Zahnmedizin up2date 2008; 2(1): 53-69
DOI: 10.1055/s-2007-989450
Periimplantäre Entzündungen

© Georg Thieme Verlag KG Stuttgart · New York

Periimplantäre Entzündungen

Frank Schwarz, Jürgen Becker
Further Information

Publication History

Publication Date:
23 January 2008 (online)

Einleitung

Aufgrund der steigenden Anzahl zahnärztlicher Implantate ist zukünftig auch mit einer weiteren Zunahme postimplantologischer Komplikationen zu rechnen. Hierbei gewinnt insbesondere die Therapie periimplantärer Infektionen an Bedeutung. In den letzten Jahren konnten in zahlreichen experimentellen und klinischen Untersuchungen ätiologische Faktoren sowie Risikofaktoren für diese Erkrankung definiert werden. In Anlehnung an die Parodontologie wurden diagnostische Methoden an die implantatspezifische Situation angepasst und übertragen. Zudem stehen heute zahlreiche nichtchirurgische, chirurgisch-resektive sowie chirurgisch-regenerative Therapieverfahren zur Verfügung.

Literaturverzeichnis

  • 1 Albrektsson T, Isidor F. Consensus report of session IV. Lang, NP, Karring, T Proceedings of the First European Workshop on Periodontology. London; Quintessence 1994: 365-369
  • 2 Berglundh T, Lindhe J, Marinello C, Ericsson I, Liljenberg B. Soft tissue reaction to de novo plaque formation on implants and teeth. An experimental study in the dog.  Clin Oral Implants Res. 1992;  3 1-8
  • 3 Berglundh T, Gotfredsen K, Zitzmann N U, Lang N P, Lindhe J. Spontaneous progression of ligature induced peri-implantitis at implants with different surface roughness: an experimental study in dogs.  Clin Oral Implants Res. 2007;  18 655-661
  • 4 Ciancio S G, Lauciello F, Shibly O, Vitello M, Mather M. The effect of an antiseptic mouthrinse on implant maintenance: plaque and peri-implant gingival tissues.  J Periodontol. 1995;  66 962-965
  • 5 Cune M S, de Putter C. A single dimension statistical evaluation of predictors in implant-overdenture treatment.  J Clin Periodontol. 1996;  23 425-431
  • 6 Gruica B, Wang H Y, Lang N P, Buser D. Impact of IL‐1 genotype and smoking status on the prognosis of osseointegrated implants.  Clin Oral Implants Res. 2004;  15 393-400
  • 7 Jepsen S, Rühling A, Jepsen K, Ohlenbusch B, Albers H K. Progressive periimplantitis. Incidence and prediction of peri-implant attachment loss.  Clin Oral Implants Res. 1996;  7 133-142
  • 8 Karoussis I K, Salvi G E, Heitz-Mayfield L J, Bragger U, Hammerle C H, Lang N P. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System.  Clin Oral Implants Res. 2003;  14 329-339
  • 9 Karring E S, Stavropoulos A, Ellegaard B, Karring T. Treatment of peri-implantitis by the Vector system.  Clin Oral Implants Res. 2005;  16 288-293
  • 10 Kotsovilis S, Karoussis I K, Trianti M, Fourmousis I. Therapy of peri-implantitis: a systematic review.  J Clin Periodontol. 2008; 
  • 11 Kozlovsky A, Tal H, Laufer B Z, Leshem R, Rohrer M D, Weinreb M, Artzi Z. Impact of implant overloading on the peri-implant bone in inflamed and non-inflamed peri-implant mucosa.  Clin Oral Implants Res. 2007;  18 601-610
  • 12 Kreisler M, Gotz H, Duschner H. Effect of Nd : YAG, Ho : YAG, Er : YAG, CO2, and GaAIAs laser irradiation on surface properties of endosseous dental implants.  International Journal of Oral and Maxillofacacial Implants. 2002;  17 202-211
  • 13 Lang N P, Wetzel A C, Stich H, Caffesse R G. Histologic probe penetration in healthy and inflamed peri-implant tissues.  Clin Oral Implants Res. 1994;  5 191-201
  • 14 Lavigne S E, Krust K S‐Bray, Williams K B, Killoy W J, Theisen F. Effects of subgingival irrigation with chlorhexidine on the periodontal status of patients with HA‐coated integral dental implants.  Int J Oral Maxillofac Implants. 1994;  9 156-162
  • 15 Mombelli A, Lang N P. Clinical parameters for the evaluation of dental implants.  Periodontol 2000. 1994;  4 81-86
  • 16 Mombelli A, van Oosten M A, Schurch Jr E, Land N P. The microbiota associated with successful or failing osseointegrated titanium implants.  Oral Microbiol Immunol. 1987;  2 145-151
  • 17 Pontoriero R, Tonelli M P, Carnevale G, Mombelli A, Nyman S R, Lang N P. Experimentally induced peri-implant mucositis. A clinical study in humans.  Clin Oral Implants Res. 1994;  5 254-259
  • 18 Porras R, Anderson G B, Caffesse R, Narendran S, Trejo P M. Clinical response to 2 different therapeutic regimens to treat peri-implant mucositis.  J Periodontol. 2002;  73 1118-1125
  • 19 Quirynen M, Papaioannou W, van Steenberghe D. Intraoral transmission and the colonization of oral hard surfaces.  J Periodontol. 1996;  67 986-993
  • 20 Rechmann P, Sadegh H M, Goldin D S, Hennig T H. Zur Oberflächenmorphologie von Implantaten nach Laserbestrahlung.  Deutsche Zahnärztliche Zeitschrift. 2000;  55 371-376
  • 21 Renvert S, Lessem J, Dahlen G, Lindahl C, Svensson M. Topical minocycline microspheres versus topical chlorhexidine gel as an adjunct to mechanical debridement of incipient peri-implant infections: a randomized clinical trial.  J Clin Periodontol. 2006;  33 362-369
