Valen, J.H. van (2010) Microbiological composition of biofilms associated with caries, periodontitis and peri-implantitis in relation to treatment modalities : A systematic review. thesis, Dentistry.
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Abstract
Background: Biofilm formation on dental implant surfaces may lead to inflammation of the peri-implant area and subsequent implant failure. Tissues around the implant respond to plaque accumulation in a way that is similar to that of periodontal tissues, resulting in a red and swollen gingival that easily bleeds. Therapies proposed for the management of periimplant disease are largely based on the evidence available for treatment of periodontitis. However, the design of the implant may complicate the application of periodontal therapy in peri-implant disease. Peri-implantitis is associated with a microbiota resembling that of periodontitis. However, some micro-organisms not usually associated with periodontitis are isolated from peri-implantitis lesions. Objectives: (1) The main purpose of this study was to perform a systematic review of the literature available on the microbial composition of oral biofilms found on teeth and implants. (2) In addition, a comparison was made with implant related diseases in other parts of the body, and their modes of action to (3) suggest a rationale for antibacterial therapy in peri-implantitis. Material and Methods: A MEDLINE (PubMed) search was conducted for prospective and retrospective cohort studies that evaluate the microbiological composition of the biofilm associated with periodontitis, peri-implantitis or caries. Results: The search provided 1284 titles and abstracts. Full-text analysis was performed on 210 articles, resulting in 105 studies being included. The microbiological biofilm profiles show a large diversity of bacterial species. Some species were found in periodontitis, periimplantitis as well as caries biofilms. Most putative periodontal pathogens were found in periodontitis and peri-implantitis biofilms, but not in caries biofilms. Most species that were detected in peri-implantitis were also found in periodontitis. Conclusion: It can be concluded that periodontitis and peri-implantitis are caused by a microbiota with comparable compositions, while the caries-associated biofilm is different. The properties of the biofilm should be considered when choosing a treatment modality for peri-implantitis.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Supervisor and Zijnge, Dr. V. and Department of Medical Microbiology, University Medical Cente |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:40 |
| Last Modified: | 25 Jun 2020 10:40 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/219 |
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