Impact of dental cement on the peri-implant biofilm-microbial comparison of two different cements in an in vivo observational study.
Impact of dental cement on the peri-implant biofilm-microbial comparison of two different cements in an in vivo observational study.
复制标题
体内观察研究中牙科水泥对种植体周围生物膜微生物的影响比较两种不同的水泥。
DOI：
--
复制
发表时间：
2018
影响因子：
3.6
通讯作者：
Andreas Dötsch
中科院分区：
文献类型：
--
作者：
M. Korsch;S. Marten;W. Walther;M. Vital;D. Pieper;Andreas Dötsch
背景
骨水泥型固定种植体支持的骨水泥类型影响未检测到的过量骨水泥的形成和种植体周围生物膜的组成。过量骨水泥和生物膜的生态失调涉及种植体周围炎症的风险。
目的
本研究旨在研究两种不同骨水泥对种植体周围生物膜和炎症的影响。
材料和方法
在一项观察性研究中，对34例骨水泥固定种植体支持型膝关节置换患者的上部结构进行了翻修。20名患者使用了甲基丙烯酸酯骨水泥（Premier Implant骨水泥[PIC]），14名患者使用了氧化锌丁香酚骨水泥（Temp Bond [TB]）。翻修后，使用TB进行骨水泥再固定。在翻修和1年后随访期间，采集微生物样本。
结果
20例PIC患者中有12例（60%）发现骨水泥过量。在2个（25%）使用PIC且无过量骨水泥（PIC-）的植入物和所有12个（100%）使用PIC且有过量骨水泥（PIC+）的植入物中观察到化脓。用TB骨水泥固定的种植体既没有多余的骨水泥也没有化脓。微生物样本的分类学分析显示，PIC患者牙周病原体的积累与过量骨水泥的存在无关。值得注意的是，与PIC患者相比，TB患者发生的口腔病原体较少。所有病例（PIC和TB）均使用TB进行骨水泥再固定。在随访检查中，PIC-种植体周围未发现化脓，仅PIC+种植体周围和TB种植体周围有化脓。与严重牙周感染相关的细菌种类在PIC-和PIC+样本中丰富，1年后减少到TB样本中发现的水平。
结论
在PIC病例中，TB翻修和再骨水泥固定对种植体周围生物膜有积极影响。使用TB对种植体上的上部结构进行骨水泥固定是一种可考虑的替代方法。
BACKGROUND
The type of cement used in cemented fixed implant-supported restorations influences formation of undetected excess cement and composition of the peri-implant biofilm. Excess cement and dysbiosis of the biofilm involve the risk of peri-implant inflammation.
PURPOSE
The aim of the study was to investigate the impact of two different cements on the peri-implant biofilm and inflammation.
MATERIALS AND METHODS
In an observational study, the suprastructures of 34 patients with cemented fixed implant-supported restorations were revised. In 20 patients, a methacrylate cement (Premier Implant cement [PIC]) and in 14 patients, a zinc oxide eugenol cement (Temp Bond [TB]) were used. After revision, TB was used for recementation. During revision and follow-up after 1 year, microbial samples were obtained.
RESULTS
Excess cement was found in 12 (60%) of the 20 patients with PIC. Suppuration was observed in two (25%) implants with PIC without excess cement (PIC-) and in all 12 (100%) implants with PIC and excess cement (PIC+). Implants cemented with TB had neither excess cement nor suppuration. The taxonomic analysis of the microbial samples revealed an accumulation of periodontal pathogens in the PIC patients independent of the presence of excess cement. Significantly, fewer oral pathogens occurred in patients with TB compared to patients with PIC. TB was used in all cases (PIC and TB) for recementation. In the follow-up check, suppuration was not found around any of the implants with PIC-, only around one implant with PIC+ and around one implant with TB. Bacterial species associated with severe periodontal infections that were abundant in PIC- and PIC+ samples before the revision were reduced after 1 year to levels found in the TB samples.
CONCLUSIONS
The revision and recementation with TB had a positive effect on the peri-implant biofilm in cases with PIC. The cementation of suprastructures on implants with TB is an alternative method to be considered.
使用金属和塑料器械缩放钛植入物表面对细胞附着的影响。
影响因子：
4.3
作者：
Dmytryk,JJ;Fox,SC;Moriarty,JD
通讯作者：
Moriarty,JD