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Parodontologie versus implantologie

  • paradontologie
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Door de opkomst van de implantologie dreigen sommige mogelijkheden die de parodontologie biedt en die zich in het verleden bewezen hebben, in de vergetelheid te raken. Op zich zou dit niet erg zijn als voldoende bewezen was dat implantologie in alle gevallen vergelijkbare of betere resultaten biedt. Voordat de indicatie extractie en implanteren gesteld wordt, is het dan ook in veel gevallen nuttig te overwegen of dit wel de beste oplossing is. Het is van belang te overwegen of er alternatieven zijn en of in het onderhavige geval de kans op peri-implantitis afwezig of gering is.

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  1. Franson C, Lekholm U, Jemt T, Berglundh T. Prevalence of subjects with progressive bone loss at implants. Clin Oral Impl Res 2005;16:440. Methods: Radiographs of 662 patients who had attended annual follow-up visits at the Brånemark Clinic, Gothenburg, were retrieved. The subjects had been provided with implant-supported (Brånemark System, Nobel BioCare, Gothenburg, Sweden) fixed partial or complete dentures or single-tooth replacements with a documented function time in radio-graphs of at least 5 years. Implants that demonstrated progressive bone loss to a level of > or =3 threads of an implant were detected. Results: Twenty-eight percent of 662 included subjects had one or more implants with progressive bone loss. Out of the total 3413 implants included in the study, 423 implants (12.4%) demonstrated progressive bone loss.

  2. Review article. Quirynen M, Abarca M, Van Assche N, Nevins M, Van Steenberghe D. Impact of supportive periodontal therapy and implant surface roughness on implant outcome in patients with a history of periodontitis. J Clin Periodont 2007 34;9:805-815. Conclusions: These results seem to indicate that periodontally compromised patients can be successfully treated with minimally/moderately rough implants, in the presence of SPT.

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    J. P. van Hoeve

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  1. J. P. van Hoeve
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van Hoeve, J.P. Parodontologie versus implantologie. TAPR 30, 10–13 (2009). https://doi.org/10.1007/BF03080764

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  • DOI: https://doi.org/10.1007/BF03080764

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