Pub Date : 2020-03-05DOI: 10.23805/JO.2020.12.01.07
P. Dubey, R. Ravinder, S. Raj, P. Mishra, S. Jha, A. Rajput
Aim The present study is to determine unsuccessful implant cases associated to bisphosphonates and also discuss the etiopathogenesis of medication-related osteonecrosis of the jaw in such patients. Materials and methods A total of 40 conventional dental implants were placed in 26 patients with a history of antiresorptive drugs therapy. Candidates were asked for any previous history of medicine related osteonecrosis of the jaw (MRONJ). Platelet rich growth factor, allograft and resorbable collagen membrane were used as adjunct measures to the specific sites. RFA (ostell) value was recorded at baseline as well as after sixth month in all cases. The mean follow-up of the study was 42.1 months. Results Out of a total of 40 implants, 8 failed to integrate. We did not encounter any case of osteonecrosis of jaw but healing was delayed in one patient. Conclusion The outcome of this study shows that success rate seems to be no different than in patients without a history of bisphosphonate treatment but there may be an added risk of implant failure in patients who are on antiresorptive drugs.
{"title":"Rate of implant failure in patients on antiresorptive drugs: a clinical investigation","authors":"P. Dubey, R. Ravinder, S. Raj, P. Mishra, S. Jha, A. Rajput","doi":"10.23805/JO.2020.12.01.07","DOIUrl":"https://doi.org/10.23805/JO.2020.12.01.07","url":null,"abstract":"Aim The present study is to determine unsuccessful implant cases associated to bisphosphonates and also discuss the etiopathogenesis of medication-related osteonecrosis of the jaw in such patients. \u0000Materials and methods A total of 40 conventional dental implants were placed in 26 patients with a history of antiresorptive drugs therapy. Candidates were asked for any previous history of medicine related osteonecrosis of the jaw (MRONJ). Platelet rich growth factor, allograft and resorbable collagen membrane were used as adjunct measures to the specific sites. RFA (ostell) value was recorded at baseline as well as after sixth month in all cases. The mean follow-up of the study was 42.1 months. \u0000Results Out of a total of 40 implants, 8 failed to integrate. We did not encounter any case of osteonecrosis of jaw but healing was delayed in one patient. \u0000Conclusion The outcome of this study shows that success rate seems to be no different than in patients without a history of bisphosphonate treatment but there may be an added risk of implant failure in patients who are on antiresorptive drugs.","PeriodicalId":42724,"journal":{"name":"Journal of Osseointegration","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84986810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-05DOI: 10.23805/JO.2020.12.01.06
A. Biagioni, M. Pecciarini, N. Discepoli, M. Ferrari
Aim In the dental literature there are many studies about full mouth rehabilitation. They are mainly focused on the reestablishment of esthetics and function in edentulous patients, or in complex cases in which a multidisciplinary approach is needed. The aim of this study was to systematically review the role of occlusion reported in the literature when full mouth rehabilitations by adhesive partial crowns are made. Methods This report followed the PRISMA Statement. A database search in Medline/PubMed, Cochrane and Researchgate, in addition to other sources and manual searches was conducted, using appropriate key words to identify all kind of studies reporting on occlusion in full mouth rehabilitation with adhesive partial crowns. No language or time limitation was applied. Results Only three papers were selected but no randomized clinical trials were found. Conclusion No randomized clinical trial is available on full mouth rehabilitation with adhesive partial crowns and on the role of occlusion.
