Comparison of naturally occurring and ligature-induced peri-implantitis bone defects in humans and dogs

Clin Oral Implants Res. 2007 Apr;18(2):161-70. doi: 10.1111/j.1600-0501.2006.01320.x.

Abstract

Objectives: The aim of the present study was to evaluate and compare naturally occuring and ligature-induced peri-implantitis bone defects in humans and dogs.

Material and methods: Twenty-four partially and fully edentulous patients undergoing peri-implant bone augmentation procedures due to advanced peri-implant infections were included in this study (n=40 implants). Furthermore, peri-implantitis was induced by ligature placement and plaque accumulation in five beagle dogs for three months following implant insertion (n=15 implants). The ligatures were removed when about 30% of the initial bone was lost. During open flap surgery, configuration and defect characteristics of the peri-implant bone loss were recorded in both humans and dogs.

Results: Open flap surgery generally revealed two different classes of peri-implant bone defects. While Class I defects featured well-defined intrabony components, Class II defects were characterized by consistent horizontal bone loss. The allocation of intrabony components of Class I defects regarding the implant body allowed a subdivision of five different configurations (Classes Ia-e). In particular, human defects were most frequently Class Ie (55.3%), followed by Ib (15.8%), Ic (13.3%), Id (10.2%), and Ia (5.4%). Similarly, bone defects in dogs were also most frequently Class Ie (86.6%), while merely two out of 15 defects were Classes Ia and Ic (6.7%, respectively).

Conclusions: Within the limits of the present study, it might be concluded that configurations and sizes of ligature-induced peri-implantitis bone defects in dogs seemed to resemble naturally occurring lesions in humans.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alveolar Bone Loss / classification
  • Alveolar Bone Loss / physiopathology
  • Alveolar Ridge Augmentation
  • Animals
  • Anti-Infective Agents, Local / therapeutic use
  • Chlorhexidine / analogs & derivatives
  • Chlorhexidine / therapeutic use
  • Dental Implants* / adverse effects
  • Dental Materials / chemistry
  • Dental Plaque / complications
  • Dental Prosthesis Design
  • Disease Models, Animal
  • Dogs
  • Female
  • Humans
  • Jaw, Edentulous / surgery
  • Jaw, Edentulous, Partially / surgery
  • Male
  • Middle Aged
  • Periodontal Pocket / classification
  • Periodontal Pocket / physiopathology
  • Periodontitis / classification
  • Periodontitis / physiopathology*
  • Surgical Flaps
  • Titanium / chemistry
  • Wound Healing / physiology

Substances

  • Anti-Infective Agents, Local
  • Dental Implants
  • Dental Materials
  • Titanium
  • chlorhexidine gluconate
  • Chlorhexidine