Osseointegrated Implants in Subjects Treated for Generalized Aggressive Periodontitis: 10-Year Results of a Prospective, Long-Term Cohort Study

• Autores: Marion Behle, Lavin Flores-de-Jacoby, Reiner Mengel
• Localización: Journal of periodontology, ISSN 0022-3492, Vol. 78, Nº. 12, 2007, págs. 2229-2237
• Idioma: inglés
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• Resumen

  • Osseointegrated Implants in Subjects Treated for Generalized Aggressive Periodontitis: 10-Year Results of a Prospective, Long-Term Cohort Study Reiner Mengel,* Marion Behle,* and Lavin Flores-de-Jacoby* *Department of Periodontology, Philipps University Marburg, Marburg, Germany.

    Correspondence: Dr. Reiner Mengel, Department of Periodontology, School of Dentistry, Philipps University Marburg, Georg-Voigt-Str. 3, 35033 Marburg, Germany. Fax: 49-6421-2863270; e-mail: mengel@mailer.uni-marburg.de.

    Background: The aim of this prospective 10-year study of partially edentulous subjects treated for generalized aggressive periodontitis and periodontally healthy subjects was a clinical, microbiologic, and radiographic comparison of teeth and implants and assessment of the implants' success rate.

    Methods: Five subjects treated for generalized aggressive periodontitis (GAgP) and five periodontally healthy subjects who were orally rehabilitated with osseointegrated implants participated in the study. First, they were examined 2 to 4 weeks before extraction of the non-retainable teeth (baseline) and 3 weeks after insertion of the final abutments. All further examinations were performed during a 3-month recall schedule over a 10-year period. At every session, clinical parameters were recorded, and the composition of the subgingival microflora was determined. Radiographs were taken at baseline after insertion of the superstructure and 1, 3, 5, 8, and 10 years later.

    Results: Throughout the follow-up period, the peri-implant gingival index of GAgP subjects was significantly higher than in periodontally healthy subjects. There was no difference in plaque index between teeth and implants or between the two groups. The peri-implant probing depths were comparable in the two groups and remained ≤4 mm throughout the follow-up. The probing depth was significantly higher around the teeth of the GAgP subjects compared to periodontally healthy subjects. Implants of GAgP subjects showed a significantly higher attachment loss (Ø 2.4 mm). The attachment level at teeth and implants of the periodontally healthy subjects and at teeth of the GAgP subjects was almost unchanged. Microbiologically, GAgP subjects had fewer cocci and more motile rods and filaments at teeth and implants than periodontally healthy subjects. GAgP subjects showed significantly more peri-implant bone loss in the first year (Ø 2.07 mm) and in the subsequent 9 years (total 1.3 mm). Bone loss at teeth also was significantly higher at baseline (Ø 26.39%) and in the following years (total 9.3%). Implant survival rates were 100% in periodontally healthy subjects versus 83.33% in GAgP subjects.

    Conclusions: This 10-year study showed that partially edentulous subjects treated for GAgP can be rehabilitated successfully with osseointegrated implants. However, the bone and attachment loss at the implants were higher than in periodontally healthy subjects.

    KEYWORDS: Dental implants, edentulous, jaw, osseointegration, periodontal disease, periodontitis Cited by F. Sgolastra, A. Petrucci, M. Severino, R. Gatto and A. Monaco. (2015) Periodontitis, implant loss and peri-implantitis. A meta-analysis. Clinical Oral Implants Research 26:10.1111/clr.2015.26.issue-4, e8-e16.

    Online publication date: 1-Apr-2015.

    CrossRef Mohanad Al-Sabbagh and Ishita Bhavsar. (2015) Key Local and Surgical Factors Related to Implant Failure. Dental Clinics of North America 59, 1-23.

    Online publication date: 1-Jan-2015.

    CrossRef Ausra Ramanauskaite, Nomeda Baseviciene, Hom-Lay Wang and Tolga F. Tözüm. (2014) Effect of History of Periodontitis on Implant Success. Implant Dentistry 23, 687-696.

    Online publication date: 1-Dec-2014.

    CrossRef Alberto Monje, Gil Alcoforado, Miguel Padial-Molina, Fernando Suarez, Guo-Hao Lin and Hom-Lay Wang. (2014) Generalized Aggressive Periodontitis as a Risk Factor for Dental Implant Failure: A Systematic Review and Meta-Analysis. Journal of Periodontology 85:10, 1398-1407.

    Online publication date: 1-Oct-2014.

    Abstract | Full Text | PDF (1242 KB) | PDF Plus (686 KB) Luis Antonio Aguirre-Zorzano, Ruth Estefanía-Fresco, Olatz Telletxea and Manuel Bravo. (2014) Prevalence of peri-implant inflammatory disease in patients with a history of periodontal disease who receive supportive periodontal therapy. Clinical Oral Implants Research, n/a-n/a.

