Michael Korsch1,2,3, Silke-Mareike Marten4, Dominic Stoll5, Christopher Prechtl6,7, Andreas Dötsch4,8. 1. Dental Academy for Continuing Professional Development, Karlsruhe, Lorenzstrasse 7, 76135, Karlsruhe, Germany. michael_korsch@za-karlsruhe.de. 2. Center for Implantology and Oral Surgery, Berliner Straße 41, 69120, Heidelberg, Germany. michael_korsch@za-karlsruhe.de. 3. Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, University Hospital, Saarland University, Building 73, 66421, Homburg, Germany. michael_korsch@za-karlsruhe.de. 4. Institute of Functional Interfaces, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany. 5. Department of Safety and Quality of Fruit and Vegetables, Max Rubner-Institut, Karlsruhe, Germany. 6. Dental Academy for Continuing Professional Development, Karlsruhe, Lorenzstrasse 7, 76135, Karlsruhe, Germany. 7. Center for Implantology and Oral Surgery, Berliner Straße 41, 69120, Heidelberg, Germany. 8. Department of Physiology and Biochemistry of Nutrition, Max Rubner-Institut, Karlsruhe, Germany.
Abstract
BACKGROUND: Implants are a predictable and well-established treatment method in dentistry. Nevertheless, looking at possible failures of dental implants, early and late loss have to be distinguished. The intent of the study was to report microbiological findings on the surface of implants with severe peri-implantitis, which had to be explanted. METHODS: 53 specimens of implants from 48 patients without severe general illnesses have been examined. The groups investigated were implants that had to be removed in the period of osseointegration (early loss, 13 patients with 14 implants) or after the healing period (late loss, 14 patients with 17 implants). The implant losses were compared with two control groups (implants with no bone loss directly after completed osseointegration, two to four months after implant placement (17 patients with 17 implants) and implants with no bone loss and prosthetic restoration for more than three years (5 patients with 5 implants)). Data about the bacteria located in the peri-implant sulcus was collected using amplification and high throughput sequencing of the 16S rRNA gene. RESULTS: The biofilm composition differed substantially between individuals. Both in early and late implant loss, Fusobacterium nucleatum and Porphyromonas gingivalis were found to be abundant. Late lost implants showed higher bacterial diversity and in addition higher abundances of Treponema, Fretibacterium, Pseudoramibacter and Desulfobulbus, while microbial communities of early loss implants were very heterogeneous and showed no significantly more abundant bacterial taxa. CONCLUSIONS: Specific peri-implant pathogens were found around implants that were lost after a primarily uneventful osseointegration. P. gingivalis and F. nucleatum frequently colonized the implant in early and late losses and could therefore be characteristic for implant loss in general. In general, early lost implants showed also lower microbial diversity than late losses. However, the microbial results were not indicative of the causes of early and late losses.
BACKGROUND: Implants are a predictable and well-established treatment method in dentistry. Nevertheless, looking at possible failures of dental implants, early and late loss have to be distinguished. The intent of the study was to report microbiological findings on the surface of implants with severe peri-implantitis, which had to be explanted. METHODS: 53 specimens of implants from 48 patients without severe general illnesses have been examined. The groups investigated were implants that had to be removed in the period of osseointegration (early loss, 13 patients with 14 implants) or after the healing period (late loss, 14 patients with 17 implants). The implant losses were compared with two control groups (implants with no bone loss directly after completed osseointegration, two to four months after implant placement (17 patients with 17 implants) and implants with no bone loss and prosthetic restoration for more than three years (5 patients with 5 implants)). Data about the bacteria located in the peri-implant sulcus was collected using amplification and high throughput sequencing of the 16S rRNA gene. RESULTS: The biofilm composition differed substantially between individuals. Both in early and late implant loss, Fusobacterium nucleatum and Porphyromonas gingivalis were found to be abundant. Late lost implants showed higher bacterial diversity and in addition higher abundances of Treponema, Fretibacterium, Pseudoramibacter and Desulfobulbus, while microbial communities of early loss implants were very heterogeneous and showed no significantly more abundant bacterial taxa. CONCLUSIONS: Specific peri-implant pathogens were found around implants that were lost after a primarily uneventful osseointegration. P. gingivalis and F. nucleatum frequently colonized the implant in early and late losses and could therefore be characteristic for implant loss in general. In general, early lost implants showed also lower microbial diversity than late losses. However, the microbial results were not indicative of the causes of early and late losses.
Entities:
Keywords:
16 s rRNA; Bacteria; Dental implant; Early implant loss; Late implant loss loss; Microbial biofilm; Peri-implantitis
Authors: Tord Berglundh; Gary Armitage; Mauricio G Araujo; Gustavo Avila-Ortiz; Juan Blanco; Paulo M Camargo; Stephen Chen; David Cochran; Jan Derks; Elena Figuero; Christoph H F Hämmerle; Lisa J A Heitz-Mayfield; Guy Huynh-Ba; Vincent Iacono; Ki-Tae Koo; France Lambert; Laurie McCauley; Marc Quirynen; Stefan Renvert; Giovanni E Salvi; Frank Schwarz; Dennis Tarnow; Cristiano Tomasi; Hom-Lay Wang; Nicola Zitzmann Journal: J Periodontol Date: 2018-06 Impact factor: 6.993
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