Cardaropoli., et al. “Tissue alterations at implant-supported single-tooth replacements: a 1-year prospective clinical study”. Clinical Oral Implants Research2 (2006): 165-171.
  6. J Derks., et al. “Peri-implantitis - onset and pattern of progression”. Journal of Clinical Periodontology4 (2016): 383-388.
  7. “One-piece root-form implants: a return to simplicity”. The Journal of Oral Implantology 31.2 (2005): 77-84.
  8. SM Parel and SR Schow. “Early clinical experience with a new one-piece implant system in single tooth sites”. The International Journal of Oral and Maxillofacial Implants9 (2005): 2-10.
  9. N Sathvik., et al. “Peri-implant health in single piece implants: A literature review”. Drug Invention Today2 (2019): 139-141.
  10. T Fretwurst., et al. “Is metal particle release associated with peri-implant bone destruction? An emerging concept”. Journal of Dental Research3 (2018): 259-265.
  11. Derks J., et al. “Peri-implantitis-onset and pattern of progression”. Journal of Clinical Periodontology4 (2016): 383-388.
  12. Al-Sabbagh M and Bhavsar I. “Key local and surgical factors related to implant failure”. Dental Clinics of North America1 (2015): 1-23.
  13. Esposito M., et al. “Interventions for replacing missing teeth: treatment of peri-implantitis”. Cochrane Database of Systematic Reviews 1 (2012): CD004970.
  14. Canullo L., et al. “Montegrotto Group for the Study of Peri-implant Disease. International brainstorming meeting on etiologic and risk factors of peri-implantitis, Montegrotto (Padua, Italy), August 2014”. The International Journal of Oral and Maxillofacial Implants5 (2015): 1093-1104.
  15. Albrektsson T., et al. “Peri-implantitis: a complication of a foreign body or a man made “disease.” Facts and fiction”. Clinical Implant Dentistry and Related Research4 (2016): 840-849.
  16. Derks J and Tomasi C. “Peri-implant health and disease: a systematic review of current epidemiology”. Journal of Clinical Periodontology16 (2015): S158-S171.
  17. Renvert S and Quirynen M. “Risk indicators for peri-implantitis: a narrative review”. Clinical Oral Implants Research11 (2015): 15-44.
  18. Lang NP and Berglundh T. “Working Group 4 of Seventh European Workshop on Periodontology. Periimplant diseases: where are we now? Consensus of the Seventh European Workshop on Periodontology”. Journal of Clinical Periodontology11 (2011): 178-181.
  19. Ochsner PE and Hailemariam S. “Histology of osteosynthesis associated bone infection”. Injury2 (2006): S49-S58.
  20. Gristina AG. “Biomaterial-centered infection: microbialadhesion versus tissue integration”. Science 237 (1987): 1588-1595.
  21. Stephen Nelson and Graham Thomas. “Bacterial persistence in dentoalveolar bone following extraction: A microbiological study and implications for dental implant treatment”. Clinical Implant Dentistry and Related Research4 (2010): 306-314.
  22. Dryburgh N., et al. “Debridement for surgical wounds”. Cochrane Database of Systematic Reviews (2008): CD006214.
  23. Siqueira JF Jr and Rocas IN. “Polymerase chain reaction detection of Propionibacterium propionicus and actinomyces radicidentis in primary and persistent endodontic infections”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 96 (2003): 215-222.
  24. Tronstad L and Sunde P. “The evolving new understanding of endodontic infections”. Endodontic Topics 6 (2003): 57-77.
  25. Dahlen G. “Microbiology and treatment of dental abscesses and periodontal-endodontic lesions”. Periodontology 2000 28 (2002): 206-239.
  26. Ricucci D and Siqueira JF Jr. “Apical actinomycosis as a continuum of intraradicular and extraradicular infection: case report and critical review on its involvement with treatment failure”. The Journal of Endodontics 34 (2008): 1124-1129.
  27. Friberg B., et al. “Rehabilitation of edentulous mandibles by means of turned Brånemark System implants after one-stage surgery: a 1-year retrospective study of 152 patients”. Clinical Implant Dentistry and Related Research 7 (2005): 1-9.
  28. Casap N., et al. “Immediate placement of dental implants into debrided infected dentoalveolar sockets”. Journal of Oral and Maxillofacial Surgery 65 (2007): 384-392.
