Diagnostically significant culturable obligate microorganisms in the development of periimplantitis
- Authors: Tuneva N.A.1, Bogacheva N.V.1, Chastoedova A.N.2, Kokareva T.S.2
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Affiliations:
- Kirov State Medical University
- Kirov Regional Clinical Hospital
- Issue: Vol 26, No 4 (2021)
- Pages: 174-186
- Section: ORIGINAL STUDIES
- URL: https://rjeid.com/1560-9529/article/view/108467
- DOI: https://doi.org/10.17816/EID108467
Cite item
Abstract
BACKGROUND: The urgency of the problem is conditioned by insufficient study of peri-implantitis microbiota, its changes in the dynamics of the process and in the concurrent course with periodontitis.
AIM: To justify the diagnostically significant cultivated obligate microorganisms involved in the development of inflammatory processes in the area of the placed implants.
MATERIALS AND METHODS: The study was conducted in the period 2018–2022. The study involved 127 patients of a private dental clinic in Kirov, Russia. Kirov LLC “Dental Clinic” aged 35 to 69 years (53.8±1.9 years). Men made up 48% and women 52%. Biological material from the peri-implant area was examined. Inoculation on dense culture media of biological material with subsequent calculation of microorganism concentration was carried out according to the Gold method of quantitative four-section inoculation. The species identification of the isolated cultures was carried out by MALDI-TOF mass spectrometry using a Vitek-MS bacteriological analyzer (BioMerieux, France).
RESULTS: Microorganisms obligate anaerobes playing an important role in the development of peri-implantitis were identified in the investigation. Microorganisms that reduce the development of inflammatory changes in periimplantitis, having an inverse correlation between the concentration of microorganisms and the degree of clinical, hygienic and radiological changes in persons with implants, were named periodontal protectors. Microorganisms contributing to the development of pathological processes in the periimplant zone, having a direct correlation relationship between the concentration of microorganisms and the degree of severity of clinical, hygienic and radiological changes — periodontopathogens. This was more pronounced in patients with associated periodontitis. The regularity in the increase of frequency and concentration of several pathogens during the progression of peri-implantitis with predominance of micro-organisms in the periimplant area in those with periodontitis was found.
CONCLUSION: The microbiota of the peri-implant zones has been analyzed by means of the modern bacteriological method — mass-spectrometry. On the basis of the study we substantiate the diagnostically significant microorganisms, respectively increasing (periodontopathogens) and reducing (periodontoprotectors) the development of inflammatory changes at periimplantitis.
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About the authors
Natalya A. Tuneva
Kirov State Medical University
Author for correspondence.
Email: tuneva.n.a@yandex.ru
ORCID iD: 0000-0001-7972-544X
SPIN-code: 7575-1124
Postgraduate Student
Russian Federation, 112, Karl Marx street, Kirov, 610998Natalya V. Bogacheva
Kirov State Medical University
Email: bogacheva70@mail.ru
ORCID iD: 0000-0002-7021-6232
SPIN-code: 4561-4014
Scopus Author ID: 57194272357
MD, Dr. Sci. (Med.), Professor
Russian Federation, 112, Karl Marx street, Kirov, 610998Anna N. Chastoedova
Kirov Regional Clinical Hospital
Email: anna-s44@yandex.ru
ORCID iD: 0000-0001-7779-8274
SPIN-code: 2757-1327
MD
Russian Federation, KirovTatyana S. Kokareva
Kirov Regional Clinical Hospital
Email: kokb@mail.ru
ORCID iD: 0000-0003-0509-3069
SPIN-code: 1744-7220
MD
Russian Federation, KirovReferences
- Fernandez-Estevan L, Selva-Otaolaurruchi EJ, Montero J, Sola-Ruiz F. Oral health-related quality of life of implant-supported overdentures versus conventional complete prostheses: Retrospective study of a cohort of edentulous patients. Med Oral Patol Oral Cir Bucal. 2015;20(4):e450–458. doi: 10.4317/medoral.20498
- Jang HW, Kang JK, Lee K, et al. A retrospective study on related factors affecting the survival rate of dental implants. J Adv Prosthodont. 2011;3(4):204–215. doi: 10.4047/jap.2011.3.4.204
- Moraschini V, Poubel LA, Ferreira VF, Barboza Edos S. Evaluation of survival and success rates of dental implants reported in longitudinal studies with a follow-up period of at least 10 years: a systematic review. Int J Oral Maxillofac Surg. 2015;44(3):377–388. doi: 10.1016/j.ijom.2014.10.023
- Straumann Group [Internet]. #TogetherStrong: 2020 Annual Report [cited 2022 Febr 2]. Available from: https://www.straumann.com/content/dam/media-center/group/en/documents/annual-report/2020/2020_Straumann_Annual_Report.pdf.
