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Zahnimplantate im parodontal vorgeschädigten Gebiss

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Zusammenfassung

Die aktuelle Mundgesundheitsstudie (DMS IV) zeigt, dass die Zahl der behandlungsbedürftigen Parodontitiden und der inserierten Implantate zunimmt. Aus diesem Grund spielt die Implantologie im parodontal vorgeschädigten Gebiss eine sehr wichtige Rolle.

Die Ursache der Destruktion periimplantärer Gewebe erklärt sich durch eine Besiedelung der Implantatoberflächen mit Bakterien, welche auch bei einer chronischen Parodontitis gefunden werden. Die Ätiopathogenese und die modifizierenden Faktoren hierbei können analog denen der Parodontalerkrankungen gesehen werden.

Im parodontal vorgeschädigten Gebiss ist ein später Implantatverlust oder eine Periimplantitis häufiger als im nicht vorgeschädigten Gebiss. Dies wird durch die parodontale Nachsorge sowie die Oberflächenrauigkeit der Implantate beeinflusst. Im Vergleich hierzu zeigen auch parodontal entzündungsfreie Zähne eine sehr gute Langzeitprognose von bis zu 99% über 50 Jahre, was man beachten sollte.

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  1. Klinik für Parodontologie, Zahnmedizinische Kliniken, Universität Bern, Freiburgstr. 7, 3010, Bern, Schweiz

    O. Laugisch, G.E. Salvi & A. Sculean

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  1. O. Laugisch
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  2. G.E. Salvi
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  3. A. Sculean
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Laugisch, O., Salvi, G. & Sculean, A. Zahnimplantate im parodontal vorgeschädigten Gebiss. wissen kompakt 5, 3–10 (2011). https://doi.org/10.1007/s11838-010-0107-y

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