Bacteriological Observations of Implant Cases
Concerning of Movement of the Bacteria in Gingival Sulcus at Periodontal Surgery and Irrigations
1992 Volume 5 Issue 1 Pages 28-34
Details
1992 Volume 5 Issue 1 Pages 28-34
The secular changes following implant enthesis resemble the symptoms of periodontal disease. In recent years, periodontal disease has been reported to be a local infection caused by bacteria. Although the causes which lead to the removal of an implant are diverse, amidst the growing emphasis being placed on plaque control, we focused on bacterial flora in the gingival sulcus of implants, and compared its bacterial flora with that found in the gingival pocket of teeth with periodontal disease by examining the items indicated below.
1. Changes in the bacterial flora of the gingival sulcus of implants immediately following implant enthesis.
2. Changes in the bacterial flora of the gingival sulcus of implants following periodontal surgical procedures.
3. Effectiveness of irrigation of the gingival sulcus of implants.
4. Effectiveness of irrigation in cases of subperiosteal implants.
As a result of the above comparisons,the following conclusion were obtained.
1. As implants are susceptible to the adherence of bacteria during enthesis, at the time of recall, examination of bacteria within the gingival sulcus of the implant is considered to be necessary.
2. When implant periodontitis occurs and motile bacilli,gram negative bacilli and spirochetes are present, therefore it is desirable to take actions corresponding to periodontal disease.
3. A reduction in the present bacteria can be achieved by routine use of irrigation in the same manner as in cases of periodontal disease.
4. Bacteria present in deep tissue can be accommodated by irrigation and the delivery of antibiotics.
