Abstract
AIM AND METHOD: The authors summarize in this paper the results of the culture of periimplant exudate taken from 41 implant sites showing clear clinical signs of periimplantitis. 41 exudate samples were obtained from 24 patients who were the subject of the study. Sampling was carried out using sterile paper tips (which were introduced into the area around the implants). In two other cases, granulation tissue obtained by curettage after explantation was cultured (2 samples). A total of 43 samples intended for cultivation. Samples were inoculated onto dishes in a microbiological laboratory in an anaerobic environment.
RESULTS: Stomatococcus (19 cases), Prevotella oralis (12 cases), Peptostreptococcus (2 cases) and Fusobacterium nucleatum (2 cases). In 8 samples, the dominant bacterium could not be isolated due to antibiotic therapy before culture. In one of the cases, open surgery did not reveal bone loss, despite the existence of periimplant exudates and inflammatory symptoms.
CONCLUSION: Most of the factors that lead to implant failure can be controlled by the dentist through proper preoperative treatment planning. The number, diameter and location of the implants, depending on the patient‘s bone type and the type of future dental prosthesis, are all factors that must be clearly under control. Patients undergoing chronic treatment with corticoids, poorly controlled diabetics, smokers, patients with active periodontal disease and individuals with severe systemic pathology or predisposing genetic factors should be considered high-risk cases (Fig. 8, ref. 8). Text in PDF www.lekarskyobzor.sk.
KEY WORDS: periimplant disease, mucositis, periimplantitis, etiology, diagnosis, therapy.
Lek Obz 2022, 71 (9): 320-324
Juraj DEGLOVIČ 1, Marek ŠUPLER 1, Simona DIANIŠKOVÁ 2, Neda MARKOVSKÁ 1
1 Katedra zubného lekárstva LF SZU, Bratislava, prednosta MUDr. J. Deglovič, PhD., MPH
2 Katedra čeľustnej ortopédie SZU, Bratislava, prednostka MUDr. S. Dianišková, PhD., MPH
CITE:
DEGLOVIČ J., ŠUPLER M., DIANIŠKOVÁ S., MARKOVSKÁ N: Periimplantitis. Lek Obz 2022, 71 (9): 320-324
