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Article: Healing after standardized clinical probing of the perlimplant soft tissue seal: A histomorphometric study in dogs

TitleHealing after standardized clinical probing of the perlimplant soft tissue seal: A histomorphometric study in dogs
Authors
Issue Date2002
PublisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLR
Citation
Clinical Oral Implants Research, 2002, v. 13 n. 6, p. 571-580 How to Cite?
AbstractBackground/Aims: Clinical probing of the soft tissues around oral implants has become a frequently used parameter for clinical monitoring. However, the healing of the disruption of the soft tissue seal as a result of probing has not yet been studied. The purpose of this study was to evaluate the healing events in the periimplant mucosal tissues following standardized clinical probing. Material and methods: In three foxhounds the mandibular premolars were extracted and, after 3 months of healing, TPS screw-shaped implants (ITO Dental Implant System) were installed. A plaque control regimen was performed throughout the duration of the experiment. After 3 months of healing of the transmucosal implants, clinical implant stability and healthy periimplant mucosal tissues with mostly absence of bleeding on probing were obtained. Clinical probing of the mesial and distal implant sites was performed immediately before 1, 2, 3, 5 and 7 days prior to the sacrifice of the animals. A specially manufactured titanium cylinder with a mesial and distal groove was fixed to the implants to standardize the insertion geometry of a pressure-sensitive probe (0.2-0.25 N, tip diameter 0.45 mm). The distances from the alveolar crest to the coronal border of the connective tissue adaptation to the implant and the length of the epithelial attachment were measured histomorphometrically in nondecalcified ground sections. The buccal and lingual aspects of the implants were used to determine the components of the biological width in unprobed control sites. Results: The probe caused a separation between the surface of the implant and the junctional epithelium, but not within the connective tissue adaptation. In general, the probe tip was located at the most coronal level of the supracrestal connective tissue as determined histologically. By 1 day after separation of the periimplant mucosal tissue by probing, an epithelial attachment of approximately 0.5 mm in the apico-coronal direction was observed. The length of the epithelial adaptation showed a tendency to increase over time (day 2:1.15 mm, day 3: 1.52 mm), and was complete at day 5 (1.92 mm). At the unprobed sites the epithelial attachment showed a mean length of 1.69 mm. Inflammatory infiltrates were practically nonexistent, indicating the absence of tissue trauma or infection as a result of probing. Conclusions: Clinical probing around osseointegrated implants does not appear to have detrimental effects on the soft tissue seal and, hence, does not seem to jeopardize the longevity of oral implants. The 'healing of the epithelial attachment' seems to be complete 5 days after clinical probing. Copyright © Blackwell Munksgaard 2002.
Persistent Identifierhttp://hdl.handle.net/10722/154221
ISSN
2015 Impact Factor: 3.464
2015 SCImago Journal Rankings: 1.427
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorEtter, THen_US
dc.contributor.authorHåkanson, Ien_US
dc.contributor.authorLang, NPen_US
dc.contributor.authorTrejo, PMen_US
dc.contributor.authorCaffesse, RGen_US
dc.date.accessioned2012-08-08T08:23:57Z-
dc.date.available2012-08-08T08:23:57Z-
dc.date.issued2002en_US
dc.identifier.citationClinical Oral Implants Research, 2002, v. 13 n. 6, p. 571-580en_US
dc.identifier.issn0905-7161en_US
dc.identifier.urihttp://hdl.handle.net/10722/154221-
dc.description.abstractBackground/Aims: Clinical probing of the soft tissues around oral implants has become a frequently used parameter for clinical monitoring. However, the healing of the disruption of the soft tissue seal as a result of probing has not yet been studied. The purpose of this study was to evaluate the healing events in the periimplant mucosal tissues following standardized clinical probing. Material and methods: In three foxhounds the mandibular premolars were extracted and, after 3 months of healing, TPS screw-shaped implants (ITO Dental Implant System) were installed. A plaque control regimen was performed throughout the duration of the experiment. After 3 months of healing of the transmucosal implants, clinical implant stability and healthy periimplant mucosal tissues with mostly absence of bleeding on probing were obtained. Clinical probing of the mesial and distal implant sites was performed immediately before 1, 2, 3, 5 and 7 days prior to the sacrifice of the animals. A specially manufactured titanium cylinder with a mesial and distal groove was fixed to the implants to standardize the insertion geometry of a pressure-sensitive probe (0.2-0.25 N, tip diameter 0.45 mm). The distances from the alveolar crest to the coronal border of the connective tissue adaptation to the implant and the length of the epithelial attachment were measured histomorphometrically in nondecalcified ground sections. The buccal and lingual aspects of the implants were used to determine the components of the biological width in unprobed control sites. Results: The probe caused a separation between the surface of the implant and the junctional epithelium, but not within the connective tissue adaptation. In general, the probe tip was located at the most coronal level of the supracrestal connective tissue as determined histologically. By 1 day after separation of the periimplant mucosal tissue by probing, an epithelial attachment of approximately 0.5 mm in the apico-coronal direction was observed. The length of the epithelial adaptation showed a tendency to increase over time (day 2:1.15 mm, day 3: 1.52 mm), and was complete at day 5 (1.92 mm). At the unprobed sites the epithelial attachment showed a mean length of 1.69 mm. Inflammatory infiltrates were practically nonexistent, indicating the absence of tissue trauma or infection as a result of probing. Conclusions: Clinical probing around osseointegrated implants does not appear to have detrimental effects on the soft tissue seal and, hence, does not seem to jeopardize the longevity of oral implants. The 'healing of the epithelial attachment' seems to be complete 5 days after clinical probing. Copyright © Blackwell Munksgaard 2002.en_US
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLRen_US
dc.relation.ispartofClinical Oral Implants Researchen_US
dc.subject.meshAlveolar Process - Pathologyen_US
dc.subject.meshAnimalsen_US
dc.subject.meshConnective Tissue - Pathologyen_US
dc.subject.meshDental Implantation, Endosseousen_US
dc.subject.meshDental Implantsen_US
dc.subject.meshDental Plaque Indexen_US
dc.subject.meshDental Prosthesis Designen_US
dc.subject.meshDogsen_US
dc.subject.meshEpithelial Attachment - Pathologyen_US
dc.subject.meshGingiva - Pathologyen_US
dc.subject.meshGingival Hemorrhage - Classificationen_US
dc.subject.meshGingival Pocket - Classificationen_US
dc.subject.meshLinear Modelsen_US
dc.subject.meshMandible - Surgeryen_US
dc.subject.meshOsseointegrationen_US
dc.subject.meshPeriodontal Indexen_US
dc.subject.meshPeriodontics - Instrumentationen_US
dc.subject.meshSurface Propertiesen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshTitaniumen_US
dc.subject.meshWound Healingen_US
dc.titleHealing after standardized clinical probing of the perlimplant soft tissue seal: A histomorphometric study in dogsen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1034/j.1600-0501.2002.130601.xen_US
dc.identifier.pmid12519330-
dc.identifier.scopuseid_2-s2.0-0036974694en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036974694&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume13en_US
dc.identifier.issue6en_US
dc.identifier.spage571en_US
dc.identifier.epage580en_US
dc.identifier.isiWOS:000180228500001-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridEtter, TH=9743821600en_US
dc.identifier.scopusauthoridHåkanson, I=6507139275en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US
dc.identifier.scopusauthoridTrejo, PM=6603490065en_US
dc.identifier.scopusauthoridCaffesse, RG=7005708068en_US

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