The microbiota of the peri-implant region in health and disease.
The subgingival microflora associated with dental implants has been shown to be similar to that associated with natural teeth. Like the natural tooth, a dental implant may be susceptible to a plaque-induced gingivitis which may progress to peri-implantitis. A similarity exists between the microbial flora around failing implants and organisms classically associated with periodontal disease. The same anaerobic gram-negative organisms are found in periodontitis and peri-implantitis. The periodontium must be in a healthy state before the placement of dental implants and constantly monitored while implants are in function for early detection of potential periodontal and/or prosthodontic problems. The relationship between the microbial flora around dental implants and peri-implantitis is discussed and recommendations are presented to improve the efficacy of dental implants.
Silverstein
L H
LH
Department of Periodontics, Medical College of Georgia, School of Dentistry, Augusta 30912, USA.
Kurtzman
D
D
Garnick
J J
JJ
Schuster
G S
GS
Steflik
D E
DE
Moskowitz
M E
ME
D015921:Dental Implants / Q000382:microbiology*; D006089:Gram-Negative Anaerobic Bacteria / Q000302:isolation & purification; D006801:Humans; D008854:Microscopy, Electron; D010518:Periodontitis / Q000175:diagnosis / Q000382:microbiology*; D010519:Periodontium / Q000382:microbiology*; D016459:Prosthesis-Related Infections / Q000382:microbiology
D015921:Dental Implants