0000000001212512
AUTHOR
Antonio Flichy Fernández
Bisphosphonates and dental implants: current problems
Osteonecrosis of the jaw has been described in patients taking bisphosphonates after oral surgery procedures, including the placement of dental implants. This review is an update of the relationship between bisphosphonates and dental implants.Results obtained by different authors are compared, contrasting earlier studies where an improvement in implant osseointegration using bisphosphonates was observed, with ones where statistically significant differences were found, and more recent studies disagreeing with the use of bisphosphonates for causing necrosis of the jaw. The differing results obtained between animal studies and the situation observed in humans may be due to a short medication …
Dentinal sensitivity : concept and methodology for its objective evaluation
Dentinal sensitivity is a clinical condition of some importance, particularly in periodontal patients. Symptoms appear on applying a triggering stimulus to the exposed dentine - the particularity being that the pain is similar to that of other dental disorders of different etiology and treatment. Hence the importance of a correct differential diagnosis. The main problem not only in clinical practice when treating the disorder, but also in designing studies for the objective evaluation of dentinal sensitivity, is the difficulty of standardizing, evaluating and interpreting the clinical condition in its different degrees. Thus, consensus in designing and evaluating studies of dentinal sensiti…
Effect of ozone therapy upon clinical and bacteriological parameters of the oral cavity: an update
Objective: To review the literature on ozone therapy in oral health, as assessed by different clinical and bacteriological parameters. Material and methods: A PubMed literature search was made using the key words “ozone dental”, and establishing as limits “randomized controlled trial” and “dental journal”. Thirteen articles were identified, with access to only 6 of them. Results: Four studies used ozone for the treatment of caries. One study examined its effect upon dental hypersensitivity, while another evaluated the efficacy of ozone as a tooth whitening technique. Five studies explored the bacteriological actions of ozone therapy in reference to different types of bacteria. Conclusion: T…
Radiological assessment of peri-implant bone loss: a 12-month retrospective study
Introduction: Following dental implant loading, marginal bone loss after one year must be evaluated to check correct maintenance of the bone levels. Objectives: To assess implant treatment success and quantify marginal bone loss 6 and 12 months after loading. Material and method: Sixty-one MIS® implants with a 1.8 mm machined neck were placed in 26 patients. Implant success was based on the criteria of Buser. Radiological controls were made 6 and 12 months after loading, measuring bone loss mesial and distal. Results: Twenty-two patients with 56 implants were included: 32 in the maxilla and 24 in the mandible. Two implants failed in two patients during the osseointegration phase (both in th…
Osteonecrosis of the jaws in patients treated with bisphosphonates
The literature describes an increasing presence of bisphosphonate-induced osteonecrosis of the jaws (ONJ), characterized by the exposure for over 8 weeks of necrotic bone in the maxillofacial region, after bisphosphonate therapy, in the absence of prior maxillary radiotherapy. The present literature review examines the etiopathogenesis, risk factors, clinical forms, diagnosis, treatment and prevention of bisphosphonate-induced ONJ. In addition, a review is made of all the series involving over 15 patients diagnosed with this disorder between 1 January 2011 and 15 May 2011. A PubMed-Medline search was carried out with the following key words: 'bisphosphonates' and 'osteonecrosis'. The appear…
Efecto del probiótico oral Lactobacillus reuteri Prodentis en la salud periimplantaria. Estudio clínico e inmunológico
Introducción Los probióticos son microorganismos vivos que actúan aportando beneficios saludables al hospedador. A nivel local, en la cavidad oral, crean un biofilm y protegen al tejido oral frente a las bacterias patógenas cariogénicas y periodontales, ya que ocupan un espacio que sería ocupado por estos. El objetivo de este trabajo fue estudiar el efecto del probiótico oral Lactobacillus reuteri en la salud periimplantaria de pacientes edéntulos portadores de implantes dentales con mucositis, valorando los parámetros clínicos (índice de placa, profundidad de sondaje, Índice Gingival modificado) e inmunológicos (volumen de fluido crevicular periimplantario, concentración periimplantaria de…