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Bacterial Colonization of Oral Implants from Nondental Sources
Author(s) -
Emrani Jinus,
Chee Winston,
Slots Jørgen
Publication year - 2009
Publication title -
clinical implant dentistry and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.338
H-Index - 85
eISSN - 1708-8208
pISSN - 1523-0899
DOI - 10.1111/j.1708-8208.2008.00101.x
Subject(s) - tannerella forsythia , peri implantitis , periodontitis , dentistry , porphyromonas gingivalis , medicine , implant , colonization , bleeding on probing , mucositis , surgery , biology , pathology , microbiology and biotechnology , honeysuckle , alternative medicine , traditional chinese medicine , chemotherapy
Implants showing signs of peri‐implantitis harbor a microbiota similar to that of periodontitis‐affected teeth. This case report describes the subgingival microbiota of a 45‐year‐old female with advanced periodontitis before and after complete edentulation and reconstruction with dental implants. A 3‐month healing period post extraction passed before implants were placed using a two‐stage submerged implant protocol. At 4‐ to 6‐month recall visits after definitive prosthetic reconstruction, some implant sites showed bleeding on probing and localized mucositis. Microbiological culture of three inflamed peri‐implant sites showed an almost identical spectrum of pathogens, including Porphyromonas gingivalis , Tannerella forsythia , and other major pathogenic bacteria characteristic of aggressive periodontitis. As natural teeth were absent for 8 months, this case report suggests that periodontal pathogens can be retained for a prolonged period of time in nondental sites, from where they can later colonize and compromise the health of dental implants. The therapeutic implications of this finding are discussed.