{"title":"The role of occlusion on full mouth rehabilitation by adhesive partial crowns. A systematic review.","authors":"A. Biagioni, M. Pecciarini, N. Discepoli, M. Ferrari","doi":"10.23805/JO.2020.12.01.06","DOIUrl":"https://doi.org/10.23805/JO.2020.12.01.06","url":null,"abstract":"Aim In the dental literature there are many studies about full mouth rehabilitation. They are mainly focused on the reestablishment of esthetics and function in edentulous patients, or in complex cases in which a multidisciplinary approach is needed. The aim of this study was to systematically review the role of occlusion reported in the literature when full mouth rehabilitations by adhesive partial crowns are made. \u0000Methods This report followed the PRISMA Statement. A database search in Medline/PubMed, Cochrane and Researchgate, in addition to other sources and manual searches was conducted, using appropriate key words to identify all kind of studies reporting on occlusion in full mouth rehabilitation with adhesive partial crowns. No language or time limitation was applied. \u0000Results Only three papers were selected but no randomized clinical trials were found. \u0000Conclusion No randomized clinical trial is available on full mouth rehabilitation with adhesive partial crowns and on the role of occlusion.","PeriodicalId":42724,"journal":{"name":"Journal of Osseointegration","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84428832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-04DOI: 10.23805/JO.2020.12.01.05
Biser Stoichkov, D. Kirov
Aim The success of implant-supported restorations depends on the stability of osseointegration and the amount of bone-to-implant contact. The aim of the present study is to assess the influence of the crown-to-implant ratio on marginal bone loss in prosthetic restorations with single implant-supported crowns. Materials and methods Retrospectively, 65 patients with one missing tooth in the mandibular molar area were collected. All prosthetic restorations were made with single crowns, and all implants used were “bone level” type having a diameter in the range of 3.9 to 4.0 mm and a length of 10.0 to 13.0 mm. Cone beam computed tomography (CBCT) were performed in central occlusion. The height of restorative space was measured over the cross-sections from the level of the alveolar ridge to the corresponding antagonist crowns. Available bone height, width and length were also evaluated prior to implantation. Marginal bone loss was measured on pre-calibrated periapical radiographs, using ImageJ 1.52 (National Institutes of Health, Bethesda, Maryland, USA), in third and fifth year after the functional load. Results Positive linear correlation, statistically significant, has been determined between the crown-to-implant ratio and the amount of crestal resorption. The highest peri-implant bone loss was recorded in cases with crown-to-implant ratio of 1.5/1 and higher. Conclusion The results of this study indicate that prosthetic restorations with higher crown-to-implant ratio tend to cause higher marginal bone loss than those with lower one, in the mandibular molar area.
{"title":"Impact of crown-to-implant ratio of marginal bone loss around implant-supported single crowns. A 5 years retrospective study","authors":"Biser Stoichkov, D. Kirov","doi":"10.23805/JO.2020.12.01.05","DOIUrl":"https://doi.org/10.23805/JO.2020.12.01.05","url":null,"abstract":"Aim The success of implant-supported restorations depends on the stability of osseointegration and the amount of bone-to-implant contact. The aim of the present study is to assess the influence of the crown-to-implant ratio on marginal bone loss in prosthetic restorations with single implant-supported crowns. \u0000Materials and methods Retrospectively, 65 patients with one missing tooth in the mandibular molar area were collected. All prosthetic restorations were made with single crowns, and all implants used were “bone level” type having a diameter in the range of 3.9 to 4.0 mm and a length of 10.0 to 13.0 mm. Cone beam computed tomography (CBCT) were performed in central occlusion. The height of restorative space was measured over the cross-sections from the level of the alveolar ridge to the corresponding antagonist crowns. Available bone height, width and length were also evaluated prior to implantation. Marginal bone loss was measured on pre-calibrated periapical radiographs, using ImageJ 1.52 (National Institutes of Health, Bethesda, Maryland, USA), in third and fifth year after the functional load. \u0000Results Positive linear correlation, statistically significant, has been determined between the crown-to-implant ratio and the amount of crestal resorption. The highest peri-implant bone loss was recorded in cases with crown-to-implant ratio of 1.5/1 and higher. \u0000Conclusion The results of this study indicate that prosthetic restorations with higher crown-to-implant ratio tend to cause higher marginal bone loss than those with lower one, in the mandibular molar area.","PeriodicalId":42724,"journal":{"name":"Journal of Osseointegration","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86451890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-26DOI: 10.23805/JO.2020.12.01.03
N. Yussif, M. A. Aziz
Aggressive periodontitis is a questionable disease with limited evidence supporting its incidence and mechanism. Till now, the genetic hypothesis is the most acceptable theory that supports its presence. According to literature, several unproven theories were conducted that could not provide definite explanation to its behavior. The available evidence only supported the ability to restore the destructed tissues rather than controlling the disease. The aim of the present research is trying to postulate a new hypothesis that may clarify the nature of the localized form of aggressive periodontitis.