- Anitua E, Montalvillo A, Eguia A, Alkhraisat MH. Clinical outcomes of dental implants placed in the same region where previous implants failed due to peri-implantitis: a retrospective study. Int J Implant Dent. 2021;7(1):109. doi: 10.1186/s40729-021-00392-1
- Petrunyak VI. Risk factors for complications at various stages of dental implantation. Universitetskaya Meditsina Urala. 2021;7(2): 23–25. (In Russ).
- Grudyanov AI, Fomenkov EV. Etiology and pathogenesis of inflammatory periodontal diseases. Moscow: Medical Information Agency; 2010. 96 p. (In Russ).
- Pashkova GS, Galiyeva DT, Isadzhanyan KE, et al. Features of the microflora of the oral cavity in patients with inflammatory periodontal diseases. Lecheniye i Profilaktika. 2013;4(8):74–80. (In Russ).
- Nikolaeva EN, Tsarev VN, Panin AM, et al. Associative relationships of periodontopathogenic bacterial species of I and II orders in mixed biofilms in patients with peri-implantitis. Stomatologiya dlya Vsekh. 2014;(4):38–42. (In Russ).
- Gudaryan AA. The role of aerobic and anaerobic microflora in the development of dental mucositis and dental peri-implantitis. Visnyk Problem Biolohiyi i Medytsyny. 2014;2(1):132–135. (In Russ).
- Mashchenko IS, Gudaryan AA, Shirinkin SV, Cherednik DA. Factors of development and modern methods of prevention and treatment of early and delayed inflammatory complications of dental implantation (review). Meditsinskiye Nauki. 2019;10(3):234–250. (In Russ).
- Tuneva NA, Bogacheva NV. Comparative assessment of microbial contamination in periodontitis and peri-implantitis: a review. Vestnik Permskogo Universiteta. Seriya: Biologiya. 2021;(2):101–109. (In Russ). doi: 10.17072/1994-9952-2021-2-101-109
- Declaration of Helsinki of the World Medical Association “Ethical principles for the conduct of medical research involving human subjects”: adopted by the 18th General World Medical Assembly (World Medical Association — WMA) in June 1964. Helsinki, Finland, 1964. (In Russ).
- Mironov PI. Ethical review of clinical trials: Declaration of Helsinki-2008. Meditsinskiy Vestnik Bashkortostana. 2009;(6):82–86. (In Russ).
- Tarasova YuG, Kuznetsova VYu, Lyubomirsky GB. The significance of local and general factors in the development of inflammatory periodontal diseases in persons of different ages. Klinicheskaya Stomatologiya. 2011;(3):70–74. (In Russ).
- Dental hygiene indices. Dental journal iStom. 2015. Available from: http://alvistom.com/publ/profilaktika/stomatologicheskie_indeksy_gigieny/1-1-0-11. (In Russ).
- Schwartz F, Becker Yu. Peri-implantitis: etiology, diagnosis and treatment. Moscow: GalDent; 2014. 300 p. (In Russ).
- Tsarev VN, Nikolaeva EN, Ippolitov EV. Periodontopathogenic bacteria — the main factor in the occurrence and development of periodontitis. Zhurnal Mikrobiologii, Epidemiologii i Immunologii. 2017;(5):101–112. (In Russ).
- Yakovlev AT, Badrak EYu, Mikhalchenko DV. Research of microflora in the area of connection of a dental implant with an abutment. Volgogradskiy nauchno-meditsinskiy zhurnal. 2015;(1):46–49. (In Russ).
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