  • 22 Romanos G E, Everts H, Nentwig G H. Effects of diode and Nd : YAG laser irradiation on titanium discs: a scanning electron microscope examination.  Journal of Periodontology. 2000;  71 810-815
  • 23 Romeo E, Ghisolfi M, Murgolo N, Chiapasco M, Lops D, Vogel G. Therapy of peri-implantitis with resective surgery. A 3-year clinical trial on rough screw-shaped oral implants. Part I: clinical outcome.  Clin Oral Implants Res. 2005;  16 9-18
  • 24 Roos-Jansåker A M, Renvert H, Lindahl C, Renvert S. Surgical treatment of peri-implantitis using a bone substitute with or without a resorbable membrane: a prospective cohort study.  J Clin Periodontol. 2007;  34 625-632
  • 25 Schenk G, Flemmig T F, Betz T, Reuther J, Klaiber B. Controlled local delivery of tetracycline HCl in the treatment of periimplant mucosal hyperplasia and mucositis. A controlled case series.  Clin Oral Implants Res. 1997;  8 427-433
  • 26 Schwarz F, Becker J. Periimplantäre Entzündungen: Ätiologie, Pathogenese, Diagnostik und aktuelle Therapiekonzepte. Berlin; Quintessenz 2006
  • 27 Schwarz F, Sculean A, Rothamel D, Schwenzer K, Georg T, Becker J. Clinical evaluation of an Er : YAG laser for nonsurgical treatment of peri-implantitis: a pilot study.  Clin Oral Implants Res. 2005;  16 44-52
  • 28 Schwarz F, Sculean A, Romanos G E, Herten M, Scherbaum W, Becker J. Influence of different treatment approaches on the removal of early plaque biofilms and the viability of SAOS2 osteoblasts grown on titanium implants.  Clin Oral Investig. 2004;  111-117
  • 29 Schwarz F, Sculean A, Bieling K, Ferrari D, Rothamel D, Becker J. Two-year clinical results following treatment of peri-implantitis lesions using a nanocristalline hydroxyapatite or a natural bone mineral in combination with a collagen membrane.  J Clin Periodontol. 2008; 
  • 30 Schwarz F, Rothamel D, Sculean A, Georg T, Scherbaum W, Becker J. Effects of an Er : YAG laser and the Vector ultrasonic system on the biocompatibility of titanium implants in cultures of human osteoblast-like cells.  Clin Oral Implants Res. 2003;  14 784-792
  • 31 Schwarz F, Nuesry E, Bieling K, Herten M, Becker J. Influence of an erbium, chromium-doped yttrium, scandium, gallium, and garnet (Er,Cr : YSGG) laser on the reestablishment of the biocompatibility of contaminated titanium implant surfaces.  J Periodontol. 2006;  77 1820-1827
  • 32 Schwarz F, Bieling K, Nuesry E, Sculean A, Becker J. Clinical and histological healing pattern of peri-implantitis lesions following non-surgical treatment with an Er : YAG laser.  Lasers Surg Med. 2006;  38 663-671
  • 33 Schwarz F, Bieling K, Bonsmann M, Latz T, Becker J. Nonsurgical treatment of moderate and advanced periimplantitis lesions: a controlled clinical study.  Clin Oral Investig. 2006;  10 279-288
  • 34 Schwarz F, Bieling K, Latz T, Nuesry E, Becker J. Healing of intrabony peri-implantitis defects following application of a nanocrystalline hydroxyapatite (Ostim) or a bovine-derived xenograft (Bio-Oss) in combination with a collagen membrane (Bio-Gide). A case series.  J Clin Periodontol. 2006;  33 491-499
  • 35 Schwarz F, Herten M, Sager M, Bieling K, Sculean A, Becker J. Comparison of naturally occurring and ligature-induced peri-implantitis bone defects in humans and dogs.  Clin Oral Implants Res. 2007;  18 161-170
  • 36 Schwarz F, Papanicolau P, Rothamel D, Beck B, Herten M, Becker J. Influence of plaque biofilm removal on reestablishment of the biocompatibility of contaminated titanium surfaces.  J Biomed Mater Res A. 2006;  77 437-444
  • 37 Schwarz F, Jepsen S, Herten M, Sager M, Rothamel D, Becker J. Influence of different treatment approaches on non-submerged and submerged healing of ligature induced peri-implantitis lesions: an experimental study in dogs.  J Clin Periodontol. 2006;  33 584-595
  • 38 Shimpuku H, Nosaka Y, Kawamura T, Tachi Y, Shinohara M, Ohura K. Genetic polymorphisms of the interleukin-1 gene and early marginal bone loss around endosseous dental implants.  Clin Oral Implants Res. 2003;  14 423-429
  • 39 Spiekermann H. Implantologie. Stuttgart; Thieme 1984
  • 40 Strooker H, Rohn S, Van Winkelhoff A J. Clinical and microbiologic effects of chemical versus mechanical cleansing in professional supportive implant therapy.  Int J Oral Maxillofac Implants. 1998;  13 845-850
  • 41 Zitzmann N U, Berglundh T, Ericsson I, Lindhe J. Spontaneous progression of experimentally induced periimplantitis.  J Clin Periodontol. 2004;  31 845-849

Priv.-Doz. Dr. Frank Schwarz

Poliklinik für Zahnärztliche Chirurgie und Aufnahme,
Westdeutsche Kieferklinik
Heinrich-Heine-Universität

40225 Düsseldorf

Phone: 0211/81 04 47 1

Fax: 0211/17 13 54 2

Email: Frank.Schwarz@med.uni-duesseldorf.de

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