{"title":"Is localized aggressive periodontitis a distinct entity? Redefinition of a unique periodontal disease","authors":"N. Yussif, M. A. Aziz","doi":"10.23805/JO.2020.12.01.03","DOIUrl":"https://doi.org/10.23805/JO.2020.12.01.03","url":null,"abstract":"Aggressive periodontitis is a questionable disease with limited evidence supporting its incidence and mechanism. Till now, the genetic hypothesis is the most acceptable theory that supports its presence. According to literature, several unproven theories were conducted that could not provide definite explanation to its behavior. The available evidence only supported the ability to restore the destructed tissues rather than controlling the disease. The aim of the present research is trying to postulate a new hypothesis that may clarify the nature of the localized form of aggressive periodontitis.","PeriodicalId":42724,"journal":{"name":"Journal of Osseointegration","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79513958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-26DOI: 10.23805/JO.2020.12.01.02
M. Pecciarini, A. Biagioni, M. Ferrari, N. Discepoli
Aim The restoration of root filled teeth is a challenge in dentistry. Many studies have assessed the role of the number of remaining walls, the influence of tooth location, post type, post cementation strategy and the type of final restoration. The aim of this review was to evaluate how many Randomized Clinical Trials (RCTs) take into account the role of occlusion in endodontically treated teeth (ETT) rehabilitation. Materials and methods RCTs for ETT restored with fiber post were searched for in Medline/PubMed and Cochrane Library. No time limitation was applied. Only papers written in English were considered. Results Of 43 full-text papers no one evaluated the topic of interest. Conclusions In the existing literature nothing could be found related to RCTs evaluating the role of occlusion on ETT with fiber posts rehabilitation.
{"title":"Role of occlusion on fiber post restored teeth rehabilitation: a systematic review","authors":"M. Pecciarini, A. Biagioni, M. Ferrari, N. Discepoli","doi":"10.23805/JO.2020.12.01.02","DOIUrl":"https://doi.org/10.23805/JO.2020.12.01.02","url":null,"abstract":"Aim The restoration of root filled teeth is a challenge in dentistry. Many studies have assessed the role of the number of remaining walls, the influence of tooth location, post type, post cementation strategy and the type of final restoration. The aim of this review was to evaluate how many Randomized Clinical Trials (RCTs) take into account the role of occlusion in endodontically treated teeth (ETT) rehabilitation. \u0000Materials and methods RCTs for ETT restored with fiber post were searched for in Medline/PubMed and Cochrane Library. No time limitation was applied. Only papers written in English were considered. \u0000Results Of 43 full-text papers no one evaluated the topic of interest. \u0000Conclusions In the existing literature nothing could be found related to RCTs evaluating the role of occlusion on ETT with fiber posts rehabilitation.","PeriodicalId":42724,"journal":{"name":"Journal of Osseointegration","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73642323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-17DOI: 10.23805/JO.2020.12.01.04
Sercan Küçükkurt, H. Tükel
Aim This study aimed to determine, from the patients’ perspective, the optimal number of implants and the type of attachment used to support a mandibular overdenture. Materials and methods This study was conducted with 166 patients who had received new implant-retained overdentures (IODs) in the mandible and conventional total prostheses in the maxilla, and have been using for at least 1-year. Three types of attachment (ball attachment, bar holder, and locator) were connected to either two or four implants. Patients completed the OHIP–14 questionnaire, and the results were statistically analyzed. Results Patients were, in general, satisfied with their mandibular IODs (OHIP-ADD: 7.07 ±9.09, OHIP-SC: 0.95 ±2.11). While the satisfaction rate was higher for males (P 0.05). Higher satisfaction was observed for 4-implant support (P = 0.014), especially with bar holders (OHIP-SC: 0.13 ±0.43). No difference was found between the locator and ball attachment in prostheses with 2-implant (P > 0.05). Conclusion Four implant-support, in particular, with bar-holders, exhibited higher satisfaction. There was no difference between locator and ball attachment in terms of patient satisfaction.
