Universitatea de Stat de Medicină şi Farmacie "Nicolae Testemiţanu"
Abstract
USMF „Nicolae Testemițanu", Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină și Farmacie „Nicolae Testemițanu” din Republica Moldova, Ziua internațională a științei pentru pace și dezvoltareIntroduction.
The peri-implant bone loss as well as early implants exposure are widely
discussed themes in the literature. Different causes of dehiscences are
described, like: gingival phenotype, surgical trauma, platform level bone
loss, food pressure. Purpose.
Evaluation of early implant exposure frequency, around implants with
antibiotic treaded and non-treated platforms. The comparison of
obtained data and determination of intra-implant space bacteria upon
dehiscence appearance. Material and methods.
From 491 implants conventionally installed in 214 patients, 254 were installed with
saline solution platform wash (control group). In other 237, beside saline solution wash,
an ointment „Levomekol”(with chloramphenicol as main active substance) was
introduced into the intra-implantat space (study group, Figure 1), before the cover
screw threading.
Results.
When evaluating the frequency of exposure for the number of implants, it was found that
in the study group out of the total number of 237 implants exposures (according to Tal
H. classification) were found in the 23 (9.7% 95%CI [5.9-13.5]) implants, 18 of
them (7.6%; 95%CI [4.2-11.0]) – in the form of a fistula, and 5 (2.1%; 95%CI [0.3-
3.9]) – in the form of a dehiscence (Figure 2). In the control group out of the total
number of 254 implants exposures were found at 81 implants (31.9%; 95%CI [26.2-
37.6] of which in the form of a fistula – 58 (22.8%; 95%CI [17.7- 28.0]), in the
form of a dehiscence – 23 (9.1%; 95%CI [5.5-12.6]).
Conclusions.
The cause of early implants exposure is the inflammatory process that develops as a
result of the microbial contamination of the intra-implantation space at the first surgical
step. The application of antimicrobial drugs may significantly decrease the frequency of
dehiscence as well as bone loss