    Online publication date: 1-Aug-2014.

    CrossRef Rocío Vázquez Álvarez, Mario Pérez Sayáns, Pilar Gayoso Diz and Abel García García. (2014) Factors affecting peri-implant bone loss: a post-five-year retrospective study. Clinical Oral Implants Research, n/a-n/a.

    Online publication date: 1-Jun-2014.

    CrossRef Joerg Meyle, Gero Gersok, Rolf-Hasso Boedeker and José Roberto Gonzales. (2014) Long-term analysis of osseointegrated implants in non-smoker patients with a previous history of periodontitis. Journal of Clinical Periodontology 41:10.1111/jcpe.2014.41.issue-5, 504-512.

    Online publication date: 1-May-2014.

    CrossRef Melissa Dierens, Stefan Vandeweghe, Jenö Kisch, G. Rutger Persson, Jan Cosyn and Hugo De Bruyn. (2013) Long-Term Follow-Up of Turned Single Implants Placed in Periodontally Healthy Patients After 16 to 22 Years: Microbiologic Outcome. Journal of Periodontology 84:7, 880-894.

    Online publication date: 1-Jul-2013.

    Abstract | Full Text | PDF (866 KB) | PDF Plus (628 KB) Clovis Mariano Faggion and Nikolaos Nikitas Giannakopoulos. (2013) Critical appraisal of systematic reviews on the effect of a history of periodontitis on dental implant loss. Journal of Clinical Periodontology 40, 542-552.

    Online publication date: 1-May-2013.

    CrossRef Liran Levin, Hadar Zigdon, Paulo G. Coelho, Marcelo Suzuki and Eli E. Machtei. (2013) Reimplantation of Dental Implants following Ligature-Induced Peri-Implantitis: A Pilot Study in Dogs. Clinical Implant Dentistry and Related Research 15:10.1111/cid.2013.15.issue-1, 1-6.

    Online publication date: 1-Feb-2013.

    CrossRef Alexander Heschl, Michael Haas, Josef Haas, Michael Payer, Walther Wegscheider and Raoul Polansky. (2013) Maxillary rehabilitation of periodontally compromised patients with extensive one-piece fixed prostheses supported by natural teeth: a retrospective longitudinal study. Clinical Oral Investigations 17, 45-53.

    Online publication date: 1-Jan-2013.

    CrossRef Christian Mertens, Helmut G. Steveling, Kathrin Stucke, Bernadette Pretzl and Amelie Meyer-Bäumer. (2012) Fixed Implant-Retained Rehabilitation of the Edentulous Maxilla: 11-Year Results of a Prospective Study. Clinical Implant Dentistry and Related Research 14:10.1111/cid.2012.14.issue-6, 816-827.

    Online publication date: 1-Dec-2012.

    CrossRef Katrin Swierkot, Peer Lottholz, Lavin Flores-de-Jacoby and Reiner Mengel. (2012) Mucositis, Peri-Implantitis, Implant Success, and Survival of Implants in Patients With Treated Generalized Aggressive Periodontitis: 3- to 16-Year Results of a Prospective Long-Term Cohort Study. Journal of Periodontology 83:10, 1213-1225.

    Online publication date: 1-Oct-2012.

    Abstract | Full Text | PDF (510 KB) | PDF Plus (556 KB) Avinash S. Bidra and Murad Shaqman. (2012) Treatment Planning and Sequence for Implant Therapy in a Young Adult With Generalized Aggressive Periodontitis. Journal of Oral Implantology 38, 405-415.

    Online publication date: 1-Aug-2012.

    CrossRef Niklaus P. Lang, Lui Pun, Ka Yee Lau, Ka Yan Li and May CM Wong. (2012) A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clinical Oral Implants Research 23:10.1111/clr.2011.23.issue-s5, 39-66.

    Online publication date: 1-Feb-2012.

    CrossRef Perry R. Klokkevold. 2012. Treatment of Aggressive and Atypical Forms of Periodontitis. Carranza's Clinical Periodontology, 427-436.

    CrossRef Kyoung-Kyu Kim and Hun-Mo Sung. (2012) Outcomes of dental implant treatment in patients with generalized aggressive periodontitis: a systematic review. The Journal of Advanced Prosthodontics 4, 210.

    Online publication date: 1-Jan-2012.

    CrossRef Nikolaos Donos, Lars Laurell and Nikolaos Mardas. (2012) Hierarchical decisions on teeth vs. implants in the periodontitis-susceptible patient: the modern dilemma : Teeth vs. implants in the periodontitis-susceptible patient. Periodontology 2000 59:1, 89.

    CrossRef T. Roshna and K. Nandakumar. (2012) Generalized Aggressive Periodontitis and Its Treatment Options: Case Reports and Review of the Literature. Case Reports in Medicine 2012, 1-17.

