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898394.pdf (1.66 MB)

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2025-07-01

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cc-by (c) Alahmari, A. et al., 2025
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/222887

Reconstructive therapy in patients with peri-implantitis in a university dental hospital: a preliminary retrospective case series focusing on complications

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Recurs relacionat

https://doi.org/10.3390/app15148040

Resum

Peri-implantitis is an inflammatory disease-causing bone loss around dental implants, often requiring reconstructive surgical therapies to reduce probing depth and regenerate bone. However, such surgeries are frequently complicated by postoperative issues. This retrospective case series aimed to identify the main postoperative complications following the reconstructive treatment of peri-implant bone defects in peri-implantitis patients. Data from 14 patients with 21 affected implants were analyzed, including demographics, oral hygiene, surgical techniques, and complications such as wound dehiscence, membrane exposure, and infections. Wound dehiscence was measured using Image J® software version 1.54. Descriptive and bivariate analyses were performed. The results showed that 11 implants (52.4%; 95% confidence interval (95%CI): 29% to 76%) in nine patients (57.1%; 95%CI = 27% to 87%) developed soft tissue dehiscence after one week, with membrane exposure observed in 4 implants. Dehiscence was significantly associated with mandibular implant location (p = 0.003), poor interproximal hygiene (p = 0.008), and membrane exposure (p = 0.034). No postoperative infections were recorded. In conclusion, more than half of peri-implantitis patients undergoing reconstructive surgery experience wound dehiscence, particularly in cases involving mandible, poor hygiene, and membrane exposure. This complication might compromise bone regeneration and reduce the treatment success rate. These results should be interpreted cautiously due to study design limitations (retrospective design, lack of a control group, and small sample size).

Matèries

Complicacions quirúrgiques, Implants dentals, Inflamació

Matèries (anglès)

Complications of surgery, Dental implants, Inflammation

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Col·leccions

Articles publicats en revistes (Odontoestomatologia)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

ALAHMARI, Ahmad, COSTA-BERENGUER, Xavier, BARBOSA DE FIGUEIREDO, Rui pedro, VALMASEDA CASTELLÓN, Eduardo, SÁNCHEZ TORRES, Alba, GARCÍA-GARCÍA, Marta. Reconstructive therapy in patients with peri-implantitis in a university dental hospital: a preliminary retrospective case series focusing on complications. _Applied Sciences_. 2025. Vol. 15, núm. 14. [consulta: 7 de gener de 2026]. ISSN: 2076-3417. [Disponible a: https://hdl.handle.net/2445/222887]

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