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Radiographic evaluation of modern oral implants with emphasis on crestal bone levels and relevance to peri-implant health

Hugo De Bruyn UGent, Stefan Vandeweghe UGent, Christian Ruyffelaert UGent, Jan Cosyn UGent and Lars Sennerby (2013) PERIODONTOLOGY 2000.
abstract
Achievement of implant stability and maintenance of stability ⁄ crestal bone levels are prerequisites for the successful long-term function of oral implants. Thus, continuous crestal bone loss constitutes a threat to the longevity of implant–supported prosthetic constructions. The prevalence ⁄ incidence and reasons for crestal bone loss are under debate, where some authors regard infection (i.e. peri-implantitis) as the cause for all bone loss, while others see crestal bone loss as a mandatory phenomenon following surgery and loading. Irrespective of the cause of continuous crestal bone loss, correct usage and scientifically sound interpretation of radio- graphic evaluations are still of utmost importance for the long-term evaluation of oral implants. The periapical radiographic technique is currently still the preferred method for evaluating implant health based on bone loss. Digital radiographs allow easier standardization of the image contrast and are presently the first choice. It is suggested that a baseline radiograph should be taken from the day that the transmucosal part pierces the mucosal tissues and annually thereafter. The number of unreadable radiographs should be presented to give an insight into the radiographic quality because this may affect the outcome. It is suggested that not only mean values, but also the range of bone levels, should be given in a descriptive way to allow insight into the proportion 2 of implants that show continuous crestal bone loss. In the absence of other clinical symptoms, it seems that bleeding on probing is a weak indicator of ongoing or future crestal bone loss. If defining peri-implantitis as infection with suppuration associated with clinically significant progressing crestal bone loss, the incidence according to recent longitudinal studies on modern implant surfaces is <5% after 10 years in function.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
in press
subject
journal title
PERIODONTOLOGY 2000
Periodontol. 2000
JCR category
DENTISTRY, ORAL SURGERY & MEDICINE
JCR impact factor
3 (2013)
JCR rank
6/83 (2013)
JCR quartile
1 (2013)
ISSN
0906-6713
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
3055456
handle
http://hdl.handle.net/1854/LU-3055456
date created
2012-11-19 17:02:23
date last changed
2012-12-14 15:24:56
@article{3055456,
  abstract     = {Achievement of implant stability and maintenance of stability {\textfractionsolidus} crestal bone levels are prerequisites for the successful long-term function of oral implants. Thus, continuous crestal bone loss constitutes a threat to the longevity of implant--supported prosthetic constructions. The prevalence {\textfractionsolidus} incidence and reasons for crestal bone loss are under debate, where some authors regard infection (i.e. peri-implantitis) as the cause for all bone loss, while others see crestal bone loss as a mandatory phenomenon following surgery and loading. Irrespective of the cause of continuous crestal bone loss, correct usage and scientifically sound interpretation of radio-
graphic evaluations are still of utmost importance for the long-term evaluation of oral implants. The periapical radiographic technique is currently still the preferred method for evaluating implant health based on bone loss. Digital radiographs allow easier standardization of the image contrast and are presently the first choice. It is suggested that a baseline radiograph should be taken from the day that the transmucosal part pierces the mucosal tissues and annually thereafter. The number of unreadable radiographs should be presented to give an insight into the radiographic quality because this may affect the outcome. It is suggested that not only mean values, but also the range of bone levels, should be given in a descriptive way to allow insight into the proportion 2 of implants that show continuous crestal bone loss. In the absence of other clinical symptoms, it seems that bleeding on probing is a weak indicator of ongoing or future crestal bone loss. If defining peri-implantitis as \unmatched{0002}infection with suppuration associated with clinically significant progressing crestal bone loss\unmatched{0003}, the incidence according to recent longitudinal studies on modern implant surfaces is {\textlangle}5\% after 10 years in function.},
  author       = {De Bruyn, Hugo and Vandeweghe, Stefan and Ruyffelaert, Christian and Cosyn, Jan and Sennerby, Lars},
  issn         = {0906-6713},
  journal      = {PERIODONTOLOGY 2000},
  language     = {eng},
  title        = {Radiographic evaluation of modern oral implants with emphasis on crestal bone levels and relevance to peri-implant health},
  year         = {2013},
}

Chicago
De Bruyn, Hugo, Stefan Vandeweghe, Christian Ruyffelaert, Jan Cosyn, and Lars Sennerby. 2013. “Radiographic Evaluation of Modern Oral Implants with Emphasis on Crestal Bone Levels and Relevance to Peri-implant Health.” PERIODONTOLOGY 2000.
APA
De Bruyn, H., Vandeweghe, S., Ruyffelaert, C., Cosyn, J., & Sennerby, L. (2013). Radiographic evaluation of modern oral implants with emphasis on crestal bone levels and relevance to peri-implant health. PERIODONTOLOGY 2000.
Vancouver
1.
De Bruyn H, Vandeweghe S, Ruyffelaert C, Cosyn J, Sennerby L. Radiographic evaluation of modern oral implants with emphasis on crestal bone levels and relevance to peri-implant health. PERIODONTOLOGY 2000. 2013;
MLA
De Bruyn, Hugo, Stefan Vandeweghe, Christian Ruyffelaert, et al. “Radiographic Evaluation of Modern Oral Implants with Emphasis on Crestal Bone Levels and Relevance to Peri-implant Health.” PERIODONTOLOGY 2000 (2013): n. pag. Print.