Résumé
Prosthodontic treatment using dental implants is one of the solutions for partially and completely edentulous patients. The peri-implant area is colonized by a large variety of oral microbial complexes. Various prosthesis may provide means of mechanical attachment to the microflora; this in turn allows their aggregation and colonization. There exists a relationship between the peri-implant microflora, the microbiota on the inner surface of removable superstructures, and the periodontal microflora within the same subject. The microbial leakage around the gap between superstructures and the abutment plays an important role in the bacterial colonization of the internal part of screw retained crowns and bridges. At least 10% implant failures have been suggested to be the result of peri-implantitis. The long term success directly depends on the microbiota around the prosthesis. Proper periodontal infection control before installment of dental implants may prevent early bacterial complications.
Résumé
Estudou-se a capacidade seladora de remanescentes de obturação do canal radicular (4, 5 e 6mm), frente ao emprego do Sealapex e do EndoFill, valendo-se de diferentes indicadores microbianos. Para o teste de infiltração empregou-se uma plataforma, dividida em duas partes: câmara superior - onde foi introduzida a suspensão microbiana (contendo E. faecalis S. aureus, P. aeruginosa, B. subtilis e C. albicans) e uma câmara inferior, com o meio de cultura Brain Heart Infusion, onde 3 mm da região apical permaneceram imersos. O período de observação foi de 60 dias. Os dados obtidos foram submetidos ao teste de Kruskal-Wallis e Mann-Whitney. Os resultados mostraram infiltração microbiana em todos os grupos, não havendo diferenças significantes entre os cimentos estudados. Porém, quando se analisou os resultados dos níveis de remanescentes de obturação, entre 4 e 5 mm, e 5 e 6 mm não ocorreu diferenças significantes. Ao comparar os níveis de 4 e 6 mm pode-se constatar diferenças significantes.
This work aimed to evaluate the sealing ability of root canal filling remnants (4, 5 and 6mm), employing Sealapex and EndoFill, by means of differents microbial indicators. A platform was employed, which was split in two halves: an upper chamber - where the microbial suspension (containing E. faecalis + S. aureus + P. aeruginosa + B. subtilis + C. albicans); and a lower chamber containing the culture medium Brain Heart Infusion, in which 3 mm of the apical region of teeth were kept immersed. Interpretations of the time to occur microbial leakage were made daily for 60 days, using the turbidity of the culture medium which is indicative of microbial contamination, as a reference. The data obtained were submitted to the Kruskal-Wallis and Mann-Whitney tests. The outcomes didn't show any significant difference between the sealers assessed, when the time for microbial leakage was compared, and leakage was noted in all the comparative groups. When the results of the remaining obturation level were compared, between 4 and 5 mm and 5 and 6 mm, no significant differences were found; however, when 4 and 6 mm levels were compared significant differences were noted.
Résumé
STATEMENT OF PROBLEM: Implant systems result in gaps and cavities between implant and abutment that can act as a trap for bacteria and thus possibly cause inflammatory reactions in the peri-implant soft tissues. PURPOSE: Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythia, Treponema denticola, and Aggregatibacter actinomycetemcomitans, related to implant-abutment interface microleakage. MATERIAL AND METHODS: Samples were taken from 27 subjects with sterilized paper points and were transported in 1XPBS. The detection of periodontopathogens were performed by polymerase chain reaction with species-specific primers based on 16S rDNA. RESULTS: Our data showed that the detection rate of P. gingivalis and P. intermedia in implant fixture was 59% and 82% in patients respectively. Detection rate of P. gingivalis and P. intermedia in implant crevice was 44% and 82% in patients. Detection rate of P. gingivalis and P. intermedias in tongue was 82% and 82% in patients. CONCLUSION: Current implant systems cannot safely prevent microbial leakage and bacterial colonization of the inner part of the implant.