COIR Jose Flashcards
Solonko (Sanz)
FGG vs Mucograft for augmenting tissue during peri-implantitis treatment - dual centered RCT
N= 26 v 23
PI, BOP, REC, Vestibular depth, Pi disease resolution, Surgical time
2, 4, 12, 26, 52wk FU
KT:
NSSD at 6mo
12mo SSD:
CM - 1.6
FGG - 2.5 (CM shrank more)
NSSD: MBL, Defect size
Perceived difficulty during surgery: CM Better
Pain perception during surgery: CM Better
KT Thickness????
both increased KT but FGG more - patient preception better with CM - SIMILAR SURGICAL TIME
Pommer
Long-term outcomes of maxillary single implants in relation to loading protocols
Systematic review + meta analysis
Timing of Implant:
Immediate (day of extraction)
Early (10days-8wks)
Delayed (3-6mo)
Timing of loading
Immediate (day of extraction)
Early (3-8wks)
Delayed (3-6mo)
All between 96-98% survival
Insufficient evidence on _>_3yr outcomes of single max anterior implants to show difference between different protocols - variability in the criteria
Aiquel
Does timing of placemtn/loading influence biological outcomes of multiunit dental prosthesis (systemic review/meta analysis)
Primary - survival and complication rate
Secondary - MBL
14 studies (6RCT - 5cohort - 3 case series - 3 RCT meta)
DPIL vs DPDL - NSSD
IP+IL - 90%
IP+EL - 100%
DP+IL - 97.2%
DP+DL - 98.1%
MBL
DPDL: 1.68mm
DPIL: 0.71mm
IPIL: 1.57mm
High survival rates with all combinations for FPDs over 3yrs
When delayed placement - NSSD in survival with loading
limited studies - IP+IL and IP+EL - 1 prospective
Sefanini (Tavelli, Barootchi, Sangiorgi, Zucchelli)
PROMs following soft tissue around implants: Systematic Review
n-19 articles
Hardship:
XCM mean 17
CTG mean 35 (NSSD)
NSSD: Painkillers, post op morbidity, QOL, Aesthetics, Satisfaction
Patients who received grafting around implant had higher grades for satisfaction and aesthetics
Trend toward less pain with substitutes
Stavropoulos (Bertl)
Influence of implant surface characteristics on incidence and progression of peri-implantitis - systematic review
Experimental peri-implantitis studies (25 pre-clinical in vivo experiments - 31 clinical trials)
Ligature model - surface modification showed greater RBL (by 0.44mm) and infiltrated CT (0.75mm more) vs non-modified - some studies found NSSD
no increase in incidence of Pi (7k patients 26k implants)
Stacchi
Does new bone formation vary in different sites in the maxillary sinus after augmentstion - prospective histomorphometric
n=18
2 non-adjacent implants
SW and RBH prior
50-50% mix of cortico-cancellous and porcine allograft
6mo - bone core biopsy at implant placement
Newly Formed Mineralized Tissue%
Mesial site: 17.5%
Distal site: 11.6%
Negative correlation between SW and NFMT% (beta coefficient 0.77)
No impact of RBH
Should use SW as a predictor of success
Fransisco
Implant timing on esthetic in anterior
Too much heterogeneity - more research is needed (systematic review)
Sanz-Martin
Soft tissue changes after peri-implantitis treatment
Systematic review and meta analysis
26 articles
650implants
22mo mean FU
Reconstructive vs Access Flap
REC: -1.3mm
PD: -1.2mm
Bone: 1.9mm
Membrane vs No Membrane
REC: -0.007
PD: -0.5
Bone: 0.3mm
Implantoplasty vs No Implantoplasty
REC: 0.1
PD: -1.1mm
Bone: -0.2mm
Access flap and resective more recession than reconstructive
<0.5mm for reconstructive
~1mm for Access flap and resective
Recession varies based on procedure employed
