Longevity of Teeth and Dental Implants in Patients Treated for Chronic Periodontitis Following Periodontal Maintenance Therapy in a Private Specialist Practice: A Retrospective Study with a 10-Year Follow-up

Int J Periodontics Restorative Dent.Jan-Feb 2021;41(1):89-98. doi: 10.11607/prd.4674. Abstract The aim of the present study was to retrospectively evaluate the longevity of teeth and implants during a long-term period in a cohort of periodontally compromised patients, treated and maintained in a private specialist periodontal practice, and to analyze the associated risk factors. Fifty-eight patients (30 men, 28 women) who had received active periodontal therapy (APT) and regular periodontal maintenance (PM) ≥ 10 years were included and evaluated. The following were evaluated: (1) statistically significant differences of clinical parameters assessed at six tooth or implant sites (plaque scores, bleeding score, periodontal probing depth, bleeding on probing, and gingival recession) and radiographi c parameters (mesial and distal bone crest loss) between patients with and without tooth/implant loss during PM; and (2) associations between the number of teeth and implants lost and potential risk factors. During PM, the overall average tooth loss was 0.07 teeth/patient/year (0.04 teeth/patien t/year for periodontal reasons), while the overall average implant loss was 0.4 implants/patient/year. The overall implant failure was 10.08%, and the rate of implant failure due to biologic reasons was 9.8%. Incidence of implant failures in patients with vs without recurrent periodontal disease was 83.3% vs 16.7% (P
Source: Dental Technology Blog - Category: Dentistry Source Type: news

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Authors: Prati C, Zamparini F, Canullo L, Pirani C, Botticelli D, Gandolfi MG Abstract PURPOSE: This 3-year study aimed to evaluate hard and soft tissue modification around a two-piece implant characterized by a transmucosal hyperbolic neck in healthy consecutive patients with a need for single-tooth replacement. MATERIALS AND METHODS: Two-piece implants (n = 66) were placed with a flapless technique in 56 patients (27 men; 29 women; mean age 55 ± 9 years): 16 immediately after root extraction (immediate group), 20 after 8 to 12 weeks (early group), and 30 after 10 or more months (delayed group). The tra...
Source: International Journal of Oral and Maxillofacial Implants - Category: ENT & OMF Tags: Int J Oral Maxillofac Implants Source Type: research
We report the case of a patient with a Dieulafoy lesion within a duodenal diverticulum, showing the radiographic images. In this case the use of radiological techniques was of great help for diagnosis, bearing in mind that bleeding from this lesion may be intermittent and had not been revealed by the first endoscopic procedure. Since strong clinical suspicion persisted of active upper GI bleeding an angio-CT scan was performed, which allowed to orient diagnosis and rule out other causes of bleeding inaccessible to endoscopy. PMID: 32954778 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
Authors: Bevilacqua L, Fonzar A, Olivier S, De Biasi M, Visintin M, Angerame D, Maglione M Abstract The aim of this study was to investigate which factors play a major role in the healing of Class II mandibular furcation defects treated with different surgical techniques. Twenty-five systemically healthy subjects with periodontitis stage III grade B and Class II buccal mandibular furcation involvement received one of the following open flap debridement approaches: Group 1 (n = 10), no further treatment; Group 2 (n = 10), piezoelectric contouring of the furcation roof; Group 3 (n = 9), piezoelectric contouring of th...
Source: International Journal of Periodontics and Restorative Dentistry - Category: Dentistry Tags: Int J Periodontics Restorative Dent Source Type: research
Conclusion Neuroendoscopy provides excellent illumination and vision when a small bone flap is employed. The main advantages of this technique include the precise treatment of structures which are related with progression and recurrence of CSDH, and the minimally invasive nature of the procedure. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - Category: Neurosurgery Authors: Tags: Surgical Technique Source Type: research
ConclusionThe present immunohistochemical analysis suggests that macrophages constitute a considerable proportion of the inflammatory cellular composition at peri-implantitis sites, revealing a significant higher expression for M1 inflammatory phenotype at advanced peri-implantitis sites, which could possibly play a critical role in disease progression.Clinical relevanceMacrophages have critical functions to establish homeostasis and disease. Bacteria might induce oral dysbiosis unbalancing the host ’s immunological response and triggering inflammation around dental implants. M1/M2 status could possibly reveal peri-i...
Source: Clinical Oral Investigations - Category: Dentistry Source Type: research
CONCLUSION: Temporary interruptions in ibrutinib treatment of patients with CLL are common, and one quarter of patients who held ibrutinib in this study experienced a disease flare. Resolution with resuming ibrutinib underscores the importance of awareness of this phenomenon for optimal management. IMPLICATIONS FOR PRACTICE: Ibrutinib is a very effective treatment for chronic lymphocytic leukemia (CLL) but needs to be taken continuously. Side effects, such as increased bleeding risk with procedures, require temporary interruptions in this continuous treatment. Rapid CLL progression following ibrutinib discontinuation ...
Source: The Oncologist - Category: Cancer & Oncology Authors: Tags: Oncologist Source Type: research
This study aims to report the case of a 16-year-old patient with melanoderma complaining of pain and bleeding on dental elements 41-43 area. The intraoral examination revealed the lingual and buccal bulging of the affected area, suggesting neoplasia of odontogenic origin. Radiographically, there was a lesion with well-defined radiolucent image and root displacement of the involved teeth.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Tags: 20190753 Source Type: research
Multiple myeloma (MM) is a malignant hematologic disease characterized by the multicentric proliferation of plasma cells in the bone marrow. A 58-year-old male patient was referred with complaint of swelling on the anterior mandible associated with bleeding, dental mobility, and difficulty in using partial inferior prosthesis. The initial clinical diagnosis was advanced periodontal disease. The radiographic examination revealed extensive osseous bone resorption and fluctuation of anterior teeth.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Tags: 20190038 Source Type: research
A 70-year-old male patient who smokes and has diabetes and hypertension attended the oral medicine clinic because of "a mouth sore that hurts" for approximately 30 days. At physical examination, an extensive bleeding ulceration, presenting 3 centimeters in its largest diameter affecting hard palate, soft palate, and alveolar ridge on the left side, was noted. Hematologic examinations (hemogram, coagulogram, fasting blood glucose, Protrombin Time (PT), Activated Partial Thromboplastin Time (APTT), and International Normalised Ratio (INR)), biochemical examinations (Aspartate Aminotransferase (AST), Alanine Aminotr...
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Tags: 20190355 Source Type: research
CONCLUSIONS: Immediate placement of implants with immediate prosthetic provisionalization at sites with acute periapical pathology can be a successful treatment modality for at least 1-year. PMID: 32851987 [PubMed - as supplied by publisher]
Source: Medicina Oral, Patologia Oral y Cirugia Bucal - Category: ENT & OMF Tags: Med Oral Patol Oral Cir Bucal Source Type: research
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