[PDF] Risk Factors For Peri Implant Diseases eBook
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In this book, leading experts from around the world present the latest knowledge on the risk factors for peri-implant diseases and also examine the prevalence, etiology, and treatment strategy. Reports have suggested that a variety of risk factors, including poor oral hygiene, a history of periodontitis, diabetes, smoking, lack of keratinized mucosa, and implant surface topography, are associated with these diseases. Periodontally compromised patients who do not adhere completely to the supportive periodontal therapy have been found to present a higher implant failure rate, and several studies have shown that periodontal pathogens can translocate from periodontally involved teeth to the peri-implant sulci in partially dentate patients, highlighting the importance of periodontal treatment of the residual dentition prior to placement of dental implants. Recently a new concept was proposed as intraindividual variation exists in core microbiota in peri-implantitis and periodontitis. In elucidating the strength of association of peri-implant diseases with all of the risk factors identified to date, the book will be of interest to practitioners and other professionals in the field.
Comprehensively describes bone augmentation techniques and their application to the different anatomical regions of the upper and lower jaws. Bone Augmentation by Anatomical Region is a unique, evidence-based guide focusing on each specific anatomical region – anterior maxilla, posterior maxilla, anterior mandible, and posterior mandible – in order to emphasize the correct implemented procedures needed to successfully perform oral osseous reconstruction. Numerous ridge augmentation techniques are covered, including: horizontal and vertical guided bone regeneration, autologous block transplantation, interpositional bone grafting, allogeneic blocks, sandwich technique, split-expansion ridge technique, and sinus floor grafting. Non-augmented approaches such as forced socket site extrusion and the installation of digitally printed implants are also presented and discussed. Guides readers on tackling bone augmentation via anatomical region of the jaws and their related surrounding muscles, vascularization and innervation Presents innovative augmentation techniques for the anterior maxilla, posterior maxilla, anterior mandible, and posterior mandible Includes clinical photographs in each section and a decision tree to help readers select the appropriate surgical modality Bone Augmentation by Anatomical Region is a specialist resource suitable for dentists who practice implant dentistry, oral surgeons, oral and maxillofacial surgeons, periodontists, and postgraduate dental students in the above-mentioned disciplines. Please note Due to recently developments, part of Chapter 2 Biologic Conditions for Bone Growth and Maintenance: Managing the Oxidative Stress has been amended which will be available in all future reprints. All electronic versions have been updated.
Background: The clinical parameters together with multifactorial origin indicate a challenge for clinicians to correctly diagnose peri-implant pathology and define a patientu2019s risk for developing peri-implant diseases and management strategies against the occurrence of them. The identification of controlling risk factors combined with the assessment of multiple clinical parameters can be illustrated through prediction models in order to provide more accurate diagnostic information about peri-implant disease. Aim/Hypothesis: This study aimed to develop a predictive diagnostic model for peri-implant health and disease. For this purpose, predictor variables with the highest potential of impact were determined and implemented into three different data mining models. The models were compared to present the highest accuracy.Materials and Methods: This cross-sectional case-control study included a total of 216 patients previously treated with 542 dental implants. The patients and their implants were evaluated in the following six categories: patient-related health and behavioral factors, implant-site characteristics, surgery-, prosthesis- and esthetic-related factors and clinical and radiographic characteristics. The implants were classified into three groups (peri-implant health, peri-implant mucositis, and peri-implantitis) based on presence/absence of bleeding on probing (BOP), with or without suppuration (SUP), increase in probing depths and levels of marginal bone loss. Prediction models were developed using clinical parameters combined with possible risk indicators for peri-implant mucositis and peri-implantitis. In that sense, three different data mining methods [decision-tree (J48), logistic regression and multilayer perceptron) were compared to provide a better predictive model.Results: The prevalence of peri-implant mucositis and peri-implantitis was 40.2% and 35.3%, respectively. BOP, SUP, plaque index (PI), pink esthetic score (PES), maintenance therapy, medication use, active periodontal disease, the time between tooth extraction and implant placement, augmentation, type of prosthesis, implant function time, implant diameter, etiology of tooth loss, number of implants per patient and peri-implant soft tissue biotype were identified as potential predictor variables with the highest impact. J48 method, which is a decision-tree method, provided a better prediction of peri-implant health/disease than the logistic regression and MLP methods for the present dataset. In the predictive model of J48, the top level node was the u2018BOPu2019 variable. For the next split-levels, u2018maintenance therapyu2019 and u2018medication useu2019 were observed as strong predictive factors for peri-implant diseases.Conclusions and Clinical Implications: The present model created using the decision-tree method showed satisfactory predictive accuracy of peri-implant health, peri-mucositis and peri-implantitis. The model emphasized u2018BOPu2019 as a major predictive measure for peri-implant health and disease when evaluated with other possible risk indicators. The present outcomes highlight the importance of controlling patient-related factors such as maintenance therapy and medication use for preventing the development of peri-implant diseases.
Implant dentistry has changed and enhanced significantly since the introduction of osseointegration concept with dental implants. Because the benefits of therapy became apparent, implant treatment earned a widespread acceptance. Therefore, the need for dental implants has caused a rapid expansion of the market worldwide. Dental implantology continues to excel with the developments of new surgical and prosthodontic techniques, and armamentarium. The purpose of this book named Current Concepts in Dental Implantology is to present a novel resource for dentists who want to replace missing teeth with dental implants. It is a carefully organized book, which blends basic science, clinical experience, and current and future concepts. This book includes ten chapters and our aim is to provide a valuable source for dental students, post-graduate residents and clinicians who want to know more about dental implants.