{"title":"Does number of implants or type of attachment affect patient satisfaction with implant-retained mandibular overdentures?","authors":"Sercan Küçükkurt, H. Tükel","doi":"10.23805/JO.2020.12.01.04","DOIUrl":"https://doi.org/10.23805/JO.2020.12.01.04","url":null,"abstract":"Aim This study aimed to determine, from the patients’ perspective, the optimal number of implants and the type of attachment used to support a mandibular overdenture. \u0000Materials and methods This study was conducted with 166 patients who had received new implant-retained overdentures (IODs) in the mandible and conventional total prostheses in the maxilla, and have been using for at least 1-year. Three types of attachment (ball attachment, bar holder, and locator) were connected to either two or four implants. Patients completed the OHIP–14 questionnaire, and the results were statistically analyzed. \u0000Results Patients were, in general, satisfied with their mandibular IODs (OHIP-ADD: 7.07 ±9.09, OHIP-SC: 0.95 ±2.11). While the satisfaction rate was higher for males (P 0.05). Higher satisfaction was observed for 4-implant support (P = 0.014), especially with bar holders (OHIP-SC: 0.13 ±0.43). No difference was found between the locator and ball attachment in prostheses with 2-implant (P > 0.05). \u0000Conclusion Four implant-support, in particular, with bar-holders, exhibited higher satisfaction. There was no difference between locator and ball attachment in terms of patient satisfaction.","PeriodicalId":42724,"journal":{"name":"Journal of Osseointegration","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90196174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-07DOI: 10.23805/JO.2020.12.01.01
M. Kunrath, N. Penha, J. Ng
Aim Surface treatments use industrial processes in which surface contamination can occur. In this context, this study aimed to demonstrate a surface treatment process, from laboratory samples and clinical implants, named anodizing, analyze their tendencies to surface contamination as well as their properties.Materials and Methods Laboratorial samples of pure titanium were anodized. Investigated by scanning microscopy (SEM), dispersive energy spectroscopy (EDS) and wettability tests. Four implant systems available in the current market were chosen by different surface treatments (anodizing, double acid etching and particle blasting) and investigated by SEM/EDS.Results Laboratory samples showed a nanomorphology surface, free of contaminants and good liquid/surface interaction. The implant system with anodization treatment did not present elements outside the standards. However, the implants treated with acid attack and blasting were found different chemical elements like aluminum and magnesium.Conclusions Anodizing proved to be a contaminant-free surface treatment both in the laboratory and clinical implants. In addition, its promising property of owning TiO2 nanotubes suggests an inherent evolution to biomedical implants for drug delivery systems other than all surface treatments developed to date.
{"title":"Anodization as a promising surface treatment for drug delivery implants and a non-cytotoxic process for surface alteration: a pilot study.","authors":"M. Kunrath, N. Penha, J. Ng","doi":"10.23805/JO.2020.12.01.01","DOIUrl":"https://doi.org/10.23805/JO.2020.12.01.01","url":null,"abstract":"Aim Surface treatments use industrial processes in which surface contamination can occur. In this context, this study aimed to demonstrate a surface treatment process, from laboratory samples and clinical implants, named anodizing, analyze their tendencies to surface contamination as well as their properties.Materials and Methods Laboratorial samples of pure titanium were anodized. Investigated by scanning microscopy (SEM), dispersive energy spectroscopy (EDS) and wettability tests. Four implant systems available in the current market were chosen by different surface treatments (anodizing, double acid etching and particle blasting) and investigated by SEM/EDS.Results Laboratory samples showed a nanomorphology surface, free of contaminants and good liquid/surface interaction. The implant system with anodization treatment did not present elements outside the standards. However, the implants treated with acid attack and blasting were found different chemical elements like aluminum and magnesium.Conclusions Anodizing proved to be a contaminant-free surface treatment both in the laboratory and clinical implants. In addition, its promising property of owning TiO2 nanotubes suggests an inherent evolution to biomedical implants for drug delivery systems other than all surface treatments developed to date.","PeriodicalId":42724,"journal":{"name":"Journal of Osseointegration","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87848918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.23805/JO.2019.12.01.21
S. Adam, A. E. Elarab, Abdel Rahman M. Abdel Rahman, D. F. A. Rahim
Aim A randomized controlled trial was conducted to evaluate the advantages of using nano-hydroxyapatite (nHA) bone graft compared to the "gold standard" autogenous bone graft in the jumping gap with immediate implants. Materials and methods Immediate implant placement was performed for the treatment of patients with an unrestorable single tooth. All eligible patients, in total 18, were randomly selected and divided in two groups, controls (AG) and study group (NB), in equal proportions (9 for eah group). Six month later implants were surgically exposed and the measurements of the secondary outcomes were taken. Results Implant stability outcomes showed no significant differences in the groups. Marginal bone level of both groups at baseline and after six months showed a significant difference, as bone loss occurred more in NB group than AG group. Conclusion Within the limits of the present study the placement of NB graft in the jumping gap contributed in decreasing and reduced the morbidity of the donor site compared to autogenous bone (AB) group. Trial had been registered in both The Pan African Clinical Trials Registry (PACTR) PACTR201512001348246 and clinical trial.gov NCT02613663.
