Peri-implant inflammation defined by the implant-abutment interface.

Autor: Broggini N, McManus LM, Hermann JS, Medina R, Schenk RK, Buser D, Cochran DL, Broggini, N, McManus, L M, Hermann, J S, Medina, R, Schenk, R K, Buser, D, Cochran, D L
Zdroj: Journal of Dental Research; May2006, Vol. 85 Issue 5, p473-478, 6p
Abstrakt: An implant-abutment interface at the alveolar bone crest is associated with sustained peri-implant inflammation; however, whether magnitude of inflammation is proportionally dependent upon interface position remains unknown. This study compared the distribution and density of inflammatory cells surrounding implants with a supracrestal, crestal, or subcrestal implant-abutment interface. All implants developed a similar pattern of peri-implant inflammation: neutrophilic polymorphonuclear leukocytes (neutrophils) maximally accumulated at or immediately coronal to the interface. However, peri-implant neutrophil accrual increased progressively as the implant-abutment interface depth increased, i.e., subcrestal interfaces promoted a significantly greater maximum density of neutrophils than did supracrestal interfaces (10,512 +/- 691 vs. 2398 +/- 1077 neutrophils/mm(2)). Moreover, inflammatory cell accumulation below the original bone crest was significantly correlated with bone loss. Thus, the implant-abutment interface dictates the intensity and location of peri-implant inflammatory cell accumulation, a potential contributing component in the extent of implant-associated alveolar bone loss. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index