Author : Niklaus P. Lang Publisher : John Wiley & Sons Page : 1369 pages File Size : 32,53 MB Release : 2021-10-18 Category : Medical ISBN : 1119438888
Discover the latest edition of the cornerstone reference on periodontology and implant dentistry that combines scholarship and science with practical clinical instruction The Seventh Edition of Lindhe's Clinical Periodontology and Implant Dentistry brings together a distinguished team of periodontal specialists and academics who deliver another must-have resource for students, researchers, and practitioners specializing in periodontal care and implant dentistry. Seamlessly integrating the foundational science behind periodontology with practical clinical protocols in two comprehensive volumes, the chapters cover anatomy, microbiology, occlusion trauma, pathology, tissue regeneration, treatment planning protocols, infection control, reconstructive therapy, occlusal and prosthetic therapy, and more. The Seventh Edition of Lindhe's Clinical Periodontology and Implant Dentistry: Provides an introduction to anatomy, including periodontal tissues, the edentulous ridge, the mucosa at teeth and implants, and osseointegration Discusses the epidemiology of periodontal and peri-implant diseases Explores the microbiology, including dental biofilms and calculus, periodontal infections, peri-implant infections, the pathogenesis of gingivitis and periodontitis, and the genetic susceptibility to periodontal disease Includes the latest perio- and peri-implant disease classifications Contains updated evidence-based preventive and treatment modalities for the treatment of periodontal and peri-implant diseases Features the latest evidence-based therapeutic alternatives on the use of dental implants to rehabilitate the lost dentition Perfect for postgraduate dental students, researchers, and practitioners specializing in periodontal care and implant dentistry, Lindhe's Clinical Periodontology and Implant Dentistry continues to be the cornerstone reference work on periodontology.
Dental implants have become one of the most popular and rapidly growing techniques for replacing missing teeth. While their predictability, functionality, and durability make them an attractive option for patients and clinicians alike, complications can arise at any stage from patient assessment to maintenance therapy. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, updates and expands the hallmark first edition, which was the first comprehensive reference designed to provide clinicians of all skill levels with practical instruction grounded in evidence-based research. Featuring cases from a variety of dental specialties, the book covers the most commonly occurring implant complications as well as the unique. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, is organized sequentially, guiding the reader through complications associated with the diagnosis, treatment planning, placement, restoration, and maintenance of implants at any stage. Complications associated with various bone augmentation and sinus lift procedures are also discussed in detail with emphasis on their etiology and prevention. Each chapter utilizes a highly illustrated and user-friendly format to showcase key pedagogical features, including a list of “take home tips” summarizing the fundamental points of each chapter. New chapters include discussions of complications from drug prescribing, implant naturalization, cemented restorations, loose implant restoration syndrome, and craniofacial growth. Readers will also find more case presentations to see how complications have been managed in real-world situations. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, brings together contributions from leading experts in the field under the superior editorship of Dr. Stuart Froum. With its pragmatic approach to preventing and managing implant complications, this expertly crafted text continues to serve as an indispensable clinical reference and guide for all dentists placing or restoring implants.
This book provides surgeons with important insights into laser technologies as well as a sound understanding of their current and potential applications within oral and maxillofacial surgery and related disciplines. The opening chapters focus on the relevant physical background, the technology of the typically used lasers, laser–tissue interactions, and the treatment systems. Detailed information is then provided on the various established applications of laser treatments, including in relation to skin and mucosa and the dental hard tissues and bone. Special applications are also described, for example with respect to periodontal surgery, peri-implantitis therapy, photodynamic treatment, holography and additive manufacturing. The book closes by examining technologies that will soon be available for application in hospitals, topics which are currently the subject of research, and laser safety. Beyond surgeons, the book will be of value for engineers and scientists working in the field of medical engineering using lasers.
This book is an up-to-date reference that provides detailed guidance on how to diagnose and manage the soft and hard tissue complications that may be associated with a functioning dental implant placement, such as peri-implant mucositis, soft tissue loss, and peri-implantitis. Treatment options for each complication are described and illustrated step by step and carefully selected cases are presented to further explain the individual stages in management and to highlight key learning points. Practical advice is offered on all aspects of diagnosis, and information is also presented on the definition and etiology of the various complications. The book is in an easy-to-read format and includes a review of the latest literature on the topic.
This book equips dental care providers with a thorough understanding of the emerging therapies that promise to revolutionize the clinical management of periodontal diseases. Existing therapies targeted to the oral microbiome alone often fail to provide favorable clinical outcomes. Local inflammation and tissue destruction may persist and periodontal tissue regeneration is not predictably achieved. In recognition of these shortcomings, current research efforts are focused on understanding the biological interactions between the host and the resident microbiome and identifying key molecules and molecular pathways that can be used for more targeted, individualized therapies that will restrain oral inflammation and restore periodontal tissue homeostasis. This book introduces novel concepts and molecules that are currently being tested in preclinical and clinical models. Readers will find detailed information from leading experts on specific therapeutic strategies targeting the host immune and inflammatory system, the oral microbiome, and regeneration.