    Online publication date: 1-Jan-2012.

    CrossRef M. Christgau. (2011) Parodontologische Zahnerhaltung vs. implantologische Versorgung. Der MKG-Chirurg 4, 301-306.

    Online publication date: 1-Nov-2011.

    CrossRef Jan Cosyn, Stefanie Raes, Stefanie Meyer, Filiep Raes, Ronald Buyl, Danny Coomans and Hugo Bruyn. (2011) An analysis of the decision-making process for single implant treatment in general practice. Journal of Clinical Periodontology, n/a-n/a.

    Online publication date: 1-Oct-2011.

    CrossRef Marcus Kehl, Katrin Swierkot and Reiner Mengel. (2011) Three-Dimensional Measurement of Bone Loss at Implants in Patients With Periodontal Disease. Journal of Periodontology 82:5, 689-699.

    Online publication date: 1-May-2011.

    Abstract | Full Text | PDF (893 KB) | PDF Plus (621 KB) Marco Aglietta, Vincenzo Iorio Siciliano, Giulio Rasperini, Carlo Cafiero, Niklaus P. Lang and Giovanni E. Salvi. (2010) A 10-year retrospective analysis of marginal bone-level changes around implants in periodontally healthy and periodontally compromised tobacco smokers. Clinical Oral Implants Research 5, no-no.

    Online publication date: 1-Aug-2010.

    CrossRef Clark Stanford. (2010) Os Resultados com Implantes Dentários Podem Variar Nos Doentes com História de Doença Periodontal. Journal of Evidence-Based Dental Practice (Portugal Edition) 1, 178-180.

    Online publication date: 1-Jul-2010.

    CrossRef Clark Stanford. (2010) Os Resultados com Implantes Dentários podem Variar em Pacientes com História de Doença Periodontal. Journal of Evidence-Based Dental Practice (Brazil Edition) 1, 178-181.

    Online publication date: 1-Jul-2010.

    CrossRef Mario Roccuzzo, Nicola De Angelis, Luca Bonino and Marco Aglietta. (2010) Ten-year results of a three-arm prospective cohort study on implants in periodontally compromised patients. Part 1: implant loss and radiographic bone loss. Clinical Oral Implants Research 21:10.1111/clr.2010.21.issue-5, 490-496.

    Online publication date: 1-May-2010.

    CrossRef Miriam Thöne-Mühling, Katrin Swierkot, Claudia Nonnenmacher, Reinier Mutters, Lavin Flores-de-Jacoby and Reiner Mengel. (2010) Comparison of two full-mouth approaches in the treatment of peri-implant mucositis: a pilot study. Clinical Oral Implants Research 21:10.1111/clr.2010.21.issue-5, 504-512.

    Online publication date: 1-May-2010.

    CrossRef M. Vercruyssen, K. Marcelis, W. Coucke, I. Naert and M. Quirynen. (2010) Long-term, retrospective evaluation (implant and patient-centred outcome) of the two-implants-supported overdenture in the mandible. Part 1: survival rate. Clinical Oral Implants Research 21:10.1111/clr.2010.21.issue-4, 357-365.

    Online publication date: 1-Apr-2010.

    CrossRef Sergio Matarasso, Giulio Rasperini, Vincenzo Iorio Siciliano, Giovanni E. Salvi, Niklaus P. Lang and Marco Aglietta. (2010) A 10-year retrospective analysis of radiographic bone-level changes of implants supporting single-unit crowns in periodontally compromised vs. periodontally healthy patients. Clinical Oral Implants Research.

    Online publication date: 1-Apr-2010.

    CrossRef Annemarie L. De Boever, Marc Quirynen, Wim Coucke, Guy Theuniers and Jan A. De Boever. (2009) Clinical and radiographic study of implant treatment outcome in periodontally susceptible and non-susceptible patients: a prospective long-term study. Clinical Oral Implants Research 20:10.1111/clr.2009.20.issue-12, 1341-1350.

    Online publication date: 1-Dec-2009.

    CrossRef Stefan Renvert and G. Rutger Persson. (2009) Periodontitis as a potential risk factor for peri-implantitis. Journal of Clinical Periodontology 36:10.1111/cpe.2009.36.issue-s10, 9-14.

    Online publication date: 1-Jul-2009.

    CrossRef Syarida H. Safii, Richard M. Palmer and Ron F. Wilson. (2009) Risk of Implant Failure and Marginal Bone Loss in Subjects with a History of Periodontitis: A Systematic Review and Meta-Analysis. Clinical Implant Dentistry and Related Research.

    Online publication date: 1-Jun-2009.

    CrossRef Lisa J. A. Heitz-Mayfield. (2008) Peri-implant diseases: diagnosis and risk indicators. Journal of Clinical Periodontology 35:10.1111/cpe.2008.35.issue-s8, 292-304.

    Online publication date: 1-Sep-2008.