  29. Valderrama P., et al. “Suppl 1: detoxification of implant surfaces affected by peri-implant disease: an overview of non-surgical methods”. The Open Dentistry Journal 8 (2014): 77.
  30. Fox SC., et al. “The effects of scaling titanium implant surface with metal and plastic instruments: an In vitro study”. Journal of Periodontology8 (1990): 485-490.
  31. Salvi GE., et al. “Adjunctive local antibiotic therapy in the treatment of peri-implantitis II: clinical and radiographic outcomes”. Clinical Oral Implants Research3 (2007): 281-285.
  32. Stübinger S., et al. “Surface alterations of polished and sandblasted and acid-etched titanium implants after Er: YAG, carbon dioxide, and diode laser irradiation”. The International Journal of Oral and Maxillofacial Implants1 (2010): 104.
  33. Dِrtbudak O., et al. “Effect of low-power laser irradiation on bony implant sites”. Clinical Oral Implants Research 13 (2002): 288-292.
  34. Dِrtbudak O., et al. “Biostimulation of bone marrow cells with a diode soft laser”. Clinical Oral Implants Research6 (2000): 540-545.
  35. Khadra M. “The effect of low level laser irradiation on implant-tissue interaction. In vivo and in vitro studies”. Swedish Dental Journal Supplement 172 (2005): 1-63.
  36. Evans TW. “Review article: Albumin as a drug-biological effects of albumin unrelated to oncotic pressure”. Alimentary Pharmacology and Therapeutics5 (2002): 6-11.
  37. McDowell SG., et al. “Application of a fluorescent redox dye for enumeration of metabolically active bacteria on albumin-coated titanium surfaces”. Letters in Applied Microbiology1 (1995): 1-4.
  38. An YH., et al. “Prevention of bacterial adherence to implant surfaces with a crosslinked albumin coating In vitro”. Journal of Orthopaedic Research5 (1996): 846-849.
  39. An YH., et al. “The prevention of prosthetic infection using a cross-linked albumin coating in a rabbit model”. Journal of Bone and Joint Surgery-British5 (1997): 816-819.
  40. Bernards MT., et al. “MC3T3-E1 cell adhesion to hydroxyapatite with adsorbed bone sialoprotein, bone osteopontin, and bovine serum albumin”. Colloids and Surfaces B: Biointerfaces2 (2008): 236-247.
  41. A Ayoub and S Belal. “Ridge Rehabilitation in the Esthetic Zone Using Alloplastic Bone Graft and Albumin-Coated Allograft: A Case Report with 5 Year Follow Up”. EC Dental Science5 (2017): 225-234.
  42. Vijayalakshmi R., et al. “Use of platelet rich fibrin in a fenestration defect around an implant”. Journal of Indian Society of Periodontology1 (2012): 108-112.
  43. Choukroun J., et al. “Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: clinical effects on tissue healing”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology3 (2006): e56-e60.
  44. He L., et al. “A comparative study of platelet-rich fibrin (PRF) and platelet-rich plasma (PRP) on the effect of proliferation and differentiation of rat osteoblasts In vitro”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology5 (2009): 707-713.
  45. Jang ES., et al. “Restoration of peri-implant defects in immediate implant installations by Choukroun platelet-rich fibrin and silk fibroin powder combination graft”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology6 (2010): 831-836.
  46. Kundu R and Rathee M. “Effect of Platelet-Rich-Plasma (PRP) and implant surface topography on implant stability and bone”. Journal of Clinical and Diagnostic Research6 (2014): ZC26-ZC30.
  47. Anitua E. “Plasma rich in growth factors: preliminary results of use in the preparation of future sites for implants”. International Journal of Oral and Maxillofacial Implants4 (1999): 529-535.
  48. A Ayoub and S Belal. “Peri-Implant Soft Tissue Augmentation Using Platelet Rich Fibrin (PRF) in Esthetic Zone: A Case Report”. EC Dental Science6 (2016): 1418-1423.
Citation: Ahmed Halim Ayoub and Soulafa Mohamed Belal. “Management Protocol of Peri-Implantitis in Patients Treated with One Piece Implant - Clinical and Radiographic Assessment”. EC Dental Science 20.12 (2021): 71-90.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


May Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the May issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before May 25, 2022.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.