{"title":"Evaluation of implant stability and marginal bone loss in immediate implant using “nano bone” versus “autogenous bone” for the treatment of patients with unrestorable single tooth: a randomized controlled trial","authors":"S. Adam, A. E. Elarab, Abdel Rahman M. Abdel Rahman, D. F. A. Rahim","doi":"10.23805/JO.2019.12.01.21","DOIUrl":"https://doi.org/10.23805/JO.2019.12.01.21","url":null,"abstract":"Aim A randomized controlled trial was conducted to evaluate the advantages of using nano-hydroxyapatite (nHA) bone graft compared to the \"gold standard\" autogenous bone graft in the jumping gap with immediate implants. Materials and methods Immediate implant placement was performed for the treatment of patients with an unrestorable single tooth. All eligible patients, in total 18, were randomly selected and divided in two groups, controls (AG) and study group (NB), in equal proportions (9 for eah group). Six month later implants were surgically exposed and the measurements of the secondary outcomes were taken. Results Implant stability outcomes showed no significant differences in the groups. Marginal bone level of both groups at baseline and after six months showed a significant difference, as bone loss occurred more in NB group than AG group. Conclusion Within the limits of the present study the placement of NB graft in the jumping gap contributed in decreasing and reduced the morbidity of the donor site compared to autogenous bone (AB) group. Trial had been registered in both The Pan African Clinical Trials Registry (PACTR) PACTR201512001348246 and clinical trial.gov NCT02613663.","PeriodicalId":42724,"journal":{"name":"Journal of Osseointegration","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74688745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.23805/JO.2019.12.01.20
E. Polizzi, G. Teté, F. Bova, G. Pantaleo, G. Gastaldi, P. Capparé, E. Gherlone
Aim Chlorhexidine (CHX) is commonly used in clinical applications, including plaque control and gingivitis treatment. The im of this study was to evaluate the clinical properties, in terms of plaque control, bleeding and discoloration levels, of six CHX mouthwashes that differ in the following characteristics: CHX concentration, presence/absence of alcohol and presence/absence of an anti-discoloration system (ADS). Materials and methods A single-center, prospective, double-blind randomized clinical trial was carried out on 78 consecutive patients. Six mouthwashes (CHX 0.12% alcohol free; CHX 0.20% alcohol free; CHX 0.12% alcohol free with ADS; CHX 0.20% alcohol free with ADS; CHX 0.12% with alcohol; CHX 0.20% with alcohol) were tested. Plaque Index (PI) and Bleedind Index (BI) were recorded, along with tooth staining (spectrophotometry) at T0 (beginning), at T1 (after 7 days), at T2 (after 14 days), and T3 (after 21 days). Data obtained were subjected to statistical analysis. Results All CHX mouthwashes significantly reduced PI (p<0.0001), while only alcohol free CHX 0.20% significantly reduced BI (p<0.0001). Only the CHX 0.12% with alcohol and CHX 0.20% with alcohol mouthwashes showed a significant presence of extrinsic tooth staining (p<0.05). Conclusions Within the limitations of the present study, the alcohol-free mouthwash CHX 0.20% allows a good control of the clinical indices, in particular the bleeding index.
