Publication: Tratamiento combinado de la periimplantitis mediante implantoplastia y abordaje regenerativo. Estudio observacional prospectivo de una cohorte
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2019-04-24
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Universidad Complutense de Madrid
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Abstract
Antecedentes y justificación:Entre las causas de fracaso implantológico más frecuentes se encuentran las enfermedades periimplantarias. Se clasifican en dos categorías:- Mucositis: inflamación en la mucosa periimplantaria, sin signos de pérdida de hueso de soporte.- Periimplantitis: afectación de los tejidos duros periimplantarios, además de la mucosa.Dadas las diferencias encontradas en la literatura en cuanto al diagnóstico y los posibles abordajes terapéuticos, es difícil arrojar conclusiones definitivas sobre cuál es el tratamiento más eficaz. Por lo tanto, parece justificada la realización de un estudio observacional longitudinal prospectivo que permita evaluar los efectos a nivel de tejidos blandos y duros provocados por un nuevo abordaje combinado de implantoplastia seguido de regeneración ósea combinado con la asociación antibiótica de piperacilina/tazobactam.Objetivos:1- Determinar la frecuencia según el tipo de defectos periimplantarios.2- Establecer si existen correlaciones entre estos defectos con el consumo de tabaco o la higiene de los pacientes.3- Observar si la presencia de sangrado y/o supuración al sondaje, se ve modificada tras el tratamiento...
Background and justification:Among the most frequent causes of implant failure are periimplant diseases, defined by the European Consensus of Periimplantitis as "pathological inflammatory reactions in the hard and soft tissue surrounding an osseointegrated implant". They are classified in two categories:- Mucositis: soft tissue inflammation, without signs of bone support loss.- Peri-implantitis: affectation of soft and hard peri-implant tissues.Given the differences found in the literature regarding the diagnosis and possible therapeutic approaches, it is difficult to draw definitive conclusions about which is the most effective treatment. Therefore, it seems justified to perform a prospective longitudinal observational study to evaluate the effects of a new combined approach of implantoplasty followed by bone regeneration.Working hypothesis and objectives:It is currently recommended to use a combined surgical approach of implantoplasty and regeneration of the peri-implant defect. However, it is essential to combine it with disinfection methods, such as different antibiotic solutions. Among these, is the association of piperacillin / tazobactam...
Background and justification:Among the most frequent causes of implant failure are periimplant diseases, defined by the European Consensus of Periimplantitis as "pathological inflammatory reactions in the hard and soft tissue surrounding an osseointegrated implant". They are classified in two categories:- Mucositis: soft tissue inflammation, without signs of bone support loss.- Peri-implantitis: affectation of soft and hard peri-implant tissues.Given the differences found in the literature regarding the diagnosis and possible therapeutic approaches, it is difficult to draw definitive conclusions about which is the most effective treatment. Therefore, it seems justified to perform a prospective longitudinal observational study to evaluate the effects of a new combined approach of implantoplasty followed by bone regeneration.Working hypothesis and objectives:It is currently recommended to use a combined surgical approach of implantoplasty and regeneration of the peri-implant defect. However, it is essential to combine it with disinfection methods, such as different antibiotic solutions. Among these, is the association of piperacillin / tazobactam...
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Tesis inédita de la Universidad Complutense de Madrid de la Facultad de Odontología. Departamento de Especialidades Clínicas Odontológicas, leída el 14-12-2018