Impact of bone defect morphology on the outcome of reconstructive treatment of peri-implantitis

Ahmad Aghazadeh, Rutger G Persson, Stefan Renvert

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES: To assess if (I) the alveolar bone defect configuration at dental implants diagnosed with peri-implantitis is related to clinical parameters at the time of surgical intervention and if (II) the outcome of surgical intervention of peri-implantitis is dependent on defect configuration at the time of treatment.

MATERIALS AND METHODS: In a prospective study, 45 individuals and 74 dental implants with ≥ 2 bone wall defects were treated with either an autogenous bone transplant or an exogenous bone augmentation material. Defect fill was assessed at 1 year.

RESULTS: At baseline, no significant study group differences were identified. Most study implants (70.7%, n = 53) had been placed in the maxilla. Few implants were placed in molar regions. The mesial and distal crestal width at surgery was greater at 4-wall defects than at 2-wall defects (p = 0.001). Probing depths were also greater at 4-wall defects than at 2-wall defects (p = 0.01). Defect fill was correlated to initial defect depth (p < 0.001). Defect fill at 4-wall defects was significant (p < 0.05).

CONCLUSIONS: (I) The buccal-lingual width of the alveolar bone crest was explanatory to defect configuration, (II) 4-wall defects demonstrated more defect fill, and (III) deeper defects resulted in more defect fill.

Original languageEnglish
JournalInternational journal of implant dentistry
Volume6
Issue number1
DOIs
Publication statusPublished - 2020

Swedish Standard Keywords

  • Dentistry (30216)

Keywords

  • Bone defect
  • Bone grafting
  • Peri-implantitis
  • Radiograph
  • Reconstruction
  • Regeneration

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