{"title":"Antibacterial properties and side effects of chlorhexidine-based mouthwashes. A prospective, randomized clinical study","authors":"E. Polizzi, G. Teté, F. Bova, G. Pantaleo, G. Gastaldi, P. Capparé, E. Gherlone","doi":"10.23805/JO.2019.12.01.20","DOIUrl":"https://doi.org/10.23805/JO.2019.12.01.20","url":null,"abstract":"Aim Chlorhexidine (CHX) is commonly used in clinical applications, including plaque control and gingivitis treatment. The im of this study was to evaluate the clinical properties, in terms of plaque control, bleeding and discoloration levels, of six CHX mouthwashes that differ in the following characteristics: CHX concentration, presence/absence of alcohol and presence/absence of an anti-discoloration system (ADS). Materials and methods A single-center, prospective, double-blind randomized clinical trial was carried out on 78 consecutive patients. Six mouthwashes (CHX 0.12% alcohol free; CHX 0.20% alcohol free; CHX 0.12% alcohol free with ADS; CHX 0.20% alcohol free with ADS; CHX 0.12% with alcohol; CHX 0.20% with alcohol) were tested. Plaque Index (PI) and Bleedind Index (BI) were recorded, along with tooth staining (spectrophotometry) at T0 (beginning), at T1 (after 7 days), at T2 (after 14 days), and T3 (after 21 days). Data obtained were subjected to statistical analysis. Results All CHX mouthwashes significantly reduced PI (p<0.0001), while only alcohol free CHX 0.20% significantly reduced BI (p<0.0001). Only the CHX 0.12% with alcohol and CHX 0.20% with alcohol mouthwashes showed a significant presence of extrinsic tooth staining (p<0.05). Conclusions Within the limitations of the present study, the alcohol-free mouthwash CHX 0.20% allows a good control of the clinical indices, in particular the bleeding index.","PeriodicalId":42724,"journal":{"name":"Journal of Osseointegration","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82878731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.23805/JO.2019.11.03.18
N. Yussif, Abdel Rahman, M. Darhous
Aim To evaluate the health condition of the immediately placed dental implants in aggressive periodontitis patients compared to periodontally healthy individuals after 12 months of follow up. Materials and methods Following atraumatic tooth extraction, 70 implants were placed in two study groups: Thirty-five implants replaced hopeless teeth in aggressive periodontitis patients (test group) and thirty-five implants replaced periodontally healthy unrestrorable teeth (control group). Results After 12 months, there were no dropouts in both groups. The criteria of the health scale showed 97.17% success in the test group versus 100% in the control group. Due to peri-implant mucosistis, only 2.85% implants in the test group showed satisfactory survival rate. It was also found that 20% of the inserted implants in both groups were covered with bone during the second stage surgery. Lack of pain, mobility, exudate and suppuration with no incidence of peri-implant diseases were clearly detected in both groups indicating the success rate. There was no statistical significant difference between the results in both groups. Conclusions The current study highlights that immediate placement did not affect health and survival of the implants in aggressive periodontitis patients. Nearly equal results were reported between periodontally healthy and periodontally affected patients. Long- term follow up studies are recommended to examine the failure rate that could not be reported in the current short-term study.
{"title":"Evaluation of the health of the peri-implant tissues around immediately placed dental implants in aggressive periodontitis patients versus periodontally healthy individuals in the maxillary esthetic zone: Controlled clinical trial","authors":"N. Yussif, Abdel Rahman, M. Darhous","doi":"10.23805/JO.2019.11.03.18","DOIUrl":"https://doi.org/10.23805/JO.2019.11.03.18","url":null,"abstract":"Aim To evaluate the health condition of the immediately placed dental implants in aggressive periodontitis patients compared to periodontally healthy individuals after 12 months of follow up. Materials and methods Following atraumatic tooth extraction, 70 implants were placed in two study groups: Thirty-five implants replaced hopeless teeth in aggressive periodontitis patients (test group) and thirty-five implants replaced periodontally healthy unrestrorable teeth (control group). Results After 12 months, there were no dropouts in both groups. The criteria of the health scale showed 97.17% success in the test group versus 100% in the control group. Due to peri-implant mucosistis, only 2.85% implants in the test group showed satisfactory survival rate. It was also found that 20% of the inserted implants in both groups were covered with bone during the second stage surgery. Lack of pain, mobility, exudate and suppuration with no incidence of peri-implant diseases were clearly detected in both groups indicating the success rate. There was no statistical significant difference between the results in both groups. Conclusions The current study highlights that immediate placement did not affect health and survival of the implants in aggressive periodontitis patients. Nearly equal results were reported between periodontally healthy and periodontally affected patients. Long- term follow up studies are recommended to examine the failure rate that could not be reported in the current short-term study.","PeriodicalId":42724,"journal":{"name":"Journal of Osseointegration","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86876589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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